During the PhalloFILL Enhancement, even and symmetrical columns of filler will be laid from the base to the head of your penis for an overall increase in girth. The columns can be laid thicker or thinner in different areas if your goal is to correct irregularities in your natural anatomy. Once the filler has been placed, you will be fitted for a compression sleeve that will be placed to keep the penis extended and the filler in place while the encapsulation and bonding process takes place with the existing collagen and elastin in your natural tissue. Once bonded, the filler will remain in place offering patients long lasting, natural, and durable results. Limited lymphatics in the space the filler is placed allows it to last considerably longer than other areas of your body. While Hyaluronic Acid and other fillers bond to your natural tissue, they are not indestructible and can shift over time depending on the care, sexual lifestyle, and metabolism of filler which varies by patient. A significant benefit of PhalloFILL and the utilization of Hyaluronic Acid filler as opposed to more permanent options such as PMMA or fat transfers is that we can dissolve and correct almost any irregularity that may arise as opposed to surgery which is often necessary to correct the migration, nodules, and granulomas associated with more permanent fillers. With Hyaluronic acid, a simple injection of Hyaluronidase can be used to dissolve any unwanted area of filler and touch ups of additional filler can be added at any time to fill in areas that may have shifted or absorbed over time. Unlike other treatments, PhalloFILL is highly customizable, and the non-surgical approach involves no downtime and a minimal recovery aside from the post-treatment responsibility of wearing your sleeve.

The patient should expect an overall girth increase of 1/4 to 1/3 of an inch per session, or an average overall enhancement of 1 to 1 1/2 inches or more after multiple sessions depending on the goal of the patient. Any reasonable girth can be achieved with multiple sessions. Keep in mind that our most satisfied clients have received 4 – 6 sessions of PhalloFILL. It is important to keep the following averages in mind when creating a treatment plan tailored to your specific goals:

The average flaccid penis is 3.5 – 4 inches in girth. Most men would like to reach 5 – 6 inches flaccid.

-The average erect penis length is 5.5 inches. (We do not change the length with PhalloFILL enhancement)

-The average girth of an erect penis is 5 inches. Most men would like to achieve 6+ inches of erect girth.

-On average, 18 – 30 units are injected during a PhalloFILL enhancement plan over the course of 3 – 6 sessions.

With adequate sessions, the average girth increase is 1 to 1 1/2 inches. Depending on the patient’s desires, we have injected over 60 syringes during a PhalloFILL enhancement plan for TREMENDOUS girth enhancement results!

No. There is an illusion in some of the before and after photos on our website that there IS an increase in length, but in reality you simply have less “shrinkage” after the PhalloFILL enhancement therefore you maintain a “fuller length” when flaccid. Research shows that the only safe and effective way to lengthen the penis is with “stretching” or traction using a penile extender device or stretcher such as the Phallosan® which you can use at home. Learn more about Phallosan here.

Phallosan® exerts gentle tension to the penis. A few small studies have reported length increases of a 1/2 inch to nearly 2 inches using devices such as this.

Surgical methods for lengthening the penis such as separation of the suspensory ligament is risky and often ineffective. The surgery can result in complications such as infection, scarring, and loss of sensation or function. Often the ligament reattaches and causes a retraction of the penis from tissue scarring which can cause the length to actually decrease after surgery.

This is a common questions amongst individuals looking at phalloplasty and penis enhancement procedures. Please see 2 of our respected doctors answers below! To learn more or join in the conversation, please set up an account and participate in our forum!

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Dr. Carney:

Surgically-speaking, a penile FFT is considered to be a fairly simple procedure. However, as you’ll soon discover it’s deceiving in that regard.

I regularly perform organ transplants in the hospital that are considered dangerous and overwhelming to some surgeons. I can tell you with assurance that an FFT penile procedure is far more challenging to achieve a successful transplant than most doctors and patients realize.

An FFT is a “transplant”, and like every other type of human transplant procedure, there’s a lot of places it can fail since we’re trying to move a living organism from one location to another. When a patient gets an FFT and ends up eventually “losing it all”, that simply means the transplanted tissue eventually died and was reabsorbed into the body as waste.

