Quick Answer: Rejuvall’s penis lengthening surgery is not just a suspensory ligament “lig cut.” Most standard ligament releases only free the superficial suspensory ligaments and often fail to create a reliable, measurable increase in erect length once healing and scar tissue settle. Rejuvall’s approach is a complete penis lengthening system that addresses both superficial and deep ligaments, repositions hidden internal shaft outward, locks that new position in place using the patient’s own tissue, and then guides men through a structured stretching program so those gains are preserved and maximized over time.
Key Takeaways
- Basic suspensory ligament release / ligamentolysis (“lig cut”) usually changes flaccid hang more than true, lasting added length because it does not reposition or stabilize the internal penis.
- Rejuvall’s MegaMAXL™ protocol combines six elements: superficial + deep ligament release, Penile RepoZitioning™, Length Lock™ (biologic tissue barrier using your own tissue), mons pubis support, and a 3-step post-op stretching regimen.
- By repositioning existing internal shaft outward and locking that position biologically, Rejuvall can offer qualified patients a 1-inch or 2-inch length guarantee, which a simple ligament cut alone is not designed to provide.
Table of Contents
What Men Mean by a “Lig Cut” (Suspensory Ligament Release)
On forums and Reddit, men often say they’re thinking about “getting a lig cut”. In medical terms, that same procedure is usually described as:
- Suspensory ligament release
- Ligamentolysis
- Penis ligament surgery at the base of the penis
In most clinics, a standard suspensory ligament release:
- Uses an incision above the base of the penis or sometimes through the scrotum (“scarless” approach).
- Cuts the fundiform and superficial suspensory ligaments that help tether the penis to the pubic bone.
- May be followed by very basic advice about stretching or using an extender.
So when men ask if a “lig cut” really adds length, they’re really asking whether this simple suspensory ligament release by itself can produce a stable, measurable increase in erect length.
At Rejuvall, all surgical penis lengthening is performed by Dr. Kenneth J. Carney, and our lengthening options—MegaMAXL™, SuperMAXL, and PERMMAXL—use suspensory ligament release as just one part of a much more comprehensive system that includes internal organ repositioning, biologic length locking, mons pubis support, and a structured stretching program that a basic “lig cut” does not provide.
Why a Basic Suspensory Ligament Release Usually Fails to Add Measurable Length
Most men first hear about suspensory ligament release (commonly called a “lig cut”) as a quick surgical way to gain length.
The concept sounds logical: cut the ligaments that anchor the penis to the pubic bone and it should hang lower and look longer.
But in practice, the results are often disappointing once healing and scar tissue have settled.
A standard ligamentolysis typically:
- Cuts only the fundiform and superficial suspensory ligaments, leaving the deep suspensory ligaments intact.
- Does not reposition the internal portion of the penis outward, so most of the organ still remains inside the body.
- Provides little to no structural support to hold the penis in its new position during healing.
- Relies on limited, often unsupervised stretching—if any at all.
Because of this, many men who undergo a simple ligament release report that:
- Their erect length is unchanged after full recovery.
- Scar tissue contraction at the base actually causes a mild loss of length.
- The penis only appears longer when flaccid or relaxed, not when erect.
At Rejuvall, Dr. Kenneth J. Carney developed the MegaMAXL™, SuperMAXL, and PERMMAXL surgical protocols specifically to overcome these limitations.
Each procedure treats the ligament release as a starting point, not the entire surgery, combining it with advanced internal repositioning, biological length locking, mons pubis support, and a guided 3-step stretching program to achieve true, measurable, and lasting length gains.
See Real Surgical Length Results
Every Rejuvall® surgical lengthening procedure is performed by Dr. Carney, combining advanced urologic precision with reconstructive technique. Explore our verified before-and-after photo gallery to see real results achieved with MegaMAXL™ and SuperMAXL™.
View Surgical Length Before & After PhotosRejuvall’s Core Concept: Repositioning the Internal Penis, Not Just Cutting Ligaments
At Rejuvall, true lengthening isn’t about simply severing ligaments — it’s about repositioning the internal portion of the penis so more of it becomes external and functional.
