Is a Testicular Enhancement Painful?

Most of our Miami-area patients report mild discomfort rather than pain after surgery. Swelling and tightness are normal for a few days and can be managed easily with prescribed pain medication. At your first visit, we will give you specific return-to-activity instructions based on how swollen you are. Discomfort typically subsides within the first week.

How Many Appointments Will I Need?

You’ll have an initial consultation, a preoperative visit, and one or more follow-up appointments after surgery to ensure proper healing. Our out-of-town patients may have virtual check-ins once cleared to travel. Most patients spend 5-7 days in Miami.

How Long Until I See Results?

Results are visible immediately, though swelling may make the testicles appear slightly larger at first. The muscular wall of the scrotum typically keeps the implants “high and tight” for the first few weeks after surgery. Typically, this settles at 3 months or sooner.

Can I Combine a Testicular Enhancement With Other Procedures?

Yes, testicular enhancement can often be performed alongside other procedures. Dr. Gallagher will discuss the safest and most effective approach based on your individual goals.

What Are the Risks Associated With a Testicular Enhancement?

Some possible risks of testicular enhancement include infection; the published rate is around 1%. This risk may increase with larger implants. There’s also a small chance of implant movement or shifting over time, as well as some temporary numbness or changes in sensation in the scrotal area as nerves heal. Additionally, there’s always a general risk associated with anesthesia, which will be carefully discussed during your preoperative consultation.

What is the Recovery Time for Testicular Enhancement Surgery?

The recovery time varies from person to person. Dr. Gallagher will provide you with specific post-operative guidelines, including restrictions on physical activity and recommendations for pain management. It is essential to follow these instructions to ensure a smooth and successful recovery. Most patients go back to work within a week. Some activities, such as sex or riding a bike, are best avoided for about 4 weeks after surgery.

Will the Testicular Implants Feel Natural?

Yes, Dr. Gallagher prefers silicone implants for testicular enhancement due to their natural feel and appearance. The silicone implants are designed to mimic the texture and consistency of natural testicles, providing a more realistic outcome. It is true that with the side-by-side technique, the patient does have a “four-pack”. In most positions and with a large enough implant, this is very difficult to perceive, as the native testicles tend to sit behind the implant’s higher point in the scrotum.

Are the Testicular Implants Reversible?

Testicular implants are considered permanent enhancements. They can be removed, which would require another surgery.

This really depends on the individual patient and how much scrotum there is to house the implants safely. Patients may be able to gradually stretch the scrotum with the use of rings and massage. Botox may also be useful for temporarily relaxing the scrotal muscles. Previous fillers in the scrotum are usually not ideal, as this can actually make the scrotum less likely to stretch. At the first surgery, usually the largest implant possible is about 7cm in the longest diameter. Patients may be able to upsize the implant after several months.

Are there Effects on Fertility?

During testicle enhancement surgery, we do not interfere with the native testicles. The implant sits alongside them in the scrotum; to our knowledge, it does not interfere with fertility.

Can Implants Interfere with Sexual Function?

When placing the implants, we are well away from the very important nerves for sexual function, so this should not be a risk of the procedure.

How Do Large Implants Affect Patients' Lifestyles?

After the initial healing and settling phase, patients report very high satisfaction with implants and their ability to return to normal sports and activities. Patients will typically buy underwear with a larger supportive cup, but do not usually report discomfort from the implants themselves.

Miami, FL

Testicular Enhancement

Introduction to Testicular Enhancement

Dr. Gallagher in Miami offers specialized testicular enhancement procedures to help men achieve their desired aesthetic and improve their self-confidence.

Whether you seek testicular enhancement due to the absence of a testicle or the desire to enlarge existing testicles, Dr. Gallagher has years of experience in providing effective solutions.

Testicular shrinkage or atrophy can occur due to various factors such as age, certain diseases, or testosterone usage.

Dr. Gallagher also specializes in testicular implants for transgender men, utilizing silicone implants for a natural look and feel.

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Before + After Gallery

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What is a Testicular Enhancement?

Testicular enhancement is a surgical procedure aimed at improving the appearance and size of the testicles. Men may choose this procedure for several reasons, including the absence of a testicle or the desire for larger, more proportionate testicles. Dr. Gallagher understands the importance of addressing these concerns and tailors each procedure to meet individual goals and expectations.

