TOPIC: 10ml, uncut - hybrid radiesse and restylane with Dr Leonardo - Toronto

Thanks for the prompt reply. Do you think there is any correlation to the lasting effects of this and botox on an individual? I ask as I have received botox (from multiple doctors) for aesthetics on my face in the past and it only lasts 4-6 weeks. They said some people just absorb it faster.

@Greg_x2000 There is no correlation between duration of Botox compared to that of filler. Often duration of Botox depends on the product and dose. Men generally require higher dosing than women. If your provider does not have many male patients for Botox treatment they may be under-dosing.

Your body’s natural Hyaluronidase dissolve’s Hyaluronic Acid (HA) filler at different rates from person to person. Mechanical breakdown of the product from intercourse or masturbation may also factor into longevity or lack of.

I went here too spent thousands first time plus more going back for refills as well (likely around $17,000 over three times. lasted less than six months (I'm the 7 Inch guy with pic under docs profile here). Advice go get PMMA don't waste your money. This is just a residual income for them which is why most of them try to run PMMA down and say it's unsafe blah blah blah.

@Jmart2532

I understand your frustration but from the very beginning I told you your length was a blessing and a curse. A blessing because length is difficult to create and a curse because you will require much more product to increase your girth compared to a shorter penis.

Filler is expensive but much more affordable in Canada compared to the US. Your baseline mid shaft girth was 4.25”. I increased it to 6” along with your glans. That’s a lot of product which is reflected in the price. When listing your photo as 30mL filler, that doesn’t even include your glans filler.

With our former pricing, the average patient spent $4000-$5500CAD on the shaft alone with top ups ranging from $2000-$3400CAD. Your $17,000 is not typical because of your length in addition to glans filler which not everyone chooses to have.

Again, the rate at which any filler is broken down varies from person to person. Some of the girth immediately after procedure are temporary due to swelling and local anesthesia blended with the product. Your true girth after procedure is not apparent until 2-3 weeks afterwards. I would welcome you to return for follow up to see how much has been retained and lost.

Here are your photos from baseline to augmentation #1 and return visit #1 to augmentation #2 to return visit #2 and augmentation #3. Measurements are at mid-shaft.

Please be careful with PMMA. Permanent filler is only good until it isn’t. Permanent filler can lead to permanent problems. in addition, the texture that I’ve come across feels like hard tapioca balls. There is no way for you to know how unnatural it feels unless you examine someone who has had it implanted. Here’s a recent PMMA case that I corrected. He had permanent hard lumps and uneven contour throughout. I improved the contour with HA. He will need to return because the HA is not permanent but the PMMA is.

Upon further review, I confirm that my total expenditure exceeded $20,000. This post is intended for individuals seeking guidance on penile enlargement options, products, and procedures.
My recommendation, based on personal experience:
Avoid Hyaluronic Acid (HA) fillers or similar temporary injectables—often marketed with appealing terminology but ultimately “disappearing” products. They deliver only short-term inferior gains (in my case, lasting effectively 3 months before regressing to nearly baseline size, despite nominal claims of longer duration) and represent a poor return on investment.
Superior, permanent alternatives exist. Invest in proven, lifelong solutions such as:
PMMA (e.g., Avanti Derma)
MegaDerm grafts (e.g., Proud Clinic)
Comparable reputable providers
Treat the procedure as a long-term investment rather than a fleeting expense. HA and equivalent fillers yield zero lasting value—only financial loss.
I am not here to debate; I am sharing verifiable outcomes from my own journey. The initial swelling showcased in early HA photos is misleading and rapidly subsides. In contrast, post-procedure images from Avanti, Proud, and similar clinics—taken months later—demonstrate sustained, dramatic results.
I will not be returning for additional HA treatments. I am currently evaluating Avanti, Proud, or equivalent providers for a procedure scheduled in August. In hindsight, redirecting the prior $20,000+ toward a permanent solution from the outset would have been far more prudent.
For anyone considering enlargement , choose the premier option: the highest-caliber, enduring outcome available, unfortunately thats not in Canada (yet) and not with H/A or similar marketed product.

