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Testicle Enlargement Surgery

For many men, concerns about testicular size or the loss of a testicle affect far more than appearance. They affect confidence, intimacy, and how you feel in your own body. Board-certified plastic surgeon Mark P. Solomon, M.D., F.A.C.S., brings over 35 years of specialized experience and an innovative, tissue-based approach to testicle enlargement that delivers results designed to look and feel completely natural.

Dr. Solomon is an exceptional surgeon and a true professional. From the initial consultation through surgery and post-op follow-ups, he was clear, thoughtful, and incredibly attentive. He took the time to walk me through every detail of the procedure and made sure I felt fully comfortable going into surgery.

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ABOUT THE PROCEDURE

What Is Testicle Enlargement Surgery?

Testicle enlargement surgery encompasses a range of procedures designed to increase testicular volume, replace a missing testicle, or restore a more natural scrotal appearance. Whether you are seeking reconstruction after orchiectomy (testicle removal) or enhancement of existing testicles that have decreased in size, Dr. Solomon provides personalized treatment options tailored to your anatomy and goals.

Procedure Overview

Men pursue testicle enlargement for a variety of reasons. Some have lost a testicle due to cancer, trauma, or a medical condition and want to restore a natural appearance. Others have experienced testicular atrophy, often as a result of long-term testosterone replacement therapy (TRT), and wish to restore the size and fullness they once had. In both cases, the goal is the same: a natural look and feel that improves confidence and comfort.

Dr. Mark P. Solomon, M.D., F.A.C.S., has over three decades of experience in male aesthetic and reconstructive surgery. He has developed and refined techniques for testicle enlargement that prioritize a natural result, using the patient’s own tissue whenever possible.

Double board-certified by the American Board of Plastic Surgery and the American Board of Surgery. Fellow of the American College of Surgeons (FACS). Over 35 years of specialized experience in male aesthetic surgery.

Testicular Implant Placement (Reconstruction)

For men who have lost a testicle due to cancer, trauma, torsion, or another medical condition, testicular implant placement restores a natural scrotal appearance. Implants consist of a silicone shell filled with either saline or semi-solid silicone, and are available in a range of sizes to match the remaining testicle. The procedure is performed under anesthesia, and recovery is typically straightforward. Dr. Solomon works collaboratively with urologic colleagues who specialize in this procedure to ensure the best possible outcome for patients who require implant-based reconstruction.

silicone vs saline implants

82.5% of Patients rated their testicular prosthesis as good or excellent*
87.5% of Patients said they would choose the implant again*

* Source:  https://pubmed.ncbi.nlm.nih.gov/29288790/

Fat Transfer Testicle Enlargement (Enhancement)

For men whose testicles have decreased in size, often as a result of testosterone supplementation, Dr. Solomon has developed an innovative fat transfer technique that adds volume using the patient’s own tissue. Fat cells are harvested from another area of the body and carefully placed within the fascial layer that surrounds the native testicle.

This approach offers two important advantages. First, because the fat is placed within a defined tissue plane, it stays in position and does not migrate. Second, the result feels completely natural: testicles are normally soft, and adding autologous fat preserves that natural texture while increasing overall size.

Over time, some of the transferred fat may be reabsorbed. If this occurs, the procedure can be repeated. Because the volume of fat required is relatively small, nearly all men are candidates for this technique.

Innovative technique: Dr. Solomon’s fat transfer method uses the patient’s own tissue to enlarge the testicle within a natural fascial plane, producing results that look and feel normal. This is a distinct approach from implant placement or silicone cap methods, which can produce a firmer, more artificial feel.

~40% of Transferred Fat is naturally reabsorbed, with the remaining volume stabilizing over time

Combining Procedures

Testicle enlargement can be performed as a standalone procedure or combined with other treatments depending on the patient’s goals:

Enhancement

Liposuction

The fat harvest for testicle enlargement can be combined with liposuction for body contouring, or performed as an isolated procedure from an area where fat removal will be inconspicuous.

Enhancement

Penile Enhancement:

Some patients choose to combine testicle enlargement with penile lengthening or girth enhancement for a more comprehensive result.

Enhancement

Pubic or Scrotal Surgery:

Pubic pad reduction, scrotal web correction, or other procedures may be performed alongside testicle enlargement to improve overall proportion and appearance.