Dr. Gallagher, smiling with long blonde wavy hair, wearing a gray sleeveless dress, holds two egg-shaped objects (one white, one blue) toward the camera. Behind her, part of a wall with the stylized words "GALLAGHER SURGERY" is visible in the background. - Testicular Enhancement in Miami, Fl

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Reasons for Testicular Shrinkage or Atrophy

Testicular shrinkage or atrophy can occur due to various factors, including:

Age: As men age, the natural aging process can lead to a decrease in testicular size and function.
Certain Diseases: Certain medical conditions, such as testicular torsion, orchitis, or hormonal imbalances, can result in testicular shrinkage or atrophy.
Testosterone Usage: Long-term use of exogenous testosterone, such as in hormone replacement therapy or bodybuilding, can lead to testicular atrophy.

Testicular Enhancement for Reconstruction

Dr. Gallagher has extensive experience in providing testicular implants for men seeking to reconstruct one or both testicles. Many men come to our office dissatisfied with their current testicle implant. Common complaints are that they ride too high, are the wrong size, and feel hard and unnatural. Dr. Gallagher prefers silicone implants for their natural feel and appearance. Silicone implants also offer a wider range of sizes, allowing for customized results. Dr gallagher usually places the implants via a small incision low down on the midline of the scrotum and does not fixate it into position, allowing it to act more naturally.

Implant Size and Technique

In most patients who already have two testicles present but seek to enhance the size and appearance, Dr Gallagher usually prefers a “side-by-side” technique. This means the native testicles are left in place, and the newer, larger testicle implants displace them out of view. This means that the native testicles can still be examined or accessed if needed.

To achieve this successfully, the new testicle implants must be large enough to conceal the native pair. The average testicle size in the US is about 3.5-5cm long and about 3cm wide. That is a volume of about 18-25cc. This roughly equates to 1.5 -2 inches long and about an inch wide.

Typically, testicle size reaches its maximum by age 20 and can gradually decrease after age 50.

Seminiferous tubules, which produce sperm, make up about 80% of the volume of the testicle, so there is some evidence that decreased testicle size can be associated with decreased fertility.

Klinefelter’s syndrome is the most common genetic cause I see in my practice of men unhappy with testicle size. Previous anabolic steroid use causing shrinkage is, however, the most common reason overall that I see patients unhappy with their size.

“Off-the-shelf” testicle implants range in volume from 5 cc to 40 cc, or a maximum of 5 cm x 4cm. Depending on the native testicle size and the patient’s goals, a larger custom implant may be best to adequately displace the native testicle and meet the patient’s size requirements. Dr Gallagher and the patient will together decide preoperatively the best size for the individual patient.

What Are the Benefits of a Testicular Enhancement?

Dr. Gallagher, a blonde woman with long curly hair, is seated at a desk in her office with a large window overlooking a cityscape. She is smiling and looking off to the side while holding documents and a pen.

For many men, testicular enhancement helps restore a sense of balance and proportion to the genital area, especially after testicular loss, atrophy, or asymmetry.

For transgender men, testicular enhancement can play an important role in completing a more masculine appearance and supporting gender affirmation goals.

Physically, silicone implants provide a natural appearance and texture, resulting in outcomes that blend seamlessly with the body. Emotionally, many patients describe a boost in self-esteem and comfort in their own skin after surgery.
We prefer the side-by-side technique as it allows access to the native testicles for examination.

Who Are the Best Candidates For a Testicular Enhancement?

Dr. Gallagher, a blonde woman in a white lab coat over a grey dress, is seated and smiling warmly while speaking and gesturing with her hands to a patient in a light blue patterned hospital gown. They are in a well-lit exam room next to a wall with a pink and blue abstract painting.

Ideal candidates for our testicular enhancement procedure are men who want to restore or enhance their scrotum, as well as those who:

Have experienced testicular atrophy due to age, hormone use, or medical conditions
Are missing one or both testicles due to trauma or surgery
Desire larger or more proportionate testicles for aesthetic reasons
Are unhappy with smaller “high-riding” testicles.
Are transgender men seeking gender-affirming scrotal enhancement

We tell our clients to have realistic expectations and understand that while the implants provide a natural appearance, they do not restore fertility or hormonal function.

What’s the First Step?

Your Testicular Enhancement Journey with Dr. Gallagher

The first step toward testicular enhancement is a private consultation with Dr. Gallagher either at her Miami practice or online.

