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Exposing any part of your anatomy to a vacuum will cause temporary engorgement due to the dilatation of the peripheral blood vessels; it has nothing to do with sustainable enlargement and is more likely to cause damage on the longer term. The surgical techniques are based on lengthening or loosening of the suspensory ligament of the penis and may make it appear longer but the actual tissue that determines the girth and length, the corpus cavernosum, can not be changed without compromising the function, as it is a fibrous tissue tube filled with specialised soft tissue; the same which causes a blocked nose..

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