Men’s intimate surgery

Improve your sexual health and confidence
Penis size has been a major source of anxiety throughout history. For a man, his penis can feel like the defining measure of his masculinity, and where he feels he doesn’t quite ‘measure up’ it can easily develop into an inferiority complex. The penis undoubtedly has a symbolism far greater than its function – timelessly associated, as it is, with strength, power and virility.

Penis augmentation has become popular in recent years, with the number of men undergoing phalloplasty significantly increasing year on year.

If you are considering penoplasty it is crucial that you choose the right person to perform it. Mr Marcellino is one of the leading surgeons working in the UK, having dedicated himself to the attainment of expertise within the field. He will talk openly about the process and the benefits it can bring, but also about its limitations, to avoid his patients harbouring unrealistic expectations about what it can achieve. Whether or not surgery is considered the right option, he has helped hundreds of men to develop a more positive relationship with their penis. The aim of this site is to provide a useful introduction to the subject for those considering treatment. For more in-depth information and a confidential discussion, please call the number provided on the contacts page to arrange a consultation.

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Enlargement

The field of penoplasty comprises two separate procedures, one of which enlarges the length of the penis, Extension penoplasty (or phalloplasty), while the other, Enlargement, increases the girth or circumference of the penis.
Both of these procedures can be undertaken at the same time, and, in both cases, can either be performed under general anaesthetic or with local anaesthetic with sedation. The procedure takes between one to two hours to complete, depending upon whether one or both are performed. Enlargement penoplasty aims to increase the girth and volume of the penis, both at rest and erect.
This is undertaken by injecting fat which has been harvested from the body via liposuction (a process known as Lipostructure or Lipofilling) through a small incision in the penis.
The fat, which is usually taken from the lower part of the abdomen, preferably the pubis, is then shaped into the shaft of the penis. The liposuction itself can create an improved impression of the penis as men tend to accumulate fat in this region.
The gains are immediate and, in many cases, impressive. A small stitch may be needed to close the incision. A support garment will be applied after the procedure. This garment may be required to be worn for up to one week post-operatively.
If the foreskin is long Mr Marcellino may also advise you to have a circumcision. Normally, around 30% of the fat injected into the penis is re-absorbed into the body in a few months. The remainder is usually permanent. In a number of patients top-up procedures (3-4 stages surgery) may be necessary in order to maintain the results.
There is a limit to the thickness of the fat grafts that can be applied in the first instance as it is necessary to ensure adequate blood flow to the grafts. Sometimes it is therefore necessary to perform top ups of fat in 3-4 subsequent treatments.
In some cases (around 10%) the penis may appear asymmetrical due to the position of the fat, or lumps may occur due to fibrosis or hyper reaction to the grafted fat cells. These problems are normally resolved with massage or cortisone injections.
In rare cases corrective surgery may be required. Swelling to the head of the penis can sometimes occur and some pain or discomfort is possible for the first 12-24 hours or more. Instead of fat it is now possible to use a hyaluronic acid called Macrolane. This procedure has the benefit of being quicker and far easier to perform. Please read the relevant page to find out more.

Lengthening

The field of penoplasty comprises two separate procedures, one of which enlarges the length of the penis, lengthening of penis (extension penoplasty or phalloplasty), while the other, Enlargement, increases the girth or circumference of the penis.
Both of these procedures can be undertaken at the same time, and, in both cases, can either be performed under general anaesthetic or with local anaesthetic with sedation. The procedure takes between one to two hours to complete, depending upon whether one or both are performed. Extension Penoplasty (or phalloplasty).
This procedure works by releasing the suspensory ligament which connects the penis to the pubic bone. In some men this ligament is very developed and is constantly contracting the member, not allowing it to reach its full dimension.
This surgical technique enables the penis to become more visible, the severing of this ligament usually freeing up around 1 to 2 inches of the ‘inner’ penis. This is because in pre-operative men, only about half of the penis shows externally and the rest is hidden inside of the body.
The suspending ligament itself is something of an ‘evolutionary leftover’ and has no remaining function in a man’s body – the support and orientation of the male erection controlled entrely by hydraulic pressure.
It is not possible to predict the exact amount of gain in each case, as this depends on the anatomical makeup of your penis. The lengthening procedure is permanent and very difficult to reverse. It is very important for those considering this procedure to understand that it does not increase the length of penis in the erect state, only in the flaccid state. As such, any improvement will be aesthetic rather than functional.
There procedure will leave a small but permanent scar, shaped like an inverted ‘Y’, in the pubic area. The pubic hair will usually cover this where it is allowed to re-grow (you will be required to shave the pubic area in preparation for your surgery).
In most men there will be no change in the angle of erection. However, some patients (around 15%) may experience a slightly lower angle of erection.
Mr Marcellino will also advise on some complementary physiotherapy which will need to be performed after your procedure to ensure that the gains you make are maintained. The technique is extremely safe and straightforward, with the minimal possibility of complications which, where there they occur, are usually easy to resolve.

