TOPIC: Newbie attempt at Summary of this Forum

Hi there

I am thinking about having penis operation done to make penis fatter, I mean more girth.
So, that's why my first step was finding the best forum on this topic.
After finding one other dubious forum, I found this one here and I am very happy.

'Summary of this forum' is of course not accurate, it's just 'my attempt' at it, basically my journey making sense of this all. Starting as a newb.
Because I will do it anyway I will post my summaries and thoughts of what I find out.
With newbie-eyes so to speak. And I am always superhappy appreciative people commenting on any parts they want.
Perhaps my attempts and others chiming in will make this also useful for others at some point. I try to make it nice and readable.

I will of course keep reading stuff. I have the lose plan of making a decision in the next about 5 months.



Different procedures / methods of penis enlargement operations

For length:
Lig-Cutting:
Doctor cuts the ligaments of penis in operation. Then especially your flaccid length is improved. Skin sinks a bit, so skin goes 'down', so more of your shaft will be with hair. Erect length is not instantly but they give you traditional hangers that you shall use for like 1 year. After operation you are not longer, even perhaps you are a bit shorter, then you have to stretch for 6-12 months.
Then ~1-1.5 inches longer penis shall/can happen in this year.
Critics say nobody knows if the ligament cut is even helpful or the hanger does all the work (the ligaments being not the defining factor when one does not grow). Also the scar is an issue, it was mostly above the pubic area and there are different types of how the doctor can cut (which result in different scars).
Also the penis probably goes a bit downward in the erection angle after the operation.
eg
phalloboards.websitetoolbox.com/post/wha...-it-hopeless-8125032

I also read that the satisfaction rate for this procedure is only 35%.


For Girth more methods:

Dermal Grafts:


i.imgur.com/ctdgoPe.png
First there is an operation where they take stuff out of your own body,
eg between leg and buttocks. There will be small scar.
Then this stuff from body is used to basically staple it on the tunica and glans and base of penis.
Then the skin is put on again.

Alloderm or Belladerm:
Same as Dermal Graft, but penis is not made fatter with 'stuff out of his own body' like Dermal Graft, but body-like material -> 'Alloderm' and 'Belladerm' are tissue replacements like this.

Critics here say after 10 years it gets stiffer and stiffer and you have to take it out. Also costs around 10 000 dollars.
And it's a bigger operation with something like 8 weeks no sex or sports after it.
Read at least one report where he didn't sleep the whole first night because of the pain.

Alloderm: www.drelist.com/wp-content/uploads/2013/08/alloderm-c7-4.jpg

i.imgur.com/KebpTdO.png
(not good result)

[[[Androfill: (Hyaluronic Acid fillers)

A temporary filler, holds like for 1 year, then gets absorbed

www.androfill.com/before-and-after-penis-enlargement/
This is a peculiar case ' this guy went from 5.1 inches of girth to 7.1 ' flaccid?!
And he wanted the first quarter of the penis at the base not-treated, so it's not so big
He went for a specific penis shape
Very interesting

[[[- Macrolane:
is very cheap Hyaluronic Acid filler
Konino: 'As has already been said , its a very cheap HA proruct and it has many problems one of the main reasons that no doctor used it anymore and its out of used...'


- Fat injections:
Fat gets injects into the penis. This is a method that is very old, something like 20 years.
Right after it, there is a big effect, much girthier penis. But then it gets absorbed and there is less and less girth.
Some doctors say they have a super-special technique that this doesn't happen. About 4000 dollars.
Also: fat moves around in penis over time (just because it gets erect and non-erect over and over again) and stuff like this can happen:

i.imgur.com/252x7EY.png

[[[Silicone implant:
Hard Implant is implanted into the penis. Lots of people reported bad stuff happening with their penis here on this forum and everybody says 'never do this'.

i.imgur.com/md7K79o.png


PMMA:
The current popular method now it seems.
Non-surgical operation but 'just' injections.
You do eg 3 sessions, eg 2 months pause in between.
About 3500eur for 3 sessions.

