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TOPIC: The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc)

The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 2 years 2 days ago #1308698281

Hi All,

I have seen granuloma with HA - resolved with hyalase and steroid injections.

Apparently Ellanse E has been discontinued. I have never seen the results of Ellanse go away even over 4 yrs. That does not mean it is permanent but we are still learning what it can do. I think we posted a link to a paper that was researching the 1 yr version (from memory) and in biopsied 18+ months later the filler was still present. So I think they have been very conservative with their dates. I have not, but would like to try, using the 1 yr version (because it is way cheaper) and then follow it to see it it ends up lasting 5 years anyway!

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 2 years 2 days ago #1308698285

Thanks Dr. Oates. Do you recall if they were able to determine how much of it was left?

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 2 years 23 hours ago #1308698306

Hyperbol wrote: Thanks Dr. Oates. Do you recall if they were able to determine how much of it was left?


Actually they were using M - the 2 yr version and it was still there after 4 years. At 1 year they looked the same as at 2 weeks but at 4 years, double their supposed duration, they were smaller, rough (from smooth spheres) and most were 'cleaved' seeming to mean slit in half.

Changes in Dermal Thickness in Biopsy Study of Histologic Findings After a Single Injection of Polycaprolactone-Based Filler into the Dermis
Jong Seo Kim, MD
Aesthetic Surgery Journal
2019, Vol 39(12) NP484–NP494

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 2 years 22 hours ago #1308698310

This is a very interesting article. It is surprising that a material that supposedly should be absorbed in a certain time frame is still present. Why?? That is the question. The concerning element is now the smooth round spheres have become rough and misshapen. Hasn’t research shown particles that are round and smooth form less nodules and granulomas. Dr Oates, have there been any studies that show pmma over time becomes worn and misshapen as well?
Dr Oates, do you feel the change in shape and size of the ellanse particles may be a point of concern.

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698322

Toothman wrote: This is a very interesting article. It is surprising that a material that supposedly should be absorbed in a certain time frame is still present. Why?? That is the question. The concerning element is now the smooth round spheres have become rough and misshapen. Hasn’t research shown particles that are round and smooth form less nodules and granulomas. Dr Oates, have there been any studies that show pmma over time becomes worn and misshapen as well?
Dr Oates, do you feel the change in shape and size of the ellanse particles may be a point of concern.


Excellent questions, I'm wondering the same. Awaiting responses by Dr. Oates.

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698348

Is it true that Ellanse has higher risk of complications than PMMA as stated earlier in this thread? Can anyone cite any literature about this? I just found a study from Casavantes stating that 50% of PMMA patients experience complications over a 7 year period which is already high enough to make me think this is not a good idea. If Ellanse is even higher than that, I'm kind of amazed anyone is offering it let alone doing it.

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698350

I have questioned dr Oates about article and some specific details. He has yet to respond.

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698352

Toothman wrote: I have questioned dr Oates about article and some specific details. He has yet to respond.


He was on just two days ago. Sponsors answer multiple inquiries at no cost to you, the reader. Sponsors (with sometimes very busy schedules) log-in at varying frequencies, sometimes taking weeks to post a forum reply... I'd recommend some patience if it's a direct response you're looking for.

Also, we've now implemented the tagging system we used to have at PhalloBoards 2.0 @Toothman , try using it to improve visibility.

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Last edit: by Skeptical_One.

The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698396

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Dr Oates wrote: Hi All,

I have seen granuloma with HA - resolved with hyalase and steroid injections.


Such reaction, though uncommon, may occur particularly with long lasting fillers and not noticeable immediately after injection: they may develop weeks after the injection and often persist for months after their onset due to a delayed immunological response or delay in recognition of something occurring deeper in the tissues.
For this reason I believe that the choice of the right HA is mandatory especially when treating an uncommon site like the penis, and to be even safer, to test it in an other area and wait to see how the individual react to the specific product before using it into the shaft.

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698774

Dr_Oates wrote:

Hyperbol wrote: Thanks Dr. Oates. Do you recall if they were able to determine how much of it was left?


Actually they were using M - the 2 yr version and it was still there after 4 years[/b]. At 1 year they looked the same as at 2 weeks but at 4 years, double their supposed duration, they were smaller, rough (from smooth spheres) and most were 'cleaved' seeming to mean slit in half....


"the 2 yr version and it was still there after 4 years"
This sounds great if the product remains consistent....

"they were smaller, rough (from smooth spheres) and most were 'cleaved' seeming to mean slit in half".
...however, does this mean that the product breaks down unevenly in the shaft, making the penis lumpy and uneven?
I also look forward to hearing more about this.
....I'm going to do some research.

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 11 months ago #1308698782

Liberati wrote:

Dr_Oates wrote:

Hyperbol wrote: Thanks Dr. Oates. Do you recall if they were able to determine how much of it was left?


Actually they were using M - the 2 yr version and it was still there after 4 years[/b]. At 1 year they looked the same as at 2 weeks but at 4 years, double their supposed duration, they were smaller, rough (from smooth spheres) and most were 'cleaved' seeming to mean slit in half....


"the 2 yr version and it was still there after 4 years"
This sounds great if the product remains consistent....

"they were smaller, rough (from smooth spheres) and most were 'cleaved' seeming to mean slit in half".
...however, does this mean that the product breaks down unevenly in the shaft, making the penis lumpy and uneven?
I also look forward to hearing more about this.
....I'm going to do some research.


No - the breakdown of the product does not make it lumpy. They start at 40 microns ie 40/1000th of a mm or 0.04mm and then splitting to 0.02mm. Lumps come from putting a pile of these tiny Balls in one spot and the collagen that it brings.
The following user(s) said Thank You: Liberati

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The ultimate guide to girth enhancement with fillers (Ellansè, Voluma, etc) 1 year 3 months ago #1308702330

I wanted to bump this post. While it isn't a comprehensive list, it's a great post from a contributing member.

I've also attached an easy-to-digest list of common penile fillers for newer members (click on photo to fit to screen):
The following user(s) said Thank You: Setsuna

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Last edit: by Skeptical_One.
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