PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

IM saving my money already for this procedure..lol... im excited. I hope Dr. C start offering this soon

There is renewed interest in this topic, so I shall bump it up the page with this posting. I expect that before the end of the year there may be at long last options for safe and effective glans enhancement in North America. For now the frontrunner in this intervention is Dr Cho in Seoul who has gained a good deal of experience enhancing Korean glans during PMMA phalloplasty procedures. They use specially designed PMMA both for the shaft and for the glans.

For the past several years those of us with diminutive glans have had to wait, hoping against hope, for something to emerge, and our patience may have served us well. This is coming more quickly than we might have expected, so we can today book a flight to Asia and poney up some hard cash, or wait possibly less than a year for a more local solution in North America, possibly combined with shaft enhancement or shaft touch-ups during the same session.

Patience is our best friend. I recommend waiting a few more months for some more daring front runners to test out the options so that we know where we\'re going. While I know my glans is small, the ladies seem to like it like a cherry atop a hot fudge sundae. I don\'t know if I want it to instantly mutate into a candy apple LOL. (that would take some \'splaining too)

Cheers,

HC

Quite well observed Mustang. However, at least there will be a matching shaft and glans size. What won\'t look natural is the narrow section between them. Maybe it can be stretched to look more natural without surgical intervention to widen the circumcision ring? Until they decode the Penis Gene in our DNA and tweak it with a pill to become whatever shape and size we desire, we are stuck trying to get multiple techniques to more or less converge. Aesthetics are hard to reach when you have technical limits and dimensional targets.

Regarding glans enhancement, I am sure we would all be happy to learn more about this procedure especially if it can be offered in South Korea. I for one am ready to book a flight in September and volunteer as a Phalloboards front runner. With serious disproportion between shaft and glans plus a turtling issue when retracting, I am a prime candidate for this procedure. If anyone has contact info, please send me a PM so that I may make arrangements.

HC

I would assume that when erect, there will be a dip in girth right behind the enhanced glans where there is the circumcision tissue that is tight in many cases, then the PMMA implant starts. This will the give the effect of a large glans, small girth in the circumcision area, then large girth due to PMMA implant....Not sure if it would look right....

Regarding the above photos, they all seem to be pre-op and immediately post-op medical office photos.mIt seems logical that right after injection that this would not be the final result, as we have learned with collagen generating PMMA injections that the injected tissues first swell, then reduce and finally collagen builds up over time. So while the final result might approximate this volume one or two months later, it may not be identical and may even be far lesser in certain cases.

Also, each picture shows an after photo of a very pink glans, which is probably due to inflammation after trauma, unless there is a coloring agent added to the filler. We can note that substantial gains can be made in volume, and whether lasting or not, filler can be added in order to top up the volume as desired. Therefore there is at least a temporary solution to a small glans, however at present it remains very costly and inaccessible geographically for those not in or near South Korea.

It is a real advance that today one can request such a volume increase no longer risking the very undesirable \'flowering\' effect of earlier fillers. It would nonetheless be useful to know whether there is a creation of lasting collagen which would remain permanently, even if only a limited proportion of the original volume enhancement.

Hunk Chunk

Hi Hans,

With my rather extreme stuffed olive Ninja Turtle retraction, I think I\'d be ready to volunteer in September, if it isn\'t too expensive. However, it sounds like I may not be able to afford it at the announced costs. Plus it seems that it may - or may not - be lasting? This is the part which has me concerned. The following phrase is subject to interpretation:

\"When Dextran is long-lasted in the human body, it remains stable within the collagen tissue capsule at any cost, and if there is no tissue capsule, it biodegrades in 1-2 years.\"

Does this mean that once collagen has formed, it remains for many years? And therefore that Dextran acts something like PMMA but without the plastic beads? Or does it mean that you can inject Dextran which will remain suspended inside the glans pressing it outwards to give it volume, until it eventually totally resorbs in a year or two? If any of you know how that statement should be interpreted, thanks for helping me decode it.

This is something I would have to clarify before criss-crossing the planet and breaking the piggy bank. The photo from above, which I think best shows how an enhanced unit which has a PMMA sheath can benefit from a more proportional glans, is this one:




You can readily distinguish the implant around the shaft, which becomes far less noticeable once the glans is in proportion to the augmented girth.

Cheers,

Hunk Chunk

@Smartman

Sorry just got your email with the pics, sorry I didn\'t get them up sooner but thanks to Olafspo for volunteering. Smartman, feel free to send photos in the future and follow it up with a PM so that I know it\'s in my inbox, I am not always good at checking the email daily unfortunately. Thanks again for the pictures, your contributions keep this forum on the cutting edge!

Great results in those pics..so I guess now it needs a pioneer from the forum haha..

Here some pictures that Smartman wanted to show us:

Hi Smartman,

I\'d be very interested to learn what aesthetic differences one can achieve with such a procedure. I know that some techniques only enlarge the outer rim while others tend to be more balanced in their results. What I am especially interested in also, given that this intervention is said to deliver proportional volume increases, is how large it can become from a given starting point. Assuming all parties remain rational about it, of course. So I look forward to seeing those pictures.

HC
PS. You\'ll soon be joining me in the 500 club

Thank you very much Dr.Cho for accepting my invitation to join our Forum that was very kind of you .

You have also mentioned to me :-

- From your experience of glans enlargement, degree and duration of efficacy was similar between Lipen P and D.
In the case of P, glans becomes more solid, causing a bit of lack of natural feeling. But shape is natural.

- The effect of glans enlargement by Lipen P & D may decrease gradually and slightly over time , but expected to last for a long time.

- And \' the unpleasant irregular or rounded or flowered-like shape\' of Glans could be improved markedly after injection of Lipen P&D.