I actually found the opposite to be true with HA. When I was ready for it to go away it just stuck around . I think it lasts a very long time for most people.

I had my first augmentation with Dr Leonardo in August 2023. I top off on the average approximately every 8-10 months. So I've had about 4 augmentations. Every time I have augmented, I still had plenty of Girth as compared to when I first started. I've been gradually getting bigger with each augmentation. I guess I keep coming back because it is a painless procedure with Dr. Leonardo. I haven't experienced any complications and my Dick feels natural. And my Cock gets more attention than before I started augmenting which is another reason I keep coming back to Dr. Leonardo. Yeah there is some swelling right after an augmentation that goes down after about 2 weeks. But there is still plenty of gains left when the swelling goes down. My filler seems to stay around for a while. I really don't notice my gains going down very much as I've only gotten bigger with each top off. I think the cost is pretty reasonable as I don't want to deal with the complications that can come with permanent filler or silicone implants.

I’m close to pulling the pin with Dr Leonardo but that is my fear. It is a lot of money to be gone in three months. If I had a good chance of maintaining half the gain say a year out that would be an easy in for me.

@fisherguy

Please take a look at my website. I devoted a section demonstrating how much filler was retained from 2mod to 32mos in various patients along with how much filler was used. These are the patients that returned after some time to top up. No one lost all of their filler in 3mos.

www.leonardomedicine.com/girthretentionGallery.html

WARNING PREFACE: This response is mighty long and mostly directed at a couple Members in this thread, you can skip through it to see if the follow-up posts are back in line with the original topic; it also serves as a soft PSA for those who want to know more about Hyaluronic Acid (HA) longevity (its temporary nature) and its other attributes, but it also goes into Forum Etiquette and how to have effective discussions with Sponsors who are a big part of why this site remains operational and full of rich content; their very endorsement(s) give this site a credibility with respect to being the authority on the subject, so it's a treat to have them provide professional responses to hard-to-know questions. In other words it's a really long two part post, and the only two people who REALLY ought to read it is user @Jmart2532 and @LeonardoMedicine . Pardon @oysters for a temporary hijacking of the thread, however if the member being challenged satisfied my requests, this topic will move resume & move forward.

Jmart2532 wrote: Upon further review, I confirm that my total expenditure exceeded $20,000. This post is intended for individuals seeking guidance on penile enlargement options, products, and procedures.
My recommendation, based on personal experience:
Avoid hyaluronic acid (HA) fillers or similar temporary injectables—often marketed with appealing terminology but ultimately “disappearing” products. They deliver only short-term inferior gains (in my case, lasting effectively 3 months before regressing to nearly baseline size, despite nominal claims of longer duration) and represent a poor return on investment.
Superior, permanent alternatives exist. Invest in proven, lifelong solutions such as:
PMMA (e.g., Avanti Derma)
MegaDerm grafts (e.g., Proud Clinic)
Comparable reputable providers
Treat the procedure as a long-term investment rather than a fleeting expense. HA and equivalent fillers yield zero lasting value—only financial loss.
I am not here to debate; I am sharing verifiable outcomes from my own journey. The initial swelling showcased in early HA photos is misleading and rapidly subsides. In contrast, post-procedure images from Avanti, Proud, and similar clinics—taken months later—demonstrate sustained, dramatic results.
I will not be returning for additional HA treatments. I am currently evaluating Avanti, Proud, or equivalent providers for a procedure scheduled in August. In hindsight, redirecting the prior $20,000+ toward a permanent solution from the outset would have been far more prudent.
For anyone considering enlargement , choose the premier option: the highest-caliber, enduring outcome available, unfortunately thats not in Canada (yet) and not with H/A or similar marketed product.

You've (Jmart2532) opted to make these remarks in veteran Member "Oysters Progress Report with little-to-no-sufficient evidence, just open-ended claims. If you are that distraught (which is fair if all things stand true) regarding your Hyaluronic Acid (HA) losses (which have and continue to be discussed as a rare but absolute possibility given everyone's own propensity to break down fillers at different rates, including anomalous situations like yours), you should have created your own Progress Report and showed photos demonstrating as much.

