Performed by Dr. Elliot Heller, MD, FACS
Board-Certified Surgeon · Fellow of the American College of Surgeons
Practicing since 1989 · 10,000+ male enhancement procedures
Penuma-type silicone sleeve penile augmentation is a permanent, FDA-cleared surgical solution for increasing penile width and length. The procedure was designed specifically for aesthetic penile enhancement, and in the hands of an experienced surgeon it produces natural-looking results with a recovery most men describe as manageable.
Penuma is not an erectile dysfunction implant. It is an aesthetic enhancement performed to increase visible size, add a sense of fullness and weight, and improve patient confidence. Clinical studies have shown measurable gains in both circumference and length, and many patients report heightened sexual sensation during intercourse for themselves and their partners.
The silicone sleeve is a flexible, medical-grade implant inserted beneath the skin of the penile shaft. It is sculpted and sized to match each patient’s anatomy, not fitted from a stock template. Dr. Heller works with the patient in consultation to decide on dimensions that produce a natural-looking result in proportion to the rest of the body.
Because the implant sits under the skin of the shaft, it adds both girth and, in many cases, visible length. Expected results in a single procedure are significant: for some patients, the average length gain from surgical enhancement overall is approximately 1.5 to 2 inches, with girth increases of 1 to 2 inches. Final gains depend on the patient’s starting anatomy and the implant sizing selected during consultation.
The implant is placed through a small incision localized at the base of the penis. A space is created beneath the skin to accommodate the full length and width of the sleeve. The implant encircles the shaft. Sutures close the incision. The procedure is performed under anesthesia in a private surgical setting.
Only specifically trained and authorized surgeons perform Penuma-type silicone sleeve procedures. This is not a treatment that should be sought from a generalist.
This approach offers a set of advantages that few other enhancement procedures can match:
Recovery after Penuma-style surgery is among the most manageable in surgical penile enhancement. Dr. Heller’s patients typically experience mild to moderate discomfort for several days, which is well controlled with standard pain management.
Most patients return to normal daily activities within 48 hours. Vigorous exercise and heavy physical activity should be avoided for approximately 10 days. Sexual activity can be resumed 3 to 4 weeks after the procedure, allowing full healing of the surgical site.
Swelling and bruising typically subside within the first one to two weeks. Small scars from the base-of-penis incision fade significantly over time and are discreetly located.
For patients weighing Penuma-type sleeve implants against non-surgical options, the trade-offs are straightforward:
Many patients combine two approaches. Dr. Heller will review the trade-offs with you honestly during consultation and recommend what actually fits your goals.
Penuma-type silicone sleeve surgery is appropriate for adult men in reasonable general health who want a permanent increase in both length and girth and are willing to accept a short recovery period in exchange for surgical-grade results. Candidates should have realistic expectations, understand the procedure is aesthetic rather than functional, and be comfortable with a permanent implant.
Patients whose primary concern is erectile dysfunction rather than size should discuss PRP therapy (the P-Shot) with Dr. Heller as a different path.
Dr. Elliot Heller has been performing male enhancement procedures since 1989 and has completed more than 10,000 procedures across his career. He is a board-certified surgeon and a Fellow of the American College of Surgeons, with active medical licenses in New York and New Jersey and a hospital affiliation with Lenox Hill Hospital (Northwell Health).
In-person and virtual consultations are offered at our Manhattan Upper East Side location. Additional locations include Staten Island and New Jersey. Every consultation is fully confidential. Call 866-477-2023 to schedule.
Medical Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.
