Welcome, Guest |
27 Apr 2024 17:27 | |
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Thanks so much for taking the time and chatting with me. I’ll try and keep things posted here. Today I’m a little more optimistic lol. Let’s hope it stays that way. Thanks again and talk soon. Billy Category: Patient Support Group & Progress Reports |
26 Apr 2024 02:42 | |
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I fixed it for you I know you may find this place to be a bit implant-averse (when it comes to augmentation, not so much erectile dysfunction, two totally separate applications, and often separate designs). That said, it doesn't necessarily mean you're condemned to a failed procedure, but that you have in-fact undergone a method that has had a history of not-so-stellar reviews. That said, follow your post-op instructions and just take it a step at at time. Best of luck. Category: Patient Support Group & Progress Reports |
25 Apr 2024 23:15 | |
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They dont do penuma here so many horror stories your better off finding a subreddit for this this gorim is for fillers primarily best of luck Category: Patient Support Group & Progress Reports |
25 Apr 2024 21:12 | |
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My first mistake…. Did I post under the Doctors forum? Dammit!!!! Category: Patient Support Group & Progress Reports |
25 Apr 2024 21:06 | |
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This is my first post, I’m probably doing something wrong lol but aim hoping to start a dialogue with others who have also had this procedure or knows a great deal about it. I thought I’d read enough about the different options and methods for penile enhancements, but coming across this forum the day after my procedure, has me nervous, to say the least. So far so good I guess. I’m a little more than 24 hours in. Everything seems fine, I feel fine. I suppose my biggest fear is infection? That seems to be all the doctor and nurses mention to me. I’m a smoker and I haven’t totally quit until yesterday. But, if it matters, I’d only smoke 3-6 cigarettes a day…. I read a couple studies and it seemed the ones who quit prior to surgery versus the ones that never quit - Both had essentially the same healing statistics. Maybe this subject is a nice place to start? I have no problem answering any questions and have no problem sharing any pictures. Thanks so much for the time and talk soon. Category: Patient Support Group & Progress Reports |
17 Apr 2024 00:10 | |
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thebiohacker.com/forums/threads/penis-gr...ker-sponsor.3262544/
Category: Penis Enlargement Exercises & Devices |
14 Mar 2024 15:49 | |
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I couldn't agree with you more! They told me they guarantee and inch of length and girth IF their guidelines are used. An inch of girth is a huge gain in 90 days. And I wonder if guys that had work done previously is a candidate? Would penuma clients try to use this device and cause some injuries? Category: Penis Enlargement Exercises & Devices |
11 Mar 2024 00:44 | |
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I'm terribly sorry to hear about your ordeal. If you can, you should also post your experience on the Penuma subreddit (although it will likely be removed by one of Elist's sycophants, but if a view can read it, you'll have helped that many more people). If length loss was not disclosed in any paperwork or consultation as a potential complication (which would be strange by now since it happens almost inevitably with every removal, varying in degrees of loss depending on how the scar tissue forms), you may have a legal case against him. Also, despite what I perceive is the ineptitude (or corruption) of the Board of Medicine in California for slapping his wrists with every complaint, you may still want to write one anyways. Lastly, there is reason to believe you may able to achieve some semblance of normalcy over the next few years. You see, some of that scar tissue might be something a Surgeon can work with, and combining that with a committed long-term stretching/traction regimen may get you back to a size modest enough to let you stand as you urinate, and even venture the dating scene even. There are a few Doctors I'd recommend looking into: Dr. Carney (Atlanta, GA), Dr. Gelman (Southern California), Dr. Alter (Southern California), Dr. Solomon (Southern California), and also a Dr. Brant (Brandt sp?) but I'm not sure where he's located, just heard about him through the penumaproblems subreddit (another good resource for your situation). If you use PhalloBoards 2.0 SEARCH feature, you'll find a lot of stories similar to yours, and many who have discussed protocols (usually prescribed by a Doctor) that has helped them. Of course, I would ultimately follow the directions of your new physician (obviously don't bother with Dr. Elist again), and I would only go with the names I listed above (they all have experience with Penuma removal, you need someone with that kind of specialization). I hope that helps and I wish you the best, sincerely. |