A personal consultation with Dr. Solomon is required to determine which procedures are appropriate for your individual needs and goals.

Ready to discuss your options?

(310) 299-3553
WHAT TO KNOW

Benefits & Risks of Testicle Enlargement Surgery

As with any surgical procedure, testicle enlargement involves both potential benefits and considerations. Dr. Solomon believes that informed patients make the best decisions. Below is an honest overview of what surgery can offer and what you should consider before proceeding.

Benefits

  • Restored or enhanced volume: Testicle enlargement can restore natural-looking fullness for men who have lost a testicle or experienced atrophy, or provide enhanced size for men seeking improvement
  • Natural look and feel: Dr. Solomon's fat transfer technique uses the patient's own tissue, producing results that feel soft and natural rather than firm or artificial
  • Improved confidence: Many men report a meaningful improvement in self-esteem, body image, and comfort in intimate situations following the procedure
  • Minimally invasive fat harvest: The fat required for the procedure is relatively small in volume, making the harvest site inconspicuous and recovery straightforward
  • Combinable with other procedures: Testicle enlargement can be performed alongside liposuction, penile enhancement, scrotal surgery, or other treatments for a more comprehensive result
  • Experienced specialist: Over 35 years of focused experience in male aesthetic and reconstructive surgery, with expertise that few surgeons worldwide can match

Risks & Considerations

  • Surgical risks: As with any surgery, there is a risk of infection, bleeding, adverse reaction to anesthesia, and delayed wound healing
  • Fat reabsorption: A portion of the transferred fat may be reabsorbed by the body over time, which could reduce the initial volume gained; the procedure can be repeated if needed
  • Swelling and bruising: Post-operative swelling in the scrotal area is expected and may take several weeks to fully resolve; final results are not immediately visible
  • Temporary discomfort: Mild to moderate discomfort at the harvest and treatment sites is normal during the first week of recovery
  • Asymmetry: While Dr. Solomon takes great care to achieve balanced results, minor asymmetry between testicles may occur
  • Recovery commitment: Full recovery requires adherence to activity restrictions (typically 4+ weeks) and follow-up appointments

Individual results vary. All surgical procedures carry inherent risks. A personal consultation with Dr. Solomon is required to determine whether a procedure is appropriate for your goals and to discuss your specific risk profile.

A special thanks to Dr. Solomon and his staff for putting up with my endless questions both before and after surgery. I just had my post op photos taken and am even more pleased than I thought when comparing with my before photos. I recommend Dr. Solomon to anyone looking for a talented surgeon who will be completely honest with you and that is there for you every step of the way!! Thank you, Dr. Solomon!!

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Patient Reviewfrom Vitals.com
Dr. Mark Solomon welcoming a patient at a follow-up appointment
Dr. Mark Solomon discussing penis lengthening through ligament release with a patient
Dr. Mark Solomon explaining pubic lift and liposuction options to a patient

Am I a Candidate for Testicle Enlargement Surgery?

Candidacy for testicle enlargement surgery is determined during a private consultation with Dr. Solomon. In general, good candidates include men who:

  • Have lost a testicle due to cancer, trauma, torsion, or another medical condition and wish to restore a natural scrotal appearance
  • Have experienced testicular atrophy as a result of testosterone replacement therapy or other factors
  • Feel self-conscious about testicular size and wish to improve their confidence and comfort
  • Are in good overall health and are medically cleared for surgery
  • Have realistic expectations about what surgery can achieve
  • Are committed to following pre- and post-operative care instructions

During your consultation, Dr. Solomon will evaluate your anatomy, discuss your goals honestly, and recommend the approach most likely to achieve the outcome you are looking for. He will explain the differences between implant-based reconstruction and fat transfer enhancement so you can make an informed decision about which option is right for your situation.

DR. SOLOMON'S PROCESS

Recovery & What to Expect

Understanding the recovery process helps patients plan ahead and set realistic expectations. Recovery from testicle enlargement is generally well-tolerated, with most men returning to normal activities within a few weeks.

