PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

It's interesting to me that Elist keeps participating in these stories (he was also interviewed in the Insider piece a few months ago). He has to know that he's going to come off very poorly and the vast majority of men would read such an article and think "no way I'm doing that." But he's surely a shrewd guy so my suspicion is that these articles, no matter how damning, are actually helping him find new clients. There are enough men who will read the words "penis enlargement" and gloss over the rest, or say damn the risks, to keep filling his waiting room. The hope I suppose is that this will draw enough attention that something finally happens, be it a civil judgement, losing his license, or ideally the FDA rescinding its approval.

www.newyorker.com/magazine/2023/07/03/th...of-penis-enlargement
www.insider.com/penuma-implant-penis-enl...y-james-elist-2023-3

Here are some random excerpts from the article. The first one talks about Dr. Mark P. Solomon MD ( marksolomonmd.com/just-for-men/ )

FROM THE NEW YORKER:
But he never imagined that, one day, nearly half his male practice would involve fixing the handiwork of other practitioners. Now, as much as he liked to joke that the last thing Beverly Hills needed was another plastic surgeon, he was doing such brisk business repairing Penuma complications that he’d relocated his practice from Philadelphia to an office down the street from Elist’s clinic. As the number of Penuma procedures increased, a cottage industry emerged to treat what Solomon describes as a new class of “penile cripples.”William Brant, a reconstructive urologist in Salt Lake City, who told me he sees about ten Penuma patients a month, noted “the deep despair of men who can’t unring the bell.” Gordon Muir, a urologist in London, said that he’s been taking out Penumas “all the way across the bloody pond.”But other reconstructive surgeons asked to speak confidentially, because they were afraid of being sued. Solomon had received a cease-and-desist letter from Elist’s lawyers arguing that the mere mention of Penuma on his Web site infringed on the implant’s trademark. (Solomon now notes his expertise in treating complications from “penis enlargement implants” instead.)

From his satchel, Solomon produced a couple of biohazard bags. One held two sheaths of silicone stitched together with a blue thread: an early edition of the Penuma that he’d removed from a patient.The other contained a modern Penuma, a single piece with a built-in crease.“Once this goes in, these men are never going to be the same again, because their penis is never the same again,” he said.
_________
At least twenty-three malpractice lawsuits have been filed against Elist in Los Angeles since 1993. (He has also been named as a defendant in product-liability lawsuits regarding inflatable penile prostheses brought by plaintiffs Dick Glass and Semen Brodsky.) The dockets indicate that some of the complaints were settled confidentially out of court, a few were dismissed, and in one of two trials a jury ruled in Elist’s favor.
_________
Elist understood this dynamic. In addition to encouraging Bryan, the spokespenis, to post positive comments on My New Size, Elist tracked his own mentions on PhalloBoards and Thunder’s Place, other online forums for male enhancement, demanding that their moderators stop harboring “defamatory”statements. He offered a PhalloBoards user, after an abscess had formed, five thousand dollars for deleting his posts about the procedure and releasing the clinic from liability, according to a settlement agreement I reviewed. (Elist said through a spokesperson that the patient didn’t follow post-op advice, and that, while he was not able to respond to some of the accounts in this story because men had requested anonymity, complications were rare.)
_________
A sign in Elist’s waiting room instructed patients not to speak to one another about medical issues (the better to protect their privacy, Elist said through the spokesperson). But Elist could only do so much to disrupt the communities of unhappy men coalescing online. As Mick pored over hundreds of posts, he was horrified to discover that he had been acting out a well-worn script.The others had also read the GQ article about the Penuma, learned that the implant was “reversible,” and, heartened by the F.D.A.’s clearance, put down their deposit.They, too, felt that their consultations were rushed and that they hadn’t had enough time to review the cascade of consent forms they’d signed alerting them to potential complications.
_________
Kevin said that he had undergone five surgeries with Elist, including two upgrades, a revision, and a removal, and his penis no longer functioned. Still, Kevin had always found the surgeon to be caring, if a little preoccupied.“He reminded me of Doctor Frankenstein—the intensity of him wanting this thing to come to life,” Kevin told me.It sounded strange, he acknowledged, but before each operation he’d been filled with excitement.“You just feel relieved that you’re fixing something,” he said.

Hi all -
I've been meaning to kick this off for a while, but better late than never! I learned about Dr. Victor Liu from this forum (thanks @skiman ) and after chatting a bit with Skiman by private msg and meeting with Dr. Liu directly I decided to move forward with my surgery. Lurking on this forum really helped me understand what options are out there and thank goodness I did as I was at one time considering a Penuma . I'm creating this thread to pay it forward.

