How Big is TOO BIG (When it Comes to Your Penis)?
By Dr. Alfie Suarez-Sarmiento

How big is too big?
If you’re thinking about how to make your penis bigger or are seriously contemplating a penis enlargement procedure like UroFill®, this thought may have crossed your mind.
Can you have too much of a good thing? Can you keep getting girth enlargement injections follow ups to the point of overload?
As a doctor and a penile enlargement provider in Miami I have some insight into this topic. Let’s do a deep dive into this intriguing topic that may have crossed your mind.
The truth is that there are limits. There is a line. And you can cross it.
The Myth of “Go Big or Go Home”
In the locker room, in the bedroom or on Reddit threads – everyone’s got an opinion. We’ve talked a lot about what “normal” is in terms of penis size on other blogs and what’s considered above average. This is why we provided a guide on how to measure your penis as a starting point before your UroFill® girth injection procedure.
I’ve seen what happens when guys try to overdo it. You’re enhancing your body, and your body has limits.
Put plainly:
If your partner is in pain, you’re not impressing her– you might be too big. You want your partner to actually enjoy sex with you, not dread it.
That’s why UroFill® providers guide you when figuring out your goals. Our staff of urologists are not just your penis doctors…you can think of us as your sexual health consultants, there with you every step of the way.

Girth > Length (But Not Too Much Girth)
Most men coming into my office think what they need is length. They really don’t: Girth is what actually matters to most women when it comes to sensation and satisfaction. Multiple peer-reviewed studies have confirmed the preference for girth over length.
But even with girth, there’s a sweet spot. Go beyond that, and you risk:
- Stretching the skin too thin
- Uneven appearance
- Losing sensitivity
- Hurting your partner
- Difficulty during sex (for both of you)
I’ve had patients ask for two syringes per side on day one. This goes counter to best practices. Your penis isn’t in a competition. It’s not a sex store dildo; it’s your most personal tool.
Treat it with respect.
The Dr. Alfie “Rule of Thumb”
You want it to look great flaccid and feel amazing when hard.
That’s the balance. That’s what we do at our UroFill® clinic for penis girth enhancement in Miami.
We aim for natural enhancement that:
- Improves confidence
- Enhances sensation
- Is noticeable (but not ridiculous)
- And lets you walk out of the office without waddling like a cowboy
Why We Go Gradually: Anatomy Has Limits
Let’s talk about our approach — and why we take it slower than other less-safe, less-effective techniques and providers.
Our procedure is designed to build up your girth over time, not all at once. Think of it like gradually increasing the size of a balloon. You don’t just jam air in, if you do, it will pop. You expand it with control and in phases. This is the smart, anatomical way to do it.
A lot of guys decide to “take it to the limit” eventually — and that’s fine. But once again, there is a limit both in the amount of and the rate at which girth is added
At some point, your skin just won’t stretch anymore. The shaft can only grow as far as the tissue elasticity allows. If you keep pushing past that point with too many girth injections, you’re risking rippling, irregularity, or worse. Your provider — if they’re experienced and ethical — will let you know when you’ve maxed out. If they are a UroFill® provider anywhere around the world, they will.
If you’re serious about long-term growth, there are ways to make more room.
Using a vacuum device in between sessions can gently stretch the penile skin, creating more capacity for future filler. It’s like training your tissue — slow and steady.
(One of our blogs details our gradual staging approach in more detail.)
The bottom line is that we want you to play the long game. Our goal is enhancement that works with your anatomy, respects your mental health, and delivers real, long-term confidence — not feeding your insecurities, and not a short-term ego trip.
The Psychology of Size
A bigger penis can absolutely help with confidence. If you feel better when you look down and like what you see, chances are you carry yourself differently. It’s human nature. You stand taller. Maybe you stop pulling your towel so tight at the gym. Maybe you don’t cover up when your girlfriend looks over. And that’s great — we want you to feel good about yourself.
But don’t let it become your whole identity.
If you think your self-worth begins and ends with your package, you’re playing the wrong game. Confidence doesn’t come from size, it comes from inside. It’s a mindset. How you carry yourself, how you treat others, and what kind of man you are all factor into it.
When “Big” Becomes a Head Game
A recent patient of ours was genuinely happy with his penile implant. That alone gave him a solid boost in confidence and function. But like many men do after enhancement, he wanted more. So, he came back for a girth shot, and again was totally satisfied.
But then… the goalposts moved.
He started fixating on the head of his penis, saying it now looked “too small” compared to his newly thickened shaft. Mind you, it still looked very natural — most people wouldn’t notice a thing. But he wanted a huge, almost cartoonish head. He even asked if we’d use a cannula to inject filler there. That’s where we had to draw the line.
Why? Because this wasn’t about anatomy anymore.
It was about dysmorphia.
What Is Penile Dysmorphia?
Dysmorphia is when someone becomes obsessively focused on a perceived flaw in their body — usually something no one else even notices. In this case, the guy had what we’d call penile dysmorphic disorder — a psychological condition where no size ever feels “enough.” We’ll get into this topic more in another blog but that gives you an idea of what it’s about. We’re also happy to consult with you to help you if you think you suffer from this condition.
Here’s the truth:
If your mind is locked on your penis 24/7 — measuring it, comparing it, thinking about it in the mirror, thinking about your next girth shot all the time, your biggest issue might not be your size.
It’s your perception.
We’re here to help men feel better about themselves, not chase an impossible standard. And sometimes, that means saying no. Enhancing your penis should build your confidence, not control your identity.
Saying it another way: The most important thing is what’s between your ears, not between your legs.
A healthy body is great to have, but a sharp mind and a grounded ego will get you a lot further in life, and in bed.
If you’re going to enhance, enhance for you — not for your ego. And definitely not because some girl on a bad date or a guy on a forum or in a gym locker room made you feel “less than.”
What’s “Too Big”?
It depends on a few things:
- Your starting size
- Your skin elasticity
- Circumcision status
- Your goals (real or fantasy)
- Whether or not you ever want to wear jeans again
Generally speaking, if you’re pushing past 6.5 inches in girth, you’re venturing into “may cause issues with intercourse” territory. That’s not my opinion — that’s based on real clinical experience and feedback from both men and their partners.
Final Thought
Bigger isn’t always better–better is better.
And that’s what we do here at the Perito Clinic in Miami.
Thinking about getting it done? We’re happy to talk with you whenever you have a few minutes to answer your questions, show you before-and-after photos, and walk you through what’s realistic. Consultations are always confidential. No judgment — just facts, experience, and results.
Stay strong,
Dr. Alfredo Suarez-Sarmiento, Jr.
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