TOPIC: Round 2 Report - Dr. Rupeka

Hi guys, I've been a lurker and a poster for a while but haven't had a chance to provide my progress report. I'll break this post up into a before and two-round updates.

Preliminary-
I've done two rounds thus far in May of 2022, and July of 2023.

Baseline:
Length Flaccid - 4"
Girth Flaccid - 3.5"

Length Erect - 6.5"
Girth Erect - 5"

I discovered Girth enhancement in January of 2022 and started doing research for about 3 months before making an appointment to have the procedure done. I selected 3 clinics and did consultation appointments with each. My preference was to stay in the USA for the clinic appointments and made that a primary criterion in the selection of a provider. From the beginning, I've had an ending goal of 7-7.5" in Girth since my former long-term girlfriend loved the size of toys that measured that size Girth. I'm in my 40s, so most of my partners have had kids and I think that is a reasonable goal to shoot for.

I interviewed three doctors:
1) Dr Shafer in NYC - Amazing doctor and he had an amazing clinic and many glowing reviews. He wanted to start with HA which was considerably more expensive than most due to his location in NYC. I wanted to go with something more permanent if I was going to get to my goal size without a lot of repeat visits to maintain size.
2) Dr. Zimmerman in Las Vegas - Dr Zimmerman was amazing and had more reasonable pricing. Additionally, he featured many informational/educational videos on TikTok which were quite informative. He had a great medical pedigree as well. I also at the time was going to Vegas about 3 times a year.
3) The third doc I cannot remember but I believe he was in the El Paso TX area. He had great reviews but was a bit more expensive than Dr. Zimmerman, but much less than Dr Shafer.

I made my decision to go with Dr. Zimmerman because of the price, and how caring and informative he was in the consultation. I was also traveling to Las Vegas in May of 2022, and he and his staff worked me in.

I'll post a follow-up to this thread about my first round shortly following

I flew to Vegas for a week in May of 2022 and scheduled the visit for Tuesday of the week because at the time Dr. Zimmerman required two follow-ups a couple of days post-procedure. I wanted something to give me a boost from the COVID lockdown and the stresses that created, and motivate me to lose the weight I had gained during COVID. I am also Circumcised.

COVID restrictions were still in effect in Las Vegas so there was no one in the waiting room when I arrived. The staff was extremely friendly and had me fill out paperwork and sign Bellafill releases before the procedure. Dr. Zimmerman recommended only 10 syringes of Bellafill for the first visit, so I chose that option. There were options for HA in addition to the Bellafill, and I chose the Bellafill for 10 syringes for a price of $8,000 USD at the time.

The staff did the prep for the procedure in which I had to put on a specifically designed gown and then put a numbing cream on my penis to help <s></s> pain sensation. I waited around 20 minutes for the cream to take effect and the doctor came in to apply the filler. The nurse also took before, and after procedure photos for my file. The doc worked with me for about 45 minutes, giving me anesthetic injections and applying the filler. He worked more from a distal to a proximal approach. I just looked at the ceiling and chatted with him and the nurse during the entire procedure.

Afterward, I could feel the added Girth and the nurse wrapped my penis in a stretch gauze and bandage and instructed me to change it every 4-5 hours for the first day. The doctor instructed me to stretch it some and massage the area of the implant for the next two days every 4-6 hours. They then scheduled me for a followup in two days.

I was numb for the next 3-4 hours which was a very strange feeling but the feeling came back slowly before bedtime that day. I was additionally instructed to refrain from sexual activity for the next two weeks.

Two days later I reported for the follow-up and all was well. The follow-up visits also included a gainswave procedure in which the nurse used the gainswave device on my Penis for about 20 minutes each time. The doctor reportedly felt that this helps with the collagen forming post-procedure.

After the procedure, the area below the glans and proximal to the Circumcision scar looked hugely inflated I'm guessing because the skin is thinner there. It worried me at first but was back to normal about 5 days after the procedure.

My end result was:
Flaccid Girth - 5.25"
Erect Girth -= 5.75"

Dr Zimmerman also requested you wait at least 6 months between procedures. So I intended to go back for the next round between 6 and 12 months. While the Girth increase was nice, I knew I wanted much more. I understood from the start that this would be a multi-round process, so I was happy with the results in the first round.

