The results are visible from the first month of the treatment, with a 0.5 cm (0.2?) increase every month, Penis Enlargement System will allow you to obtain a permanent increase of up to 4 cm (1.6?) in length and 1.5 cm (0.6?) in girth. Patient’s dedication is very important for the results. The more months you use the device, the better the results you will obtain. Box Includes: Penis Extender Two pairs of metal extension rods Silicon belt Detailed English instructions on both a CD and booklet with easy to follow instructions and diagrams Clear instructions how to fit the item correctly and how to keep the item clean