Penuma® Procedure: Male Enhancement Surgery [2026 Update]

The Penuma procedure is a type of penis enlargement surgery designed to enhance the size and appearance of the penis. It is an elective cosmetic surgery involving the insertion of an FDA-cleared, soft silicone implant under the penile skin to increase girth and flaccid length, typically through a small scrotal incision for better cosmetic results. The Penuma implant is a soft, medical-grade silicone sleeve approved by the FDA in 2004 and custom-shaped to fit the patient’s anatomy. It is placed under the skin of the penis to increase length and girth, without interfering with sexual function or urination.

These implants are also called “Himplant implants”. They are solid silicone penile implants of great medical quality. Surgeons place them beneath the skin to improve the appearance of the penis and achieve better performance and confidence.

While surgeons can modify the penis to fit these implants, patients should carefully evaluate factors like safety, cost, and availability before choosing the best penile enlargement method. 

This article with International Clinics explores everything you need to know about the Penuma implant—from how it works and who qualifies, to the procedure, recovery, and results.

What is a Penuma Procedure?

A Penuma surgery is a cosmetic surgery that involves surgically implanting a soft, medical-grade silicone device under the skin of the penis to increase its flaccid length and girth. The procedure is performed under general anesthesia, where the implant is inserted through a small incision, typically near the scrotum. Penuma implant placement procedure is intended for cosmetic enhancement rather than medical conditions. It i one of the best permanent options for penis enlargement. This elective procedure is commonly chosen for men concerned about small penis size (micropenis) or cosmetic appearance. It’s important to note that this implant is not a penile prosthesis, such as the inflatable devices used to treat erectile dysfunction. Therefore, it doesn’t improve erectile function or sexual performance. Instead, it has gained popularity in recent years as a safe and effective option for men seeking penile enhancement surgery.

What is Penis Enlargement Surgery?

Penis enlargement surgery aims to increase penis length or girth, using techniques like cutting the suspensory ligament to increase apparent length, or using fat transfer or silicone implants for thickening. These procedures are performed mainly when men have a really small penis or are concerned about their penis size, as with Penile Dysmorphic Disorder (PDD),  a condition in which a man believes that their penis is smaller than normal, even when it is within the average size range. 

Several methods enhance penis size and visibility. Implant placement using the Penuma procedure is considered among the best penis enlargement surgeries. An implant is performed when noticeable and permanent results are required. 

What is the Penuma implant?

The Penuma implant is an FDA-cleared, medical-grade silicone penile implant designed for aesthetic enhancement. It is a U-shaped implant placed during Penuma surgery under the penile skin to increase flaccid length and girth, providing a natural look and feel for men concerned about their penis size. Penuma surgery is developed by board-certified urologists and in use since 2004, the procedure stretches skin and tissue to achieve size gains of up to 2.5 inches in flaccid length in some patients.

Although generally safe, the Penuma implant carries potential risks such as infection, seroma (fluid buildup), implant migration, or pain, and in rare cases may require removal (explantation), which can lead to additional issues. Careful patient selection and consultation with a specialized surgeon are essential due to the procedure’s elective nature and relative novelty.

Penuma Implant Sizes

Penuma implants come in standard sizes like Large (L), Extra-Large (XL), and Extra-Extra-Large (XXL), each used based on the initial penis size,the penis enlargement required and the patients need. 

They all generally add significant girth and some length, with XXL being the largest option for substantial size increase. 

While the XXL Penuma implant is FDA-cleared for adult men with normal erectile function who want increased penile girth, it is not the preferred option for most patients. The larger size can lead to a less natural appearance, a tighter tissue fit, a higher chance of discomfort, and a greater risk of complications compared to the L or XL sizes. 

The XXL Penuma implant may be recommended only for men who naturally have a wider penile base and enough tissue elasticity to accommodate the larger size safely; surgeons typically reserve it for patients whose anatomy can support it without creating tension, unnatural contours, or higher complication risk.

In any case, it seems to be supported by some sound scientific ideas, at least in the first trials and cases. The implant is available in three sizes: big, extra-large, and extra-extra-large, but its unclear if it is worth considering for Penile Glans Enlargement.

Traditionally, the Penuma procedure involves an incision to insert the implant and achieve cosmetic penis augmentation. A recent study found a new "concealed" approach that involves a novel scrotal incision for Penuma silicone penile implantation.

Penuma Procedure Before and After

Before and after Penuma procedure images can show you how your girth and flaccid length can be increased with this implant.