A significant section of the penis naturally extends inside the body, anchored to the pelvic bone by the suspensory ligaments. Conventional surgeries stop after releasing those ligaments, leaving the internal shaft exactly where it was.
Dr. Kenneth J. Carney’s approach takes the next step: he mobilizes and repositions that hidden portion outward, so men gain visible, usable length rather than a temporary change in flaccid hang.
This concept was born out of Dr. Carney’s early surgical work treating hypospadias in infants, where delicate tissue repositioning is essential for both appearance and function.
He later adapted those same reconstructive principles for adult penile enhancement, creating a procedure that not only releases the internal tethers but restructures the anatomy to hold a new, longer position safely and permanently.
That’s the foundation behind all of Rejuvall’s surgical lengthening options (MegaMAXL™, SuperMAXL, and PERMMAXL), each combining comprehensive ligament release with internal penile repositioning, biologic stabilization, and guided stretching to achieve predictable, measurable, and guaranteed length gains.
The MegaMAXL™ Surgical System: 6 Steps Beyond Standard Lengthening
Every penis lengthening surgery at Rejuvall is performed by Dr. Kenneth J. Carney, MD, PHARM, FACS, whose approach integrates urologic precision with reconstructive technique. The result is the MegaMAXL™ system—a six-stage surgical framework that goes far beyond traditional ligament release to produce measurable, stable length gains.
Step 1 – Comprehensive Ligament Release
Dr. Carney releases both the fundiform and superficial suspensory ligaments at the base of the penis using a temperature-controlled, “cold ligation” technique with FDA-approved instruments.
This is where most surgeons stop, but at Rejuvall it’s only the beginning. Releasing these ligaments alone rarely adds length; it simply frees the internal anatomy for repositioning in later steps.
Step 2 – Deep Ligament Dissection
Standard lengthening often ignores the deep suspensory ligaments that anchor the internal shaft inside the pelvis.
Dr. Carney safely accesses and divides these deeper structures to eliminate the internal tether, allowing the penis to be mobilized forward without restriction.
Step 3 – Penile RepoZitioning™
After both ligament groups are released, Dr. Carney performs Penile RepoZitioning™—carefully drawing the internal portion of the shaft outward so more of the penis becomes external and functional.
For qualified patients, this repositioning reveals about one inch of hidden length, and in many cases more.
Step 4 – Length Lock™ Biologic Stabilization
Instead of placing silicone spacers or temporary fat grafts, Dr. Carney constructs an organic “length-locking” barrier made entirely from the patient’s own tissue.
This biologic support holds the penis in its new position permanently and avoids the infection and scarring risks associated with foreign materials.
Step 5 – Mons Pubis Restructure
Once the internal tissues are repositioned, the area at the pubic base is reinforced. This mons pubis restructure maintains support, minimizes laxity, and limits erection-angle change to about 10–15 degrees, preserving a natural appearance and feel.
Step 6 – Three-Phase Stretching Protocol
Finally, Rejuvall patients complete a guided, three-phase stretching program included in the procedure cost. This regimen prevents ligament reattachment, limits scar contraction, and gradually lengthens the internal corpora to consolidate the new gain.
How Each Lengthening Option Builds on This System
- MegaMAXL™ – The core surgical protocol described above; includes Rejuvall’s One-Inch Length Guarantee for qualified patients.
- SuperMAXL™ – A two-phase enhancement that combines non-surgical MAXL™ lengthening with the full MegaMAXL™ surgery, offering a Two-Inch Length Guarantee for candidates who meet certain criteria.
- PERMMAXL™ – Integrates MegaMAXL™ lengthening with the PERM™ surgical girth enhancement procedure (autologous fat transfer using Rejuvall’s proprietary Tissue Restructure Technology). Because girth and length are performed together, this version does not include a formal length guarantee, though most patients still achieve substantial gains in both dimensions.
