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Penile girth enlargement strategies: What's the evidence? At that time, it was felt that only men with a flaccid length of less than 4 cm or a SPL of less than 7.5 cm should be considered candidates for penile lengthening (10). It also notes that fat injections and suspensory ligament division may not be safe or effective. Nowadays, it is likely that men with normal penis size are undergoing interventions due to PDD or SPA.