Non surgical injection of material (Polymethylmethacrylate is a permanent filler consisting of microspheres suspended within a collagen matrix: 15 or 30cc of Meta<>Crill, Biosfera or Linnea Safe)

.5 to 1.25 inches (1,3 to 3,1cm) of erect circumference girth (and a bit of flaccid length gain)
'Full girth gains are realized after your body's collagen completely surrounds the implanted PMMA filler. Typically this collagen process is complete within 2 to 3 months time.'

'PMMA (e.g. NewPlastic or Metacrill) is different your body will form new collagen and connective tissues around each of these small microspheres (beads) and it will be highly vascularized around these beads (so you will have good protection against infection not like the silicon wich will be not vascularized and the whole silicon will be encapsulated i.e. risk of infection is high) .'

People often seem to experience nodules, little hard stuff (too much pmaa concentrates in one place and gets hard), you can get it removed by little operation from the doc who did the PMAA (?).

Also it seems there is nearly always some irregularities, the pmaa not being exactly symmetrical and stuff. So in the next session the doctor tries to rebalance it again. And you should stop if you have a good result.
Some say it's just a sure bet that you will lose aesthetics to gain girth this way.

The health risk is regarded here mostly low, and probably lowest health risk of permanent stuff (temporary fillers that are temporary could be even less health risk).
There was minor speculation that pmaa can get into the lymph-stream or something and add tiny cancer risk (I have no idea, this requires deep reading)
phalloboards.websitetoolbox.com/post?id=5365403

- 'The fact that small PMMA particles can migrate has already been answered, see post phalloboards.websitetoolbox.com/post/sho...334286&postcount=110
The fact that particles moving into the lymphatic or venous system can cause very serious issues or death has been established. See the de Castro paper and the articles about the Argentine beauty queen who died from pulmonary embolism in her lungs following injection of PMMA in her butt.'

The big thread about pmaa complications: phalloboards.websitetoolbox.com/post/inf...95825?pid=1290517832

One scientific journal entry about pmaa: -> it's great, recommended
avantiderma.com/wp-content/uploads/2016/...-sexual-medicine.pdf

Summary of the scientific article:
Author did 752 operations with Metacrill 2007-2016, 203 (27%)of the patients returned the questionaires
Average Satisfaction rate from 1-10 was 8,7.
83% were satisfied, 12% were not so satisfied, 5% wer dissatisfied
Average girth increased by 3,5cm. (erect and non-erect)

Erections were enhanced in 15%, stay same in 83%, decreased in 1,5%
Sensitivity was higher in 15%, stay same in 83%, decreased in 2%

50% of the time there were irregularities, 50% of the time penis surface was smooth
in 0.4% Nodules had to be surgically removed.

Inject in different spots, later instructing patient to massage the next 72 hours, 24 hours after procedure doctor also looks at it again.
First penis is fatter because water-based carrier, then smaller when this gets metabolized in body, then fatter again in the next 3 months it gets fatter again because body-material forms around the pmaa parts

100% got the first session
33% got the second
16% got the third
6% fourth
3% fifth

10% pmma was used more in neck segments, 30% pmma more midshaft and base
5-140 mL, average 40mL

More irregularities with uncircumcised patients.
[side note: Lig Cutting for length had 35% satisfaction rate]
'More half the patients (52%) reported minimum to severe
irregularities such as single nodules, multiple nodules,
hard ridges at the circumcision scar or at the base, micro-nodules
at the entry points, indentations, or voids.
Sterile exudate through the entry points is a common occur-
rence that resolves in approximately 24 hours. Two patients
(0.3%) presented exudate that lasted longer than 72 hours but
resolved with no further complications.'

'Removal of PMMA Penile Implants
Total surgical removal of a PMMA implant might require
aggressive degloving of the penis, which is associated with painful
recovery and permanent irregularities. Removal should be the last
option, and meticulous smoothening of irregularities with cross-
linked hyaluronic acid, Silikon 1000, silicone micro-droplets,
or PMMA is more advisable.'