Pubis Lift

Some patients who experience extreme weight loss have a large redundancy of skin in the lower abdomen which can cover the penis.
To treat these cases, Mr Marcellino has developed a particular technique called a ‘T scar pubis lift’, where removal of the excess skin is combined with release of the suspensory ligament. All the skin of the pubis is lifted, with the skin of the lower abdomen removed and re-draped, restoring total exposure to genitals, a flatter, lower abdomen and a visibly longer penis.
The combined procedure takes between 2 and 3 hours to complete, and can be performed under sedation as a day case or under general anaesthesia with an overnight stay in hospital. The recovery time is typically about 10-12 days. In some cases Mr Marcellino may also apply liposeletion to the pubis to further shape the area.

Liposuction of the Pubis

In some cases the penis is hidden, either partially or completely, by a large fat pad. Many patients may, of course, benefit from making lifestyle changes, such as taking more exercise or eating a healthier diet, but, in many cases, these prove insufficient and liposuction is the only answer.With his wide experience in administering this technique, Mr Marcellino offers a definitive solution, using the latest ultrasound liposuction device called Vaser. The procedure itself firstly involves making a small incision, with the area then prepared with an injection of fluid.

Ultrasound energy is then applied using a probe, melting the fat which is then aspirated. Other structures, such as vessels, nerves and collagen fibers, are left undisturbed. The main advantages of this technique are improved recovery times, smooth results and excellent skin retraction compared with standard liposuction.

The procedure is carried out under local anaesthetic and sedation, and takes between one and two hours to complete, with the patient discharged on the same day. The results are visible after a couple of weeks. Some swelling and discomfort may be present at first. By removing the fat and achieving maximum skin retraction in the pubis the outer portion of the penis is then fully exposed and no longer hidden. After two months the patient may then wish to further enhance the results with a penis enlargement procedure.

Testicular Implant

Some men have an absence of one or both testicles. This can be as a result of various conditions such as criptorchidism, localized trauma, or following surgery for the removal of tumors, etc. In the latter case, it is of paramount importance to check with your GP or urologist that you don’t have any suspect tissue left before proceeding with implants.
The procedure itself is fairly simple and consists in making an incision in the middle of the scrotum, creating a surgical ‘pocket’ and inserting a silicone implant that has very similar shape and consistency to a real testicle. The operation takes about 45 minutes to perform and can be done under local anaesthetic with sedation as a day case.
Some swelling and discomfort are likely to be present for around 10 days. Infection , contraction of the pocket (capsule), opening of the wound and extrusion of the implant are the main risks to be avoided within the first two weeks.

Circumcision

Circumcision is rarely performed at adult age unless there is a specific problem such as a tight foreskin, phimosis, or recurrent infection.
In some cases of enlargement when the foreskin is too long or too loose Mr Marcellino may advise you to be circumcised in order to achieve better aesthetic and functional results and avoid future problems.The circumcision takes about 30 minutes to perform.
Following the procedure, Mr Marcellino will carefully apply sutures, which will be removed after around 12 days. Swelling, bruising and a difference in sensitivity are normally reported for the first few weeks.

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FAQ

Doubts or questions? It’s only natural to have any! Below I try to answer the most frequent ones. For further clarification you can write to me at any time, I will answer as soon as possible.

Yes, since it is general anaesthesia, you should not eat or drink for about six hours before the operation.
Yes. In order to promote rapid recovery and reduce the risk of infection, smokers should refrain from smoking, starting at least two weeks before the operation.
Yes. In order to promote rapid recovery and reduce the risk of infection, smokers should refrain from smoking, starting at least two weeks before the operation.

The first appointment

It is the basis of my aesthetic renewal process, in which I like to establish a direct relationship with my patient.

The surgery

I operate with my patient's wishes and achievable results in mind to ensure an excellent result and a swift post-operative course.

