TOPIC: Ellanse

Dr Oates wrote: Stimulatory fillers have much more tendency to be lumpy. I have used Ellanse (but much less than HA) over about 4 yrs. It tends to feel harder to start with but over all patients are happy. I have had 1 patient with an auto-immune reaction and granuloma (lump) formation. It was in the face - I really dont think someone would be happy with that in the penis. But women are much more likely to have that issue.

I\'m researching safety and negative reactions to ellanse. I found this, which said it was the first reported case of a granuloma from PCL worldwide:

www.ncbi.nlm.nih.gov/pubmed/29757038

Then I recalled reading something from Dr. Oats in this thread. Guess that makes two. Wealth of info on this site for sure

I wish Australia was closer.. Thanks Doc. Please keep us posted. Would love to hear your take on the aesthetic differences between Voluma and Ellanse when you get started on trials. Also, great to hear the Voluma is holding steady after 12 months! Any thought to a PRP treatment prior to a filler? Maybe gives you a little more room to work with, plus the healing properties of PRP may help in recovery?

brock wrote: Done a lot of reading- thanks everyone. Dr. Oates has been very helpful and I think unbiased- so thanks Doc. The other popular Doc on this forum and a little closer to home is Dr. C. After going to his site- I found this Ellanse compound he is now offering and is the subject of this thread.
To me- someone who is a little gun shy of permanent irreversible PMMA in my piece - this may be a good 3 year test to see how i like the new Girth before plunging into more permanence?
Or even a touch up even ever 2 years sounds reasonable.
Do you guys think Ellanse, the 3 and soon to be 4 yr versions will be the \'next big thing\'?
I\'m really (REALLY) considering reaching out to Doc C about this, maybe a PRP before hand to give him a little extra room to work with?
I would love to know how many people have used this filler specifically since its release and overall satisfaction level. My goal is .75 inches of width gain top to bottom - really concerned about aesthetics and would pay the extra $$ to go back instead of trying to do it all in one shot.

We will trial our first Ellanse patient in 2 weeks. I saw one of my Voluma patients from last year recently. He wanted more, not that he needed it replaced from degradation - he was very happy it was all still there.

Herbert West wrote: Dr Oates, what do you know about \"Xiaflex\" and cortisone shot? Can it really soften scar tissue or even all connective tissue such as tunica albuginea?

they can both certainly soften scar - but I would not expect the Tunica.

Done a lot of reading- thanks everyone. Dr. Oates has been very helpful and I think unbiased- so thanks Doc. The other popular Doc on this forum and a little closer to home is Dr. C. After going to his site- I found this Ellanse compound he is now offering and is the subject of this thread.
To me- someone who is a little gun shy of permanent irreversible PMMA in my piece - this may be a good 3 year test to see how i like the new Girth before plunging into more permanence?
Or even a touch up even ever 2 years sounds reasonable.
Do you guys think Ellanse, the 3 and soon to be 4 yr versions will be the \'next big thing\'?
I\'m really (REALLY) considering reaching out to Doc C about this, maybe a PRP before hand to give him a little extra room to work with?
I would love to know how many people have used this filler specifically since its release and overall satisfaction level. My goal is .75 inches of width gain top to bottom - really concerned about aesthetics and would pay the extra $$ to go back instead of trying to do it all in one shot.

Dr Oates, what do you know about \"Xiaflex\" and cortisone shot? Can it really soften scar tissue or even all connective tissue such as tunica albuginea?

aleksk wrote:
I\'d also like to know that.

@Dr Oates: thanks for your thoughts about Ellanse. It would have been good to document that case with the auto-immune response, as I couldn\'t find anything like that in the literature (and I read Spanish and German aside from English). It would be useful to publish something like that and motivate the manufacturers to see why it happens and improve the product. I think fillers like Ellanse should become the gold standard due to its safety, longevity and bio-stimulating properties. If only it was dissolvable it would be perfect.

I understand Voluma may be the best in your experience, but one of the main things that attracted me to think about Ellanse is the fact that it doesn\'t absorb gradually like HA. I know you are saying Voluma last more than 1 year, but from the first month every month your penis becomes smaller as it absorbs. Not the case with Ellanse which is there until it\'s gone! Imagine you start dating someone you really like and on a month-to-month basis your penis becomes smaller. What on earth will your partner think 6 or 8 months down in the relationship? What happened to your penis?

I have a high opinion of you because I know the industry you work in very well in Australia. You are one of the very few innovative enough to explore and experiment. I hope you continue to experiment with fillers and not take Voluma as a given. It\'s too expensive for the majority of people.