Materials:
'Metacrill is approved in Brazil, Mexico, and Europe, and
ArteFill (Bellafill since 2015; Suneva Medical, Santa Barbara,
CA, USA) is approved by the U.S. Food and Drug Adminis-
tration in the United States and South Korea, but the latter
product is too expensive when considering an average volume of
PMMA 40 mL per patient. The same is true for Artecoll (Artes
Medical, San Diego, CA, USA), which is approved in Europe by
the Conformit' Europ'enne and in China by the Chinese Food
and Drug Administration; PMMA microspheres in these prod-
ucts are suspended in rather expensive bovine collagen. There-
fore, for larger volumes, we rely on the two affordable PMMA
products (Metacrill and Linnea Safe [formerly New Plastic;
BioMedical, Sao Paulo, Brazil]) approved by ANVISA, the
Brazilian Health Ministry'

Pmma is used as 'wrinkle filler' since 1989

- Priapus-Shot
Some kind of injection,
supposed to give better erections, and perhaps also a bit of size
1800 dollars
Talked about in the 'advanced phalloplasty'
phalloboards.websitetoolbox.com/post/any...ot-6523774?&trail=15

---

No new Penis Enlargement Operation Materials or stuff seem to be on the horizon at the moment.
(The next one probably growing a whole penis from your tissue somehow bigger in a lab, then cutting yours off and putting the new one on, I guess this will be earliest in 30 years)

Threads I found extra good: (perhaps I add more later)
- many results in summary form
phalloboards.websitetoolbox.com/post/pat...ry-5399960?&trail=15

Dream wrote: Hi there

I am thinking about having penis operation done to make penis fatter, I mean more girth.
So, that's why my first step was finding the best forum on this topic.
After finding one other dubious forum, I found this one here and I am very happy.

'Summary of this forum' is of course not accurate, it's just 'my attempt' at it, basically my journey making sense of this all. Starting as a newb.
Because I will do it anyway I will post my summaries and thoughts of what I find out.
With newbie-eyes so to speak. And I am always superhappy appreciative people commenting on any parts they want.
Perhaps my attempts and others chiming in will make this also useful for others at some point. I try to make it nice and readable.

I will of course keep reading stuff. I have the lose plan of making a decision in the next about 5 months.



Different procedures / methods of penis enlargement operations

For length:
Lig-Cutting:
Doctor cuts the ligaments of penis in operation. Then especially your flaccid length is improved. Skin sinks a bit, so skin goes 'down', so more of your shaft will be with hair. Erect length is not instantly but they give you traditional hangers that you shall use for like 1 year. After operation you are not longer, even perhaps you are a bit shorter, then you have to stretch for 6-12 months.
Then ~1-1.5 inches longer penis shall/can happen in this year.
Critics say nobody knows if the ligament cut is even helpful or the hanger does all the work (the ligaments being not the defining factor when one does not grow). Also the scar is an issue, it was mostly above the pubic area and there are different types of how the doctor can cut (which result in different scars).
Also the penis probably goes a bit downward in the erection angle after the operation.
eg
phalloboards.websitetoolbox.com/post/wha...-it-hopeless-8125032

I also read that the satisfaction rate for this procedure is only 35%.


For Girth more methods:

Dermal Grafts:

i.imgur.com/ctdgoPe.png
First there is an operation where they take stuff out of your own body,
eg between leg and buttocks. There will be small scar.
Then this stuff from body is used to basically staple it on the tunica and glans and base of penis.
Then the skin is put on again.

Alloderm or Belladerm:
Same as Dermal Graft, but penis is not made fatter with 'stuff out of his own body' like Dermal Graft, but body-like material -> 'Alloderm' and 'Belladerm' are tissue replacements like this.

Critics here say after 10 years it gets stiffer and stiffer and you have to take it out. Also costs around 10 000 dollars.
And it's a bigger operation with something like 8 weeks no sex or sports after it.
Read at least one report where he didn't sleep the whole first night because of the pain.