I had video call follow-ups at month 4 and month 6 with Dr Zimmerman as well just to check how the procedure had gone and if there were any irregularities. The was a small uneven spot on the underside of the penis, but nothing that couldn't be smoothed out with future rounds.

Please stay tuned for my Round 2 update.

After 14 months I was reading posts on this board and came across other persons that had visited Dr. Rupeka and had amazing results. I started looking into him, as he was much closer than going to Vegas. I liked him in his consultation and found that he is ok with larger volumes. Since I wasn't near my goal, decided to book a round with Dr. Rupkea and it was one of the best decisions I made.
I booked a round of 25 units of Bellafill, much more than I had done the previous round and since I had lost quite a bit of weight I had about a 2 Inch gap between the base of where the filler stopped and the limit of my new fat pad. A majority of the filler was used to fill in that noticeable gap at the base. Since Dr. Rupeka fills proximally to distal, it was a reverse approach of Dr. Zimmerman. I feel this gives a much more aesthetically pleasing result. The base is wider and tapers toward the head.

I flew to Akron and drover over to Warren the morning on the 1pm appointment. I arrived around 12:30 and waited for the office staff to come back from lunch. Promptly at 1pm the put me in the exam room and asked me to disrobe. I put on the cover-up given and within 5 minutes Dr. Rupeka came in, consulted me on the procedure and asked if I had any questions and got to work. He was amazing to talk to and I felt totally at ease with him. It took him around 45 minutes start to finish, then I got dressed, checked out, and drove back to the airport for a 5:30 pm flight.

Despite 150% more volume than the previous round I had no major brusing or problems. There was a few small lumps at the insertion points of the cannula, but those dissipated in about 4-6 weeks. Overall the size was great and the aesthetics are amazing. He does amazing work. I only have a bothersome gap between the glans and where the filler picks up, but he assures me he can fix that on future rounds. He doesn't like to go above the Circumcision scar on the first round with him.

I included a couple of pictures with the Uro-wrap that I kept on for a couple of days, and he requested no sexual activity for 7-10 days.

The remainder of the pictures are about 3 months post-procedure.

The final measurements were:
6" Flaccid and 6.5" Erect Girth and my length remains at 6.5" inches NBP. I have been very please, and plan on doing another round in the next few months.

I cannot recommend Dr. Rupeka highly enough, and you can google his practice to find his current pricing structure.

Stay tuned for more updates as I work to schedule another round.

So the first round you got .75 from 10 syringes (5.0->5.75)
Second round you got .75 more from 25 syringes (5.75->6.5), correct?

That first round I would say you outperformed expectations.
Wonder how many syringes you would need to get another .75"
Or conversely how much growth would be expected from 25 more syringes.

I'm sitting at 6.5" now, when I was swollen it was 7" and that was perfection to me, likewise now when I pump for funsies I get to 7" and it's awesome. I'm forcing myself to hit certain fitness goals before I go in again,

Interesting topic.
In my opinion: „Fresh“ skin give the most feedback to Bellafill. This is the reason why Your first round is always the best.
Some weeks ago I did my last round - but underside only. (First time injected here) lets see whats the response.
If there is high response: Is a nice feature for people who „PMMA-virgin“ on the underside to make a peak again.

@jcregans
How was your „gain-journey“ - so for example some weeks after your Round 2 in July 2023 - and lets say 6 months after Round 2. There was some minimal gain drop ???

I m only wondering with Metacrill I always a small drop 0.1/0.2 inch. How it ll be with my BellaFill ??

I did notice a better response the first round, and additionally I had a much bigger fat pad preventing administration to the base of the penis. Between round 1 and 2 I lost a good bit of weight, and it left a noticeable gap of about 2 inches at the base where there was no filler. Dr. Rupeka had to use a lot of the 25 I had in the second round to fill that gap as well as add Girth to the entire shaft. I think that is where the difference in size gain from round 1 to 2 impacted the result.

I'm not sure what I would expect from 25 more units being applied. I know you have more area to cover as you get bigger so it may not be as big of a result with an additional administration of 25 units.