Week 1

Recovery Starts with Rest

Patients should plan to take it easy for the first several days following surgery. Swelling and mild discomfort in the scrotal area are normal and expected. Supportive undergarments are typically recommended to minimize movement and promote comfort. Dr. Solomon provides detailed post-operative instructions and his team is available to address any concerns during this period.

Weeks 2-4

Light Activity & Early Healing Phase

Most men are able to return to desk work and light daily activities within one to two weeks. Swelling continues to improve gradually. Dr. Solomon's team provides ongoing guidance on activity levels and wound care.

After 4 Weeks

Returning to Exercise and Intimacy

Strenuous activities, including exercise and sexual activity, are typically restricted for at least four weeks following surgery. Dr. Solomon will clear you for full activity based on your individual healing progress.

Long-Term Results

Settling Into Your New Normal

For fat transfer patients, final results become apparent over several weeks to months as the transferred fat cells establish blood supply and settle into their permanent position. Some volume reduction from fat reabsorption is possible; if this occurs, the procedure can be repeated. Dr. Solomon schedules follow-up appointments to monitor your progress and ensure your recovery is on track.

Recovery timelines are general guidelines. Individual healing varies based on the procedure performed, overall health, and adherence to post-operative instructions.

RESULTS THAT SPEAK

Real Results. Real Patients

Every outcome reflects a customized surgical plan developed specifically for that patient, which is why results can be so dramatic. We are proud to share these images with the permission of the patients themselves, who hope their experience will give others the courage to seek the care they deserve.

MEET YOUR SURGEON

Mark P. Solomon, M.D., F.A.C.S.

Dr. Mark P. Solomon is a double board-certified plastic surgeon, certified by both the American Board of Plastic Surgery and the American Board of Surgery, with over 35 years of experience specializing in male aesthetic and reconstructive surgery.

He earned his medical degree from New York University School of Medicine and completed surgical training at the Hospital of the University of Pennsylvania and Thomas Jefferson University Hospital. His plastic surgery fellowship was at the Hospital of the University of Pennsylvania, with additional fellowship training at Hôpital Necker-Enfants Malades in Paris, France.

Dr. Solomon served as Chief of the Division of Plastic Surgery at both the Medical College of Pennsylvania Hospital and Hahnemann University Hospital. He has held academic appointments ranging from Clinical Assistant Professor to Associate Professor of Surgery at the University of Pennsylvania, Hahnemann University, and Drexel University College of Medicine. He is co-editor of a foundational textbook on male cosmetic surgery and has authored over 35 peer-reviewed articles in medical journals.

He is a Fellow of the American College of Surgeons (FACS) and a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.

“Every patient deserves individualized care built on honest assessment, innovative technique, and a genuine commitment to the best possible outcome.”

WHY PATIENTS CHOOSE US

Why Choose Dr. Solomon for Testicle Enlargement Surgery

Innovative Fat Transfer Technique

Dr. Solomon has developed a fat transfer method for testicle enlargement that uses the patient's own tissue, placed within a natural fascial plane to produce results that look and feel normal. This technique avoids the firmer, more artificial feel associated with implant-based or silicone cap approaches for men seeking enhancement rather than reconstruction.

Double Board-Certified Surgeon

Certified by both the American Board of Plastic Surgery and the American Board of Surgery. Fellow of the American College of Surgeons (FACS). These credentials reflect the highest standard of surgical training and ongoing competency.

Over 35 Years of Male Aesthetic Expertise

With over three decades of focused experience in male aesthetic and reconstructive surgery, Dr. Solomon brings a depth of knowledge and surgical skill to every case. Few surgeons in the world have his breadth of experience across male enhancement, reconstruction, and revision procedures.

Individualized Approach

Every patient receives a personalized surgical plan based on their anatomy, goals, and medical history. Whether you need implant reconstruction after testicle loss or fat transfer enhancement for atrophied testicles, Dr. Solomon takes the time to explain each option honestly and recommends only what he believes will achieve the best possible outcome.

Published Authority in the Field

Co-editor of a foundational textbook on male cosmetic surgery. Contributing author to Springer's guide on male aesthetic and reconstructive plastic surgery. Over 35 peer-reviewed articles. Dr. Solomon's expertise is documented, peer-reviewed, and recognized by the surgical community.

