Penoplasty at Aylan Clinic covers three distinct procedures β girth enhancement, lengthening, and correction of a buried or concealed penis β with a stay of seven to ten days, for up to 60% less than Canadian private prices. This guide is written to give you an honest picture before you spend anything, because the single biggest determinant of whether a patient is satisfied is whether he understood what the procedure could and could not do before he had it.
This guide complements our penoplasty in Turkey procedure page, which sets out how the surgery works, the stay and the aftercare. Here we go deeper into which of the three procedures applies to you, what each one genuinely delivers, and where something other than surgery may serve you better. You can request a personalised, confidential figure at any time through our pricing in Turkey page, and this guide sits within our wider intimate surgery in Turkey section. We are direct on this page in a way that most clinics offering these procedures are not β not to discourage you, but because informed patients are satisfied patients.
Four Things to Establish Up Front
These three procedures deliver very different things. Girth enhancement is the most reliable and produces the highest satisfaction. Lengthening is the most limited and the most frequently misunderstood. Buried penis correction is the most transformative, and it is the one with a genuine functional indication.
A substantial proportion of men who enquire have entirely normal anatomy. We cover this honestly, because for some of those men surgery is not the answer and for others it still is, and knowing which you are matters more than anything else on this page.
Complete discretion applies throughout. Your consultation, records and treatment are confidential. A number of patients travel without telling anyone, and that is entirely their business.
And after significant weight loss, a concealed penis is a common and rarely discussed problem with a genuinely good surgical solution. If that describes you, the section on buried penis is the one to read.
1. Understanding Penile Anatomy
What Determines Size
Two things, and the distinction matters for what surgery can achieve.
The corpora cavernosa are the two cylinders of erectile tissue running the length of the penis. They determine erect length and a substantial part of erect girth. These cannot be lengthened surgically. No procedure adds erectile tissue.
The surrounding structures are the skin, the fat layer beneath it, and the suspensory ligament that anchors the base to the pubic bone. These can be modified, and it is where all penoplasty surgery operates.
The Suspensory Ligament
A band of tissue anchoring the penile base to the pubic bone. Dividing it allows the portion normally held internally to sit further forward, which produces a gain in flaccid length. It does not add erectile tissue, so it does not increase erect length in the way patients frequently assume.
The Fat Pad
The mons pubis is the fatty pad over the pubic bone. Where it is prominent, it buries part of the penile shaft, so that a normal-length penis appears considerably shorter than it is. Reducing it exposes what is already there. This is the single most under-recognised issue in men enquiring about lengthening.
What Is Genuinely Normal
Worth stating plainly, because it is the context for everything else. Published anatomical studies show a wide range of normal, and the great majority of men who believe they are below average are within normal parameters. Anxiety about size is extremely common and it correlates poorly with actual measurement. That is not a dismissal, but it is the factual position, and knowing it is useful.
2. The Three Procedures, Honestly Compared
| Girth enhancement | Lengthening | Buried penis correction | |
|---|---|---|---|
| What it changes | Circumference, flaccid and erect | Flaccid length mainly | Exposes existing length |
| Reliability | Most reliable | Most limited | Most transformative |
| Satisfaction | High | Variable | Very high |
| Functional indication | Occasionally | Rarely | Frequently |
| Our recommendation | Where you want girth | With realistic expectation | Where it applies, strongly |
Girth Enhancement
Increases circumference using either fat transfer β your own fat, harvested by liposuction β or injectable filler. What it delivers is a measurable increase in flaccid and erect circumference. This is the most reliable of the three procedures, and satisfaction among appropriately selected patients is high. With fat transfer, a proportion settles over the first months and a second session is sometimes wanted. With filler, the result is temporary and requires repeating.
Lengthening
Division of the suspensory ligament, frequently combined with fat pad reduction. What it delivers is a gain in flaccid length, typically modest, and less than most men expect. What it does not deliver is erect length: the erectile tissue is unchanged, so the erect measurement is essentially unaffected. This is the most frequently misunderstood procedure in this field, and the mismatch between expectation and outcome is why published satisfaction for lengthening is considerably lower than for girth. Our position: we perform it, and we will be explicit about what it achieves.
Buried Penis Correction
Reduction of the fat pad, sometimes with skin excision, sometimes with a lift and fascial anchoring, and occasionally with skin grafting where there is significant scarring. What it delivers is exposure of penile length that is already there. For a man whose shaft is substantially concealed, this can be a gain of several centimetres in visible length β considerably more than a lengthening procedure achieves. And it frequently resolves functional problems: difficulty urinating standing, recurrent skin infection in the fold, hygiene difficulty, and inability to have intercourse. This is the most transformative of the three, and the one most likely to have a genuine medical indication.
Which Applies to You
This is what the assessment establishes, and it is the most valuable thing we can do for you before you commit. A number of men enquire about lengthening when fat pad reduction would achieve considerably more for them.
3. On Normal Anatomy and Body Image
We put this early because it matters, and we handle it without condescension.
The Factual Position
Most men who believe they are below average are within the normal range. Anxiety about penile size is very common, it correlates poorly with measurement, and it is heavily influenced by comparisons with material that is not representative. We say this because it is useful information, and because the assessment is genuinely different depending on which situation you are in.
If You Have Normal Anatomy and Want Girth Enhancement
That is a legitimate choice and we will help you. Wanting to change something about your body that is within normal range is not disordered β it is the basis of most cosmetic surgery, and nobody questions a woman having a breast augmentation with entirely normal breasts. Girth enhancement in a man with normal anatomy who understands what it delivers has a high satisfaction rate.