Having to pivot to a filler you haven't had injected yet (PMMA) is unusual, seeing's how both fillers (HA vs PMMA) have their PROS and CONS (if one was truly superior, then all Providers would at minimum offer it at as an option). This market isn't nearly as saturated as nose jobs, breast augmentation, and BBL's, so most credible & ethical Penis Enlargement practitioners are going to lean toward the tried & true, and pick amongst them their preference, which includes risk thresholds. Some argue it remains an experimental field in aesthetic medicine, food for thought..

You cited a photo of yours on Dr. Leonardo's Gallery, would you mind linking it, and/or subsequently providing Before & After photos? If you're going to hop into someone else's thread with complaints, please know you'll be expected to furnish validation to your claims.

And no, I'm not suggesting you're lying, I'm just afraid you may not realize you represent an uncommon anomalous case of rapid HA dissipation, at least as far as the decade+ long feedback is concerned, from both the Community (here and at other platforms), as well as Providers.

The HA business model, while yes shares similarities to other cosmetic injectables like Botox as "repeat business models," it does so knowingly not be design but by optimal safety in a field marred with a decades of complications. The temporary nature of HA is not withheld from the patient and happens to be common knowledge for anyone who has done their research (i.e. likely will require annual top-offs, which are often cheaper than your initial go around since you won't need as much volume to return to your new baseline, and hardly a big deal). Hyaluronic Acid Injectables are built on the premise of a strong safety profile, utilizing a substance that is naturally-occurring in your body (and just so happens to be cross-linked in a lab so that it can behave like a filler, and volumize soft skin tissue), that can be reversed some or even mostly by an enzyme available to all Injectors, and worst case scenario, will dissipate over time in the event you don't like it.

I would strongly contest that most (especially Sponsors) who prefer HA aren't relying on the botox-like business model, and it's more a matter of preference & comfort; permanency in the field of cosmetic medicine can be a line some Physicians choose not to cross. In fact, another Doctor (who is a Sponsor here but I won't bother to name so we don't go off topic) was debating the use and/or promotion of PMMA to elevate referrals, but ultimately decided against it due to his risk aversion. Now think about it, he could have still advertised HA and offered PMMA for those who really wanted it (which he actually did for a brief time)... but the potential risks outweighed his personal concerns, and that's fair.

With permanent or semi-permanent filler options (PMMA, Ellanse, and the strongly unrecommended silicone oil), if complications arise, they are much more difficult to correct (not impossible) and can even require invasive means like de-gloving the penile shaft. The reason why most guys tolerate this risk boundary is because it's very low, similar to how uncommon it is for guys with HA to lose it prematurely (well before even the manufacturer's projections, which even then are often conservative in nature).

Now this shouldn't alarm anyone about the permanency of PMMA in the grand scheme of things, it's the most reported method/filler on this site by a significant margin, and the vast majority are seemingly positive. But don't think for a second that PMMA is a superior option as user "Jmart2532" suggests, especially since he hasn't indicated having had it performed on him -- it just gives me disappointment vibes, and I can't blame him if his anecdotes are entirely true (again, no suggestion of deceit, just a request that more information is furnished, including photos that you already claim exist online, so I know it's not too much to ask). If I spent copious amounts of money and nothing to show for it, I'd be very upset too, but without context, I don't think it's fair to lambast Dr. Leonardo's work, especially since he's been very forthcoming & transparent with the Community, innovative, and deeply caring from all accounts -- you (Jmart2532) may not have done so directly, but your post basically screams "rip-off" in a round about way, and I feel like the case isn't compelling enough, especially with your lack of show & tell (i.e. pictures with measurements indicating notable size loss in a short amount of time).

The adage goes "you can't make everyone happy," and naturally some Sponsors will very rarely get not-so-stellar reviews, just like no "best restaurant in the city" will manage a true 5-Star rating with a sufficient enough sample size, but I can't help but be bothered to read this about a truly innovative Physician (Dr. Leonardo) with consistently good feedback, and this same Doctor that seems to take patient-care seriously. I'm really hoping you (user Jmart2532) reached out to his Office personally for resolution, and whether you did or not, see the goodness that is a Healthcare Provider responding with sincerity regarding the situation (obviously he can state only so much for confidentiality considerations, but he chimed in nonetheless). How many other places can you find this level of discussion & engagement from both peers and providers?

