Surgical girth · lipofilling

Fat Transfer Penis Enlargement

Fat transfer (lipofilling) uses your own fat to add girth. It works — but it is a surgical procedure, the result is less predictable than filler, and much of the fat is reabsorbed. We think you should understand both options honestly.

SurgicalOwn fatPartial reabsorption

How it works

Harvested, filtered, re-injected.

Fat is liposuctioned from a donor site — typically the stomach, flanks or lower back — then filtered and re-injected into the shaft of the penis to add girth. Androfill clinics use a closed-circuit system (LipiVage) that limits the fat's exposure to air during harvesting and transfer, which improves the rate of fat survival and reduces the risk of infection.

  1. Harvest — fat is gently liposuctioned from the donor area under anaesthetic.
  2. Filter — a closed-circuit filtration system separates viable fat cells and reduces inflammatory contaminants, for a less lumpy result.
  3. Transfer — the prepared fat is injected into the penis to build girth.

What to expect.

Immediately after the first procedure you will notice a significant increase in girth, as most of the fat cells are still intact and the area is enhanced by mild swelling. The final result depends on how much of the transferred fat survives — which in turn depends on the amount and distribution of fat necrosis (cells that don't survive) and the extent of any fibrosis or scarring, which is usually minimal.

Fat has a soft, slightly marshmallow-like feel, generally the same texture as fat elsewhere on the body; this firms up somewhat in the erect state as the fat is compressed between the penile tissue and the skin. Because fat is not found in the penis naturally, its survival rate here is lower than in other parts of the body, and top-up procedures are usually needed over time.

Individual results will vary from person to person.

3–12 months
Typical fat reabsorption window
General anaesthetic
Surgical procedure
Top-ups likely
Result is not permanent
The main risks are fat reabsorption (a return towards the original size), hard nodules where necrotic fat clumps together (sometimes treated with steroid injections over several months), an uneven or lumpy texture, and the general risks of surgery under anaesthetic. Fat transfer carries a higher risk profile than filler injections.

Our honest view

Why we usually recommend filler.

For most men seeking added girth, reversible hyaluronic-acid filler is the safer, more predictable choice: no surgery, a firmer and more natural texture, and the ability to dissolve the result if you ever wish to. Fat transfer remains a valid option in some cases, but we will only recommend it after a candid conversation about the trade-offs. Compare the two on our fat transfer vs filler page.

Talk it through honestly.

Discuss whether filler or fat transfer suits you with Dr Anderson — private consultations across New Zealand.

About this page

Last reviewed on 28 July 2026.

Written and medically reviewed by Dr Brent Anderson (MBChB), Fellow of the New Zealand Society of Cosmetic Medicine, who leads Androfill in New Zealand.

Information on this page is drawn from the published literature on hyaluronic-acid penile filler and from Androfill’s clinical experience since 2012. It is general information, not a substitute for a consultation — your own suitability, options and risks must be assessed in person by your doctor.