If You Have Normal Anatomy and Want Lengthening
Here we will talk more. Not because your reasons are illegitimate, but because lengthening delivers less than most men expect, and a man with normal anatomy hoping for a substantial change is the patient most likely to be dissatisfied. If you understand what it achieves and still want it, we will proceed. What we will not do is let you assume it delivers something it does not.
Where We Would Take More Time
Where a man describes distress that seems out of proportion to what we can measure, where the concern has persisted despite reassurance from multiple sources, where it dominates his thinking, or where he has had previous procedures and remained dissatisfied. In that situation we would talk about it β not to refuse, and not to diagnose you. But surgery will not resolve something that is not anatomical, and a man in that position deserves someone to say so rather than take his money. This is a small minority of consultations, and it is handled with respect.
What We Will Not Do
- Promise a specific measurement.
- Perform a procedure on a man who has not understood what it delivers.
- Operate repeatedly on a man who was not satisfied the first time without a serious conversation about why.
Those are the practices that produce the dissatisfied patients this field is known for, and we would rather not add to that.
Confidentiality
Complete. Your consultation, records and treatment are confidential, as all medical care is. Practically: your invoice and documentation can be provided in whatever form you prefer, your coordinator is discreet, and nothing about your treatment is discussed with anyone you have not authorised.

4. Where There Is a Genuine Medical Indication
Three situations where penoplasty is functional rather than cosmetic, and where a Canadian route may exist.
Buried or Concealed Penis
Where the shaft is substantially concealed by a fat pad or by scarred skin, producing difficulty urinating (including inability to urinate standing, and spraying), recurrent skin infection in the fold (bacterial or fungal, frequently repeatedly treated without resolution), hygiene difficulty, and inability to have intercourse. This is a functional problem, and it is the situation in this whole guide most likely to be at least partly addressed in Canada.
After Significant Weight Loss
The most common route to a concealed penis, and particularly after bariatric surgery. Weight loss leaves loose skin over the pubic area, which hangs and conceals the shaft. The penis has not changed; the surrounding tissue has. This is rarely mentioned to patients before bariatric surgery and it bothers a substantial number of them afterwards.
Micropenis
A specific clinical diagnosis with defined measurement criteria, distinct from a normal penis that a man is unhappy with. Where you have a diagnosed micropenis, this is a medical condition and it should be assessed by a urologist β in Canada, where that assessment is available and covered. Management may involve endocrinology as well as surgery. Tell us at the enquiry stage if you have this diagnosis.
What We Suggest
Where any of these applies, ask your family doctor for a urology referral before you spend anything. Describe the functional problem specifically: difficulty urinating, recurrent infection, hygiene. For a documented functional problem there may be a Canadian route that costs you nothing. Then decide with that information.
5. Buried Penis: The Section to Read After Weight Loss
What It Is
A penis of normal length that is concealed β by a prominent fat pad, by loose skin after weight loss, or by scarring β so that little or none of the shaft is visible. The penis itself is normal. What has changed is what surrounds it.
Why It Matters More Than Lengthening
Because the gain is considerably larger. A lengthening procedure achieves a modest gain in flaccid length. Fat pad reduction on a man whose shaft is substantially concealed can expose several centimetres of length that was already there. A number of men enquire about lengthening when this is their actual situation, and reducing the fat pad would give them several times what a ligament division would.
How to Work Out Whether This Applies to You
One thing to check, and it is straightforward. Press firmly into the fat pad above the base of the penis, pushing back toward the pubic bone. If doing that reveals significantly more shaft β and for a man with a prominent pad it frequently reveals a great deal β then that length is already yours, and it is being concealed rather than absent. That is the single most useful self-assessment on this page, and it tells you which procedure would actually help you.
The Functional Problems It Causes
- Difficulty urinating standing, and spraying.
- Recurrent infection in the fold β frequently treated repeatedly with creams and antibiotics without resolution, because the anatomy causing it has not been addressed.
- Hygiene difficulty.
- Difficulty or inability to have intercourse.
- Skin breakdown in the fold in more marked cases.
The Correction
- Fat pad reduction β liposuction where skin quality is good, skin excision where it is loose, and a lift with fascial anchoring where the area has descended.
- Skin excision at the penile base, where loose skin is contributing.
- Fascial fixation to hold the reduced tissue in position, which is what makes the result durable rather than temporary.
- Skin grafting in more complex cases where there is significant scarring or skin loss.
- Frequently combined with an abdominoplasty where there is substantial abdominal skin excess, since the two areas are continuous.
Results
This is the most satisfying procedure in this field. Men who have been unable to urinate standing, who have had recurrent infections for years, or who have been unable to have intercourse, describe the change in terms that no cosmetic gain matches.
Weight Must Be Stable
Complete any planned weight loss first, and after bariatric surgery wait until your weight has been stable for at least six months and ideally twelve. Losing another twenty kilograms afterwards recreates the loose skin. We will tell you if you are too early, and it is the right answer.
6. Girth Enhancement: The Most Reliable Procedure
Fat Transfer
Fat is harvested by gentle liposuction from the abdomen or flanks, purified, and injected into the layer beneath the penile skin along the shaft. The advantages are that it is your own tissue, with a natural feel, no foreign material, and the donor area is contoured by the same operation. The considerations are that a proportion settles over the first months, and evenness depends heavily on technique.
Why Technique Determines the Result Here
Fat must be placed in fine, evenly distributed droplets across multiple planes, not in boluses. Fat placed in lumps produces palpable irregularity, which is the main complication of this procedure and the one patients are least happy with. Ask directly: how do you place the fat to avoid lumpiness, and what happens if it is uneven? A good answer describes fine droplet placement, multiple passes, and post-operative massage.
