When considering penis enhancement, men often wonder whether to choose surgery or fillers. At Moorgate Andrology, we prioritise long-term, effective solutions — which is why we present surgery as the most reliable option while also explaining how fillers can be used strategically for temporary or complementary enhancement.
This guide covers procedures, results, recovery, costs, risks, and patient suitability, helping you make an informed decision.
I speak to many guys every week who are considering a penis enlargement procedure, but they cant decide on the best way forward for them. they struggle to see through the pros and cons of both procedures. That's what I here for of course, but I thought it would be a good idea to wrote this blog to explain the key differences between the two options to help guide your thoughts and make sure that you choose the right option for you,
Penis enlargement surgery
offers:
Permanent results — unlike fillers, surgical enhancement is long-lasting. This is one of the main reasons guys choose surgery. Also , if you want your penis lengthened then this is the right choice. If you do this then you will do the girth enhancement with a fat transfer at the same time, then you have a permanent result in both.
Greater girth and length potential — ideal for patients seeking significant improvement. There is nothing else that you can do that will increase your penis size more than length and girth surgery
Predictable, natural-looking outcomes — when performed by experienced surgeons. Many guys like the idea of the surgery because the whole process is natural. We are using your own fat, not synthetic materials and cutting existing ligaments to make the penis longer
Comprehensive treatment — both lengthening and girth enhancement are possible. It is this combination option that marries so well together, its not just about the girth
At Moorgate Andrology, our surgery-first approach ensures patients achieve maximum impact safely and effectively. Fillers can be considered afterwards for minor adjustments or temporary testing.
Penis fillers
involve injecting hyaluronic acid into the shaft to increase girth temporarily.
Key points:
Minimally invasive with little downtime. They are a " quick fix" to increase penis girth with little disruption to daily life
Results last 12–24 months. They will always need topping up, they are temporary, so ongoing costs are inevitable
Can be used to trial enhancement or complement surgery. Some guys start with filler and then go on to do the surgery later. A bit like dipping the to in the water before jumping in with both feet. About 40% of all patients who start with filler go on to do the surgery at some point
Typically increases girth by 1–2 inches. There is a significant increase in flaccid and erect girth with a fat transfer since the fat is thicker than hyaluronic acid filler
While fillers are safe and effective for temporary enhancement, they are not a substitute for permanent surgical results.
| Feature | Surgery | Fillers |
|---|---|---|
| Permanence | Permanent | Temporary (12–24months) |
| Girth Increase | Greater potential | Moderate (1–2 inches) |
| Length Increase | Possible | Not achievable |
| Recovery | 6 weeks | 24–48 hours |
| Risk Level | Low with expert Urologists | Very low |
| Cost | Higher | Lower per session |
| Ideal Candidate | Seeking long-term enhancement | Testing enhancement or minor girth increase |
This table shows why surgery is the definitive solution, while fillers remain a secondary or complementary option.
Fillers are ideal for men who:
Want a short-term enhancement or testing a penis enlargement
Wish to “test the waters” before committing to surgery
Desire minor girth enhancement without downtime
Fillers can also be used after surgery to refine results or address minor asymmetry. Many guys top up later in life with dermal filler after the surgery, just as many men go for the surgery after they have had filler
Surgery Recovery:
Light activity: 1 week
Full recovery: 6 weeks
Sexual activity: 6 weeks
Filler Recovery:
Minimal downtime (24–48 hours)
Mild swelling or bruising may occur
Sexual activity can typically resume after 7 days
Surgery: Higher upfront cost but permanent results. Surgery is significantly cheaper than fillers in the medium to long term
Fillers: Lower cost per session but require ongoing maintenance. If you are on a tight budget they can be an early entry option into penis enlargement
At Moorgate Andrology, we provide transparent pricing and help patients plan treatments according to their goals and budget.
If your goal is long-term, significant enhancement, surgery should be your first consideration. Ask yourself if you want your penis longer, if the answer is yes then surgery will be your preferred route
If you want to experiment with minor girth improvements or test enhancement before committing, fillers can be useful.
Many patients choose a combined approach: surgery first for major enhancement, followed by fillers for refinement.
Book a confidential consultation at Moorgate Andrology to discuss:
Whether surgery is right for you
How fillers could complement surgical results
Tailored plans for safe, effective, and natural enhancement