TOPIC: HA with curvature

I believe it can be done. I wouldn't describe this as severe curvature but it wouldn't hurt to determine whether or not you are at risk (i.e. develop in later stages) the Peyronie's condition, but I want to stress that I'm not a Medical Professional and this is just some preemptive measures I'm recommending on what I've seen in the past; again, the current curvature doesn't appear severe and in fact, I'm sure many partners would like it.

That said, I would start with low volumes of Hyaluronic Acid (HA) first. If you're in SoCal, @Dr_Tsay may be able to help at his Clinic in Tustin (Orange County). He does offer Bellafill for other procedures, but whether he does for the penis would be at his discretion.

And with respect to Mexico, Avanti Derma specializes in PMMA and Ellanse, one permanent and the other long-term (with life expectancy of the product currently unknown & variable) respectively, so they could also be options to consider.

I'd recommend HA first due to the curvature -- to see how injectable phalloplasty will accommodate the shape in terms of aesthetics. From there you can decide either:
(1) injectable phalloplasty isn't ideal and to consider alternatives like graft implants (or no augmentation at all)
(2) HA works wonderfully and to stick to it if you don't mind annual top-offs;
(3) or feel that it works but prefer semi-permanent (Ellanse) or permanent options (PMMA)
All these options are dependent on your initial satisfaction level with HA. That would be my personal recommendations.

SkepticalONe, did you ever get Bellafill?

I have had nothing done before and the angle or shape has not changed since I can remember. I don't want to alter that.

jpincali
All your “wants” are very reasonable and in line with most patients expectations. The curvature is not that bad and yes you can maintain the curvature after HA injection. I would probably recommend performing the GE procedure in an Erect state so as to maintain the curvature while being injected so the doctor and see how the HA is laying along the curvature.

Regarding scrotox, that doesn’t necessarily help with severe retraction. You can inject Botulinum toxin along the base of the penis called the penoscrotal junction at various points to target the dartos muscle to really alleviate the retraction. Sometimes you can inject toxin into the shaft and it will diffuse into the dartos muscle. These two methods address retraction.

Good luck with your procedure.
Dr. TJ Tsay
Ageless MD