TOPIC: SharkD Bellafill w/ Dr. Rupeka

After much research here on this board and other places I decided to take the plunge and visit Dr. Rupeka to get my first round of Bellafill.

Looking through a lot of results here on this board it seemed like the to me larger volumes produced better results and I knew I wanted a large final result anyway, so I decided to ask for a range of 30-40 syringes with his staff before I arrived. I also asked a PRP shot.

I arrived last Thursday and everything was setup and ready to go. Office staff was great and helped put me at ease. Really enjoyed talking to Dr Rupeka through the process. I really felt like he wanted me to understand everything before we got started.

Dr. Rupeka was able to fit in the whole 40 syringes which I was very happy about. (Honestly, afterwards I wish I had asked for a bit more as the 40 syringes went in no problem) The initial results looked great in his office. Right now there is a lot of swelling and bruising. Nothing abnormal compared to others reviews here on this board.

I started out right at 6” length and roughly 5.25” in Erect Girth along my entire shaft. With all the swelling, I’m right at 6” along the entire shaft as of this Saturday morning. I expect this to come down a decent amount as the swelling seems fairly pronounced. Hoping it doesn’t but I know it will.

I’ll upload some after pictures once the swelling and bruising has subsided. Attached is a picture immediately afterward the procedure before the bruising set in.

Wife and I have done a lot of experimenting, so I know I want to end up right around 7” Girth along the entire shaft, maybe just a bit over but we will find out for sure as we proceed along the process. I’m going to see how this settles out and then make a reservation for round two 6 months from now.

Awesome results man! Dr. Rupeka is excellent and I look forward to seeing updates and results.

Nice Results headed to see Dr Rupeka in about a week..If you don’t mind what were your aftercare instructions..I’ve been reading that AD gives you some weighted ball noose Hanger does Dr Rupeka provide the same??

No, he doesn’t supply a weight to help keep you stretched. Post op instructions are below.

“Swelling, bruising, and/or tenderness in the groin area is to be expected following treatment but will be very minor. Most patients return to their regular activities in approximately one to two days. Rarer side effects include bumps, lumps, or skin irregularities at the injection site(s). We recommend avoiding heavy lifting, intense workouts, and sexual intercourse for seven days. While most patients see immediate results, the outcome of the procedure will continue to get even better over the course of about 18-25 months.

Massage, massage, massage. We advise that you try to massage the product and work it into the tissue as much as possible for the following 7-10 days after the procedure. This should be done in both a Flaccid and Erect state. This is going to be the most important in the 72 hours post-procedure, but can be done as long as needed in order to achieve a more even result.
Discomfort and/or swelling may extend into the groin area. We advise that you do not engage in strenuous activity, sexual or otherwise, that may worsen any swelling or bruising. If you have significant bruising following your injections, please use caution while massaging the area or when using any penis pumps, extenders, or other devices.

Most of the time, any unevenness caused by a lump or bump from the PMMA/bovine collagen gel matrix settling is a TEMPORARY complication. Your body is slowly metabolizing the bovine collagen gel matrix. This metabolism takes up to 16 weeks or maybe longer in some instances. If this occurs, you may place a warm compress over the area to make the product more malleable and enable you to massage it as needed.
Dr. Rupeka can inject any lumps or bumps with a solution that can help metabolize them quicker. Although this is available, most patients will monitor the unevenness and use moist warm compresses and massage. It is important to remember that any initial unevenness (in the first 3-4 months) is usually caused by the temporary bovine collagen gel matrix.

Excessive heat exposure (sauna, hot tubs, etc) should be avoided in the first 2 weeks after treatment.

You need to have patience with the PMMA used for this procedure. PMMA is more structured than a Hyaluronic Acid gel and will potentially be uneven initially. Products like this are sometimes unpredictable and can settle disproportionately. Most unevenness should be monitored and treated as above. Any ongoing unevenness can be treated with a dissolvent or evened out on a subsequent Phalloplasty procedure.”

What he stressed to me in the office was massaging multiple times a day. He recommended at least 3 times a day and said doing it in a hot shower works well. He said 5 times a day would be better but most people have jobs that don’t allow that.