Together, these procedures represent a comprehensive surgical continuum from pure lengthening to combined length-and-girth reconstruction, designed to deliver stable, natural, and verifiable results unavailable through ligament release alone.
Why Rejuvall’s Multi-Stage Approach Produces Permanent, Measurable Gains
Traditional ligament release procedures usually depend on how the body heals — and that’s unpredictable. Scar tissue, ligament reattachment, and uneven healing can erase early length gains within months.
Rejuvall’s lengthening surgeries succeed because every stage of the process is engineered for stability and controlled tissue remodeling, rather than guesswork.
Anatomically Correct Repositioning
By releasing both the superficial and deep suspensory ligaments, Dr. Carney eliminates the internal tethers that normally prevent the penis from extending forward.
Then, through Penile RepoZitioning™, he draws a portion of the internal shaft outward and secures it in its new position with Length Lock™, a biologic tissue barrier made entirely from the patient’s own tissue.
This structural foundation keeps the new length stable and prevents the body from retracting the organ inward during healing.
Controlled Healing and Collagen Remodeling
Because Rejuvall avoids synthetic implants, silicone spacers, or temporary fat grafts, the healing process follows a natural regenerative pathway.
The biologic barrier integrates into the surrounding tissue without causing inflammation or infection.
Over time, collagen remodeling and mild hyperplasia allow the tissue to adapt and strengthen around the new length, making the change permanent rather than temporary.
Stretching for Function and Final Gain
Once the internal anatomy is repositioned and secured, patients begin Rejuvall’s three-phase stretching protocol, included with all lengthening surgeries. This regimen maintains tension on the healing tissues to:
- Prevent any re-adhesion of released ligaments
- Control scar contraction at the base
- Stimulate gradual expansion of the internal corpora
In combination, these mechanisms ensure that the additional length achieved in surgery is preserved, functional, and measurable, not just cosmetic.
Together, these innovations explain why MegaMAXL™, SuperMAXL™, and PERMMAXL™ procedures consistently produce results that conventional ligament release surgery simply cannot, and why Rejuvall remains the only clinic able to back its lengthening outcomes with a formal guarantee for qualified patients.
How Rejuvall’s Penis Lengthening Differs from Standard Ligament Surgery
Most surgeons who advertise penis lengthening perform a limited suspensory ligament release and rely on stretching or gravity to maintain any change.
Rejuvall’s surgeries that include lengthening (MegaMAXL™, SuperMAXL™, and PERMMAXL™) are built on a fundamentally different philosophy: releasing ligaments is just the beginning of a structured, multi-phase process designed to deliver verifiable, functional length.
This integrated system is what allows Rejuvall to achieve results that are both visible and durable, rather than cosmetic or temporary.
Every lengthening surgery is customized by Dr. Carney, whose dual training in urology and reconstructive surgery ensures that the procedure enhances size without compromising sexual function or aesthetics.
Each version of the operation is designed to meet different goals:
- MegaMAXL™ – Surgical lengthening with a one-inch guarantee for patients who qualify.
- SuperMAXL™ – Two-phase lengthening (MAXL™ + MegaMAXL™) with a two-inch guarantee for qualified candidates.
- PERMMAXL™ – Combined lengthening and surgical girth enhancement using the PERM™ fat-transfer technique (no formal length guarantee but substantial gains in both dimensions).
By combining surgical precision, biologic engineering, and structured aftercare, Rejuvall has transformed penis lengthening from a simple ligament procedure into a predictable, medically engineered outcome.
Why Rejuvall Is the Global Leader in Surgical Penis Lengthening
At Rejuvall, every lengthening surgery is performed exclusively by Dr. Carney, one of the handful of board-certified urologic surgeons in the world with formal training in both reconstructive and cosmetic surgical techniques.
His triple background (he’s also a licensed pharmacist) allows him to approach enhancement not as a cosmetic shortcut, but as a reconstructive realignment of existing anatomy designed to protect both function and aesthetics.