After the surgery

I will see every patient personally in their follow ups, monitoring the patient until his complete recovery. Every one of my patient will have contact with 24 hrs for any advice and I give a life time care.

The best choices for patient well-being

Excellent
Dr Massimiliano Marcellino MD FRCS4.9
Based on 109 reviews
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jessica C.
2 weeks ago
I first heard about Dr M through a friend who had her breasts done by him around 8 years ago and ever since then I always knew that when the time was right he would be the surgeon I would go to. I had always admired his work, especially how natural his results look, so choosing him was never really a question for me. From my very first consultation with Dr M, I knew I had made the right decision. He was so kind, welcoming and patient and he genuinely listened to everything I had hoped for from my breast augmentation (and believe me, I had a lot to ramble on about!). He understood exactly what I was looking for and immediately put my mind at ease. I never once felt rushed or pressured into making a decision. He made it very clear that I could come back for as many consultations as I needed between my first appointment and surgery, which made such a difference to my confidence and helped me feel completely comfortable with my decision. A few weeks before my surgery, Dr M even called me himself just to check in, see how I was feeling and go over a few things with me. It was little things like that which really showed me how much he genuinely cared about his patients. And then there’s Winta, Dr M’s PA. That woman is an absolute godsend and truly one very special lady! I honestly don’t know how I would have got through the whole process without her. She is so warm, kind and gentle and has been there for me throughout the entire journey. She has always been available to answer my questions, calm my worries and reassure me whenever I needed it and I can assure you, there were A LOT of questions and worries 😂 After surgery, I was quite anxious about some of the things I was experiencing, but Winta was always just a message away. She was so reassuring and made sure I understood what was normal, while also checking that I was recovering well and that everything was okay. She really went above and beyond and made what could have been a very overwhelming process feel so much easier. I genuinely cannot thank Dr M, Winta and the whole team enough. I am absolutely in love with my results and for the first time in my life I can look at my chest and feel feminine, confident and happy with what I see. That feeling means more to me than I can put into words. If you’re considering a breast augmentation and wondering which surgeon to choose, I honestly cannot recommend Dr M and his team enough. His work speaks for itself, but it’s the care, reassurance and personal experience throughout the whole process that really makes them stand out. Thank you so much, Dr M and Winta, for everything. I couldn’t be happier with my results and I’m so grateful I chose you both. ❤️
Lorenzo
3 weeks ago
⭐️⭐️⭐️⭐️⭐️ Ho avuto un’esperienza davvero eccellente con il Dott. Marcellino. Fin dal primo incontro mi ha trasmesso grande professionalità, fiducia, competenza e soprattutto attenzione alle mie esigenze. Mi sono sentita ascoltata e seguita con grande cura in ogni fase della prestazione, soprattutto nel post. Ho apprezzato moltissimo la sua precisione, la disponibilità nel spiegarmi ogni dettaglio e la capacità di mettermi a mio agio, facendomi sentire sempre in ottime mani. Il risultato ha superato le mie aspettative: naturale, armonioso e perfettamente in linea con quello che desideravo. È evidente la grande esperienza e la cura con cui svolge il suo lavoro. Una persona seria, competente e attenta, che consiglio assolutamente a chi cerca un chirurgo estetico di alto livello. Sono davvero molto soddisfatta della mia esperienza e sicuramente mi rivolgerò nuovamente a lui.
Silvia C.
3 weeks ago
Considero il dottor Marcellino prezioso sia a livello umano sia nella cura che mi dedica ogni volta che intraprendo un percorso, lo consiglio sinceramente.
Sophie A.
2 months ago
I had a breast augmentation about a year and a half ago now and I couldn’t be happier with the results! Dr Marcellino helped me with any questions I had, I couldn’t be happier with how it went and had a super easy experience from start to finish
Natalie B.
2 months ago
Dr Marcellino - Where to Start It’s took me a few months to write this review as quite simply I couldn’t put into words just what a master he is. Not just a Surgeon, a sculptor that knows what you need. I had an upper Bleth in May, from consultation to post procedure he was outstanding. I love my results. A miracle worker who has given me back my confidence. Forever grateful.
Giulio A.
2 months ago
