The newspaper El Mundo highlights Clínica NEF, which specializes in male intimate surgery, for its innovative NEF penis enlargement technique. Led by Dr. César Noval, winner of the 2024 Carlos V Award for Medical Innovation, this technique offers natural, safe, and effective results, comprehensively addressing male sexual health and breaking taboos.
The newspaper Las Provincias highlights the work of Clínica NEF, led by Dr. César Noval, in debunking misconceptions about penis enlargement. The clinic takes a comprehensive approach to men's sexual health, offering accurate information and effective treatments that help break down taboos and improve the quality of life of its patients.
The Ibero-American Journal of Plastic Surgery, the most prestigious Spanish-language publication in the field, has recently featured our technique. This recognition scientifically validates the results we have achieved over the years.
Clínica NEF Patients Share Their Experience
We have over 4,000 before and after images showcasing the results of penile lengthening and girth enhancement surgery. Google would penalize us for uploading them, as their explicit nature falls outside their policies. However, we have prepared this downloadable dossier for you. It includes real cases of our patients, showing results 12 months or more after their surgery. If you'd like to see more cases or schedule an appointment, feel free to contact our team.
The European Society for Advancement awarded us in 2023 the Medical Excellence Award for our innovative role in the field of Penile Lengthening and Girth Enhancement Surgery, as well as for our professional trajectory. We are deeply grateful for this honor, not only for recognizing the hard work of our entire team but also for the opportunity to raise awareness and normalize male intimate surgeries.
– No hospital stay required. You can typically return home the same day
– Procedure duration: approximately 1 hour
– Return to normal life/driving: immediately
– Sexual activity/Sports: after two weeks
We introduce you to our medical team, specializing in Penile Lengthening and Girth Enhancement Surgery, as well as Gender Reassignment Surgery.

Plastic Surgeon. Specialist in Gender Reassignment Surgery and Penile Lengthening and Girth Enhancement Surgery.

Specialist in Urological Surgery, Penile Lengthening, and Gender Reassignment Surgery.

Specialist in Urological Surgery, Penile Lengthening, and Gender Reassignment Surgery.

Specialist in Urological Surgery, Penile Lengthening, and Gender Reassignment Surgery.

Specialist in Urological Surgery, Penile Lengthening, and Gender Reassignment Surgery.
*Due to the file's size and volume, we cannot upload all the before and after photos, but if you'd like to see more, you can request them.
Before your surgery, you will have had the necessary consultations with our medical team. This ensures that all your questions are answered and that you fully understand the procedure.
On the day of your procedure, you will have an outpatient admission at one of the hospitals we work with. There, you will meet your surgeon.
The procedure is performed under mild sedation. We typically carry out both the penile lengthening and girth enhancement surgeries simultaneously. This approach ensures more harmonious and natural results.
We proceed with the lengthening surgery by focusing on the three penile structures: the skin, the musculature, and the body. We work on the suspensory ligament and create a flap that allows for an increase in size both at rest and during erection.
Subsequently, we perform the girth enhancement. We typically use cellular tissue, allowing the body itself to generate fascia.
The doctor will speak with you after the procedure, and hospitalization is generally not required. You will be able to return home, and follow-up appointments will be scheduled to ensure proper recovery and progress.
Find answers to the most common questions about our Penile Lengthening and Girth Enhancement Surgery.
The study published by the Ibero-American Journal of Plastic Surgery on our NEF technique confirms an average increase of 4.8 cm. However, each case is unique, and individual characteristics will influence the final result.
Although exceptional cases have achieved up to 17 cm at rest, each situation is unique, and expectations must be realistic. The relationship with the suspensory ligament significantly influences the outcome, avoiding excesses that could affect erectile function. We prioritize your health at every step.
If you've wondered what to expect after your penile lengthening surgery, here's the answer. The procedure typically does not cause significant discomfort and generally does not require hospitalization.
You will leave the medical center with an abdominal bandage that can be easily removed. Wound care will be done at home by gently cleaning the area and drying it with gauze and a cold-air dryer. The stitches will dissolve on their own.
Returning to work is quick for non-strenuous activities, and after two weeks, you can resume sexual activity and sports.
The medical team will recommend a series of exercises and massages to assist in your recovery.
You can resume your sexual activity in two weeks.
Sensitivity changes are rare. Temporary changes may occur due to post-operative swelling, but permanent loss of sensitivity is unlikely.
There are no real alternatives to surgery.
There are other options, but the results are not comparable, and in some cases, they present multiple complications for patients.
Some options that have gained popularity include pubic fat liposuction to expose hidden parts of the penis, frenulum or phimosis correction to improve the perception of size, and the use of hyaluronic acid. The latter may have side effects and require frequent applications.
Devices, exercises, and products such as creams lack medical regulation and scientific backing. Many of them can pose risks to the skin and sensitivity.
Generally, we apply sedation. It is not general anesthesia, so the recovery is very quick and comfortable.
After penile lengthening, an inverted Y-shaped scar forms at the base, resulting from the skin graft for the lengthening. While it may be concerning at first, the presence of pubic hair helps promote discreet healing.
Healing varies between patients due to genetic factors and tension. Each patient has unique characteristics, so the healing process may differ from one patient to another.
On the other hand, a small scar is also created on the abdomen as a result of extracting the cellular tissue for the girth enhancement. It generally measures less than three millimeters. Both scars can be treated to reduce their visibility, using techniques such as laser and dermapen.
In patients with a tendency to develop keloid scars, the base of the penis is rarely problematic. Daily hygiene, cold drying, and scar-healing creams are recommended. After the third month, applying silicone sheets is recommended to reduce visibility and make the scar imperceptible.
Complications are rarely seen in this surgery.
The most common complication, hematoma, may occur due to the mobilization of skin. Treatment involves ointments and gentle massages. Another issue that may arise is mild swelling, which will gradually disappear with the help of massages and exercising the glans to prevent swelling of the foreskin.
Regardless, the medical team will explicitly explain any complications that may be related to your case. In addition, informed consent forms will be provided for you to review when the quote is sent. And remember, if you have any questions regarding complications or the post-operative period, you should consult the medical team. We are here to help.
The prices for penile lengthening surgery vary depending on the specifics of each patient. In general, costs range from nine to fourteen thousand euros. This includes additional procedures in areas such as the scrotum and pubis.
Penile lengthening is a complex and significant surgery. An article in TIME magazine in 2017 indicated that up to 70% of men would rather lose a hand than their penis. The personal value is high, so it's crucial to choose carefully.
A very low price may indicate a lack of experience. Avoiding low-cost options is crucial, as correcting previous surgeries is more difficult and expensive than the initial surgery.
Prices vary due to techniques and anesthetic factors. The approach for girth enhancement and the lengthening technique can affect the cost, along with the type of anesthesia used.
Feel free to request your personalized quote completely free of charge.
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