Photos of Patients after Penile Implants show significant increase in both flaccid penile length and girth with natural look and feeling, as well as high rates of patient satisfaction and improved self-confidence. 

The Penuma procedure typically results in a significant increase in both flaccid penile length and girth, as well as high rates of patient satisfaction and improved self-confidence. 

This cosmetic implant can improve indentation abnormalities, add additional girth, or make a retractile penis (one that partially rests beneath the skin) appear larger to a certain extent, which makes it more powerful compared to Penis Botox.

Enhancing a mans sexual experience and general self-confidence in his sexual life is the main goal of this implant as you can see in the Penuma procedure before and after pictures.

Like chin and butt implants, the soft penile implant is composed of medical-grade silicone, which supposedly should be safe.

It is implanted subcutaneously, which means that it is situated above the tissue that permits the penis to function but beneath the skin.

Unfortunately, we cant display such images here due to their explicit nature, which interferes with our patients’ privacy. 

How Much is Penuma Procedure in 2025?

Penuma procedure cost ranges from 18,000 to 24,000 USD in the United States, with the penuma  implant cost alone around $5,000 to the overall expense. Implant price generally is the same regardless of whether a size L, XL, or XXL implant

The price of penuma implant surgery varies by provider, location, and specifics of the surgery, as its an elective cosmetic procedure not usually covered by insurance. 

Prices of penuma implants and surgery can be significantly lower in other countries. In Turkey Penuma implant surgery or alternative silicone implant like Peniflex cost around $5,000–$8,000 USD. 

The final price depends on the clinic, surgeon’s experience, and whether packages include accommodation, transfers, and post-operative care.

Below is a table that displays an estimated cost of the procedure in different countries:

Although Penuma procedure price is a crucial consideration for sure, its also very important to think of these treatments as an investment in your general and sexual well-being.

Your quality of life can be substantially improved by the self-assurance and self-worth that might result from bodily contentment.

At this time, Penuma is not approved to treat erectile dysfunction and is not covered by health insurance programs. 

The Food and Drug Administration (FDA) only has a license for the Penuma implant to be used in the United States.

Factors Affecting Penuma Procedure Price 

The exact cost of a Penuma procedure can vary depending on the surgeon, location, and specific customization for each patient. As an elective cosmetic surgery, it is rarely covered by insurance.

Key factors influencing the cost include:

• Location: Geographic region plays a big role. The procedure is currently licensed only in the United States, though some clinics in other countries may offer alternatives.
  
  
• Provider: The experience, expertise, and fees of the surgeon and clinic impact the final price.
  
  
• Customization: The implant is tailored to each patient. The specific size and fit can influence the cost.
  
  
• Implant device: The cost of the device itself can account for around $5,000 of the total procedure cost.
  
  
• Insurance coverage: Since Penuma is considered elective and cosmetic, it is typically not covered by health insurance.

Permanent male enlargement surgery cost

Permanent male enlargement surgery costs range from $3,000 to over $20,000, depending on the procedure (like implants, fat transfer, grafts), surgeons fees, and location

Penuma implant surgery is considered one of the few permanent penis enlargement options that offer a natural look and feel. Many men choose Penuma because it can permanently increase penile girth and improve the flaccid length, making it a long-term alternative to temporary fillers or fat transfer.

Steps of Penuma Implant Procedure 

The Penuma implant procedure involves a surgeon making a small incision near the base of the penis to insert the silicone implant under general anesthesia. The pneuma penis enlargement procedure It is an outpatient procedure performed under general anesthesia, with a small incision near the scrotum, leaving the penis shaft scar-free.

Here is the step-by-step Penuma implant procedure:

1. How to Prepare for Penuma procedure?
Your doctor will thoroughly evaluate the possible advantages, dangers, and alternatives before going forward with the procedure, especially if you have erectile dysfunction.  Alongside your unique physiology, goals, and expectations, your surgeon will also assess the implants type and its compatibility.

2.  What to expect during Penuma procedure?

1. Duration and Anesthesia:
   The Penuma procedure takes between forty-five minutes and an hour and is carried out under anesthesia in most cases.

2. Incision:
   During the procedure, your surgeon makes a tiny incision in the scrotum to place the implant. The penis itself is not cut in any way.

3. Implant Function:
   In essence, the Penuma implant "wraps" around your penis tissue to add girth, which is normally seen while it is flaccid or erect.