Settling
A proportion of transferred fat is reabsorbed over the first months. Your surgeon over-corrects deliberately, knowing this. You will look fuller at one month than at six, and the six-month measurement is your genuine result. A second session at six months adds further where more is wanted, and it frequently takes better because the tissue is already vascularised.
Injectable Filler
Hyaluronic acid filler placed in the same layer. The advantages are no surgery, no donor area, an immediate result, and reversibility, which is a genuine advantage. The considerations are that it is temporary, requiring repetition, and the same evenness considerations apply. It suits a trial before committing to fat transfer, or where donor fat is minimal.
On Permanent Fillers and Implants
We do not use permanent injectable fillers or silicone injections, and we would advise strongly against them anywhere. They are associated with serious long-term complications β chronic inflammation, nodules, migration, deformity and in some cases tissue loss β and they are extremely difficult to remove. If a clinic offers a permanent injectable filler, that is a reason to look elsewhere. This is the clearest advice on this page.
What to Expect
A measurable increase in circumference, in both flaccid and erect states. Satisfaction among appropriately selected patients is high, and this is the procedure in this field we are most comfortable recommending. Most patients have enough donor fat, since the volume required is modest. Where you genuinely do not, filler is the practical option.
7. Lengthening: What It Actually Delivers
This section is deliberately blunt, and reading it carefully is the most useful thing you can do.
The Procedure
Division of the suspensory ligament, allowing the internal portion of the shaft to sit further forward. Frequently combined with fat pad reduction, and sometimes with a V-Y skin advancement at the base.
What It Delivers
A gain in flaccid length, typically modest. Published series report gains in the region of one to two centimetres, with considerable individual variation. Where a fat pad is also reduced, the visible gain is larger, and in many cases the fat pad component contributes more than the ligament division does.
What It Does Not Deliver
Erect length. The erectile tissue is not lengthened, because it cannot be. Your erect measurement is essentially unchanged. This is the single most important sentence on this page, and it is the one most frequently glossed over in marketing for this procedure.
Why Published Satisfaction Is Lower
Because men have the procedure expecting a change in erect length and do not get one. That is an expectation problem rather than a surgical failure, and it is entirely preventable by being told clearly beforehand, which is what this section is for.
The Recognised Trade-offs
Worth knowing before rather than after. Reduced erect stability: dividing the suspensory ligament removes some of the anchoring that holds the erect penis upward, and a proportion of patients notice their erection points more downward or feels less firmly anchored at the base. This is the trade-off, and it is real. For some men it is unnoticeable; for others it is a genuine change they did not want. There can also be scar at the base, which can tether or thicken, and retraction, where scar contraction reduces the gain over time, which is why post-operative stretching or traction protocols are used.
Our Position
We perform it, and we will tell you exactly this at consultation. If you understand that it changes flaccid length modestly, does not change erect length, and carries a real trade-off in erect stability, and you still want it, that is an informed decision and we will help you. What we will not do is let you assume otherwise.
The Question Worth Asking Yourself
Press into your fat pad as described in the buried penis section. If that reveals significant additional shaft, fat pad reduction will give you considerably more than ligament division, without the erect stability trade-off. For a substantial number of men enquiring about lengthening, that is the honest answer, and it is a better operation.

8. Assessment: Building Your Plan
The Online Consultation
You send your details, and β if you are willing β photographs. Your surgeon reviews them and provides a plan and quote. What to send: your age, height and weight; your weight history in detail (how much you have lost, over what period, whether it is stable and for how long, whether more is planned); what specifically concerns you, in your own words; whether it is girth, length, or exposure that you want changed; whether you have any functional problems (difficulty urinating standing, recurrent infection, hygiene difficulty, difficulty with intercourse); whether pressing into your fat pad reveals additional shaft; any erectile difficulty; any previous procedures, including any injections of any kind; and all conditions and medications, including whether you have a diagnosed micropenis or any endocrine condition.
Photographs, if you are comfortable: standing, from the front and in profile, flaccid, unfiltered β and a view with the fat pad pressed back, which is the most informative image and the one most often missing. Plus donor area photographs β abdomen and flanks β if girth enhancement is what you are considering.
If You Would Rather Not Send Photographs
Entirely reasonable, and a number of patients prefer it. We can provide a preliminary discussion and a range, with the definitive plan made at your on-site assessment.
On-site Assessment
Clinical examination, with a chaperone present. Your surgeon assesses flaccid and stretched length, girth, the fat pad and how much shaft it conceals, skin quality and quantity, any scarring, and β for girth enhancement β the donor areas. Measurements are recorded, so that your result can be compared against a documented baseline rather than an impression. There is an assessment of erectile function, blood work and pre-operative assessment, and an anaesthetic review.
Why Measurements Are Recorded
Because an impression is not a baseline. A man who does not know his starting measurement cannot know what he gained, and dissatisfaction after these procedures is frequently about a remembered starting point rather than a measured one. We record it, and you have it in your documentation.
The Consultation
Your surgeon will discuss which procedure applies to you, what it will and will not deliver, the trade-offs, and the recovery. Where fat pad reduction would achieve more than lengthening, that conversation happens here. It is the most common redirection we make. Ask to see six-month and one-year photographs, specifically with the same procedure you are considering.
9. Erectile Function: Assess It First
Why This Matters
Because a proportion of men who present concerned about size actually have an erectile function issue, and the two are frequently confused. A penis that does not achieve full rigidity appears and feels smaller. Treating the erectile function frequently addresses the concern, without any surgery.
