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For penis girth, surgical and non-surgical options are available. Surgical options involves degloving the penis and wrapping it with a bovine or dermal graft, which will vascularize to the shaft and provide permanent girth. Non-surgical options include the use of dermal injections under the skin layer of your penis, providing you with instant girth.

Dermal filler injections range from long-term (temporary) to permanent, depending on the filler product you choose.

For lengthening, you can also choose between surgical and non-surgical options. The surgical option is known as ligamentolysis, which involves the severing of the suspensory ligaments found internally to allow some "inner penis" to extend forward, yielding more length. This is often coupled with a stretching regimen to fully manifest gains. Alternatively, the P-Long protocol offers a non-surgical means of lengthening through a prescribed routine that employs a professional-grade stretching device, penis pump, and proprietary supplementation (including PRP) over the course of several months. According to one study, the P-Long Protocol can result in gains of up to 1 inch in length and a 1/2 inch in girth.

Among the popular fillers used for penile enhancement, three types stand out: PMMA, Ellanse, and Hyaluronic Acid (HA). PMMA is a permanent filler and is available in the U.S. under the brand name Bellafill and internationally under the name Linnea Safe. Ellanse and HA are long-term temporary fillers, which provide girth but may require future top-ups. Ellanse is only available in Europe and Latin America, while HA is available worldwide. Hyaluronic Acid stands out for its exceptional safety profile among fillers. It is a naturally occurring substance in the body that has been specially formulated for use as a dermal filler.  Fat grafting is a surgical technique in which donor tissue is collected from another part of the body and transferred to the penis. This method can also be used as a filler for penile augmentation.  The benefit of a permanent filler like PMMA is that once you achieve your desired results, the effects are long-lasting. However, in the unlikely event of complications (as with any procedure), removing PMMA can be costly and invasive. While major complications related to PMMA penile enhancement appear to be rare, it is important to consider this potential risk.

On the other hand, long-term temporary fillers offer the advantage of easier management in case of complications. However, it is important to note that you will need to plan for top-ups every few years, which can be a logistical and financial consideration.

When performed by a licensed and experienced practitioner using medical-grade products, the risk of complications associated with these procedures is relatively low. However, due to the experimental nature of phalloplasty, there are currently no concrete or official statistics available regarding the types, severity, or frequency of complications. That being said, conventional wisdom suggests that the risks are similar to those associated with other cosmetic procedures that use similar methods, such as facial and buttock injections.  The most significant complication associated with dermal fillers tends to be foreign-born granulomas, which are hard lumps that result from an inflammatory response. Fortunately, there are medical interventions available to treat this condition. With surgical procedures, the most significant risk is an increased exposure to infection. It is not uncommon for doctors to prescribe antibiotics post-op to minimize these risks.  It is strongly advised against and universally condemned by all PhalloBoards Sponsors and Clinics to inject large volumes of silicone oil into the penis. The risks of complications are significantly higher and managing them can be much more challenging due to the increased likelihood of migration. Silicone oil is best used in small amounts and via a micro-droplet technique, especially in areas such as the face.

When performed correctly, the procedure should not pose any risks to the form, function, or health of the penis. You should not experience any adverse effects on urination, ejaculation, or erections.