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!
Dr. Oates:
I have been using HA for PE (penile enhancement) since 2013. Guys had been asking if there was anything that could be done for the size of their penis without surgery. I found the original Korean papers describing using HA www.sciencedirect.com/science/article/pii/S1743609515333543 plus this Italian article www.ncbi.nlm.nih.gov/pubmed/23388646 . But they were done by Urologists who are not experienced cosmetic injectors. I thought the procedure could benefit with refinement.
My starting point was initially safety. I already had a successful facial plastic surgery practice. One penis dropping off would be bad for business. So certain steps were put in place to make it as safe as possible.
This including using HA rather than a permanent or non dissolvable filler. The great advantage of HA is that it can be 'tuned' with tiny doses of a medication called Hyaluronidase or even totally dissolved with larger doses. In the early days this was very reassuring. Next was to use 'blunt' cannula. Most injections were being done with needles which have a cutting point. Cannula look similar but are blue ended. We need to puncture the skin with a needle first then use the cannula once in. Injecting is the space between the superficial (Dartos) fascia and deep (Buck's) fascia. Inject circumferentially. Circumfrential. Most described techniques were just injecting on the 'top' surface of the penis and looked a bit like a turtles shell. People (still) worried that injecting underneath would put pressure on the urethra - tube that passes urine out - but this is just not the case (not even with stimulatory fillers). Doing as a sterile procedure. In the face skin fillers were just being done as a 'clean' procedure we wanted it to be done sterile like a surgical procedure. Doing the procedure in at least 2 stages, this allows us to get better symmetry as the penis is often variable in size over the day. Getting it numb with topical cream. The idea of needles in the penis is scary enough, best if numb first. The vast majority of guys are surprised how comfortable it is. My belief was if we had a walk in, walk out, no downtime, painless procedure that gave you a penis that looked normal, felt normal, worked normally but was bigger then a lot of guys would be interested. In following threads and post I will fill you in on more of development since.
Comment and questions open on the forum are best. I have answered hundreds of PM's but they dont benefit anyone else. You are probably here anonymously, let everyone benefit from your question if possible.
Dr. Tsay:
At Ageless MD, we offer a variety of different fillers, as well as fat transfer, to enhance the overall girth of your flaccid and erect penis. We also use dermal fillers to enhance and increase the size of the glans.
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!
Dr. Oates:
I have seen granuloma in the face with Ellanse that has lasted 4 years. They were manageable with steroid/5FU injections and not too much of a problem because they sort of gave her the result she wanted. Would not be good in the penis. It is more getting thickening and irregularity that worries me.
Dr. Solomon:
Granulomas are microscopic foreign body reactions that are a normal response to a foreign body injected into any part of the body. For example, liquid silicone often gets injected into the buttocks and hips (especially outside of the US, but illegally in the US as well) and the response is the same as in the penis. It looks good for a while, but over time, granulomas form and get firmer and distort the appearance of the injection site.
Granulomas are balls of scar tissue. They can occur with any of the injectable materials if the material remains in place for a long enough amount of time. You can think of this like a snowball. Once the process of granuloma formation starts, it will continue as the body tries to “wall off” the foreign material. With time, these lumps will get larger.
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!
Dr. Shafer:
Most patients describe the effect as if their penis gained weight. So imagine a thicker / fatter / heavier penis.
Dr. Wall:
Immediately after the procedure it will feel quite swollen and you may develop a full feeling in the area. It can also feel a tiny bit squishy for those that have large volumes placed; this is because you have a lot of swelling because of the trauma from the cannula during the procedure. This all resolves within 1 to 2 weeks to provide a really natural, realistic feel to the area.
Dr. Tsay:
We usually follow up with the procedure about 2-3 weeks afterwards, and at that time the swelling is gone, the bruising is gone, and you can really appreciate the final result from either the fat transfer or dermal filler placement.
Dr. Carney:
FFT is almost identical to the feel of Ellanse in subsequent texture for the first couple of years after your augmentation. In years later as the augmented subcutaneous tissue stretches, it gets a little softer – but never as soft as HA – unless a patients receives multiple surgeries of FFT over time. Patients who add 2-3 inches of FFT girth with multiple procedures will often end up with a “squishy” hand when erect.
I’m sure you’re already aware a female partner can’t detect a difference in the rigidity of the penile shaft – they only feel the variation in total measured girth. Most sex toys involving vaginal penetration in today's market have a softer outer finish for improved comfort.
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!
Dr. Wall:
You can gain significant flaccid length. To use a colloquial expression, “you can go from a ghower to more of a show-er.” Because you’re stenting the fascia underneath to allow it to not retract as much.
Dr. Tsay:
So the procedures (fat or dermal filler) don’t give you an increase in length per se, but more than half my clients who state they appreciate the increase in girth, also say that their flaccid length increases as well. So that is a beneficial “side effect” of girth enhancement.
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!
Dr. Wall - Contour Clinics - VIEW PROFILE
In the absence of complications, the answer is no (no effect on functionality). The main complications experienced with the procedure are asymmetry (which are 1 in 20 patients), bruising which is common, and swelling which is also very common. The risk of infection, whilst hasn’t been documented in papers, would sit roughly around 1 in 3,000 if we extrapolate from facial filler studies. There is also a risk of delayed-onset nodules; there is no evidence I can find in the literature, but from the face the risk of those are about 1 in 4,000-5,000. There is also a risk of injecting into a blood vessel, which we haven’t evidence of, but in the face the risk of what we call “vascular necrosis” is 1 in 100,000.
Dr. Tsay - VIEW PROFILE
Some of the common complications are bruising and swelling. This is usually self-limited and lasts 7-10 days. We usually recommend not to use the organ (penis) for at least one week after the procedure. Not only will the penis be sore, but there will be open wounds that need to be completely healed before resuming any sexual activity.
Dr. Shafer -
The vast majority of patients report either the same sensitivity or enhanced sensitivity and enhanced / thicker erections. We have no studies on semen quality. If you have pre-existing issues such as erectile dysfunction, this is not a treatment for that. As for complications, swelling and possible bruising are the most common, and usually resolve within a week if they occur. We give you a sulumedrol steroid pack which can help the swelling go down faster.