What We Assess
Whether you achieve full rigidity, whether it is maintained, whether there is a difference between morning erections and others, and whether anything has changed over time.
Where Erectile Difficulty Is Present
We would recommend addressing it first, and it is genuinely good news rather than a deferral. Erectile dysfunction is treatable, frequently straightforwardly, and it is assessed and treated in Canada under your provincial plan β including investigation of underlying causes, which matter for your general health. Erectile dysfunction can be an early marker of cardiovascular disease, which is a genuine reason to have it assessed properly rather than work around it. Ask your family doctor. It costs nothing and it may resolve your concern entirely.
Where Erectile Function Is Normal
Then it is not a factor, and your plan proceeds on the anatomy.
After Penoplasty
Girth enhancement and fat pad reduction do not affect erectile function. Lengthening affects erect stability rather than function, which is a different thing and worth being clear about.
10. Your Trip, Day by Day
Seven to ten days, and ten where procedures are combined or a significant skin excision is involved.
| Day | What happens |
|---|---|
| Day 1 β Arrival | Your driver meets you at the airport and takes you to your hotel with your companion. Nothing clinical today. |
| Day 2 β Assessment | Clinical examination with a chaperone, with measurements recorded, blood work, anaesthetic review, and your surgeon consultation. By the end of the day your plan is confirmed. |
| Day 3 β Surgery | Standing marking where a fat pad reduction is involved. Then the procedure under general anaesthesia, forty-five minutes to two and a half hours depending on what is being done. You wake with a dressing, and a compression garment on the donor area where fat was harvested. A catheter is occasionally used for the first hours after extensive buried penis correction. One night in hospital, sometimes two. |
| Day 4 β Transfer to hotel | Discharge to your hotel, with nursing visits from here. Frequently the most uncomfortable day. |
| Days 5 to 8 β Recovery | A nurse visits to check the area and your garment fit, review your medication and answer questions. Swelling peaks around days two to four. After girth enhancement, massage begins where prescribed; after lengthening, stretching or traction begins where prescribed. |
| Day 9 β Surgical review | Your surgeon reviews the area and confirms healing is progressing. Many patients feel well enough for a gentle outing by this point. |
| Day 10 β Final check and departure | Final review, wound care instruction, and your documentation: operative report, recorded measurements, written aftercare guidance, your massage or traction protocol where prescribed, and compression garment guidance. Then your transfer to the airport. |
11. Recovery, Week by Week
Days 1 to 4
Swelling, peaking around days two to four, and it can be substantial β the area swells readily. Bruising in most patients, sometimes extending onto the lower abdomen and scrotum, which looks dramatic and is normal. Discomfort is described as aching and tightness rather than sharp pain. Ice for twenty minutes at a time with a cloth barrier, and elevation where you can, which helps considerably. Nocturnal erections are uncomfortable in the first week and are unavoidable; your surgeon may prescribe something to reduce them, so mention it if they are disturbing your sleep.
Days 5 to 10
Swelling reducing and discomfort improving noticeably. Walking gently is fine and encouraged. Most patients move from prescribed analgesia to over-the-counter pain relief around day four or five.
Weeks 2 to 4
Swelling reducing steadily and bruising resolving. Desk work at ten to fourteen days. Massage or traction continues as prescribed. The compression garment on the donor area continues where fat was harvested.
Weeks 4 to 8
Most swelling resolved, and the result beginning to appear rather than a swollen version of it. Intercourse at six weeks, on your surgeon's confirmation and not before. Light exercise from four weeks; cycling waits six to eight weeks.
Months 2 to 6
After a girth enhancement, settling occurs and the volume reduces gradually β normal, expected, and the reason for over-correction. After a fat pad reduction, skin retraction continues to around three months. After a lengthening, the traction protocol continues where prescribed, typically for some months.
Month 6 Onward
Your genuine result, and the point at which measurements are meaningful. Judging before six months is misleading on every one of these procedures.
12. Massage and Traction: Your Part of the Treatment
After Girth Enhancement β Massage
Where your surgeon prescribes it, gentle massage of the shaft during the healing phase distributes the grafted fat and reduces the chance of palpable irregularity. This is the main thing you control regarding evenness, and it is taught before you leave rather than described on paper, typically starting around two weeks, per your specific protocol.
After Lengthening β Stretching or Traction
Scar contraction is what reduces the gain after ligament division, and stretching or traction protocols are used to counter it. Depending on your surgeon's protocol, this may involve manual stretching or a traction device, for a defined period daily over some months. It is a genuine commitment, and men who do not do it lose a proportion of what they gained. Ask about it at consultation: what is the post-operative protocol, and for how long? A clinic that does not prescribe one is not addressing the main reason lengthening results diminish.
After Fat Pad Reduction β The Compression Garment
Worn continuously for four to six weeks where a significant reduction or skin excision was performed. It limits swelling, encourages skin retraction and helps the tissue settle into position. A second garment is included so you can launder one.
If You Cannot Commit to the Protocol
Tell us at consultation, honestly. For a lengthening in particular, a man who will not do the traction protocol will lose part of his result, and knowing that beforehand may change whether the procedure is worth it for him. That is a more useful conversation than discovering it at eight months.
13. Wound Care and Daily Life
Keeping the Area Clean
Rinse with warm water and pat dry. No soap directly on any incision in the first weeks. No baths, swimming or hot tubs until confirmed, usually four weeks. Showers are fine from day one or two.

The Fold and Moisture
After a fat pad reduction, keeping the crease dry matters β it traps moisture and that is where wound problems occur. Pat thoroughly dry, and where your surgeon recommends it, a thin clean cotton layer in the crease helps.