Mio figlio ha avuto bisogno di un intervento di ginecomastia e, tra tutte le opzioni disponibili a Londra, abbiamo deciso di affidarci al Dott. Marcellino, che ci è sembrato fin da subito la scelta più affidabile. I risultati hanno superato persino le nostre più rosee aspettative e mio figlio non potrebbe essere più felice e ha finalmente ritrovato la serenità. Il Dott. Marcellino ha chiaramente dimostrato di avere straordinarie competenza, professionalità e grandissima esperienza, ed l’esito dell’operazione lo definirei assolutamente perfetto. Fin dalla prima telefonata e durante tutto il percorso, il Dott. Marcellino e la sua PA Giunko ci hanno seguito con incredibili gentilezza, disponibilità, professionalità e generosità. Prima, durante e dopo l'intervento sono stati sempre presenti e disponibili, pronti a rispondere a qualsiasi domanda e a offrirci supporto e rassicurazione. La guida, l'assistenza e il sostegno che ci hanno fornito sono stati preziosissimi, non solo per mio figlio ma anche per me e sua madre. Grazie a loro, un'esperienza potenzialmente difficile e stressante l’abbiamo vissuta con serenità e fiducia dall'inizio alla fine. Non potremmo essere più grati al Dott. Marcellino, a Giunko e a tutto il loro team. Li raccomandiamo senza alcuna esitazione a chiunque. La loro competenza, umanità e dedizione verso i pazienti sono davvero eccezionali.
Marcella A.
2 months ago
Mi sono rivolta al dottor Marcellino per rinfrescare il mio volto con delle punturine biorivitalizzanti e non avrei potuto fare scelta migliore. Fin dal primo incontro si è dimostrato estremamente professionale, empatico e rassicurante, mettendomi subito a mio agio. Ha ascoltato con attenzione le mie esigenze e ha risposto con grande competenza e chiarezza a tutte le mie domande e perplessità, trasmettendomi fiducia. Il risultato ha superato le mie aspettative: il mio viso appare fresco, luminoso e realmente ringiovanito, pur rimanendo assolutamente naturale. Sono davvero soddisfatta e consiglio il dottor Marcellino a chiunque desideri affidarsi a un professionista serio, preparato e attento al benessere dei propri pazienti.
Giulio A.
7 months ago
My son needed gynecomastia surgery and, among all the options available in London, we decided that Dr Marcellino was the most reliable. The results even exceeded our more optimistic expectations, and my son could not be happier. Dr Marcellino has done an extraordinary job, which clearly testifies to his outstanding skills and very long experience. Also, Dr Marcellino and his PA Giunko dealt with everything with an incredible kindness, friendliness, professionalism and generosity, from the very first phone call and throughout the whole process, before, during and after the surgery, always available 24/7. The guidance, support and reassurance they provided was so helpful, both for my son and for myself and his mother. We could not be more grateful to them and very highly recommend Dr Marcellino and his team to everyone!
Arianna S.
7 months ago
Non è un medico e’il MEDICO …trattamenti naturali che durano e migliorano con il passare del tempo ! Grazie dott Massimiliano Marcellino ❤️
saskia S.
8 months ago
Where do I even begin? This review is long overdue. I had surgery with Dr Marcellino for a scar revision, uplift, and implants back in November. Following a previous breast reduction with another surgeon that unfortunately left me with severe keloid scarring. This completely destroyed my confidence for years, so choosing to go through surgery again was a huge decision for me. From my initial consultation a few months prior to surgery, right through to the operation itself and the aftercare, the entire process with Dr Marcellino and his team was nothing short of incredible. Everything was seamless, effortless, and reassuring with absolutely zero issues before or after surgery. The results have honestly changed my life. My scarring is now minimal to almost nonexistent, and I have never felt this confident in my body throughout my twenties. Dr Marcellino’s attention to detail is second to none. The lift looks so natural that you would never even know I have implants. He truly listened to my concerns and fully understood my vision for how I wanted them to look — and he exceeded every expectation. I cannot thank Dr Marcellino enough, along with his incredible team and nurses who work alongside him. If you are considering a cosmetic procedure anywhere in the UK, I genuinely believe this is the surgeon you should trust.
Response from the owner:Thank you sincerely for sharing your experience. We are deeply touched to hear how much this journey has positively impacted your confidence and well-being. From the initial consultation through surgery and aftercare, providing seamless, attentive, and reassuring care is always our top priority. Dr. Marcellino and the entire team are thrilled that the results met and exceeded your expectations, achieving natural, harmonious outcomes while addressing your concerns with precision and care. Your trust and recommendation mean a great deal to us — we are grateful to have been part of your journey and look forward to supporting our patients with the same dedication in the future.

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Dr.Marcellino

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