11 Feb 2024 17:32 | |
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Of all the options available, the PhalloBoards doesn't recommend the Penuma (or now rebranded "Himplant") for the purposes of penile augmentation. There are a plethora of reasons why, including reports dating back over a decade demonstrating its inherent flaw(s). Also, if you go to the front page ( PhalloBoards.com ) and scroll down to the Trending Articles Section, give the New Yorker & Business Insider articles a good read. |
11 Feb 2024 14:36 | |
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Any body have videos b4 and after penuma procedure? Any review pref video or pics and if it’s worth it |
06 Jan 2024 20:49 | |
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I'm sorry to hear that. Still unsure how he manages to perform these procedures in light of not one, but TWO major publications (Insider Magazine and the New Yorker) regarding the ills of that device, not to mention over a decade of some of the worst horror stories spanning over a decade+ on multiple penis enlargement (PE) sites, including the PhalloBoards. Regardless, I would not trust Dr. Elist remedying any issue as he has demonstrated time and time again his lack of ethics. Dr. Victor Liu is a good Surgeon (leaps above Elist in every regard), and the stretching regimen is a good idea, since implant removal tends to leave scar tissue that sometimes retracts length (but CAN be regained). Good luck. |
06 Jan 2024 20:40 | |
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@Skeptical_One Yes, I had the penuma implant inserted. Now I wish I have not opted for that option. I am starting a stretching regimen to see if I can get my length back. I'll try that for a couple of months if not I'll probably go see Dr. Liu in San Francisco. Thanks for your reply. |
02 Jan 2024 03:41 | |
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What kind of implant? Was this the Penuma (or "Himplant"), or something designed solely for erectile dysfunction (like those inflatable implants)? It isn't unheard of to have scar tissue restrict total elongation of your original length when it comes to surgically inserted implants, it's just a risk inherent in these procedures. Implantation of a large foreign body is going to be invasive and potentially create a cascade of stressors that could lead to complications. The reason why these complications are tolerated by both Doctors and Patients alike is when it involves men dealing with severe Erectile Dysfunction (ED) to the extent that having an erection outweighs the possibility of some length loss, infection, etc. Please tell us more about it, my gut feeling would be to have your Performing Physician offer you what he can do to remedy the problem (there is a chance only so much can be done on his end, and you may need to look into stretching devices guys use for lengthening). Then get a 2nd opinion, my recommendation for a situation like yours would be Dr. Carney of Rejuvall, a Reconstructive Urologist Surgeon with a history of treating penile injury/trauma, buried penis, Peyronie's Disease, and performing penis enlargement. |
11 Nov 2023 03:36 | |
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Completely at the discretion of the Surgeon. *Note* - the term Surgimend found below is basically like Alloderm, and I believe Alloderm is what they are primarily using now. Bay Area Penis Enlargement (Dr. Victor Liu) says the following in his FAQ: (Q5.) If I had other treatments for penile enlargement (fat injections, Penuma, Surgimend, etc.) and am not happy with it, can I have still get filler injections? Dr. Liu's Answer: Generally, filler injection after a person had surgical insertion of Penuma or Surgimend for penis augmentation is safe and do-able. However, it is not advisable to do surgical insertion after the person had filler injection because of the adhesions resulting from the surgery making it very difficult and even unsafe to perform. One of the problem with Penuma is that it is firm and sometimes it is palpable on the skin surface and does not look natural. One way to treat this would be with filler injection. Some patients had fat injection for Girth enlargement and complain that the penis feels too soft and look uneven. This is a common problem with fat injection because some of the fat may be absorbed unevenly and of-course fat feels soft. This can be improved by injecting filler intradermally (inside the skin) to give a "shell" and also inject sub-dermally (underneath the skin) to even out. It is best to see and be