Practical Points
- Underwear: supportive rather than loose in the first weeks β snug briefs rather than boxers, which support the area and reduce swelling. Your surgeon will specify.
- Nocturnal erections: uncomfortable in the first week and unavoidable. Mention it if they are disturbing your sleep; there are things that help.
- Hair: the area is hair-bearing. Hair is clipped rather than shaved before surgery, since shaving increases infection risk. No hair removal β waxing, shaving or laser β until fully healed and confirmed, usually four to six weeks.
- Bowel movements: ask for a stool softener before you need one, since straining raises pressure in the area.
- Lifting: no heavy lifting for six weeks, particularly after a fat pad reduction with fascial anchoring.
- Sexual activity: no intercourse and no masturbation for six weeks, on your surgeon's confirmation. This is firm rather than cautious β after a girth enhancement it protects the graft, and after a lengthening it protects the repair.
What to Buy Before You Travel
Supportive briefs, several pairs. Ice packs. A stool softener. Loose trousers that fit over a compression garment.
14. Returning to Activity
| Activity | When |
|---|---|
| Walking | From day one, gently, and encouraged |
| Desk work | Ten to fourteen days |
| Physical work | Four to six weeks |
| Driving | Five to seven days, once off strong analgesia |
| Light exercise | Four weeks |
| Running | Six to eight weeks |
| Heavy lifting and core work | Six weeks minimum |
| Cycling | Six to eight weeks; longer after a girth enhancement |
| Swimming | Four weeks, once healed and confirmed |
| Intercourse and masturbation | Six weeks, on your surgeon's confirmation |
| Hair removal in the area | Four to six weeks, on confirmation |
| Traction or massage protocol | As prescribed, typically from two weeks and continuing for months |
15. Aylan Clinic Across Canada: 50 Cities We Serve
Aylan Clinic works with patients from every province and territory in Canada. Wherever you live, the process begins the same way: a free, confidential online consultation, and an honest assessment of which procedure applies to you β including whether fat pad reduction would achieve more than lengthening. Below are the fifty Canadian cities from which we most frequently receive enquiries, with practical notes on travelling to Istanbul from each region.
Greater Toronto Area and Southern Ontario
Toronto is our single largest source of Canadian patients, and Pearson offers the most direct connections to Istanbul of any Canadian airport. Across the wider Greater Toronto Area we regularly work with patients from Mississauga, Brampton, Markham, Vaughan, Richmond Hill and Oshawa. Along the lake: Hamilton, Burlington, Oakville, St. Catharines and Niagara Falls. In southwestern Ontario we see patients from London, from the Waterloo region β Kitchener, Waterloo and Cambridge β and from Guelph, Windsor and Barrie. Being driven to Pearson is more comfortable than a domestic connection on the return.
Eastern and Northern Ontario
Ottawa patients typically connect through Toronto or Montreal. Kingston patients generally drive to either. In northern Ontario we work with patients from Sudbury, Thunder Bay and Sault Ste. Marie. Journeys involve a domestic connection and additional sitting β an overnight stay near your arrival airport is worth building in. Discretion is frequently part of why patients from smaller centres contact us rather than pursuing a local referral, and it is entirely respected. Sudbury and Thunder Bay both have substantial francophone populations, and those patients are served in French from first contact onward.
Montreal and the Surrounding Region
Montreal is our second-largest Canadian source, with excellent connections to Istanbul from Trudeau. Patients from Laval, Longueuil and Brossard are all within easy reach.
Quebec City and Across the Province
From Quebec City and the Capitale-Nationale region including LΓ©vis, most patients connect through Montreal β as do patients from Trois-RiviΓ¨res, Sherbrooke, Drummondville and Saint-JΓ©rΓ΄me, all within driving distance of Trudeau. Gatineau patients depart from Ottawa or drive to Montreal. From Saguenay, a domestic connection through Montreal is the norm. All Quebec patients are served in French throughout, and on this procedure it matters as much as on any in our production. Understanding exactly what lengthening does and does not deliver, and the erect stability trade-off, needs to be precise, and that is a conversation to have in your own language. Your consultation, examination, nursing visits, protocol instruction and written aftercare are all available in French.
Vancouver and British Columbia
Vancouver patients connect through European hubs, typically one connection and a full day of travel. We schedule assessment for the day after arrival. Across the Lower Mainland: Surrey, Burnaby and Richmond. From Victoria and Nanaimo, patients cross by ferry or short flight β the ferry is considerably more comfortable on the return leg. Kelowna, Abbotsford and Kamloops patients connect through Vancouver or Calgary. Given the journey and the sitting involved, British Columbia patients frequently stay a day or two longer, and we suggest it.
Alberta
Calgary and Edmonton both offer good European connections. Red Deer and Lethbridge patients generally drive to Calgary. We schedule Alberta patients with the same rest-day approach as British Columbia.
Manitoba and Saskatchewan
Winnipeg patients connect through Toronto or Montreal. Saint-Boniface and Franco-Manitoban patients are served in French. From Saskatoon and Regina, journeys involve a domestic connection followed by a transatlantic flight. An overnight stay on the return is worth building in.
Atlantic Canada
Halifax patients typically route through Toronto or Montreal. In New Brunswick: Moncton, Fredericton and Saint John, with Moncton and surrounding Acadian communities served in French. Most connect through Montreal, which for francophone patients means French-language service throughout. From Charlottetown and St. John's, journeys involve one or two connections, with an overnight in between advisable.