During this appointment, she will review your medical history, evaluate your anatomy, and discuss your aesthetic goals. Together, you’ll decide on the most suitable implant size and surgical plan. Either the patient will opt for an “off-the-shelf” implant, or we will have our engineers make renderings for the patient’s exact preferred size. The patient can adjust the height vs. width of the testicle and the overall size they prefer. Custom testicles require at least 6 weeks from design to fabrication.

Dr. Gallagher’s team will also guide you through the preparation process, outline what to expect during recovery, and inform you about any necessary preoperative testing.

What to Expect on the Day of Testicular Enhancement Surgery

Anesthesia: General anesthesia is administered to ensure your comfort during the surgery. Dr. Gallagher will discuss the most appropriate anesthesia option based on your specific needs.
Incision: A small midline incision is made in the scrotum. The incision is carefully placed to minimize scarring and ensure optimal cosmetic results.
Silicone Implant Placement: Dr. Gallagher uses silicone implants for testicular enhancement due to their natural feel and appearance. The implants are carefully selected to achieve the desired size and symmetry. They are then inserted through the incision and positioned securely within the scrotum.
Incision Closure and Recovery: After placing the implants, the incisions are meticulously closed with sutures. Dr. Gallagher will provide you with specific post-operative instructions, including guidelines for recovery, pain management, and follow-up care.

Testicular Enhancement Recovery

Your Guide to Post-Testicular Enhancement Care

Recovery from testicular enhancement is relatively quick, though mild swelling and tenderness are normal for the first few days.

Most of our patients can resume lighter activities within a week and return to normal routines after 2 to 3 weeks. However, for exercise, sexual activity, and heavy lifting, you should wait at least four to six weeks to allow the tissues to heal fully.

Dr. Gallagher’s team provides detailed post-operative instructions to help minimize discomfort and ensure optimal healing. Regular follow-up visits allow her to monitor your progress and ensure the implants settle naturally.

How Much Does a Testicular Enhancement Cost in Miami, FL?

The cost of testicular enhancement in the Miami area varies depending on the type of implants used, the surgical technique, and the complexity of the procedure. Some surgeries, including testicular implants for reconstruction, may be partially or fully covered by insurance. Custom implants will cost more than an off-the-shelf implant.

Dr. Gallagher’s team can assist in reviewing your coverage and provide a detailed estimate during your consultation.

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Why Choose Dr. Sidhbh Gallagher?

Dr. Sidhbh Gallagher is a double board-certified plastic surgeon and a member of the American Society of Plastic Surgeons (ASPS) and the Aesthetic Society. Her career has been devoted to gender-affirming and reconstructive surgery, and she is known internationally for her expertise in genital procedures. Patients choose Dr. Gallagher for her technical precision, compassionate care, and her dedication to achieving natural, affirming outcomes that enhance confidence and comfort. We are one of the few practices specializing in testicular enhancement.

Her Miami practice, Gallagher Plastic Surgery, is founded on the principles of inclusivity, privacy, and professionalism, providing a supportive environment where patients can discuss sensitive concerns with ease.

Testicular Enhancement FAQ’S

Most of our Miami-area patients report mild discomfort rather than pain after surgery. Swelling and tightness are normal for a few days and can be managed easily with prescribed pain medication. At your first visit, we will give you specific return-to-activity instructions based on how swollen you are. Discomfort typically subsides within the first week.
Some possible risks of testicular enhancement include infection; the published rate is around 1%. This risk may increase with larger implants.

There’s also a small chance of implant movement or shifting over time, as well as some temporary numbness or changes in sensation in the scrotal area as nerves heal.

Additionally, there’s always a general risk associated with anesthesia, which will be carefully discussed during your preoperative consultation.
The recovery time varies from person to person. Dr. Gallagher will provide you with specific post-operative guidelines, including restrictions on physical activity and recommendations for pain management. It is essential to follow these instructions to ensure a smooth and successful recovery. Most patients go back to work within a week. Some activities, such as sex or riding a bike, are best avoided for about 4 weeks after surgery.
Yes, Dr. Gallagher prefers silicone implants for testicular enhancement due to their natural feel and appearance. The silicone implants are designed to mimic the texture and consistency of natural testicles, providing a more realistic outcome. It is true that with the side-by-side technique, the patient does have a “four-pack”. In most positions and with a large enough implant, this is very difficult to perceive, as the native testicles tend to sit behind the implant’s higher point in the scrotum.
This really depends on the individual patient and how much scrotum there is to house the implants safely. Patients may be able to gradually stretch the scrotum with the use of rings and massage. Botox may also be useful for temporarily relaxing the scrotal muscles. Previous fillers in the scrotum are usually not ideal, as this can actually make the scrotum less likely to stretch. At the first surgery, usually the largest implant possible is about 7cm in the longest diameter. Patients may be able to upsize the implant after several months.

