Male Enhancement Surgery San Francisco Bay Area

Penis Enlargement Procedure in San Francisco

Like many around the world, some men are concerned with penis size, a concern that can affect many areas of life. 

Fortunately, penis enlargement surgery in the Bay Area is possible with Dr. Edward Karpman and Penuma®.

With the innovative technology of Penuma, the first FDA-cleared penile enlargement implant, men can now boost their penis size. Penuma is a cosmetic implant made of medical-grade silicone that can potentially increase girth by an average of 1 to 2 inches. Individual results may vary.

Watch the following video and read on to learn more about the Penuma implant and Dr. Karpman. 

If you’ve ever asked yourself, “Is there a way to get penis enlargement surgery near me?”, you’ve come to the right place. 

If you’re interested in the procedure and would like to see if you’re eligible, fill out our contact form or call our office at (844) 573-6862 to speak with a Penuma consultant today.

Advantages of Penis Enlargement Surgery With The Dr. Karpan & Penuma

Penuma® is the first FDA-cleared penile implant for cosmetic enhancement. Key implant and procedure features include:

Implant Features

Procedure Features

Potentially Increase Penis Girth

The Penuma® implant is available in a variety of sizes, including Large (L), Extra Large (XL), and Extra-Extra Large (XXL). 


Dr. Karpman will select the optimal size for your anatomy, as well as contour the implant to your individual shape for the safest and best-looking results. 


The Penuma procedure is elective. Please note that the potential complications, risks, benefits, and alternatives, including no surgery, will be discussed with you in detail before proceeding with any procedure.

bay area penis surgery implant sizes

Preview of The Penuma® Male Enhancement Procedure in San Francisco

Penis Enlargement Procedures And Associated Costs

There are different enhancement procedures, each of which involve different costs.

Male enhancement in the San Francisco area. Penuma is an FDA-cleared penile implant that can effectively increase flaccid length and girth.

Penis enlargement surgery via fat injection

In a penile fat injection, the surgeon will cut fat cells from a fatty portion of the patient’s body, then inject them into the penis through a series of small incisions on the organ itself.

Fat injections are risky. Possible side effects include infections, lumps, and other deformities. 

Even without side effects, any size gains are impermanent, meaning the procedure needs to be repeated regularly.

Subcutaneous fat injections are not recommended by the American Urological Association (AUA).

Penile enlargement surgery via suspensory ligament division

Another operation, called a suspensory ligament release, may seem to increase the apparent length of the flaccid organ by severing or “releasing” the suspensory ligament, which is responsible for connecting the pubic bone to the penis. 

For this procedure, the surgeon will cut and slide skin from the stomach down to the penile shaft. While the operation may slide the flaccid organ lower, it does not actually increase penile length or girth. 

Worse, suspensory ligament release can in fact shrink penis size, and is also not recommended by the American Urological Association.

Penile enlargement surgery via Penuma® implant

Penuma® is the first implant cleared by the FDA for cosmetic enhancement of the penis. This procedure uses a crescent-shaped piece of medical-grade silicone that can expand and elongate the penis.

In a brief, outpatient procedure, your Penuma provider inserts the implant through a small incision made along the scrotum.

The procedure typically sees patients home the same day.

Have A Small Penis? Dr. Edward Karpman and Penuma Can Help.

About Dr. Edward Karpman

Board-certified urologist Dr. Edward Karpman offers the Penuma procedure at his clinic in the San Francisco Bay Area, where he is one of the few urologists fellowship-trained in Male Reproductive Medicine and Surgery, Microsurgery and Male Sexual Dysfunction. He is the Medical Director of the Men’s Health Center at El Camino Hospital Los Gatos and the California Vasectomy and Reversal Center. 

Dr. Karpman attended medical school at the University of Vermont where he was awarded the James Demeules Surgical Research Award before completing his urologic surgery training at the University of California, Davis Medical Center. Dr. Karpman has authored numerous articles on the subjects of urology, sexual dysfunction, penile implant surgery and male infertility. He has authored the chapter on sperm retrieval techniques in the definitive textbook on male infertility.

Before and After Penis Enlargement Surgery in San Francisco

How do I get more information about the Penuma® penile implant in San Francisco?

If you have any more questions about penis enlargement in the Bay Area or wish to schedule a free consultation, visit our contact page. Penuma® is available through a network of world-class, highly experienced surgeons at institutions such as Rush University, Mt. Sinai, and others.

Penuma® Clinical Research

Penuma® has been extensively researched with studies published in the peer-reviewed Journal of Sexual Medicine and the International Journal of Impotence Research:

Penis Enlargement Surgery Frequently Asked Questions

We invented the implant in the early 2000s and subsequently received 510(k) clearance. 

Our most recent, IRB-approved clinical study done over a five year period found high levels of satisfaction with the implant over the short and long-term and significant improvements in patient self-confidence. 

With Penuma, the recovery time for basic activities is 2-4 days. Rigorous exercise and sexual activity can be resumed after 6-8 weeks. The implant is made with soft, medical-grade silicone. It is designed to feel natural whether you’re flaccid (“soft”) or erect (“hard”).

The penile enhancement procedure is currently provided in the Bay Area, Beverly Hills, Chicago, Washington, DC, Boston, Phoenix, New York, Austin, Louisiana, and Atlanta.

Please let your consultant know if you have a preferred clinic location or find a physician near you. More locations will be available soon. 

The Penuma® implant is made of a soft, medical-grade silicone to provide a natural feel. The implant contains no liquid or gels.

The Penuma® implant is manufactured in an ISO-certified facility under U.S. quality controls.

As with any procedure, there are potential benefits and potential risks.

Our IRB-approved, retrospective clinical study found that patients experienced high levels of satisfaction with the implant and increased levels of self-confidence as a result of the implant.

There were a small number of adverse events reported (e.g., infection in 3% of cases and seroma in 5% of cases) and often due to patient non-compliance with post-operative instructions. Therefore, it is imperative that patients follow all post-operative instructions.

The medical staff will discuss all possible risks, complications, benefits, and alternatives, including no procedure, with patients prior to the procedure.

Based on an IRB-approved clinical review of 400 patients over 5 years, there were NO cases of changes to penile function, ability to get or sustain an erection, ejaculation, or sensation during sex.

As with any surgical procedure, individual results may vary.

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