With HA fillers they talk about \"Isovolumic degradation\" - being it maintains its size by absorbing more water. It is not that you notice it shrinking every month. I have it in my face and it lasted over 2.5 yrs - I did not notice it going untill the last few months and thought I could do with a top up.

Ellanse particles gradually breakdown too and the collagen stimulated by it seems to disappear too. I would not be surprised if there was some permanent increase - like there seems to be with HA\'s too.

I contacted the company about the reaction we got with Ellanse. They were of limited help. I guess I should write it up - but there have been plenty of articles on granuloma with injectables. I am planning a few studies of things - such as injectable Phalloplasty (and a snoring laser treatment). It all takes time.

hoddle10 wrote: @Dr Oates, Is Silikon1000 available in Australia?

Nope - not here

@Dr Oates,

Is Silikon1000 available in Australia?

aleksk wrote: Esteban Sarmentero.

Hi Aleksk,

Ellanse is a lot more expensive than HA (here in Australia). Stimulatory fillers are generally more risky than HA. Only HA is able to be dissolved - so if the worst possible thing happens, such as getting injected into the penile artery, only with HA can it be reversed.

Stimulatory fillers have much more tendency to be lumpy. I have used Ellanse (but much less than HA) over about 4 yrs. It tends to feel harder to start with but over all patients are happy. I have had 1 patient with an auto-immune reaction and granuloma (lump) formation. It was in the face - I really dont think someone would be happy with that in the penis. But women are much more likely to have that issue.

We use Voluma. It tends to last years, definitely more than 1 year - but we are waiting to see how long.

Yes there are a variety of reasons why it is not a better known treatment. Urologists generally dont want to do enlargements and are not familiar with fillers. Most cosmetic doctors dont really want to do enlargements either. There are the fears of doing something new - the risks to the patient and even moreso how that will affect your otherwise successful career. I think it will change slowly. Also those who are doing it, generally want to build up their own practice before telling the competition about it.

We are working to increase the conversation on this topic and have a new facebook site that we would value comments, likes and questions on. We will be posting scientific information on the subject to try and get it out there -
www.facebook.com/CALIBRE.penile.enhancement

Maybe you start another thread \"Belotero\". Easier for researchers ...

aleksk wrote: Yes I appreciate your advice but multiple top ups are not an option in any case. I\'m not gonna spend 7 or 8k on a temporary result that will last a year. Things in Aus are not going to change for the better. It\'s an extremely isolated and uncompetitive market.

Patience is a great advice but I don\'t see things changing. If new fillers come on the market great. If not, that\'s why I\'m opting for HA. Live with imperfect results for one year or dissolve it right away if it doesn\'t turn all right. I honestly think I\'m rational about this, 100 times more than people who go for PMMA.

With a small quantity and an experienced injector, that result we saw from the Spanish guy is probably the norm with HA. He did say he had a lump he had to massage but he said it\'s not there any more. I wish he answered my questions about it.

Who is the Spanish doctor?

To what extent is anyone \"known\" for injecting HA?

Of the HA results you\'ve read about, how many were happy with even 2 sessions?

To some extent you are going to be a Guinea Pig no matter where you go. We just don\'t have that many results to fall back on. Other than the Spanish guy are there any Erect HA photos on the forum? A friend of mine showed me a photo of his HA tonight and it looked phenomenal, but he\'d had several procedures to achieve that look. Yet just 2 days ago another friend, who was injected by the same person dissolved his result. Basically at the moment results seem unpredictable and even successful results require a few sessions. So is it, at this stage a procedure you want to do on a budget and far from home?

I know you are really keen to get something done, but if I only had to offer one piece of advice that I\'ve learned after several PE disasters, it\'s to be patient. It\'s very hard advice to take as for many of us we feel as if penis size issues are virtually consuming us from the inside and therefore the desire to \"deal\" with it is huge. But is waiting another year to see how things pan out in Aus really the end of the world? I\'m not advising you not to go ahead, it\'s just food for thought.

Belotero lasts about half as long as Voluma from what I understand.

I know 2 guys who had it. Both are/were members here. One had a great result, the other wasn\'t happy.

I\'ve got to be honest mate, I just don\'t see how its economically better for you than staying in Australia. I know you are going to the US anyway, but isn\'t that a one off thing. I suspect Belotero will need refills every 9 months. Once you\'ve factored in the cost of fights and accommodation, I just can\'t see how it\'s going to prove to be economically better.

Do you mind me asking how old you are?

hunkydory started looking into Ellanse some months back but there was no follow-up. This thread has started - also no follow-up or no interest?