PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

I seriously don’t think it looks too bad. I think u still have swelling distal to the Alloderm graft. I would give it 6 mos to settle and deflate. I really think it will look good

I'm terribly sorry about your ordeal. While your experience with Dr. Liu isn't characteristic of other reports with his Office (in terms of bedside manner, professionalism, and skill) on both this Forum and through PMs & Emails, I have no reason to doubt that you yourself had an unfortunate and unsatisfactory experience (as thoroughly detailed in your report here).

I feel like after seeing your photos that this could very well be fixed -- I am not absolving Dr. Liu of any of your present complications, but I will say that Dr. Elist post-op removals are notorious for scarring, and the extent of the fibrosis makes "full removal" difficult from my understanding. This comes from reading many past reports from former Elist patients over the span of 15+ years. While I simply can't know given the complicated nature of having gone from the silicone implant to a dermal graft (with the former being notorious for leaving long-term issues), I have to wonder if Dr. Liu underestimated the impediments that can be present with a former Elist implant removal. Now you might say this is something he ought to know but it's not quite that simple because phalloplasty is not a standardized methodology and still regarded by some in the medical field as experimental in nature. So I believe this confidence of his you spoke of was natural because he relied on his experience as a Plastic Surgeon, as well as his extensive work involving a whole suite of male enhancement procedures.

However, Dr. Liu to my knowledge hasn't done a high enough volume of implant removals based on the fact that if someone were to reach out to me for recommendations on removal, he wouldn't be on the shortlist only because there are a handful of others who have the requisite volume of implant removals performed (and not due to a skill issue with respect to Dr. Liu). The lack of sample size in dealing with former Elist patients (in fairness, this is an educated presumption on my part) may have played a role in him not having the full scope of the degrees of severity that can occur with implant removals (and complications from Elist's implant do range wildly in severity and type throughout the years). And I say this to say that the vast majority of Plastic Surgeons in the U.S. would have even less experience dealing with the scar tissue buildup post Elist implant-removal, much less specialize in male phalloplasty. Due to the implant's notoriety, some Clinics won't even perform non-surgical penis enlargement procedures on former Elist patients, even if there is no obvious lasting complications.

If I may ask, have you specifically reached out to him specifically for revision? I wonder if perhaps (and again, I'm in no way dismissing the legitimacy of your claims) there was a communication breakdown somewhere, because this is not in line with his general reputation & reception of the past few years, and I genuinely believe he's the kind of Surgeon who would want to see a happy ending for all his Clients -- you have to remember, Sponsors get additional scrutiny by being on the Forum, which is to the Community's benefit because it holds the Practitioner to a higher standard of care by having a public profile on the only site dedicated to the topic of surgical male enhancement.

I strongly recommend trying to reach back out to him and express your grievances like you did here, civil and honest. I genuinely believe he will get back to the drawing board and at the very least correct the Alloderm issue. I implore you to take this route, especially since he's worked on you previously, he'll already be privy to the challenges your penis may present. Since he's already a qualified phalloplastician, going to a third surgeon may only stack new layers of complexity and isn't necessary at present time (first Dr. Elist, then Dr. Liu, then Dr. John Doe and so on). The only reason I'd recommend going in any other direction is if neither party can come to a reconciliation. That said, he works with a Urologist when he travels to LA from the Bay Area, perhaps getting him to review your medical records can be that 2nd opinion without having to add the aforementioned layers of complexity -- so ask him about that too.

Please keep us posted, and like I said earlier in this message, I do see a penis that is very correctable. I know it's hard to keep a positive attitude all things considered, but do it for your own future & health, as well as ensuring there can be some degree of reconciliation so that (1) the Doctor does what he promised and (2) the Patient (you) gets what he deserves.

looks bad...sorry to hear the news

Hey everyone—I’m writing this with a heavy and deep regret. It’s been about two months since I underwent a procedure with Dr. Liu that was supposed to be life-changing in a positive way. Instead, I feel compelled to share my story in full, in hopes that no one else ends up in the same nightmare.