I'm in the SF Bay area so Dr. Liu was an easy first choice. When I met with him he was very warm/kind and took time to answer all of my questions. That was a couple of months ago now and I've had several follow-up questions since then and have been impressed with his office's response rate and turnaround time. I opted for Alloderm + filler (or fat) for girth and am also doing the ligament surgery for lengthening - and my surgery is Thursday morning, June 8.

Why Alloderm and not Surgimend?
I know there has been a lot of discussion about Surgimend here, and I discussed this at length with Dr. Liu. My #1 priority is looking and feeling 'natural' and Dr. Liu feels Alloderm is a bit softer and more natural feeling, and combined with a small(ish) amount of filler or fat, will produce similar size gains to Surgimend alone. And since it is a relatively small amount of filler (or fat) it shouldn't feel "too soft." He's is still deciding between using perm filler vs fat and we will discuss together on the day of my surgery.

I want to be clear that Dr. Liu uses both Alloderm and Surgimend and thinks highly of both. For those wanting maximum size as their top priority, Surgimend may be a better option! Apples-to-apples, Surgimend alone will likely give you more size than Alloderm alone. Skiman's post covers this in detail and his results have been great. I also have seen some Alloderm skeptics throughout the forum and have read about alleged shrinking over time, etc., but everyone's experience seems to be different and all of the options have their pros and cons. Some may disagree with my decision here but it was mine to make and I did so in collaboration with my doc.

Ligament cut / lengthening
Here, my expectations are a tad lower. I've read on this forum in several threads that this can be hit or miss (esp with erect size gains) and requires some true aftercare commitment, but here I'm just being realistic with my own expectations and hoping for the best. At best there could be a small amount of length gain. At worst the ROI is nil, but I tried and it was part of my journey. I asked about a weight type of device for post-surgery and if needed, Dr. Liu provides a weighting type of contraption which his office makes or sources.

Pre-surgery STATS
FL: 3.5"
FG: 3"
EL: 5"
EG: 4"

I do have pre-surgery photos and will share as I go along my journey. I hope this thread helps someone(s) like other threads have helped me.

Send good vibes my way everyone!

i have the implant done i can answer your question

MoMoney wrote:

Skeptical_One wrote:

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Skep I actually very much appreciate you diving further into HA. Its actually been a very difficult decision - trying HA first or jumping right into the longer-term options. I will trust you that HA can produce good / non-squishy results if you choose a quality doc/filler.

My continued concerns with HA are the following:
<>I will likely need 2 procedure just to get .5in. The doctor that I want to use is a 7 hour drive from me. Because he is a Urofill guy he only uses 6cc's max first round, as they believe too much too soon increases risk of migration and squishiness.
<>HA seems to be susceptible to quicker degradation due to the use of a dick pump and consistent high physical intensity lifestyles, both of which apply to me. While I can chuck out $6-10k to reach .5+ with temp filler, if it lasts less than 1 year its just not worth it to me
<>IIRC Avanti Derma prefers people not to have had HA prior to Ellanse or PMMA. Because I have an 3 piece inflatable implant, I am already on the list of non-preferred patients as per their website. I'm not sure if they would deny me if I have too many checks against me.

I will be scheduling a virtual consult with AD soon to ask some specifics regarding my situation.

If there are people who have had longer term success with HA (12+ months before needing a top off) and use a dick pump and are extremely physically active, then I would consider. Unfortunately a lot of these speculations are based on a few forum observations and some conversations with guy/gals who have get facial fillers are report shorter durations during high activity. But I also have no idea what fillers they used, quality of doc, ect. Again, a ton of speculation here, but a significant amount of time and $$ on the table.

I wasn't trying to dissuade you from Ellanse, simply trying to balance the narrative around HA - you bring up valid concerns on your end and like I've iterated previously, it appears you have set your sights on Avanti Derma and I think you'll be satisfied with your decision.

Keep us up to date with your virtual consultation with AD, didn't realize they offered that (assumed either phone or in-person). Let me know how it goes, I can perhaps convince them to make it more abundantly clear they offer this service, very useful for many who can't fly to Mexico on a whim.

Skeptical_One wrote:

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Skep I actually very much appreciate you diving further into HA. Its actually been a very difficult decision - trying HA first or jumping right into the longer-term options. I will trust you that HA can produce good / non-squishy results if you choose a quality doc/filler.

