Upsize vs Penuma

Many prospective patients ask us how the Upsize procedure is different from Penuma surgery.  It is quite different.  While Penuma is a surgery done in an operating room requiring general anesthesia , Upsize is a procedure that can be done in the office under local anesthesia.  There are numerous differences however, as seen in the table below:

Differences Between Upsize Procedure and Penuma Surgery