Northern Canada
We work with patients from Whitehorse in Yukon, and from communities across the Northwest Territories and Nunavut. Two things worth raising early for northern patients. Where there is a functional problem β difficulty urinating, recurrent infection β ask about a urology referral, since there may be a Canadian route that costs you nothing. And where a lengthening involves a months-long traction protocol, that is a commitment to establish before you travel rather than discover afterwards. Discretion is frequently part of why northern patients contact us, and it is entirely respected. We plan northern itineraries with buffer days at both ends.
How We Handle the Logistics
Whichever city you are travelling from, your coordinator arranges airport transfers at both ends in Istanbul, confirms your hotel before you depart, and builds your schedule around your arrival time. Five recommendations: press into your fat pad and tell us what it reveals, as it may change which procedure suits you; send standing profile photographs, including one with the pad pressed back; have any erectile difficulty assessed in Canada first; complete any planned weight loss; and establish whether you can commit to the post-operative protocol before you travel.
16. What the Package Includes
- Free, confidential online consultation, with an honest assessment of which procedure applies to you and what it will deliver
- On-site clinical examination with a chaperone present, including recorded measurements, fat pad assessment, skin assessment, erectile function assessment, and donor area assessment
- Blood work and pre-operative assessment
- Anaesthetic review
- Surgeon consultation with six-month and one-year photographs of the same procedure
- Standing surgical marking where a fat pad reduction is involved
- The procedure, anaesthesia, and hospitalisation
- Girth enhancement by fat transfer or filler, with fine droplet placement technique
- Lengthening with ligament division and V-Y advancement where planned
- Fat pad reduction, skin excision and fascial anchoring where planned
- Skin grafting in complex buried penis cases
- Abdominoplasty or other procedure where combined
- Catheter and drains where used
- Compression garment for the donor area, with a second for laundering
- Ice packs and wound care supplies during your stay
- Nursing visits throughout your stay
- Massage or traction protocol taught before you leave, with a written schedule
- Traction device where prescribed
- Surgical review before departure
- Written aftercare guidance in English or French
- Operative report and your recorded measurements
- Discreet documentation and invoicing in the form you prefer
- 5-star hotel accommodation, full board
- A companion at no extra cost, accommodated and fed in the same room
- Airportβclinicβhotel transfers
- A personal coordinator from arrival to departure
- English and French-speaking Canadian patient liaison available on request
The Clinical Team
- Surgeon experienced in genital and reconstructive surgery, including buried penis correction
- Urological input β erectile function assessment
- Anaesthetist β general anaesthesia and sedation
- Dedicated nurse β post-operative care and protocol instruction
17. Results by Patient Profile
Buried Penis After Bariatric Surgery
A patient who had lost sixty-one kilograms, with the shaft almost entirely concealed, unable to urinate standing, and with recurrent fungal infection in the fold treated repeatedly for two years. Weight stable for thirteen months. Fat pad reduction with skin excision, a lift with fascial anchoring, and skin excision at the base, combined with an abdominoplasty. Several centimetres of length exposed β considerably more than any lengthening procedure would have given. He can urinate standing, the infections stopped, and intercourse became possible. This is the most transformative result in this field, and it is our most satisfying presentation.

Enquired About Lengthening, Had Fat Pad Reduction
A patient who contacted us about lengthening, with a prominent fat pad. We asked him to press into the pad and tell us what it revealed. It revealed a great deal. Fat pad reduction alone gave him substantially more visible length than ligament division would have, without the erect stability trade-off. This is the most common redirection we make, and it is a better operation for him.
Girth Enhancement With Fat Transfer
A patient in his thirties with normal anatomy who wanted increased girth and understood what the procedure delivers. Fat transfer from his flanks with fine droplet placement, massage protocol from two weeks. Measurable increase at six months, no palpable irregularity, and he is satisfied. Normal anatomy and a legitimate choice β we were happy to proceed and the result is good.
A Patient We Redirected to Erectile Assessment
A patient concerned about size who, on assessment, described not achieving full rigidity and a change over the past two years. We recommended erectile function assessment in Canada first, explaining it is covered, treatable, and that erectile dysfunction can be an early cardiovascular marker. His erectile function was treated. His concern about size resolved without surgery, and his cardiovascular risk factors were identified and addressed, which mattered rather more.
A Patient Who Had Lengthening With Full Information
A patient who read our explanation of what lengthening delivers, understood the erect stability trade-off, and wanted it anyway. Ligament division with V-Y advancement and fat pad reduction, with a traction protocol he committed to for five months. He gained flaccid length, his erect length is unchanged as expected, and he notes slightly reduced erect stability which he accepts. He is satisfied because he was informed.
A Patient We Talked Out of It
A patient with entirely normal measurements whose distress was substantial and had persisted through reassurance from three previous consultations, and who had already had one procedure elsewhere and remained dissatisfied. We had a long conversation and did not operate. We suggested he speak to someone about the distress itself, without diagnosing him. He was not pleased with us at the time. It remains the right decision.
A Patient With a Previous Permanent Filler Injection
A patient who had a permanent injectable filler elsewhere years earlier, with nodules and irregularity. Removal is difficult and the result imperfect, which is precisely why we advise against these products so strongly. We improved his situation substantially. We could not fully undo it.
18. Questions Worth Asking Any Clinic
- Would fat pad reduction achieve more for me than lengthening? The most useful question on this page, and a clinic that raises it unprompted is assessing you properly.
- Will lengthening change my erect length? The answer should be no. A clinic that implies otherwise is misrepresenting the procedure.
- What is the trade-off in erect stability? A clinic that acknowledges it is being honest with you.
- Will you record my measurements? You need a documented baseline, not an impression.
- How do you place the fat to avoid lumpiness? Fine droplet placement across multiple planes, with a massage protocol.