My continued concerns with HA are the following:
<>I will likely need 2 procedure just to get .5in. The doctor that I want to use is a 7 hour drive from me. Because he is a Urofill guy he only uses 6cc's max first round, as they believe too much too soon increases risk of migration and squishiness.
<>HA seems to be susceptible to quicker degradation due to the use of a dick pump and consistent high physical intensity lifestyles, both of which apply to me. While I can chuck out $6-10k to reach .5+ with temp filler, if it lasts less than 1 year its just not worth it to me
<>IIRC Avanti Derma prefers people not to have had HA prior to Ellanse or PMMA. Because I have an 3 piece inflatable implant, I am already on the list of non-preferred patients as per their website. I'm not sure if they would deny me if I have too many checks against me.

I will be scheduling a virtual consult with AD soon to ask some specifics regarding my situation.

If there are people who have had longer term success with HA (12+ months before needing a top off) and use a dick pump and are extremely physically active, then I would consider. Unfortunately a lot of these speculations are based on a few forum observations and some conversations with guy/gals who have get facial fillers are report shorter durations during high activity. But I also have no idea what fillers they used, quality of doc, ect. Again, a ton of speculation here, but a significant amount of time and $$ on the table.

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Sorry to hear about your ordeal. I have NOT had the procedure but I can certainly share what I know.

As you may or may not know, the Penuma is incredibly unpopular on the PhalloBoards platform, and rightfully so. It hasn't exactly had the best history with our Community, and many members (especially on the PhalloBoards 2.0 forums ) have lamented their decisions to have it implanted.

I'd strongly recommend getting a few medical opinions on whether removal is the right choice. My all-time recommendation for this situation in particular is Dr. Solomon, but I do have additional names (both Sponsors & Non-Sponsors) that can serve as 2nd or 3rd opinions if you'd like (simply email This email address is being protected from spambots. You need JavaScript enabled to view it. for that additional info).

In my personal opinion, the Penuma is an obsolete method that's inherently flawed for reasons I've discussed ad nauseum (you can use the Search function on this site or on PhalloBoards 2.0 if you wish to learn more about my criticisms). I'm not going to tell you whether or not to remove it, I'm not a medical professional, however if it were me, I'd certainly get 2nd or 3rd opinions from Doctors who don't employ the surgical implantation of the Penuma.

Good luck!

Which doctor did you use for this and why didnt you go the scrotal entry way?

So, it has been 4 months since I had the Penuma put in. I was told by implant Dr that the implant would eventually "drop" from the pubic area. It has not moved a smidgen, or in the slightest. FOR THOSE WHO HAD THE PROCEDURE, did your portion of the implant over the pubic bone ever "drop" where you no longer felt it there?

I know "just 4 months"... but 2 things are driving me crazy:

1- I always feel it. My 4 year old throwing a tennis ball that would hit me in the pubic area 6 months ago, wouldn't even have had me blink. Today I would scream or yelp. it is basically always sore. I am very active, and ran 10 miles yesterday. Pubic area is so danged sore today, especially on left-side... worried too of additional scar issue forming. It is sore after sex with wife as well. It is sore in mornings too. Why?

Imagine a woman with a dildo in her vagina. You take the dildo and keep pressing downward very firmly and consistently on the dildo, where the end inside of her now has the dildo constantly pressing against the "roof" of her vaginal cavity. Doing so, there will be a point where that constant pressure gets super uncomfortable and unpleasant to her.

That is what it is like for me. The implant is in the so-called pubic "pocket". That part of the implant doesn't move. But upon erection, the penis "lifts" and presses the implant against your pubic bone. Nightime erections and REM sleep that leads to them, means constant erections at night and sore pubic area in morn.

2) My penis erection angle. I previously had a penis that would point toward my chin, when standing up with erection. Now, the absolute best I can do is have it point straight outward... usually slightly down towards the floor. I hate it. The stiffness of the implant has the implant always wanting to point downward. I can't even do missionary with my wife any more. The penis is forced out.

If this implant won't "drop" as I was assured my my doc, or my erection angle doesn't return to its glory (or close)? I am thinking about removal, despite loving how it looks flaccid. But if these issues will self-resolve, I may hang on. There are other things I have issue with, but will leave things here, for now.

I truly appreciate your help, and experiences you share.

92t122 wrote: The place I went to does pmma injections quite different. They did 60cc’s of pmma. So two incisions are on put onto both sides of the shaft. And yeah usually pmma injections don’t get infected but I had a gf at the time and she didn’t know I had the procedure done. I could only get away so long of making excuses for not having sex. I only waited a week when I was suppose to wait 5 weeks. By far one on the dumbest and biggest mistakes I’ve made. But thank you for the info I’ll take a look at the elite forum.