examined by the treating surgeon before a final decision on what is best for you. Dr. Solomon says the following in his FAQ: (11c) Is it possible to undergo surgical augmentation (e.g. Surgimend, and/or lengthening) even if prior work has been performed on the penis, namely dermal fillers? Dr. Solomon's Answer: It is possible to perform grafting after prior procedures have been performed. However, the risk of complications is increased after prior procedures. Prior procedures, both surgical and non-surgical (such as fillers or fat grafts) will disrupt normal blood supply to the skin and make healing more challenging for the patient, with increased risks of wound breakdown and infection, among other things. The only two I'd recommend consulting with on this specificity of your question. Good luck. |
10 Nov 2023 01:31 | |
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The following questions are in bold followed with answers authored by Dr. Sullivan: How much girth/circumference can you achieve with girth enhancement injections? Basics: The average flaccid girth: 3.5 to 4 inches and erect 5 inches. Most men are looking to gain 1-1.5 inches. Results: A single session typically involves the injection of 5 to 15 syringes. Best results for most patients come after 15 to 30 syringes over 1 to 4 sessions. After each session, you can expect an increase in girth ranging from 1/4 to 1/2 inch. After several sessions, total enhancement ranges from 3/4 to 1.5 inches. Some patients may wish for more than 1.5 inches but be aware that as the girth increases the naturalness of the look decreases. How Many Sessions can a patient expect to achieve ideal results? Most patients have great results after just one session, but 2 to 3 sessions may be required depending on your goals. Some patients, thrilled with their initial enhancement, opt for additional treatments. Spreading treatment over multiple sessions allows for more fine tuning of the symmetry. It is important to avoid over-filling during a single session. Stacking enhancements across multiple sessions seems to produce the best results. Fifteen to thirty cc or syringes is usually the optimal number for significant girth enhancement for the average- sized penis. Remember your starting point matters. A man starting with a girth of 3 inches and achieving an increase of 1.5 inches has a 50% enhancement, if you start with 5 inches and gain 1.5 inches there is a 30% improvement. How long can filler injections take and what kind of anesthesia is used? Typically, the procedure is completed within 30 minutes. The initial visit may be an hour. This extra time is essential for completing patient intake paperwork and conducting a comprehensive consultation. I use a combination of topical numbing and a dorsal penis block. The dorsal penis block involves administering a local anesthetic to the base of the penis, rendering the entire penis numb. Patients experience almost no discomfort during the procedure. Can girth injections affect the function or sensitivity of the penis? What complications are there to consider? This is an important question. Most patients report either unchanged or enhanced sensitivity with girth enhancement. Where does the enhanced sensitivity come from? I believe some of it is from being more confident. So much of sexual pleasure is mental, and feeling good about yourself is key to good sex. Importantly with increased girth there is increased friction thus improved sensation for you and your partner. Potential Risks and Side Effects: Bruising/Swelling - It is common to experience bruising and swelling post- procedure. This may last for 1-2 weeks. Discomfort - When the anesthesia wears off, there may be mild discomfort. This is treated with over-the-counter anti-inflammatory medication. Infection - Infections are rare, but as we are breaking the skin barrier and introducing a foreign substance it is a potential risk. Lumps/Unevenness – There may be lumps or unevenness especially in the first few weeks. This usually resolves on its own. If it does not HA fillers can be corrected using a small amount of hyaluronidase. Occasionally unevenness may require an additional syringe or two. Some men have natural folds in their penis due to how it is positioned in their underwear. This can cause the filler to kink or crease. To mitigate this, we use dressings in the first week, but despite our best- efforts creases can still form, necessitating a touch-up. Delayed-onset Nodules - Delayed-onset nodules have been associated with both PMMA and HA fillers. With HA fillers, these nodules can be dissolved entirely, but PMMA nodules may prove more difficult. Vascular Necrosis – This is where the filler is inadvertently injected into a blood vessel. Although most affected individuals make a full recovery without lasting scars it is an important possible serios complication. Girth