4. Placement:
   Through the incision, the Penuma implant is placed beneath the skin and pulled down along the shaft. The implant is then sutured into place, forming a sheath-like fit across the “corpora cavernosa” of your penis.

5. Suture Visibility:
   Usually, neither the patient nor their sexual partner can see these sutures. The penis appears and feels bigger because of the implants ability to stretch its skin and tissue.

6. Scarring:
   There is minimal to no visible scarring from the procedure, since the incision made for the implant is tiny.

7. Optional Reference:
   You can check a Penuma procedure video to see this process for yourself.

Recovery After Penuma Procedure

1. Importance of Recovery Measures:
   To guarantee the best outcomes and prevent complications, patients must follow specific care instructions during the recovery period.

2. Initial Results vs. Full Healing:
   Although patients may notice an immediate increase in penile size and thickness, it can take several months for the full healing process to be completed and for the final results to be realized.

3. Sexual Rest:
   A period of sexual abstinence is required to allow the penis to recover properly, reduce the risk of complications, and ensure the most natural-looking and lasting results.

Penuma Procedure Results

The Penuma implant procedure results in a noticeable increase in penile size, with many patients gaining about 1.5 to 2.5 inches in flaccid length and girth. Studies show significant increases in penile girth—often 1–2 inches, which corresponds to roughly 3 cm or about 56.7% growth—along with some flaccid length enhancement. Patient satisfaction is consistently high, with around 80% reporting being satisfied or very satisfied, noting improved self-esteem and no meaningful negative impact on erection or ejaculation in most studies.

When flaccid, the average male penis measures around 3.6 inches (3.7 inches in girth), and when erect, it measures 5.2 inches (4.6 inches in girth).

The typical penis may be enlarged by the Penuma to a length of 7.7 inches when erect and 6.1 inches when flaccid.

Penuma Procedure in Turkey Patients reviews

According to Penuma procedure reviews, those who have the procedure usually experience a one-to-two-inch increase in length and girth, both while flaccid and erect.

A lot of people also say that the implant makes their flaccid penis longer.
The form of your penis will be taken into consideration while designing and inserting your Penuma implant in Turkey.

Below are some reviews left by some selected patients:

"I was always so really worried about the size of, well, you know. It affected my relationships with the other sex. The Penuma procedure was my choice. Im happier with myself than Ive ever been, and my partner is happy too. The recovery wasnt so hard as I was thinking, but the results are absolutely worth it."

H.J. ( 45 years old patient from the United States)

"I didnt want to go so overboard, just a slight enhancement is all I have wanted. Penuma delivered exactly that. Its subtle, but it makes a great difference in both appearance and performance. The procedure itself was surprisingly quick and the discomfort was minimal. So, yes I recommend it!."

J.R. ( 39 years old patient from Australia)

"This wasnt a cheap procedure for someone like me, but it was worth every penny as I see now. The results are actually cool and long-lasting. My partner suggested the procedure first, and now, I feel more confident and attractive than ever before. If youre considering it, I highly recommend doing your research and finding an experienced surgeon in Turkey."

L.E. ( 41 years old patient from Denmark)

To make your penis seem and feel bigger, the technology stretches the tissues and skin of the penis. Other alternatives such as Stem Cell Penis Enlargement also available in Turkey. 

Penuma Procedure Limitations

Penuma implants are a novel and developing technique. Despite its growing popularity, however, it is essential to understand its drawbacks and potential hazards.

Penuma implant risks include infection, seroma (fluid buildup), scarring, implant migration, and occasional pain. 

Serious complications are relatively uncommon, but in some cases, removal (explantation) may be necessary, which can sometimes lead to further issues such as penile shortening. 

Careful patient selection and consultation with a specialized surgeon are essential due to the procedure’s elective nature and novelty.

Research on its effectiveness is still in its infancy, despite the abundance of encouraging comments about it on the internet.

Unfortunately, a Penuma implant wont assist with many things. Penuma is ineffective in treating low testosterone levels, nervous system damage, or premature ejaculation (PE).

Also, it comes with some possible complications, including infections, implant movement, and capsular contracture.

The complications have been documented in a few cases. These issues may affect sexual performance and enjoyment and necessitate further procedures.

Interesting read:

How to Reduce Sensitivity of Glans Naturally? Desensitized Penis
P-Shot with Stem Cells for Penis Growth & Firmer Erection

How Do Penile Implants Work?

References