To give you some background: I unfortunately had the Elist implant placed back in 2015. That decision was the beginning of a long, painful road filled with complications and emotional distress. I had it removed in 2016, but the damage had already been done. I was left with dense, fibrous scar tissue that caused serious restriction and discomfort—physically and emotionally.

Fast forward to 2025. After nearly a decade of dealing with the fallout, I finally decided to pursue scar removal, a ligament cut, and the Alloderm graft with PMMA. After consulting with Dr. Liu and hearing all the things I wanted to hear, I believed I was finally going to reclaim what was taken from me. He spoke with confidence. He made promises that he would “make me better” He didn’t show any concern and made it seem like he would expertly handle the procedure with a natural, satisfying result. That illusion cost me $22,000—and even more problems than before .

What I wasn’t told:
1. I would not be under general anesthesia, but wide awake under local lidocaine.
2. He would not be removing all the scar tissue as promised, but instead “releasing” it—whatever that means.
3. There was no post-op plan to prevent reattachment of the scar tissue, which was the root of the reason I contacted him.

During the procedure, things quickly went from calm to chaos. At first, I only felt pressure, but as the lidocaine wore off—and Dr. Liu failed to keep up with numbing me—the experience turned into a living hell that I can never forget. It felt like I was being sliced from every angle with no escape. I could hear the frustration in his voice as he rushed and stumbled through what was clearly a complex, delicate job. At one point, I laid there thinking: This man isn’t equipped for this. I’ve made a terrible mistake.

The very next day, I told him I could still feel the scar tissue—hard, unyielding, the same as before. He brushed it off as swelling and insisted he had removed “everything.” But I knew my body. I knew he hadn’t. I could see and feel that he hadn’t. About 2 weeks later he removed the botch stitch job and struggled removing them. He told me oh, they are dissolvable so they it’s okay if a few are still left behind. Everyone knows that blue stitches are plastic and don’t dissolve. Over the next few days I would feel some still left behind and had to gently cut them out myself and I can still feel one that wasn’t removed.

Now, two months later, what I originally said has been confirmed. The scar tissue is still there. It was never removed—just “released” and left to mold back together like I warned it would. No spacer, no preventative care, no real afterthought. The result? Lumpy, unnatural appearance when flaccid and erect. It feels wrong. It looks wrong. It’s not even symmetrical or even!! The Alloderm doesn’t ever go down to the shaft. Nothing like what he promised or what a skilled surgeon should be proud of.

What’s most crazy is that he showed no accountability for the irregularities and complications and pain I now live with daily. No real action plan during follow ups. No real concern. Just feels like it’s not his problem.

I feel violated. I feel lied to. I feel betrayed. And most of all—I feel devastated that I trusted someone who clearly wasn’t prepared to deliver what he promised.

Please, if you’re considering this route, do your homework. Don’t let a smooth-talking consultation blind you to the reality. I wouldn’t wish this experience on my worst enemy.

@Skeptical_One
Would you also advise it in a case of very very mild scrotal webbing, to get a most stratified Pmma result? (very mild = average / common scrotal webbing, like most people have)

Also in case you want to do a Pmma underside enhancement - its better to remove it.

Also my advice is to do a conservative Pmma enhancement, but use also your underside to get enough volume

First and foremost, thank you for taking your time to write such a well thought out and helpful response.

Dr Greta when I mentioned getting a circumcision or going for Ellanse was against it, I think primarily because

1. Ellanse is not reversible and still has issues such as filler migration, plus harder fillers such as Vollux are comparable in feel with far less risk.

2. She never went into detail about why I shouldn't get a circumcision but I would presume perhaps it's because my penis is already very aesthetic and above average. My flacid is over 5.5" on average and sometimes close to 7" depending on blood flow. So I can understand from her perspective that it's already well shaped and good, that I'm just going overboard. Whilst she has never implied this, she has made comments saying that my results are good and I should be happy.

I think I'm going to just get some more dissolved so I'm at around 5.75" girth which would be a 0.50" gain over my base line. Then opt for Vollux top ups, at least for the next few years.