enlargement is a medical procedure and all procedures have possible serious complications. How does a newly girth enhanced penis feel? Great! It’s like driving a new car. The enhanced girth offers a sensation that is amplified for many men. There's a subtle difference in how the penis feels compared to before, but it remains discreet, detectable mostly only to yourself. The injected area might be marginally softer, usually if larger volumes are used. Usually, partners don’t notice a change in firmness; they do notice the change in girth. Consider many intimate toys have trended towards a softer exterior, for enhanced comfort, a little bit of softness may be more comfortable for partners. Also consider, the penis doesn't just gain in volume but also in weight, giving a more noticeable hang when naked and in clothes. Most men really enjoy this heavier feel and get a great boost in self-confidence. How long can you wait before resuming intimacy or strenuous activity? To prevent infections, it's advised that patients wait between 5 to 7 days after the procedure before engaging in sexual activities. This period allows for adequate healing and reduces potential complications. After 7 to 10 days sex and masturbation are okay and might even assist in reducing any post-procedure lumps. Physical activities such as the gym can be resumed after 3 days, but caution should be taken to avoid any pressure to the penis. Can you gain length from girth injections? Unfortunately, no. However, there is the feeling that it is longer because the increased weight of the penis makes it “hang” more. Girth injections increase the thickness of the penis, not its length. Question of Filler Migration? After the filler is injected, a compression sleeve is provided to ensure the penis remains extended. However, since the penis is not a static organ and can change shape during various activities, some filler movement is normal. For the first 2-4 weeks post-procedure, any uneven distribution of the filler can be adjusted through gentle massages. After a few weeks and after couple months, the filler integrates substantially with the tissue, making migration very rare. One advantage of using Hyaluronic Acid filler over other treatments like PMMA or fat transfers is its adjustability. If any irregularities occur, Hyaluronidase can be injected to dissolve the undesired filler areas, and additional filler can be added if needed. Although PMMA fillers, like Bellafill have the potential to move, following aftercare guidelines can significantly reduce this risk. Abstaining from sexual activities for a minimum of one week, using the provided dressing and avoiding kinking greatly reduce this risk. As PMMA becomes part of the tissue and collagen production, migration becomes highly unlikely. Granulomas: Granulomas are inflammatory reactions by the body to foreign materials. They can occur when certain substances, like silicone, are injected into the skin. While PMMA injections can cause granulomas, they are rare. If they do occur, they can be treated, though they might not fully disappear. The chances of getting granulomas are extremely low with HA dermal fillers. If granulomas do form from HA, they can be easily managed hyaluronidase, which dissolves the filler if required. What to expect on the Procedure Day? Before the Procedure: - I will examine you and we will discuss your goals. Once we decide on the both the filler to be used and the amount I will perform a dorsal penile block to make sure you are numb for the procedure. During the Procedure: - I will carry out a series of dermal filler injections. The total volume injected will range from 5 to 15 syringes on average (although some men may do more), based on your individual anatomy. After the Procedure: - A dressing will be applied to the injection area, which you'll need to wear continuously for the first 5-7 days. During this time, avoid sexual activities. We will guide you on dressing care and provide the necessary supplies for a smooth recovery at home. Follow-Up: - A follow-up appointment will be scheduled for you three to four weeks after the procedure. Blunt-Tip Cannula vs Needle? Both the Blunt-Tip Cannula and Needle methods have their own advantages. However, I prefer using the needle technique. The reason for this preference is that I believe the needle provides more control and allows for precise fine-tuning during the procedure. Additionally, by employing a nerve block during the process, the procedure becomes extremely comfortable for the patient, reducing any potential discomfort. What makes a good candidate? The best candidates are circumcised individuals without pre-existing scar tissue, primarily interested in girth enhancement, and have realistic expectations about the results. While both circumcised and uncircumcised men can undergo the procedure, those who are