A Urology-Based, Reconstructive Approach
While most centers offering ligament release operate from a cosmetic or medspa model, Rejuvall is a urology-based medical clinic with more than four decades of surgical innovation behind it.
Our procedures were developed from the same reconstructive principles used to correct congenital and trauma-related penile conditions, ensuring that enlargement does not compromise urinary or sexual function.
Engineered for Longevity and Function
Every surgical step, from the temperature-controlled ligament release to the biologic Length Lock™ barrier, is designed to work with the body’s own tissue response. This approach minimizes scarring, maintains vascular integrity, and preserves natural erectile mechanics.
Rejuvall’s post-operative stretching program further ensures that healing occurs in a controlled direction, strengthening new tissue alignment instead of letting it retract.
A Complete Surgical Continuum
Dr. Carney’s surgical programs form a continuum of options when it comes to length:
- MegaMAXL™: Surgical lengthening with a one-inch length guarantee for qualified candidates.
- SuperMAXL™: A two-phase, staged protocol combining non-surgical MAXL™ lengthening with surgical MegaMAXL™ for guaranteed two-inch gain in eligible patients.
- PERMMAXL™: Simultaneous surgical length and PERM™ fat-transfer girth enhancement; ideal for patients seeking proportional enlargement and permanent volume.
Each operation is tailored to the patient’s anatomy, aesthetic goals, and healing capacity. The result is a reproducible, clinically verified increase in length that feels and functions naturally, not a temporary illusion of size.
Realistic Expectations & Surgical Safety
Every penis lengthening surgery carries the same fundamental truth: anatomy, healing, and tissue response vary from man to man.
While Rejuvall’s MegaMAXL™, SuperMAXL™, and PERMMAXL™ procedures are engineered for predictable results, no two outcomes are identical, and success depends on both surgical precision and patient compliance with recovery protocols.
What to Expect During Healing
Most patients experience moderate to severe swelling and bruising for the first one to two weeks after surgery, which gradually resolves as the new tissue position stabilizes.
Pain or discomfort are normal and typically managed with oral pain medication. Temporary numbness or sensitivity changes at the base of the penis are also common and usually resolve during the first few months.
Erection angle changes are minimal, generally about 10–15 degrees, thanks to Dr. Carney’s mons pubis restructure technique that reinforces the base and prevents excessive laxity. The penis maintains natural function and sensation throughout the healing process.
Why Safety Comes First
Unlike cosmetic-only practices that focus on quick turnover, Rejuvall operates as a men’s health and urology clinic, meaning every procedure is performed in a surgical environment with full medical oversight.
Dr. Carney’s dual expertise in urology and reconstructive surgery ensures that each step prioritizes vascular integrity, nerve preservation, and long-term sexual function.
Rejuvall also does not use silicone implants, synthetic spacers, or permanent foreign materials which are common causes of infection, migration, and deformity seen in revision cases referred from other clinics.
All materials used during Rejuvall’s lengthening procedures are biologic and autologous, meaning they come from the patient’s own body and are accepted naturally.
The combination of a biologic technique, medical-grade facility, and surgeon-level aftercare is what allows Rejuvall to achieve consistent, safe outcomes while maintaining full sexual functionality.
Who’s a Candidate — and What Happens Next
Rejuvall’s surgical lengthening procedures are designed for men seeking true, functional increases in penile length, not just a cosmetic improvement in flaccid appearance.
Ideal Candidates
You may be a candidate if you:
- Are in good overall health and cleared for elective surgery.
- Have realistic expectations about anatomical limits and healing.
- Want to restore or enhance penile length
- Have previously undergone ligament release elsewhere with minimal or no improvement.
- Are seeking combined length and girth enhancement through PERMMAXL™.
Before surgery, every patient completes a comprehensive medical and anatomical evaluation directly with Dr. Carney to confirm candidacy, set realistic goals, and select the appropriate surgical program:
- MegaMAXL™: Full surgical lengthening procedure with a 1-inch length guarantee for qualified patients.
