Inclusion Criteria:  Inclusion criteria include men who are over 18 and under 65, circumcised, who have the perception of inadequate penile girth or appearance of length of penis, or penile deviation from straight plane in flaccid condition for whatever reason. Etiologies may include: A retractile penis or "buried penis" from infrapubic pannus A loss of length following radical prostatectomy or other trauma Congenital or acquired (e.g., Peyronie's Disease) mild curvature of the penis with indentation deformity and with curvature less than 30 degrees with no plan to have other corrective procedures (e.g. surgery, intralesional injection of collagenase clostridium histolyticum) Patient perception of a penis of inadequate size and patient desire for cosmetic enhancement  Exclusion Criteria:  Men who are unable to give informed consent An uncircumcised penis Micro-penis (stretched flaccid penile length <6cm) Prior penile girth enhancement procedure of any sort, including grafts or subcutaneous injections, previous Xiaflex injection History of immunosuppression and/or HIV Men who are on anti-coagulation medication which cannot be stopped Uncontrolled diabetes Active genitourinary skin infection History of recurrent or active urinary tract infection (UTI) Patients unwilling to comply with post-operative instructions Patients who smoke and are unwilling to stop 2 weeks before surgery and for at least 6 weeks after surgery.