uncircumcised might need follow-up touch-ups. Use of Platelet Rich Plasma (PRP) to Aid Gains? While I perform this procedure for aesthetic purposes this will not increase girth. If your goal is girth, you are better off investing in a filler procedure. If the question is where to spend your money PRP or filler, filler wins every time. Best Circumcision for Girth Enhancement (Filler) You do not need to be circumcised. We treat both circumcised and uncircumcised patients. Male Enhancement injections can be performed regardless of circumcision status. Patients need to understand that if uncircumcised they may require a touch up and if they are looking for larger girth enhancement, they would benefit from a go-slow multiple treatment approach. Preference of filler and/or brand? Juvéderm Voluma XC and Juvéderm Volux XC are the longest lasting HA fillers in the U.S. They also have a firm feel. HA’s are safe and have been around for decades. The results are very consistent and predictable. I also use Defyne, Lyft and RHA-4 however Juvéderm Voluma XC and Juvéderm Volux XC are my preferred fillers. If a patient is looking for a more long-term option especially if they have already had HA filers. I choose to use the bio-stimulatory dermal filler Bellafill. Bellafill provides immediate, long-lasting results and can last 5 years or more. Can Filler cause ED? No, not routinely. However as with any medical procedure extremely rare complications can occur. The likelihood of the girth enhancement causing ED is extremely rare. This is because we do not enter the corpora cavernosum which holds the blood for the erection, nor do we inject anywhere near the nerve bundles that affect the erection. Can girth enhancement injections be performed on a penis that uses an inflatable implant? In most cases yes. Rarely, it would not be possible. For example, if an implant was inserted and there were complications such as infection or scar tissue then girth enhancement with filler might not be optimal. Why are silicone injections regarded as the least safe option as a girth filler? Even when medical-grade silicone is used and even with the correct technique (the microdroplet technique) its use is complication prone. The mechanism by which liquid silicone works involves the formation of foreign body granulomas, which can lead to firm nodules. These nodules may not only be challenging to remove but can also erode the skin, resulting in ulcerations. This complication can occur immediately or years later. It is unpredictable. I have seen this complication many, many times and for this reason I do not use silicone. It is also very important to consider that many providers using “silicone” are not even using medical grade silicone. There are so many safer options that are very long lasting so why take a chance? Are there any solutions for glans enlargement? Hyaluronic Acid (HA) fillers like Vollure can safely be used to increase the size of the glans (head) of the penis. I take a go-slow approach here only injecting a limited volume at one session. I keep the number of syringes injected here to a minimum (I only inject a maximum of 2 mL of HA) and ask the patient to come back to add more product later. Although I know it is said that the results are not long-lasting due to the vascularity of the glands, I do not necessarily believe this is true. Consider the lips another very vascular area, filler typically lasts 1.5 years here if the correct filler is used. Filler may not last as long in the glands as the shaft, but it is certainly long lasting. Can you describe your experience with cosmetic medicine and the importance of injection technique? How does this benefit girth enhancement? Injection technique is extremely important. I have been using dermal fillers since they first became available in the U.S. two decades ago. I have used all filler types including hyaluronic acid (HA), PMMA (Bellafill), calcium hydroxylapatite (Radiesse), poly-lactic acid (Sculptra) and silicone. I have injected almost every anatomical location including the face, lips, hands, neck, chest and of course the penis. I have used both needles and cannulas. This experience allows me to safely inject for girth enhancement. Do girth dermal filler injections adversely impact blood pressure or increase risks of hypertension? No. If I had other treatments for penile enlargement (fat injections, Penuma, Surgimend, etc.) and am not happy with it, can I have still get filler injections? Yes. Filler injection after a person has had surgical insertion of devices such as Penuma is safe and do-able. It can even be used to correct problems with the device. If the device is visible or palpable, its appearance can be improved with filler injections. Unevenness after fat injections can also be improved by injecting filler. getmoregirth.com Category: Dr. Sullivan - Ask Me Questions Here |