Alloderm: www.drelist.com/wp-content/uploads/2013/08/alloderm-c7-4.jpg

i.imgur.com/KebpTdO.png
(not good result)

[[[Androfill: (Hyaluronic Acid fillers)

A temporary filler, holds like for 1 year, then gets absorbed
Somewhere I read the absorption is not healthy.

www.androfill.com/before-and-after-penis-enlargement/
This is a peculiar case ' this guy went from 5.1 inches of girth to 7.1 ' flaccid?!
And he wanted the first quarter of the penis at the base not-treated, so it's not so big
He went for a specific penis shape
Very interesting

[[[- Macrolane:
is very cheap Hyaluronic Acid filler
Konino: 'As has already been said , its a very cheap HA proruct and it has many problems one of the main reasons that no doctor used it anymore and its out of used...'


- Fat injections:
Fat gets injects into the penis. This is a method that is very old, something like 20 years.
Right after it, there is a big effect, much girthier penis. But then it gets absorbed and there is less and less girth.
Some doctors say they have a super-special technique that this doesn't happen. About 4000 dollars.
Also: fat moves around in penis over time (just because it gets erect and non-erect over and over again) and stuff like this can happen:

i.imgur.com/252x7EY.png

[[[Silicone implant:
Hard Implant is implanted into the penis. Lots of people reported bad stuff happening with their penis here on this forum and everybody says 'never do this'.

i.imgur.com/md7K79o.png


PMMA:
The current popular method now it seems.
Non-surgical operation but 'just' injections.
You do eg 3 sessions, eg 2 months pause in between.
About 3500eur for 3 sessions.

Non surgical injection of material (Polymethylmethacrylate is a permanent filler consisting of microspheres suspended within a collagen matrix: 15 or 30cc of Meta<>Crill, Biosfera or Linnea Safe)

.5 to 1.25 inches (1,3 to 3,1cm) of erect circumference girth (and a bit of flaccid length gain)
'Full girth gains are realized after your body's collagen completely surrounds the implanted PMMA filler. Typically this collagen process is complete within 2 to 3 months time.'

'PMMA (e.g. NewPlastic or Metacrill) is different your body will form new collagen and connective tissues around each of these small microspheres (beads) and it will be highly vascularized around these beads (so you will have good protection against infection not like the silicon wich will be not vascularized and the whole silicon will be encapsulated i.e. risk of infection is high) .'

People often seem to experience nodules, little hard stuff (too much pmaa concentrates in one place and gets hard), you can get it removed by little operation from the doc who did the PMAA (?).

Also it seems there is nearly always some irregularities, the pmaa not being exactly symmetrical and stuff. So in the next session the doctor tries to rebalance it again. And you should stop if you have a good result.
Some say it's just a sure bet that you will lose aesthetics to gain girth this way.

The health risk is regarded here mostly low, and probably lowest health risk of permanent stuff (temporary fillers that are temporary could be even less health risk).
There was minor speculation that pmaa can get into the lymph-stream or something and add tiny cancer risk (I have no idea, this requires deep reading)
phalloboards.websitetoolbox.com/post?id=5365403

- 'The fact that small PMMA particles can migrate has already been answered, see post phalloboards.websitetoolbox.com/post/sho...334286&postcount=110
The fact that particles moving into the lymphatic or venous system can cause very serious issues or death has been established. See the de Castro paper and the articles about the Argentine beauty queen who died from pulmonary embolism in her lungs following injection of PMMA in her butt.'

The big thread about pmaa complications: phalloboards.websitetoolbox.com/post/inf...95825?pid=1290517832

One scientific journal entry about pmaa: -> it's great, recommended
avantiderma.com/wp-content/uploads/2016/...-sexual-medicine.pdf

Summary of the scientific article:
Author did 752 operations with Metacrill 2007-2016, 203 (27%)of the patients returned the questionaires
Average Satisfaction rate from 1-10 was 8,7.
83% were satisfied, 12% were not so satisfied, 5% wer dissatisfied
Average girth increased by 3,5cm. (erect and non-erect)

Erections were enhanced in 15%, stay same in 83%, decreased in 1,5%
Sensitivity was higher in 15%, stay same in 83%, decreased in 2%

50% of the time there were irregularities, 50% of the time penis surface was smooth
in 0.4% Nodules had to be surgically removed.