I have very elastic skin and feel like getting a circumcision would be great for a few years but eventually I feel like after lots of sex it would stretch and start to be moveable and noticeable again.

I think my best bet is as above, get some more dissolved, stick to +0.5" over my baseline and just be happy. 7.5 x 5.75 is a lot of peoples ideal or pretty close and I think that I just need to be happy. I've always had very positive interactions with women. I guess I just wanted that "crazy" look where it looks oversized on my body.

I would still consider PLLA/PMMA in a small amount to get to 5.5/5.75 in the near future, but lets see how it looks after I get it dissolved.

Are there any good clinics who provide PLLA/PMMA in Europe or the UK? I see that Penisfill does PLLA hybrid but for some reason they were doing it at competitive prices to Androfill up until a few months where now it is like £13,000.. Lol!

To any of you who have underwent PLLA/PMMA/Ellanse in uncircumcised members but in subtle amounts, how did this fair long term?

To any of of you who have underwent a low and tight circumcision, how did this fair long term?



Thank you so much

jackets5 wrote: I had a significant Turkey neck and excess scrotal skin and had Ellanse done by Dr. Morales about 2 years ago with no issues. I just this january had the Turkey neck and scrotal skin removed by Dr. Alter in LA with zero complications but a much nicer look

quote="Mconklin1964" post=1308720587]Hey fellas, I am looking for your insight on something.

I have a very mild turkey neck, which is seen at the very bottom of my shaft when I am erect and maybe 1/2 when I am flaccid. There really is not any aesthetic issues related to this and I have not experienced any issues as a result.

I plan on getting PMMA enhancement and am wondering whether it is necessary (or just smarter) to have the turkey neck surgically removed prior to doing so.
Because there is scrotal skin on my shaft when flaccid, I am slightly worried that it would be more difficult to inject into me and perhaps easier to accidentally place the product in the scrotal skin which could then seep down into my scrotum. I would clearly rather just go forward with the PMMA and not have to get surgery for the turkey neck, but will do so if it is smarter.

I have received mixed advice on this from doctors: Avanti said it would not be an issue, whereas Tsay said it would be better aesthetically to get it removed.

So have any of you with turkey necks (mild or severe) gotten PMMA girth enhancement and have you had any complications? Are you happy with the results?

Thank you!!!!

One of my many roles here is to remain impartial, however there are certain matters I'm known to stand by irrespective of whether or not it may conflict a position a Sponsor takes. Now I am no Medical Professional, I'm more or less the de facto Patient Representative & Educator, and generally speaking, both Avanti Derma and Dr. Tsay are correct (on one hand turkey neck won't prevent you from getting a procedure done, but it could potentially create unintended impediments in terms of providing the best result -- keyword "could," not "would").

I've always been of the camp to get your scrotal webbing reduction done first. This way you can maximize the amount of shaft that is available for enhancement. Again, neither of them are wrong per se, but I would personally recommend getting your penis in an optimal place before pursuing full-on girth enhancement.

I'm surprised to hear Dr. Greta "stands firmly against circumcision," -- is this in general, or for the purposes of future male enhancement? I'm not disputing her expertise, she's a smart Physician with a solid Urological background, and every Provider does have their preferences.

With Hyaluronic Acid (HA) approached at a very conservative approach (i.e. low volume injections every round), I suppose an uncircumcised (a.k.a. uncut) guy could have an aesthetically satisfactory result. The issue historically is that uncut men have exhibited a higher frequency of aesthetic irregularities (namely the condition called the "accordion effect" where it looks just like it sounds) -- I'm not saying that all uncut guys will inevitably have this problem, only that in my time observing injectable phalloplasty, the lack of circumcision has a strong correlation with a higher frequency of aesthetic issues.

This said, Dr. Greta will likely take the approach using HA I suggested initially (HA's temporary nature will ensure you aren't stuck with an undesirable result for a lifetime and/or the necessity for more invasive means of resolution), and frankly, if she feels that circumcision is not the direction you should take and you intend on keeping her as your Injector (she's the best in Europe so I can't see why you wouldn't), I would take her advice. It may just imply her approach will be markedly reserved -- the aesthetic statistics from other uncircumcised patients may have been exacerbated by both the higher volumes injected AND permanence of fillers like PMMA, although I can't know for certain.