I just ask we keep the conversation respectful & cordial, since I've had other Sponsors (who still contribute), remove themselves (or seldom post) due to patients taking advantage of this anonymous platform to unfairly judge a Provider, or not even offering them the benefit of the doubt (all while usually failing to substantiate any proof themselves). I think Dr. Leonardo cares, and I believe he makes a valid case that his preference for HA isn't by design a "cash cow generator," but rather a combination of HA's arguably strongest safety profile among all penile dermal fillers as well as his own personal comfort regarding PMMA complications (while I personally disagree with any assertion that medical-grade PMMA is inherently dangerous as a penile filler when injected by qualified hands, I respect the reluctance for some to stick to a more reverse-friendly product). The photos he added (which I will make non-Premium Member viewable shortly since it is Sponsor content) demonstrate that PMMA is no more a Holy Grail than Ellanse, Radiesse, HA, Fat, and Megafill would be. He and I both hope that at the very least, we can dispel the myth that the HA is monetary gimmick, and once we do that, we can address the physiology behind what may have happened, and a possibly resolution if there is any. Constructive criticism YES, throwing a contributing Sponsor (both educationally and resourcefully) under the proverbial bus because your body's possible predisposition to break HA down at abnormal rates, NOT SO MUCH.

Most modern/newcomers to this site may be oblivious (at no fault of their own) to how truly bad this industry was from the 90's to the early 2010's -- a history of botchery and destroyed lives... and one of the main contributors that birthed this site! So while I am not dismissing one's right to be disgruntled (especially if nearly a car's worth of money was spent), but to be mindful that if HA was this "bunk," it would have died out as a fad years ago. There are guys in this very post (among other reports on this site) who can vouch for HA and/or Dr. Leonardo. Sure, there are also not-so-great HA cases, but the same can be said for PMMA, Fat Transfer, etc. Off the top of my head, I'd say the vast majority of Sponsors here (and many non-Sponsors) at the very least offer HA as an option, and at least 5 primarily advertise it as their main preference, or even solely use it without alternative... Their Practice(s) have ranged from 5-10 years in successful operation with HA as their go-to, trust me when I'd say if everyone (or even as low as 30% of patients) had the results like member Jmart2532, HA would have been dropped by the current lot (unless an improved iteration of HA evolved, e.g. HarmonyCA filler, if it gets approved), while other Physicians would have reverted to harvesting fat for girth, some experimenting with PMMA, and others quitting altogether because the alternative methods don't meet the same risk/safety profile of HA. The fact remains that HA is a very popular & viable filler, but like all other options, comes with its PROS & CONS. If this is any solace to you, at least you aren't dealing with disfigurement and/or complications like infection or granulomas. Yes, if you have very short-lived gains in excess of $15k-$20k, these are legitimate grounds to be upset on, but I think coming here with a dismissive attitude unfairly frames HA in a way that is mischaracterized.


You wrote:

Jmart2532 wrote: Treat the procedure as a long-term investment rather than a fleeting expense. HA and equivalent fillers yield zero lasting value—only financial loss.

The first part is right, it is a long-term investment for those who can and don't mind maintaining annual maintenance (and the investment isn't egregious in cost if done annually, and well worth it to go from a hotdog to a hog). The 2nd part is (understandably) a frustrated sentiment, but an inaccurate one. If you are maintaining your size with a few syringes a year, HA possesses an indefinite lasting value, providing you an increase in circumference using arguably the safest filler on the market, providing you a change in circumference most guys would be lucky to get through more traditional means (i.e. pumping, clamping, and so forth).


You also wrote:

Jmart2532 wrote: I am not here to debate; I am sharing verifiable outcomes from my own journey.