- SuperMAXL™: A two-phase program combining non-surgical MAXL™ therapy with surgical MegaMAXL™, offering a 2-inch length guarantee for eligible candidates.
- PERMMAXL™: Combined PERM™ fat-transfer girth enhancement and MegaMAXL™ lengthening for permanent, proportional results (no formal length guarantee).
Who Isn’t a Candidate
Although most men qualify for lengthening surgery, certain medical, anatomical, or lifestyle factors can make the procedure unsafe or reduce expected outcomes.
Medical Contraindications
- Uncontrolled diabetes (A1C above 7) – Slows wound healing and increases infection risk.
- Heart disease, clotting disorders, or use of anticoagulants / blood thinners – Require physician clearance before surgery.
- Suppressed or lowered immune system – Includes men on immunosuppressant medications or with chronic immune deficiency.
- Smoking of any kind – Cigarettes, cigars, vaping, or any inhaled substance severely limits blood flow. Patients must be smoke-free for 30 days before and 90 days after surgery.
- Poor nutrition or low protein intake – Adequate nutrition is essential for healing and collagen remodeling.
- Advanced age – Men over 70 are not candidates for lengthening. Those 62–70 may qualify for surgery but are not eligible for the length guarantee due to slower healing and reduced tissue elasticity.
- Erectile dysfunction or Peyronie’s disease – Must be successfully treated before any enhancement procedure.
Anatomical and Procedural Limitations
- True micropenis – Does not provide enough internal shaft to reposition outward.
- Buried penis or large suprapubic fat pad (BMI > 30) – May require LifeSize™ surgery instead.
- Prior silicone injections or penile implants – Accepted only for revision or corrective surgery.
- Uncircumcised patients – Circumcision is not required for lengthening alone but is mandatory before any girth enhancement procedure (including PERMMAXL™) to prevent filler migration and other complications.
General Surgical Requirements
The MegaMAXL™ 6:1 is a full surgical procedure requiring standard medical clearance for anesthesia and cardiovascular fitness.
Every case is personally reviewed by Dr. Carney to ensure it is both safe and medically appropriate.
At Rejuvall, eligibility is determined by science, not sales. We only operate when it’s safe, medically justified, and likely to produce stable, natural, and functional results.
Frequently Asked Questions
Have questions about how Rejuvall’s MegaMAXL™ surgery compares to a standard ligament release?
Here are the answers most men ask for before choosing a lengthening procedure.
No. A standard ligament release only cuts the suspensory ligaments, while MegaMAXL™ repositions and locks the internal shaft for permanent, measurable length.
Qualified patients typically achieve at least 1 inch with MegaMAXL™ and 2 inches with SuperMAXL™. Results vary based on anatomy and compliance with stretching.
Yes. All surgeries are performed by Dr. Carney in a urology-certified surgical setting using biologic tissue stabilization—no silicone or synthetic implants.
Most swelling subsides in 1–2 weeks; the stretching protocol begins once cleared by Dr. Carney and continues for several months.
Men with uncontrolled diabetes, active smokers, untreated ED or Peyronie’s disease, or BMI over 30 should address those issues first.
Take the Next Step
Your journey starts with a private, 30-minute phone consultation to determine which procedure best fits your goals.
Fill out the Cosmetic Urology Assessment below to schedule a free phone consultation with our Patient Education Manager and former patient, John, to review your goals, medical background, and candidacy for guaranteed-length enhancement.
At Rejuvall, lengthening isn’t about shortcuts or gimmicks; it’s about precision surgical engineering that safely transforms anatomy into its full potential.
Dr. Steven L. Morganstern, M.D.
Dr. Morganstern is an internationally acclaimed, board-certified urologist, surgeon, and best-selling author specializing in men’s sexual health. A pioneer in erectile dysfunction therapeutics, Dr. Morganstern was the only private clinician selected for the original Viagra trials and has spent over four decades advancing treatments in ED, cosmetic urology, hormone replacement, and prostate health.