Inject in different spots, later instructing patient to massage the next 72 hours, 24 hours after procedure doctor also looks at it again.
First penis is fatter because water-based carrier, then smaller when this gets metabolized in body, then fatter again in the next 3 months it gets fatter again because body-material forms around the pmaa parts

100% got the first session
33% got the second
16% got the third
6% fourth
3% fifth

10% pmma was used more in neck segments, 30% pmma more midshaft and base
5-140 mL, average 40mL

More irregularities with uncircumcised patients.
[side note: Lig Cutting for length had 35% satisfaction rate]
'More half the patients (52%) reported minimum to severe
irregularities such as single nodules, multiple nodules,
hard ridges at the circumcision scar or at the base, micro-nodules
at the entry points, indentations, or voids.
Sterile exudate through the entry points is a common occur-
rence that resolves in approximately 24 hours. Two patients
(0.3%) presented exudate that lasted longer than 72 hours but
resolved with no further complications.'

'Removal of PMMA Penile Implants
Total surgical removal of a PMMA implant might require
aggressive degloving of the penis, which is associated with painful
recovery and permanent irregularities. Removal should be the last
option, and meticulous smoothening of irregularities with cross-
linked hyaluronic acid, Silikon 1000, silicone micro-droplets,
or PMMA is more advisable.'

Materials:
'Metacrill is approved in Brazil, Mexico, and Europe, and
ArteFill (Bellafill since 2015; Suneva Medical, Santa Barbara,
CA, USA) is approved by the U.S. Food and Drug Adminis-
tration in the United States and South Korea, but the latter
product is too expensive when considering an average volume of
PMMA 40 mL per patient. The same is true for Artecoll (Artes
Medical, San Diego, CA, USA), which is approved in Europe by
the Conformit' Europ'enne and in China by the Chinese Food
and Drug Administration; PMMA microspheres in these prod-
ucts are suspended in rather expensive bovine collagen. There-
fore, for larger volumes, we rely on the two affordable PMMA
products (Metacrill and Linnea Safe [formerly New Plastic;
BioMedical, Sao Paulo, Brazil]) approved by ANVISA, the
Brazilian Health Ministry'

Pmma is used as 'wrinkle filler' since 1989

- Priapus-Shot
Some kind of injection,
supposed to give better erections, and perhaps also a bit of size
1800 dollars
Talked about in the 'advanced phalloplasty'
phalloboards.websitetoolbox.com/post/any...ot-6523774?&trail=15

---

No new Penis Enlargement Operation Materials or stuff seem to be on the horizon at the moment.
(The next one probably growing a whole penis from your tissue somehow bigger in a lab, then cutting yours off and putting the new one on, I guess this will be earliest in 30 years)

Threads I found extra good: (perhaps I add more later)
- many results in summary form
phalloboards.websitetoolbox.com/post/pat...ry-5399960?&trail=15

Wow - that\'s a great post!

Where did you read that HA reabsorbtion isn\'t healthy? That scares me ? Maybe I won\'t go through with it

Praise feels always nice
And now i am already an ass telling you that quoting my whole post right underneath the same original post is unneccessarily space filling . I am like Monk, the one in the tv series, sorry..
It\'s not the best post in the world cause i don\'t put the sources everywhere, so the speculation that HA is not healthy is just one poster here that i read somewhere, perhaps i should delete the sentence..

@Dickwithman Don\'t quote the entire post.

They have used HA type fillers in faces for ages so I hope there is no ill effect from the absorption...

This is an awesome post. Thank you for taking the time to summarize.

Dream I just wanted to thank you for all you great posts. I hope we see a updated post on your second procedure with Dr.N soon.

Thanks
Round 2 is already done, see my journal in my sig