As for the first part of your comment, welp! I somehow missed it the first time as I was typing this and making edits. I'm not necessarily asking for a debate since I think it's clear as day your HA broke down as a result that had nothing to do with the Doctor and Filler, and a simple examination of the history, science, and facts draws a pretty clear picture --> Dr. Leonardo and his technique(s) have proven demonstrably effective over the time he's been performing this as a contributor to our Community, including the posting a plethora of (free) Before & After Photos, positive patient reviews, and constructive Community engagement.

Here are the top reasons (in no order) that I've learned over the years known to lead to early onset breakdown of HA filler, and I'm sure Dr. Leonardo can confirm or correct should he choose to chime in again -->

1. Propensity for your body to breakdown foreign bodies quickly (i.e. metabolizes quicker than the average person, hence my constant use of the word "anomaly" ... or frankly bad luck).
2. External factors like excessive UV exposure and high heat (think tanning beds, sunbathing, and even hot tubs if early on).
3. Lack of proper Hydration.
4. Questionable health decisions/habits (not judging, just putting into context) during recovery, including the likes of smoking.
5. Missteps early on in recovery like sex, masturbation, or any other rigorous manipulation of the penis before complete healing.
6. Local or system inflammation(s).
7. Mismeasurements before and/or after the procedure. Not calling you incompetent or dumb, I'm just saying you'd be surprised how many guys don't measure properly.
8. Any one, some, or all of the above.

As for the 2nd part of the quote above: where is the verification? I'm inclined to believe your claims, but I also feel it is inappropriate to come and making sweeping statements with very little data on your own end. You can't qualify your comments with a "trust me bro," and all I ask is that if you choose to post again, to at least satisfy these basic requests regarding metrics so that the Readership can pass a more informed judgement:

• Starting erect dimensions (girth and length).
• Maximum size measured when swelling completely went away.
• How much volume was injected in mL's (cc's) and over how many appointments.
• If you had more than one appointment, what was the average time in between the appointments?
• Are any of the talking points above apply to you (like sex on the first week, tanning beds, smoking, etc.) regarding things that could have been a contributing factor?
• Can you furnish photo evidence of this rapid size loss over the short period you claim for it to have broken down?
• It seems like pricing was the only metric/stat you provided; would you say the "$20k+ was strictly Medical Services, or does this take into account travel, lodging, and other logistical considerations unassociated with Dr. Leonardo's Practice?

You don't have to choose to debate me on this, I have a high degree of confidence this is outside of the Doctor's control (and possibly outside of yours as well). This has also shown that you are just not an ideal candidate for HA. I would normally recommend someone to give it one more shot, but between the total price you paid and the unfortunate & drastic rate of filler breakdown, you ought to look into Ellanse, PMMA, or Alloderm (Surgical), or maybe none at all (if you had elevated inflammation as a major contributor to the breakdown of HA, it could be a precursor to complication risks like granulomas -- so you may want to do a health check up with regards to elevated localized or system infections before pursuing other methods, the extreme degradation speed of the HA should have a reason you'd want to try and identify before messing around with other options). Not trying to alarm you, doubt it is anything major and my personal theory is that it is just the misfortune of being in that small percentage of patients who have a hyper metabolic process with respect to the removal of HA.

If you do reply with the answers/requests adequately & respectfully, we can resume the original topic as created by Member Oysters. If you wish to talk more on the subject, please start a new topic and keep it professional please, but as for those 7 questions above, you can reply here. If you are absent for a lengthy period of time, or continue to post without answering the 7 questions above, all associated posts (the two you posted, and any subsequent replies) will be deleted and the topic will resume as intended. Censorship is antithetical to this site, and patient review IS important, however I believe what I'm asking for is reasonable in addition to the possible violation of Forum Rules (i.e. baseless claims + not adhering to Moderator requests). This is not a threat to ban your account, just a way to get the full picture so readers aren't provided with one-sided (and potentially faulty) information, as well as preventing a Contributing Physician from having his reputation marred because by the same one-sided commentary.

I personally ask only user Jmart2532 and Dr. Leonardo specifically reply to this; this way we can nip this in the bud quick and prevent Member Oyster's thread from really going off in the deep end lol.

