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TOPIC: Glans enlargement options

Glans enlargement options 3 months 1 week ago #1308699979

  • briceb
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Dr. C -

There have been some questions about what can and can't (should or shouldn't) be used in the glans for enlargement. For example, what are your opinions on ellanse and why it should or should not be used for glans enlargement?
A clear conscience is the sign of a bad memory. CURRENT: EL 8"  EG 7" midshaft  FL 7-7.5"  FG 6.25-6.5"GOALS: EL 9"  EG 7"  FL 8"+  FG 6.5"

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Glans enlargement options 3 months 1 week ago #1308699993

Hello briceb, thank you for bringing up this common, yet poorly understood topic.
Here are some important facts about the glans:
- The glans is the distal end of the corpus spongiosum. A sponge-like tissue whose main function is to participate in the erectile process when it is filled with blood during the arousal.
- It is covered by the lamina propria, a thin layer of connective tissue that is found in many tissues like the digestive tract and others.
- Starting from the surface, we see the epithelial cells (epithelium), then the lamina propria, which in real life is of around ⅛ of an inch, then the corpus spongiosum directly connected to the vascular system. For obvious reasons, no fillers should be deposited there.
- Enhancing the thin lamina propria with soft tissue fillers is very tricky because of the risk of creating tissue necrosis and/or injecting the soft tissue filler into the corpus spongiosum, which is comparable to injecting it into a vein. In real life... how much can you augment a ⅛ inch membrane before destroying it?
- In a few words, we can create necrosis if we go too superficial.
- If we go deep, we will inject directly into the bloodstream, and we can create thrombosis and/or clog the spongy cavities of the glans.
For the reasons listed above,
1) We always use hyaluronic acid because the product is somehow safe if we go into the bloodstream (it dilutes), and the risk of thrombosis is low.
2) We use low volume because the thickness of the lamina doesn’t allow for considerable amounts.
3) I’m talking about 1cc. of HA, average, the results are mediocre, and they last probably a couple of months.
Using any of the microsphere-based bio stimulators like PMMA (Linnea), PCL (Ellanse), or CaHA (Radiesse) risk the added issue of promoting collagen formation and potentially worsening the risks mentioned before.
Please see the attached illustration that shows the lamina propria (LP), the epithelium (E), and corpus spongiosum (CS).
Dr Luis Casavantes - Dr Palmira Morales https://www.avantiderma.com Reception: info@avantiderma.com US Phone lines: (619) 308-7268 or 7269.
The following user(s) said Thank You: Skeptical_One

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Glans enlargement options 2 months 2 days ago #1308700505

The photos and description in this patent may be helpful:
patents.google.com/patent/US20130066148A1/en

wonder if anyone has ever contacted this doctor: cranects.com/glans-implant/

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Glans enlargement options 2 months 2 days ago #1308700507

It is certainly harder to satisfactorily enhance the glans. When I inject the rim(corona) of the glans I am happy to inject 4ml of HA. Putting in too much or something too stiff/hard can cause the compressive vascular compromise as mentioned by A_D above. Reklaw, if I remember correctly, had problems when a stiff particulate filler was injected into the glans causing ulcers leading to punched out depressed scars.
There was a doctor who did ligament division and dermal-fat grafts who used to inject 10ml of permanent Aquamid filler deep into the glans. It has been taken up by another doctor in Sydney now. How it does not cause huge problems, block the urethra I dont know.
The Koreans published a study getting great longevity like 2 yrs from HA - I will try and remember to pull up the study. But that has not been our experience.
What ever you do, make sure it is safe. Google calibreclinic to find us. Check our YouTube Channel - CALIBRE Clinic. The Penis Podcast on Spotify, Apple Podcast

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Glans enlargement options 2 months 2 days ago #1308700508

Dr_Oates wrote: There was a doctor who did ligament division and dermal-fat grafts who used to inject 10ml of permanent Aquamid filler deep into the glans. It has been taken up by another doctor in Sydney now. How it does not cause huge problems, block the urethra I dont know.


I'd be very curious to track this practitioner down. Also, would be curious about the approach @morgansternrejuvall uses as they have an expensive glans option, and the photos look good.

Dr_Oates wrote: The Koreans published a study getting great longevity like 2 yrs from HA - I will try and remember to pull up the study. But that has not been our experience.

I read one study from a research hospital in Korea: It was for PE.
Placement and volume in the PE case may also be different.
Here's another Korea Study
www.ncbi.nlm.nih.gov/pmc/articles/PMC6302150/

I am very impressed by the case study of this Urologist:
www.urologicalcare.com/contents/penile-i...ns/penile-glans-size
There is an excellent breakdown of details with photographs.

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Glans enlargement options 2 months 2 days ago #1308700509

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Glans enlargement options 2 months 2 days ago #1308700510

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Glans enlargement options 2 months 19 hours ago #1308700517

These treatments, with the photos above, were for guys with implanted erection pumps which do not expand the glans. What we do is similar and we get the same sort of result - especially immediately. It is a week or 2 later they don't look as big as it was initially.
What ever you do, make sure it is safe. Google calibreclinic to find us. Check our YouTube Channel - CALIBRE Clinic. The Penis Podcast on Spotify, Apple Podcast

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Glans enlargement options 2 months 13 hours ago #1308700519

This is a great point to remember, that I neglected to recall that post procedure swelling and pre-absorption there may be much more dramatic results.
In your clinical experience, what is the minimum time and frequency of touch ups
Is there any stretching of the tissue possible to enable more accommodation of filler?
Does pumping stretch the tissue creating more space for filler?

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Glans enlargement options 2 months 10 hours ago #1308700520

hadhatter wrote: This is a great point to remember, that I neglected to recall that post procedure swelling and pre-absorption there may be much more dramatic results.
In your clinical experience, what is the minimum time and frequency of touch ups
Is there any stretching of the tissue possible to enable more accommodation of filler?
Does pumping stretch the tissue creating more space for filler?


hadhatter,

minimum if 2 weeks preferred, although have don it occasionally with less for international travellers. swelling is the short term issue. We dont really know if pumping/stretching works that way. Keeping things straight with them helps.
What ever you do, make sure it is safe. Google calibreclinic to find us. Check our YouTube Channel - CALIBRE Clinic. The Penis Podcast on Spotify, Apple Podcast

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