They were at one point using it under a trial basis but it was later revoked for whatever reason; they are considering a Cayman's Office (once covid restrictions ease) to provide
Ellanse to prospective patients and that has been in the works for some time.
Virtually every non-American Sponsor here does offer it, so if you absolutely need work/top-offs, there are means. Until then, you'll have to wait for the FDA to green light its use.
As for the non-surgical length procedure, it's likely just that: increased
Flaccid by way of increased volume via filler. Also, I know they are innovating fat pad reduction procedures, if they have a non-surgical option, I'm sure this would couple with the filler for increased length. Although I haven't actually been told this directly by them, my conversations with them lead me to believe this is indeed the case.