Hi Skeptical_One,

I’ve provided the photos that were requested. Those are the same photos that appear publicly in the gallery.

I only commented originally because another member said HA did not last for him, and I responded that I had a similar outcome. That’s it. I assumed that is what forums are for — sharing actual personal results.

My personal experience: HA did not last long for me. I needed three top-ups in about a year, and I spent far more than I expected to spend for a result that did not hold. Personally, I discovered that HA feels like a repeating maintenance product to me. I kept paying again and again to maintain volume — and I didn’t like that model at all. Based on that, I personally believe PMMA is a better long-term investment. That is simply my personal conclusion from my own experience.

Also, HA was not risk-free for me. After my third and final top-up, I had a serious infection. I have the email where I was warned that if the infection wasn’t controlled, I could potentially lose my penis or need the filler removed. I have documentation of my appointments, cost estimates, and infection treatment — including the appointment emails and the prescription records for the antibiotics I was put on at the same time. I don’t think anyone wants private medical emails or photos of what my penis looked like during the infection posted publicly, and I have no desire to go there. That does not benefit anyone. But if someone decides to imply I am lying, I do have that documentation saved.

Every option in this field carries some level of risk — and I’m not arguing otherwise — but HA did not last as long as I expected, and in my personal case it also did not end up being risk-free.

I’m not claiming to speak for anyone else. I’m not telling anyone what they should do. I don’t think every person will have my result. I am only sharing what actually happened to me.

You can move this wherever you feel it belongs. I’m not invested in continuing this. I’ve provided my experience and documentation exists. That’s all I came here to say. If the moderators feel this belongs in a different section or should be removed, I’m okay with that.

@Skeptical_One Thank you for your detailed reply. I appreciate the thought process and reasoning behind your comments. Your medical knowledge is quite sound. In addition to probable causes for short-term HA duration, another probable cause is intercourse prior to closure of the injection sites. More on this later.

I too am not here to debate but when a former patient makes several accusations, I need to reply. For one thing, there seems to be a pervasive issue with recollection.

1. My filler of choice is a hybrid blend of Radiesse and HA. Everyone knows this except for the patient making complaints about the temporary nature of HA. During consultation, follow ups and discussion, I always mention the hybrid.
2. During consultation I always refer patients to my before and after photos. I point out that any photos with Steri-strips/bandages are immediately after procedure so the final girth will reduce somewhat when swelling subsides and the filler integrates. There is no deception.
3. Postcare instructions specifically states no intercourse or masturbation for 2 weeks. When he returned for his first top up he reported having sex 5 days after procedure. He most likely did the same after each procedure. After his last augmentation in May 2025, he notified me that pus was oozing from the injection sites. The only time this happened to one of my patients was when he had intercourse 2 days after procedure. Infection is listed as a known risk on the consent form which he signed. Under the best of circumstances, it can still develop. However, when the patient blatantly ignores postcare instructions to avoid intercourse for 2 weeks, that’s a condition brought on by the patient and not the provider. I specifically asked if he had unprotected vaginal or anal sex because it would determine what antibiotic or combination I would prescribe. The patient admitted to unprotected vaginal sex 2 days prior (10 days post procedure). In all likelihood, he probably had unprotected vaginal sex within 3 days while the injection sites were still patent allowing for the seeding of bacteria into the shaft and escape of filler during intercourse. If product was not lasting very long it may have been because it was wasted within the vaginal canal. When prescribing the antibiotics, I made it perfectly clear to the patient he needs to take as directed and to finish the course as there is risk he may lose his penis if the infection is not controlled. I specifically made this clear considering his history of noncompliance. He would probably stop the course once things looked better only for it to recur.
4. Every time the patient returned he complained that all of the filler was gone. He basically forgot his baseline dimensions. This is known as perception drift. He was always bigger than pre-Filler measurements. Stats are listed below:

Erect MidShaft Circumference

Baseline May 7, 2024 = 11cm or 4.25”
Post Augmentation #1 = 14cm or 5.5”

Pretreatment May 21, 2024 = 13cm or 5”
Post Augmentation #2 = 14.5cm or 5.75”

Pretreatment Sep 21, 2024 = 13.5cm or 5.25”
Post Augmentation #3 = 15.5cm or 6”

Pretreatment May 8, 2025 = 12.5cm or 5”
Post Augmentation #4 = 15cm or 6”

He never returned to his baseline measurement of 11cm even during his longest stretch between top ups (8 months). The patient also clearly lost weight as evident by the loose skin seen in May 2025 as compared to April 2024, but he still maintained girth.