See what our Patients Say

Patient Reviews

I had an amazing experience with Dr.Gallagher and her team, the whole experience from the procedure (top surgery) to the post-op care has been fantastic. Dr.Gallagher was able to address any concerns I had with my chest before the procedure and made me feel comfortable the whole way through, and then the attentiveness post-op is all the better.

Alfio Oliveira (Jay)
Thank you so much Dr. Gallagher for your amazing work! I appreciated the great support from your team at the surgical centre and your office. Everyone was so wonderful! I am extremely happy with my results and had a very positive experience. I had followed Dr. Gallagher for several years on Instagram prior to my surgery, and learned so much from her detailed explanations about various aspects of the surgical procedures, what to expect on the day, recovery, etc. I had complete trust, felt safe, felt listened to. I also appreciate the follow-ups, and answers to all my questions. The support, warmth, care is top notch!

Gill B.
Dr. Gallagher and her whole team, from Neasa to Daryl Ann and everyone else in between, are absolutely fantastic, kind hearted, hard working people. Dr. Gallagher truly amazed me and I’m so grateful to have had her on my team.

I was able to get keyhole top surgery about three weeks ago and I’m loving my results already! I’m muscular and heavier set as well but always had a smaller chest, and I’m so glad Dr. Gallagher was the one who could do this for me.

Right now I am still experiencing swelling, but I am using compression dressings every day, throughout the day which helps tons! I know that when the swelling subsides months from now, and everything is “back to normal”, I am going to love even more what I see in the mirror because I can finally see me.

Morgan F.
So glad I found Dr. Gallagher. I would not have elected to pursue my surgery had I not found a qualified and competent medical provider that I felt I could trust and have confidence in their ability to offer a high-quality, low-risk result. As a result of my initial contacts and consultations with Gallagher Plastic Surgery practice, I was willing to pursue my desired surgery and even travel half-way across the country to their offices. I’m so glad I did. The results are outstanding, more than I even anticipated. This was the 3rd practice I had dealt with and so I was learning what to look for and knew Dr. Gallagher was a good fit. The medical expertise and professionalism are what I based my decision on to proceed. They were calmly confident for a reason. I realized at the surgery event and through to the 3 week post-op checkin the excellence in their personal care (bed side manner). The office and Dr. Gallagher communicated very well. Everything went smoothly and as planned. As nervous as I was about an unnecessary surgery, Dr. Gallagher and her team were able to build enough trust that I was able to receive a very beneficial result.

Tim F.
Dr. Gallagher and her team are the absolute best! She completed my brachioplasty on Tuesday and when I saw the initial results at my post op appointment two days later I literally had tears of joy streaming down my face. My weight loss journey has been a road of many ups and downs, and I was so nervous about whether this surgery could even work for me. Even with the swelling that is normal after brachioplasty, there is an enormous difference, and I am still in disbelief that even this early on, my arms look this great. My husband was even in disbelief, and we’re so excited to see what I’ll look like in two weeks time. Dr. Gallagher is so kind and patient, and walked me through all of the phases of healing/expectations, and was great to call and check in. If you are looking for a highly skilled surgeon that will give you optimal results along with a compassionate approach, it is well worth your time and money to consider a consultation with her. I am forever thankful for her and for her team! This is life changing for me. Thank you, Dr. Gallagher! I appreciate you so much!

Melissa E.

Schedule Your Consultation

If you’re ready to explore your options for testicular enhancement, schedule a consultation with Dr. Gallagher in Miami, FL, today.

Call (305) 204-9598 to book your appointment today!

Dr. Gallagher frequently works with patients outside of Miami and the state of Florida. If you are interested in discussing testicular enhancement in a discreet and comfortable setting, you can also schedule a virtual consultation with her to ask any questions you may have and learn more about proceeding with your surgery.

Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 305-204-9598