- The size of PMMA used in Lipen product is about 100 micron.

- You have two kinds of Lipen P. One in PMMA (15%), the other is PMMA (10%)

- You suggest D is a more suitable and appropriate in the glans enlargement.

- The results shown in nasolabial wrinkles clinical tests and animal tissue tests,
the degree and duration of efficacy of the P and D seem to have no big differences.

- However, in terms of safety, D seems to be much safer.

- Since the glans tissue is connected with Corpus spongiosum without any partition , I suggest it will not necessarily be safe
even though the particle size of PMMA 100 micron.

- When Dextran is long-lasted in the human body, it remains stable within the collagen tissue capsule at any cost, and if there is no tissue capsule, it biodegrades in 1-2 years.


Thank you for your profound interest in Lipen.

---

If you don\'t mind Dr.Cho I have asked our moderator SO to post the pictures before and after you have sent me .

Can you please, send us the address and the phone no. of your clinic in Korea ?

Dear Doctor Kangseon Cho,


Many thanks for your kind participation in our discussion - we are truly honored by the presence among us of so eminent a physician and researcher.


We can well understand that when designing a new medical procedure, patient safety is paramount, especially when the applications are more cosmetic than for the treatment of heavy pathologies. Therefore your caution when exploring potential fillers is very understandable.


With respect to the preoccupations of patients seeking phalloplasty, they may be perceived as only wishing for a resolution to psychological concerns about their intimate anatomy. However, you are well aware that self image and public image involving genital size, proportions and aesthetics are all factors of achieving the most important intimate communion, and are therefore part of healthy socialization leading to founding a family.


For these reasons, many prospective patients for glans enhancement are hoping for a lasting treatment which may resolve disgraceful proportions due to genetics or to prior phalloplasty. It is not so much an act of vanity as it is one of psychosocial healing. For this reason you bring an important contribution to mankind far beyond that of simple cosmetic surgery.


It is true that for wealthy patients living in East Asia, using Dextran may bring a valid long term solution granted that they return to your clinic as often as needed for \"refills\". This is made rational by your pricing which is entirely based on the units of product injected, making frequent top-ups a recommended way of ensuring that one\'s enhancement remains relatively constant, rather than fluctuating in volume from full to empty.


For less affluent patients from distant regions many thousands of miles away, it would be economically prohibitive to travel at regular intervals to South Korea for follow-up injections, given that the expenditures involved would be far greater. Unless there is a network of phalloplasty surgeons or cosmetic surgeons able and willing to offer your technique on each Continent, it appears to have been designed as a region-specific procedure.


For these reasons, you can understand that some of us still place hope in the results of your current clinical trials with Lipen D for glans enhancement, as this would possibly induce permanent collagen growth inside the glans, leading to a more lasting volume increase.


Thank you for your patience with my absence of medical competence and candid communication of our hopes for a more permanent medical breakthrough in glans volume enhancement.


Most respectfully,


H. Chunk

We started clinical trials of Glans enhancement using Lipen D to get approval from Korea FDA. It is go along under management of KFDA.
I think non-biodegradable PMMA materials is not suitable on glans enhancement even if there is previous successful experiences.
<Reasons>
Since the target area of injection is connected right with Corpus spongiosum without anatomical septum , I suggest it will not necessarily be safe even though the particle size of PMMA 100 micon.*And cross linked Dextran could be long-lasted in the human body, it remains stable within the collagen tissue capsule at any cost, and if there is no tissue capsule, it biodegrades. I have many successful experiences about it.

I agree HC, that was disappointing news to all of us . Lets hope that they find something better in the near future.

Hi Smartman,


This isn\'t quite the good news I and others here had hoped for! At least there is some progress in glans enhancement research and applications. Two things irk me about Lipen-D:


- cost: roughly $4000 to $5000 for 4 tiny shots in the glans during a brief outpatient procedure. This product is outrageously priced, even if the research, patenting and clinic time is included. One milliliter is a very small quantity. He also is quoting the amount of product meant to enhance a Korean, when it is rather well known that in the ethnic distribution of penis size, they are at the lower end of the spectrum. We can assume that we might need between 10 and 15 milliliters, which could make the cost skyrocket. That is a heavy budget for a small portion of our anatomy, especially as this isn\'t a one time only procedure?


- permanence: it only lasts 2 years? So this is just another resorbable filler which at least works without flowering or adverse reactions? That is a long way from a permanent solution such as PMMA. I hope that one day they shall find a way to permanently enhance this part of our anatomy. There must be some material which can be used similarly without serious health or aesthetic risks. BACK TO THE DRAWING BOARD...


I had understood that they had come up with a breakthrough, but the PMMA breakthrough for shaft girth enhancement may have led to excessive expectations among us. Actually, clinical dextran isn\'t as expensive as one might think. Non clinical is rather cheap when compared to the prices charged, plus the clinical cannot correspond really to what is billed when you consider that it is supplied in quantities from 100 grams per unit and as high as 50 kilograms of powder in a single package (as large as a cement bag). Let\'s hope such high pricing at the only clinic in the world offering this procedure doesn\'t lead the daredevils among us to inject themselves !


www.dextran.net/dextrans-clinical-dextran.html


Dextran is a branched glucan composed of linear ?(1?6) linked glucose units and ? (1?3) link initiated branches. Dextran ranges in size from 10,000 to 150,000 Kd. Dextrans are used in many applications as volume extenders, stabilizers, matrix components, binding platforms, lubricants and physical structure components.

SOURCE: Sigma Aldrich Dextran from Leuconostoc


I really hope they also propose Lipen-P which makes the procedure and travel around the planet cost-effective if not done every 2 years... Keep us posted when you hear back, and many thanks for saving us all the footwork to find this out for ourselves!


HC