I can only wish this patient well in his journey for a permanent solution but it will not involve me. As for potential patients he may have scared away from me or any other providers using absorbable filler, I hope you see through the perception drift and poor recollection of the consultation process and postcare instructions.

Jmart2532 wrote: Hi Skeptical_One,

I’ve provided the photos that were requested. Those are the same photos that appear publicly in the gallery.

I only commented originally because another member said HA did not last for him, and I responded that I had a similar outcome. That’s it. I assumed that is what forums are for — sharing actual personal results.

My personal experience: HA did not last long for me. I needed three top-ups in about a year, and I spent far more than I expected to spend for a result that did not hold. Personally, I discovered that HA feels like a repeating maintenance product to me. I kept paying again and again to maintain volume — and I didn’t like that model at all. Based on that, I personally believe PMMA is a better long-term investment. That is simply my personal conclusion from my own experience.

Also, HA was not risk-free for me. After my third and final top-up, I had a serious infection. I have the email where I was warned that if the infection wasn’t controlled, I could potentially lose my penis or need the filler removed. I have documentation of my appointments, cost estimates, and infection treatment — including the appointment emails and the prescription records for the antibiotics I was put on at the same time. I don’t think anyone wants private medical emails or photos of what my penis looked like during the infection posted publicly, and I have no desire to go there. That does not benefit anyone. But if someone decides to imply I am lying, I do have that documentation saved.

Every option in this field carries some level of risk — and I’m not arguing otherwise — but HA did not last as long as I expected, and in my personal case it also did not end up being risk-free.

I’m not claiming to speak for anyone else. I’m not telling anyone what they should do. I don’t think every person will have my result. I am only sharing what actually happened to me.

You can move this wherever you feel it belongs. I’m not invested in continuing this. I’ve provided my experience and documentation exists. That’s all I came here to say. If the moderators feel this belongs in a different section or should be removed, I’m okay with that.

Thank you for the pictures.

Secondly, no one has said or implied your lying about anything. How could we, we're at the mercy of you giving us the information. In my prior message I simply asked for some substantiating since I felt the comments made were sweeping and left a lot to be desired (by way of understanding the bigger picture). So when I ask to see what your current shaft looks like measured, you choosing not to send it to me doesn't make you a liar, but I imagine it'd be awkward since you were already willing to send your Before & After without hesitation.

I want to be clear as I've stated innumerous times on the forums, no procedure is without risk. My emphasis on the Hyaluronic Acid (HA) safety profile was that comparatively speaking, it is strong given its reversibility, non-permanence, and a bit less inflammatory due to it being a lab cross-linked version of something you have coursing through your body naturally, mostly in your skin and joints (and presumably less prone to inflammatory conditions).

And to be frank, infections are the most common complication in any procedure, this could happen at the Dentist's Office, or in the hands of the best PMMA Injector in what would appear to be the nicest and most sterile patient room you've been in. I have to state for the sake of clarity that anytime you break the skin, you are at risk for infection, albeit small. I've heard of virtually every method share at least one infection story, and 9 out of 10 times had nothing to do with the materials used for the procedure (and instead, bad luck). Either way, that is seemingly a non-issue now so that's that.

I noticed Dr. Leonardo replied, and I think by posting this message, we've effectively steered this Progress Report off course (many apologies @oysters ) I ask all parties engaged in this side-convo cease and resume the original topic at hand. If Jmart2532 and Dr. Leonardo wish to chat it out, there is the Private Message system, and I'm sure Dr. Leonardo has contact info on his site. I don't think starting a new topic is necessary if its purpose is purely for dispute & contention; I hope you have my understanding.