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49.Srinivas BV, Vasan SS, Mohammed S. Penile lengthening procedure with V-Y advancement flap and an interposing silicone sheath: A novel methodology. Combining this procedure with others, like removing excess fat, can lead to further complications. Wilson, a paid consultant for Elist’s company, helped vet skilled surgeons around the country who could be trained to perform the Penuma procedure. Surgeons utilize various techniques to achieve desired results. To date, there is little evidence that any of these techniques work. There are several surgical procedures to enlarge the penis, including surgical implants and skin grafts. For instance, are there other ways you can work on your confidence besides going through an invasive surgery like getting a penile implant? How can you make a penis bigger? The penis is not a muscle but some men swear that exercising your cock will make it rock! Women find men that have a large penis more sexually attractive and more capable.