evolution10wrx wrote: better written, I want to increase the thickness of the penis in the healthiest and most FDA approved way.
As Dr. Sullivan pointed out, there is no FDA approved penis enlargement filler (or method) per-se. These dermal fillers (
Hyaluronic Acid,
PMMA,
Ellanse,
Radiesse, and
Renuva) are used
off-label into a layer of the penile shaft skin to create volume (simplest way of putting it). These fillers however, have been FDA approved for other specific reasons, none of which indicate
Girth enhancement, hence the
off-label use (which is legal). I should note that
Ellanse is still not FDA approved in the U.S. and is only available abroad.
In my personal opinion,
Hyaluronic Acid (
HA) is arguably the safest filler given that it already exists naturally in the body -- medical device manufacturers have cross-linked them to behave as dermal fillers to increase the volume of the skin. They are temporary in nature and somewhat reversible too with the use of a special enzyme to breakdown the filler if necessary. The trade-off with temporary fillers is that you will have to periodically top them off, and the rate at which
HA breaks down/reabsorbs varies person to person. A safe bet is once a year, and you'll often times not need nearly as much volume to get back to your size-goal because not all of the
HA will have diminished by then. I call this a trade-off because while you wish to seek out the safest option, you'll have to accept that
maintenance comes along with it.
A counter example would be something permanent like
PMMA (
Bellafill in the U.S.). Due to its permanence, it can be very difficult and invasive to remove all of the
PMMA in the event you have an undesirable result or complication. The trade-off here is that while it isn't as manageable as
HA in terms of reversal/complications, you won't have to top it off periodically once you've achieved your final size goal. I should note that
Bellafill is FDA approved and by and large is a safe filler too, relatively speaking.
So as you can see, some people prefer the peace of mind of
HA in the event that they have undesirable results or complications because they are easier to manage, or would like to trial
Girth enhancement due to
HA's temporary nature. On the flip side, permanent options like
PMMA or dermal graft surgery offer a sort of "one & done" solution (with some potential subsequent touch-up appointments) which is a life-long convenience but can come with unforeseen challenges, despite complications being uncommon. You have to assess your own risk threshold, size goals, and what trade-offs are more compelling.