Even though he doesn’t provide a stretcher device, he told me keeping it stretched helps, but doing frequent massaging in both Flaccid and Erect states matters most. I popped a Cialis the day after which has kept it Hanging and really helped getting in many massages in both states for me (he didn’t tell me to do this though).

The massaging he recommended was rolling the penis back and forth between your hands. Starting at the base and working out to the tip. The motion is like trying to start a fire by rolling a stick between your hands you just don’t need to go that fast… The pressure you need to use was more than I was expecting though. He demonstrated it to me when I asked in the office.

The bovine carrier is what can be negatively affected by the high heat of a hot tub which is why he says to avoid them.

Three days post op and my swelling has faded some but I can tell there is still some there. Bruising is visually better today than yesterday. I’m basically 5-7/8” Erect Girth all along the shaft this morning. Flaccid Girth I right over 5” all along the shaft.

The wife is already VERY into the size difference already. We both can’t wait to give it a go when the it’s time.

What would 50-60 syringes set me back? I like the process you've described.

First 5 syringes is $3k and every 5 syringes after that is $2.5k.

SharkD wrote: First 5 syringes is $3k and every 5 syringes after that is $2.5k.

Ok thanks for letting me know!!!

Wow. Interesting information. Does anyone know why with Rupeka you don’t have to strech?
I m also going soon. Isn t there a risk for shortening or that the filler will not grow even??
I mean there is a sense why AD even gives a Hanger !

@SharkD you got a 360 enhancement, also your underside?

I always wondering why hot shower + massage is fine - but hot tube not.
..Not I wish to have a hot tube (haha )
Its more that I m worried to do smth wrong with hot shower + massage

Just an update for today. Measuring just under 6" at the base, 5.75 mid shaft and around 5.7ish just below the circ scar. Seems like all the swelling is gone now except just a little at the circ scar and at the base. Everywhere else is feeling pretty firm.

To answer some of the questions, I did get injections all the way around. I really like that as I was wider then I was tall and now its very even all the way around. Dr. Rupeka didn't suggest getting into a hot tub because the bovine carrier begins to break down at 110F which is close enough to hot tub temps that he didn't recommend it. A hot shower is probably no where near that and you aren't submerged either. No idea about the stretcher.

@SharkD
Oh SharkD I thank you so much for your information. I have the same „issue“ like you. I m much more wide than „tall“ (vertical girth). This is why after 3 times AD - I want to complete with Dr Rupeka the underside - what ll give me more „tall“ girth

Question: Do you have any idea how to explain him this - I mean you know him now in person.
The question is maybe stupid, I know. I m only wondering.

I‘m booked for January!

I think you can just explain to him what you are looking for when you go in and talk to him. He will talk to you about everything before he ever gets started.

I only have experience with LinneaSafe AD.
Now I want to do my last session Dr Rupeka Bellafill to complete with the underside 8cc.

Do you guys think its a realistic goal that I can close the chapter with that last round? (In regards irregularities)

My opinion is yes:
- 8cc is not much, so less risks for irregularities
- I m doing the underside - so even when there would be a small irregularity - it would be not so obvious at the underside!
- I never had any irregularities in my former AD sessions, each ~20cc ! Always.. only came back to get more

7 day update

Holding steady at my last measurements. Just under 6" at the base, 5.75 mid shaft and around 5.7ish just below the circ scar. Results so far are very even. I have one "clump/bump" on the right side right below the circ scar. I've been massaging it trying to get it to go away. Its really not visually apparent so it doesn't bother me but it feels firm and when its pressed its still sore. Hoping the soreness goes away as I heal.

I have lost about 1/2" in Erect length, but I'm not too concerned about it right now. Rupeka warned me that this would probably happen and that it would come back in a few months as my body heals. Also I've read a lot of other peoples stories on here who have experienced the same thing after the PMMA injections. Overall I'm very happy with outcome and am looking forward to getting to try this thing out. Its a pretty awesome feeling looking down and seeing how much larger it is. Loving it.