- Do you use permanent injectable fillers? If the answer is yes, look elsewhere.
- What is the post-operative protocol, and for how long? A lengthening without a traction protocol loses part of its result.
- Have you assessed my erectile function? Because a proportion of size concerns are actually erectile function concerns.
- Is my weight stable enough? A clinic willing to ask you to wait is being straight with you.
- Can I see six-month photographs of the same procedure? Earlier images show swelling and over-correction.
19. Practical Points to Know
What to Expect
Swelling peaking around days two to four, and it can be substantial. Bruising in most patients, sometimes extending to the scrotum and lower abdomen. Nocturnal erections uncomfortable in the first week. Aching and tightness rather than sharp pain. Desk work at ten to fourteen days. Nothing sexual for six weeks. No lifting for six weeks. Massage or traction protocol from around two weeks, continuing for months. Your genuine result at six months, and not before.
Recognised Points
These are established procedures with recognised considerations, and your surgeon will discuss those relevant to your plan.
- Girth enhancement: palpable irregularity or lumpiness β the main consideration, reduced by fine droplet placement and massage; variable settling, the defining characteristic of fat transfer; asymmetry, usually minor and correctable with a top-up; infection, uncommon; donor area contour irregularity, reduced by garment use.
- Lengthening: reduced erect stability β the real trade-off; retraction of the gain through scar contraction, countered by the traction protocol; base scar tethering or thickening; modest gain relative to expectation, which is an expectation issue; altered sensation, usually temporary.
- Buried penis correction: seroma or haematoma, one of the more common considerations after skin excision, managed by drainage; wound edge separation, where the area is under tension, usually healing with dressings; infection, and the reason for keeping the crease dry; recurrence with weight gain; scar widening, since the area is under tension; loss of hair-bearing skin along the incision.
- Across all: altered sensation, usually temporary; and venous thrombosis, which is why early mobilisation and the flying interval matter.
The One That Matters Most
Having a procedure that does not deliver what you expected. It is the defining problem in this field, it is the reason published satisfaction for lengthening is poor, and it is entirely preventable by reading the lengthening section carefully.
Two Things Entirely Within Your Control
Doing your massage or traction protocol β the surgery is one day; the protocol runs for months and it protects your result. And not lifting and nothing sexual for six weeks.
Stopping Smoking
Genuinely important before a skin excision, since the area is under tension while healing and nicotine constricts small vessels. And for a girth enhancement specifically, graft survival depends on new blood vessels growing into the transferred fat, which nicotine directly impairs. Four to six weeks before and after makes a measurable difference. Canadian provincial quitlines are free.
Weight
Complete any planned weight loss first, and after bariatric surgery wait until stable for six to twelve months.
Who This Suits
Adults in good general health, with a clear understanding of what their chosen procedure delivers, with stable weight, and β where a protocol is prescribed β willing to commit to it.
20. Long-term
- After girth enhancement with fat: the fat surviving at six months is permanent living tissue. It responds to weight change like the rest of your body fat. Normal ageing continues, and a top-up is possible if it reduces over many years.
- After girth enhancement with filler: temporary by design, requiring repetition.
- After lengthening: the gain is maintained by the traction protocol during healing. Where the protocol is not followed, a proportion is lost to scar contraction. Once mature, the result is stable.
- After buried penis correction: durable, with weight gain being the main thing that affects it. Removed skin does not return, so modest gain is better tolerated than before surgery. Where fascial anchoring was performed, the position is considerably more durable.
Ongoing care is nothing specific. Once healed, the area needs no more attention than before. Where you had a functional problem β urinary difficulty or recurrent infection β tell your family doctor it has been corrected, so it is on your record. If something concerns you later, contact us; a photograph is usually enough for us to advise. Where irregularity after a girth enhancement bothers you, it is frequently improvable, and it is worth raising rather than living with.
21. Price: How It Is Built and How to Compare It
Why We Quote Per Case
Because these are three different procedures with very different scopes, and because a buried penis correction with an abdominoplasty and a straightforward girth enhancement are not comparable operations. Your quote is built from your description, photographs and assessment, itemised, and fixed once you approve it.
What Determines Your Price
| Factor | Effect on price |
|---|---|
| Which procedure, and whether more than one | The primary driver of scope and cost |
| Girth enhancement approach | Fat transfer or filler, and the extent of the donor harvest |
| Buried penis correction extent | Whether skin excision, fascial anchoring or grafting is needed, and whether an abdominoplasty is combined |
| Length of your stay | Accommodation and full board are included |
| Traction device | Included where prescribed |
What Is Included in Your Quote
The confidential online consultation with an honest assessment of which procedure applies. On-site examination with a chaperone, including recorded measurements and erectile function assessment. Blood work and pre-operative assessment. Anaesthetic review. Surgeon consultation with six-month photographs. Standing marking where relevant. The procedure and anaesthesia. Fat transfer with fine droplet placement, or filler, or ligament division, or fat pad reduction with fascial anchoring, as planned. Any combined procedure. Hospitalisation. Catheter and drains where used. Compression garment plus a second. Wound care supplies. Nursing visits throughout your stay. Massage or traction protocol taught before you leave, with a written schedule and a device where prescribed. Surgical review. Written aftercare guidance. Operative report and your recorded measurements. Discreet documentation. Your 5-star hotel with full board. Transfers. Your coordinator. A companion is accommodated and fed at no additional cost.

What Sits Outside It
Flights, travel insurance, the items you buy before travelling, filler repetition where you chose filler, and β where you want it β a second fat transfer session.
How to Compare Quotes Properly
- Does the clinic tell you what lengthening does not do? A clinic that is clear that erect length is unchanged is being honest. One that implies otherwise is not.
