TOPIC: Day 10 HA Filler – Swelling & Tenderness Increased After Initial Improvement

Hi everyone,

I’m currently Day 10 after HA filler. Recovery was improving and I was very happy with the result, but after sex on Day 7 I’ve developed increased tenderness, warmth, and swelling, mostly on the left side near the Circumcision line where more product was placed.

I had a video call with the clinic and they believe it’s inflammation and recommended ibuprofen. My concern is that the area looks noticeably more swollen today than yesterday, especially the upper left portion, and there is a firmer spot underneath.

I have no fever, drainage, severe redness, or skin discoloration.

The first 3 photos are from tonight (Day 10) after being on my feet all day wearing fairly tight dress pants. The last 2 photos are from last night (Day 9).

Has anyone experienced a flare-up like this around Days 10–14 and then had it settle down? How long did it take, and did anything besides time and anti-inflammatories help?

Thanks in advance.

@rigo2095 That is not normal. Between that and the gradual skin darkening from your photos, I would recommend seeking a Urologist who is familiar with girth enhancement complications as soon as possible. HA is "safer" than PMMA because it can be dissolved with hyaluronidase, but it is not without risks, especially when injected too deep and/or in too much volume.

Quick update: I saw a local Urologist today. His assessment was inflammatory edema/lymphatic swelling rather than a major complication. He started me on a Medrol taper and amoxicillin, and showed me a gentle compression technique to help drainage.

The doctor in Lima who performed the procedure has also been very responsive. Swelling was worse this morning, but after treatment and compression it feels somewhat softer and less tense. Still swollen, but I’m cautiously optimistic.

I’ll continue treatment and post another update next week. Thanks everyone for the feedback and support.

Quick update: I finished my steroid taper last Wednesday. By Wednesday, Thursday, Friday, and even most of Saturday, everything looked and felt great. The swelling was gone, the filler was soft again, and I thought I was in the clear.

Saturday I did a leg workout, spent about 10 minutes in a hot sauna, then had a long drive to Miami. Saturday night I started noticing some mild warmth, itching, and firmness again. Today it’s about the same—not getting dramatically worse, but not improving either. Gentle compression seems to keep it from progressing.

Has anyone with HA (Hyaluronic Acid) penile filler experienced this pattern? Improvement while on steroids, several good days after stopping them, then a delayed flare-up?

Did it eventually settle on its own and your body accepted the filler, or did you need another round of treatment? I’d really appreciate hearing from anyone who’s been through something similar. I am at day 20 of the application btw.