Girth — circumference, not length — is what most men are actually asking about when they research enlargement, and it's also the goal with the clearest, most durable solution. Here's the honest hierarchy: what doesn't work, what only works briefly, and the one approach that produces a lasting result.
From Dr. Robbins' PracticeGirth is the area where a genuinely durable, FDA-cleared solution exists — which is exactly why it's worth cutting through the noise around it.
First, What Actually Doesn't Work
Let's clear the field. Pills, creams, and supplements have no credible evidence of increasing girth — they're marketing, not medicine. Manual "exercises" like jelqing are unproven and, in my clinic, a recurring source of bruising and tissue injury. If a method is free, anonymous, and promises circumference, it belongs in the skip pile.
Pumps: Temporary, Not Permanent
Vacuum pumps draw blood into the tissue and create a short-lived swelling that can look like added girth for a little while. It fades within hours. Pumps have a real role in erectile rehabilitation, but as a way to permanently increase circumference, they simply don't deliver — and overuse can bruise the tissue.
The Durable Answer: The Himplant
For a lasting increase in girth, the standout option is the Himplant — the only FDA-cleared subcutaneous silicone implant designed exclusively for long-lasting penile girth enhancement. A soft silicone implant is placed beneath the penile skin, adding circumference in both the flaccid and erect states. Because the implant conforms to the patient's own anatomy, the result stays natural and proportionate rather than obvious. It's an outpatient procedure that typically takes 45 to 90 minutes, and it's backed by a manufacturer limited lifetime warranty (terms apply).
One honest note on what it does: the Himplant enhances girth in both the flaccid and erect states and also adds length in the flaccid (non-erect) state — it does not increase erect length. Patients who understand that distinction going in are the ones who are consistently satisfied with the result.
What Results Actually Look Like
The most noticeable change for most patients is in flaccid girth — the state you're in most of the day, so it's what alters how clothing fits and how you feel day to day. Erect girth increases proportionally as well. We don't promise a specific number in inches or centimeters; individual results depend on your starting anatomy and implant sizing, which we determine together during consultation. For a deeper look, see does penis size change after Himplant surgery.
Recovery, Briefly
Most patients return to light activity within a few days and to desk work in about one to two weeks, with sexual activity generally resumed around six weeks under your surgeon's guidance. We provide a week-by-week plan; see the full recovery timeline.
Am I a Candidate?
Good candidates are generally healthy adult men with realistic expectations who want a durable girth result. Certain prior penile surgeries can affect candidacy, which is why an in-person evaluation matters. Our candidacy guide covers who the procedure is — and isn't — right for.
The Bottom Line
If your goal is more girth, skip the pills, pumps, and exercises — none produce a lasting change. The durable, medically supported answer is the FDA-cleared Himplant, which adds circumference in both states with a natural, proportionate result. At INTIMÉ Miami, Dr. David Robbins is one of a select number of urologists in the United States trained and authorized to perform the Himplant, having trained directly with Dr. James Elist, the device's inventor. Schedule a confidential consultation to discuss what's realistic for your anatomy.
Written by Dr. David Robbins — Board-Certified Urologist and Medical Director of INTIMÉ Miami.