- Does the assessment consider fat pad reduction as an alternative to lengthening? For a substantial number of men it achieves more, and a clinic that does not raise it is not assessing properly.
- Does the clinic use permanent injectable fillers? If yes, look elsewhere.
- Is a post-operative protocol included and taught? A lengthening without traction loses part of its result.
- Are measurements recorded? You need a documented baseline.
Why the Cheapest Quote Is a Serious Concern Here
Because this field has a poor reputation for a reason, and the reason is clinics that promise measurements and operate on anyone who asks. A cheap quote with a promised gain and no honest discussion of limitations is the combination that produces the dissatisfied patients this field is known for. Ask the questions above and compare the answers before you compare the prices.
Insurance in Canada
Cosmetic penoplasty is not covered by provincial plans. Two situations are different, and worth pursuing. A buried or concealed penis with a documented functional problem β difficulty urinating, recurrent infection, hygiene difficulty β particularly after substantial weight loss, where some patients obtain coverage for panniculectomy-type procedures: ask your family doctor for a urology referral and document the functional problem. And erectile dysfunction assessment and treatment, which is covered and which may resolve your concern entirely. For a functional problem, the Canadian route may cost you nothing β establish it before you spend anything. Travel medical insurance is worth arranging, and read the exclusions.
Payment
A deposit confirms your dates. The balance is settled on site, under terms set out in full when you approve your plan. There are no additional charges once accepted.
Getting Your Figure
Send your age, height and weight, your weight history and whether it is stable, what specifically concerns you and whether it is girth, length or exposure, whether you have any functional problems, what pressing into your fat pad reveals, any erectile difficulty, any previous procedures including any injections, and all conditions and medications. Photographs are optional, and a standing profile with the fat pad pressed back is the most informative image. You will receive a plan and quote within 24 to 48 hours through our pricing in Turkey page, including which procedure applies to you, what it will realistically deliver, and where something else would serve you better.
22. Glossary
| Term | Meaning |
|---|---|
| Penoplasty | Surgery to the penis and surrounding structures; covers three distinct procedures |
| Corpora cavernosa | The erectile cylinders; cannot be lengthened surgically |
| Suspensory ligament | Anchors the penile base to the pubic bone; divided in lengthening |
| Mons pubis / fat pad | The fatty pad over the pubic bone; conceals shaft length when prominent |
| Buried or concealed penis | Normal penis obscured by fat or skin; frequently after weight loss |
| Fascial anchoring | Securing reduced tissue in position; makes the result durable |
| V-Y advancement | A skin technique at the base used in lengthening |
| Fat transfer / lipofilling | Girth enhancement using your own fat |
| Settling | Reabsorption of grafted fat that does not acquire a blood supply |
| Traction protocol | Post-operative stretching countering scar contraction after lengthening |
| Erect stability | How firmly the erect penis is anchored; reduced by ligament division |
23. How Canadians Search for This
- "Penoplasty Turkey cost" β the most common search. Ask the right questions before comparing prices.
- "Penis enlargement surgery" β the general term. These are three different procedures delivering three different things.
- "Penile girth enhancement" β the most reliable of the three, with the highest satisfaction.
- "Does penile lengthening increase erect length" β no. The erectile tissue is unchanged. This is the most important thing on this page.
- "Suspensory ligament division results" β a modest gain in flaccid length, with a real trade-off in erect stability.
- "Buried penis after weight loss" β very common, rarely discussed, and the most transformative correction in this field.
- "Fat pad reduction penis" β frequently achieves considerably more visible length than lengthening, without the trade-off.
- "Hidden penis surgery covered Canada" β worth asking, where there is a documented functional problem. Ask for a urology referral.
- "Can't urinate standing after weight loss" β a functional problem with a good surgical solution, and the situation most likely to be covered.
- "Permanent penile filler complications" β avoid permanent injectable fillers entirely. They are difficult to remove and associated with serious long-term problems.
- "Penoplasty recovery" β desk work at two weeks, nothing sexual for six, protocol for months, result at six months.
- "Penoplasty satisfaction rates" β high for girth and buried penis correction, considerably lower for lengthening, and the difference is expectation.
- "Is my penis normal size" β most men who believe they are below average are within normal range.
In Summary
Penoplasty at Aylan Clinic covers girth enhancement, lengthening and buried penis correction β three distinct procedures delivering three different things β with recorded measurements, an honest assessment of which applies to you, a taught post-operative protocol, and complete confidentiality. Seven to ten days, 5-star accommodation, a companion at no extra cost, for up to 60% less than Canadian private prices. This field has a poor reputation because of clinics that promise measurements and operate on anyone who asks. We would rather tell you the truth and lose the case.
Six things worth holding onto. Lengthening does not increase erect length; it changes flaccid length modestly and carries a real trade-off in erect stability. Press into your fat pad β if it reveals significant additional shaft, fat pad reduction will give you considerably more than lengthening, without the trade-off. Girth enhancement is the most reliable procedure in this field, with high satisfaction among appropriately selected patients. If you have lost significant weight and it looks smaller, the buried penis correction is the most transformative thing we do here, with a functional indication that may be covered in Canada. Have any erectile difficulty assessed first, since it is covered in Canada, frequently treatable, and can be an early marker of something that matters more. And avoid permanent injectable fillers entirely, wherever they are offered.
To go further, read our penoplasty in Turkey procedure page for how the surgery works, the stay and the aftercare, explore the wider intimate surgery in Turkey section, and request your confidential, personalised figure through our pricing in Turkey page β with a discreet, honest answer within 24 to 48 hours.