Penuma Implant Cost 2026: Penis Enlargement Surgery Price, XXL Size & Results

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 that is FDA-cleared and custom-shaped to fit the patient’s anatomy. According to a 2024 study in Therapeutic Advances in Urology, the device “received 510K clearance by the FDA for this purpose in May 2022.” It is placed under the skin of the penis to increase length and girth, without interfering with sexual function or urination.

Short answer: The Penuma implant costs about $16,000 to $18,000 in the United States, and the XXL size costs the same as the L and XL sizes. In Turkey, all-inclusive Penuma or silicone-implant packages cost about $4,500 to $13,000. Because Penuma is an elective cosmetic procedure, health insurance does not cover it.

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 popular cosmetic 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. Non-surgical penis filler injections are a temporary alternative that adds girth without surgery. 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 was developed by board-certified urologists; the implant stretches the skin and tissue, and in a 2024 study of 92 men flaccid length increased by an average of 2.5 cm (about 1 inch).

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. 

The surgeon chooses the size that fits your measurements; a bigger size is not a way to buy more growth. In the 2024 study of 92 men, girth increased by 3.1 cm and flaccid length by 2.5 cm on average.

Himplant vs Penuma: Is There a Difference?

No. Himplant is the name under which the same custom-shaped silicone sleeve is now marketed, so “Himplant” and “Penuma” refer to the same device family: an FDA-cleared cosmetic implant placed under the penile skin to add girth and flaccid length. The sizes (L, XL, XXL), the operation and the risks are the same, and so is the price range on this page.

Does Penuma Add Erect Length?

Not in a meaningful way. Penuma is designed for men with normal erections who want a larger flaccid penis: the 2024 study describes it as “a soft silicone penile implant designed for cosmetic enhancement of the flaccid penis in men who have normal erections.” The main gains are girth (flaccid and erect) and flaccid length; the study did not measure erect length.

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 made of medical-grade silicone.

Penuma XXL Before and After

Before-and-after results with the XXL size follow the same pattern as the other sizes: the main change is more girth and a fuller, longer-hanging flaccid penis, while erect length does not change in a meaningful way. In a 2024 study of 92 men published in Therapeutic Advances in Urology, “The mean increase in girth was 3.1 cm (SD 1.3), representing a 32% change,” and flaccid length increased by an average of 2.5 cm (44%).

“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?

The Penuma implant procedure typically costs $16,000 to $18,000 in the United States. The quoted price usually covers the surgeon’s fee, the operating room, anesthesia and the medical-grade silicone device itself. Circumcision (required if you are not already circumcised), travel, lodging and any future revision surgery add to the final out-of-pocket cost. The price is the same whether you receive 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 $4,500–$13,000 USD for all-inclusive packages, depending on the clinic tier and what the package includes.

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 and Thailand range from about $3,000 to $11,000, and Turkey from about $4,500 to $13,000 for an all-inclusive package, which is why most international patients compare these countries first.

How Much Does Penuma XXL Cost?

Penuma XXL costs the same as the L and XL sizes: about $16,000 to $18,000 in the United States and about $4,500 to $13,000 in Turkey. Choosing the XXL size does not change the base price, because the surgeon selects the implant size from your anatomy rather than charging per size.

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.

Penuma Implant Cost in Turkey

In Turkey, a Penuma-type silicone implant usually costs $4,500 to $13,000 as an all-inclusive package, compared with $16,000 to $18,000 in the United States. Packages normally include the surgeon’s fee, operating room, anesthesia and the implant, and many also cover the hotel, airport transfers and follow-up visits. The price depends on the clinic, the surgeon’s experience and what the package includes, not on whether you need an L, XL or XXL implant.

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 silicone device is normally included in the quoted price, and L, XL and XXL sizes cost the same.
  
  
• Circumcision: You need to be circumcised before the implant is placed; if you are not, this adds to the 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 2.5 cm (about 1 inch) of flaccid length and 3.1 cm (about 1.2 inches) of girth on average, according to a 2024 study of 92 men. Studies show significant increases in penile girth—often 1–2 inches, which corresponds to roughly 3 cm—along with some flaccid length enhancement. In the 2024 study of 92 patients, “82% of patients reported being satisfied or very satisfied with their postoperative penile appearance”, and 75% said they would undergo the surgery again.

For reference, a systematic review of up to 15,521 men (BJU International, 2015) found an average flaccid length of 9.16 cm (3.6 inches), erect length of 13.12 cm (5.2 inches), flaccid girth of 9.31 cm (3.7 inches) and erect girth of 11.66 cm (4.6 inches).

Penuma adds to the flaccid size and to girth; it is not a way to add inches of erect length.

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. 

In some cases, removal (explantation) is necessary, which can sometimes lead to further issues such as penile shortening.

The same study found that the surgical approach matters: “the revision rate was significantly higher in infrapubic patients” (13% vs 2%) than in men treated through the lateral scrotal approach. Cleveland Clinic also lists scarring, loss of sensation, erectile dysfunction, infection and dissatisfaction with results among the risks of penis enlargement surgery.

How Long Does Penuma Last?

Penuma is designed to be a permanent implant: it is a solid silicone sleeve that does not dissolve, get absorbed or lose volume over time like fillers, and it is not routinely replaced. It stays in place unless it is removed because of a complication or the patient’s choice. Long-term data are still limited — the 2024 study surveyed patients at least 6 months after surgery.

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

Related guides: penis enlargement surgery cost in Turkey · how to increase girth size permanently.

How Do Penile Implants Work?

Written and medically reviewed by Assoc. Prof. Zulfu Sertkaya, Urology, International Clinics.