Penuma Implant: Penis Enlargement Surgery Cost, Sizes & Results 2026

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.

To be precise about the regulatory wording: Penuma is FDA-cleared under the 510(k) pathway as a cosmetic device — it is not an FDA-approved treatment for erectile dysfunction, and no insurer covers it.

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.

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.

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. 

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.

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.

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

“Due to the risk for complications such as scarring, infection, pain, loss of penile sensation and erectile dysfunction, many surgeons don’t recommend surgery for a penis that is adequate in size.”

Cleveland Clinic — Penis Enlargement Surgery

How Much Does the Penuma Procedure Cost in 2026?

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

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.

Outside the United States the same silicone-implant surgery is routinely quoted far lower: Mexico sits around $6,000 to $9,000 and Turkey around $5,000 to $8,000, which is why most international patients compare those two first.

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 the 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: Patient 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.

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.

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

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?

Medically reviewed by Dr. Mustafa Karakaş, Urology, International Clinics.