To succeed in this procedure, your doctor must get six points just right. Shortcomings with any aspect will affect the final outcome.

1. The Right Patient: Not every man is a good candidate for an efficacious FFT. A patient has to possess the right proportion of height and weight. He needs to be fairly healthy as patients addicted to potato chips and comparable junk food usually have fat that won’t transplant with success. Significant obesity usually triggers a poor outcome. Men who’ve had a previous girth enhancing procedure utilizing a permanent man-made injectable like PMMA or Silikon are not good candidates for FFT unless that material is first removed since the injected agent blocks the tiny blood vessels in the penile shaft necessary to ensure the transplanted fat cells stay alive. Likewise, men beyond the age of sixty-five will almost never get a good result – regardless of overall health – as human fat rapidly degrades to a more viscous state after a certain age. Such fat tissue simply won’t survive a transplant. Finally, this is a surgical procedure that requires mild anesthesia. If a patient has health contra’s for anesthesia, this procedure won’t be a viable option.
2. The Right Harvest: Improper attention to delicateness during the adipose tissue harvest is another source of failure. The fat cells must be extracted in a quantity that will provide a size increase worthy of a surgical investment AND they must be kept flourishing during that substantial withdrawal. Fat cells are rather fragile and although damaged cells can be transplanted, few will survive over the long term in such cases. Exactly “where” the tissue harvest occurs is another source for disappointing results. You can’t extract fat from just any location and expect it to succeed as there are variations in the quality of fat tissue in different parts of the human body. Likewise, some fat material has characteristics more akin to subcutaneous penile tissue compared to other more pliable fat that can leave patients with a distinguished “squishy” outer finish.
3. The Proper Treating of the Fat: Once harvested, the fat must be reconstituted in a manner that will make it suitable for subsequent reimplantation. We use an FDA cleared fat transplant filtration system to optimize purity, but I credit Dr. Morganstern and his many years refining these procedures with developing a novel shaping technology that optimizes the reimplantation procedure. Again, during this particular process within the treatment is yet another incidence where the fat cells can become damaged and/or die.
4. The Fat Injection & Placement: Finally, the harvested fat tissue gets transplanted into the penis. The most common mistake I’ve seen in this aspect of FFT is with doctors using the wrong needle for a particular patient. There’s no such thing as a “one size fits all” in any aspect of phalloplasty. Also, there’s an art form to the distribution technique that when poorly executed usually results in unevenness or lumps within the shaft several months down the line. Another common error is when the surgeon attempts to add too much fat into a singular procedure. We understand most men want the biggest possible outcome in a singular procedure but if you add too much at once, it increases the likelihood you’ll eventually end up relinquishing almost all of the transplant. One other mistake I’ve seen is where the doctor agrees to perform too many congruent procedures along with an FFT. Certain procedures are notorious for triggering excessive hematoma which prolongs any healing process. Living tissue transplants stand little chance of long-term viability if the time window for healing is overextended.
5. Survive the 72-hour “Tissue Vulnerability” Window: Assuming everything I just discussed was performed to perfection, the number one reason most fat tissue transplants will fail to live up to expectation is because of a 72-hour post-transplant assimilation period. For about three days after post-procedure, the transplanted cells will be unable to access any life-essential blood supply. Some of the cells will almost always die during this nutrient-starving phase. We pre-treat the penis before each procedure with a patented device that Dr. Morganstern developed that triggers endothelial cell production for healing penile trauma / Peyronie’s disease. We found this technology bridges the lack of blood flow nutrients immediately following surgery to a level that minimizes the loss of viable fat cells.
6. Following Prescribed Aftercare: Given the delicateness of the vulnerable cells during transplant and variations in how quickly healing occurs between one individual and another, it’s crucial to follow any prescribed aftercare program indicated by your surgeon to ensure long term success. Regardless of how capable your surgeon and how well your particular transplant procedure came out, it can fail quickly if you don’t follow recommended post-operative care.