I have to rely on overwhelming patient/member anecdotes & feedback from other Clinics to generally recommend adult circumcision for fillers unless your Performing Physician is a vetted PhalloBoards practitioner who has recommended against it (there can be valid reasons for their position based on each patient's unique individual needs).

Also as an aside, if you were getting PMMA, I would absolutely advise adult circumcision. Undesirable outcomes would be very challenging to correct with permanent fillers and could take multiple subsequent appointments to fix (and this is not in conflict with Dr. Greta's advice because she does not use permanent fillers). That said, even PMMA doesn't mean that uncut men are fated to have poor results, but like with all fillers, the rate of aesthetic complication versus those who are circumcised is notable -- so for guys reading this who are uncut and want PMMA, it TECHNICALLY CAN be done so successfully, but I personally wouldn't recommend it. This makes HA ideal for the uncircumcised man.

I would be curious to know if Dr. Greta explained her position on circumcisions -- I'm assuming you asked her to elaborate? I wonder if this was specifically in your case or more of a general preference on her part? Like I said before, I'm not disagreeing with her if she employs "reversible gains" which you mentioned, via low-volume rounds (which I know Androfill and Dr. Greta are very meticulous with their craftsmanship of the phallus), but I would like to hear her expert take on this (which I can get myself for the Forum discourse if you don't know, or if it may be a while until you speak to her again).

In a nutshell, if you wish for her to remain your Provider (a Clinic & Doctor that is formally endorsed by me, the de facto Patient Representative & Educator PLUS Administrator of the only site dedicated to this topic for well over a decade) then I would value and adhere to her recommendations if they are strong and/or (obviously if they are) required.

As for your comment on a natural looking penis, we all want as "natural looking" a result as possible, and fortunately, most results that don't go overboard on the girth can achieve this through incremental rounds over time in the hands of a skillful injector like Dr. Greta. However, for all those reading this post must know that we can be our own harshest critics, and you yourself will know that an enhancement has been done, be it visually, physically, or both. Like any other bodily enhancement (breast, butt, etc.), there will always be a degree of artificiality, even if minimal. It is important I convey this to the Readership & Community because if you are very hypercritical about these kinds of things ("how" natural results end up), injectable phalloplasty may not be for you. However, if you can go into it knowing that you will personally be able to tell (while most, if not all, others won't) and that you can handle this reality, you can be a qualified candidate for these kinds of procedures.

I will definitely let you know how much I get - but I don't think that it will correlate with your options - as we will not be getting the same filler done. I know that in Mexico I'll be getting Linnea PMMA and you'll be getting Bellafill PMMA in Ohio. Since the filler is different I believe that if the same amount were used of each product, our results would be really different. That website looks like a great resource for you to figure out how much to get though!

I would love to read the other input sine I'm interested in this topic. Can you provide the different forums and sites...Thanks

Curious as to what community that is; i've seen no overall agreement. In fact I've seen doubt regarding the benefit of hanging due to the associated risks....thanks

Anyone here with verifiable length gains after pmma?

As someone who wants to continue to gain length after pmma this is the most interesting topic to me. On different forums and sites there seems to be a lot of people who think it's harder to gain after pmma but would with admittedly no proof either way. In my mind where the beads aren't actually connected I don't see why beads in and of themselves would make it harder to gain but I do believe a thicker shaft in and of itself would be more challenging to lengthen over time as compared to a thinner shaft. It would be nice too know if anyone has had even a legit half inch gain after pmma. I personally find it easy to believe the pmma won't budge at all once set up though as far as the original OP here is inquiring about. I also feel like compression hanging would possibly field more results after pmma since you are on pulling from the base more where there is less pmma compared to vac hanging or extending where traction is uniform along the whole shaft. Personally my go tos are compression hanging and vac extending.

www.rejuvall.com/penis-size-calculator/

Check this out from rejuvall.