Privacy & Professionalism

Dr. Solomon and his team understand the personal nature of these procedures. Every consultation and procedure is conducted with complete discretion. Patients traveling from out of state or internationally receive dedicated support through the medical tourism program.

COMMON QUESTIONS

Frequently Asked Questions

Testicle enlargement surgery refers to procedures designed to increase testicular volume or replace a missing testicle. For men who have lost a testicle, an implant can restore a natural scrotal appearance. For men with testicular atrophy (often from testosterone therapy), Dr. Solomon offers an innovative fat transfer technique that adds volume using the patient’s own tissue, producing a result that looks and feels natural.

A testicular implant is a silicone-shell device (filled with saline or solid silicone) used to replace a testicle that has been surgically removed. Fat transfer enlargement uses the patient’s own fat cells, harvested from another area of the body, to add volume to existing testicles that have decreased in size. The implant approach is best for men who have lost a testicle entirely, while fat transfer is designed for men whose testicles are present but have become smaller or softer.

Yes. Dr. Solomon’s fat transfer technique places fat cells within the fascial layer surrounding the native testicle, preserving the natural soft texture while increasing volume. Testicular implants are also designed to closely approximate the feel and weight of a natural testicle. The goal in both cases is a result that looks balanced and feels comfortable.

Fat cells that survive the transfer and establish blood supply become a permanent part of the tissue. However, a portion of the transferred fat may be reabsorbed by the body over the initial months following surgery. If additional volume is desired, the procedure can be repeated. Dr. Solomon will discuss realistic expectations for your specific situation during your consultation.

Yes. Testicle enlargement can be performed alongside liposuction (the fat harvest site can double as a body contouring procedure), penile enhancement, pubic pad reduction, scrotal web correction, or other male aesthetic procedures. Dr. Solomon will help you determine which combination of procedures best serves your goals.

Most patients can return to light daily activities within one to two weeks. Strenuous activities and sexual activity are typically restricted for at least four weeks. Swelling resolves gradually over several weeks, and final results develop as transferred fat cells settle and establish blood supply. Dr. Solomon provides detailed post-operative guidance and monitors your recovery closely.

The cost varies based on the specific procedure performed (implant versus fat transfer), whether additional procedures are combined, and the complexity of the case. Pricing is discussed during your consultation after Dr. Solomon evaluates your individual needs. The practice offers financing through CareCredit, accepts major credit cards, and can arrange customized payment plans.

Absolutely. Dr. Solomon and his team treat every consultation with complete discretion and professionalism. The practice understands the deeply personal nature of these concerns and maintains strict patient privacy. Virtual consultations are available for patients who prefer an initial conversation from home.

MEDICAL TOURISM

Traveling to Beverly Hills for Testicle Enlargement Surgery

Dr. Solomon’s practice welcomes patients from across the United States and around the world. Many patients travel specifically to Beverly Hills for Dr. Solomon’s specialized expertise in male aesthetic surgery, including testicle enlargement and other procedures that can be difficult to find closer to home.

The practice offers comprehensive medical tourism support to make your experience as seamless as possible:

Virtual Consultations

Meet with Dr. Solomon remotely to discuss your goals and develop a surgical plan before you travel

Travel Coordination

Assistance with hotel reservations near the Beverly Hills office and local transportation arrangements

In-hotel Recovery Care

For patients who prefer to recover at their hotel, the team can arrange appropriate post-operative support

Flexible Scheduling

The practice works with your travel timeline to schedule your consultation, procedure, and follow-up appointments efficiently

Follow-Up Planning

Dr. Solomon coordinates post-operative care with your local physician when appropriate, and virtual follow-up appointments are available

CONTACT US

Get In Touch

Dr. Mark Solomon is a board-certified plastic surgeon with expertise in penile revision surgery based in Beverly Hills, California. To discuss your specific concerns or learn more about our treatment options, please fill out the form or call our office at (310) 299-3553 to schedule a consultation.

Please Note: Pricing varies with each patient’s individual issue, so a consultation is required before providing any cost information. As a note, we are unable to provide cost information via email. Dr. Solomon’s consultation fee is $350. Dr. Solomon is generally the best fit for patients with PPO/commercial insurance or who are paying out of pocket.

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“I am beyond happy with the results of my surgery. I feel well.”
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