I went to doctor Colorado in Tijuana. Had the procedure done a second time and made sure to adhere fully to everything that was said and it was a great experience the second time.

I don't know how I missed this and I don't mean to alarm you, but there is no reason to believe this was Linnea Safe at 60cc's in one go. Dr. Colorado used to (or still does) work with Dan Salas, it isn't a stretch for him to still source silicone oil for girth enhancement. Unless he unpackaged that box you have pictured, when it was clearly secured with a serial number and all, I'm afraid you may have been injected with something other than PMMA. It's either that, OR if you're lucky, he B.S'ed how much he injected to make you feel like you got your money's worth (and it was PMMA afterall). Either way I strongly suspect he's being dishonest.

I mean I could technically be wrong, but 60cc's is completely unnecessary for PMMA because the girth is built through collagen production, and not the volume of the filler itself. For reference, I had 15cc of PMMA my very first round and while my gains were above-average (1 whole inch), it was one-fourth what you were injected.

For the love of all that's Holy, if anyone plans to go to Mexico for PMMA, see Avanti Derma. It's not even a Sponsor thing, anyone willing to associate with Dan Salas is an automatic disqualifier for me... you know, the same Dan Salas & S-L-E that remain the only topic that is banned on this forum. That's right, even the likes of Dr. Loria and Dr. Elist don't even have hard-bans, imagine how questionable your practice must be in order to get censored on a site that still allows the Penuma to be discussed??

I agree! And in NO way am I promoting Penuma. If performed properly, there are NO SIDE EFFECTS of P-Long.

P-Long wrote: I have seen the data on the suprapubic placement with a large number of removals, but I have seen new data from Dr Taj who developed a trans-scrotal approach and the data on removals seems to be better. If I were to have one placed, I would go with the trans-scrotal approach.

I may not be a Urologist but I can say with confidence & certainty that the implant is inherently flawed, and many reputable physicians (Dr. Gelman, Dr. Alter, Dr. Morganstern, Dr. Carney, Dr. Brant, Dr. Solomon to name a few) have also shared the same sentiment at one point or another.

The Penuma guys have been attempting to modify the approach to this procedure since around 2009ish, I'd know, I had a consultation then. It was once a mesh, then not a mesh, now we're talking trans-scrotal. The reality is that the sticker-price for each surgery is so alluring, that it blinds anyone into convincing themselves they'll find a way to make it work.

I don't know of any other phalloplasty physician or device (Penuma) in which I get emails and private messages about recruiting former patients to create a class-action lawsuit (which I don't engage in). And this happens periodically every couple years, which makes me assume he's settling out of court, but who knows. And that doesn't even take into account the multiple complaints to the Board of Medicine associated with the use of this device (Penuma).

Point blank, elective medicine has its risks. But some are unacceptably risky, and based on my extensive familiarity with the topic of phalloplasty dating back nearly two decades (that includes before the inception of PhalloBoards) in conjunction with the consensus of many ethical phycisians, I strongly recommend against the insertion of a silicone implant (e.g. Penuma) into an area as dynamic as the penis.

I did not intend to steer this topic off course, my apologies Dr. Brandeis. However, it is my responsibility to be sure readers here get the full picture on a matter that was brought up. I think it's best this conversation returns to P-Long, which on the surface alone is 100x more promising than the Penuma.

Hello Mr Skeptical, I agree that the Penuma can be disastrous. I have several patients in my own practice who have had them removed and I have had to pick up the pieces for them. I have actually been in the OR with Dr Elist twice to observe and learn the procedure and was supposed to be a Penuma implanter, but backed up when I saw the complications. It was after this experience, and others, that I decided to create P-Long.

I have seen the data on the suprapubic placement with a large number of removals, but I have seen new data from Dr Taj who developed a trans-scrotal approach and the data on removals seems to be better. If I were to have one placed, I would go with the trans-scrotal approach. That being said, there is not enough long term follow up.

One of the issues with Penuma is the inability to change erect length. P-Long can help with this, and maybe a man is happy enough with the results of the P-Long that they do not choose to pursue Penuma.

A few things here:

Think of silicone filler like turning your penis into a water balloon - much of the girth comes directly from the volume of the silicone itself. Sure there may be some elastin and collagen growth but that isn't where your girth is derived from. This explains why silicone injectors pump as much as 60cc-80cc in a single round. The allure of silicone oil is that the girth is instant (as is all other fillers), permanent, and quite frankly can be very aesthetic at first.

However, I would caution against the use of this type of filler to anyone considering this and haven't undergone any procedures yet. I remember someone making a good point --> the vast majority of injectable phalloplasty practitioners have the same access to Silikon1000 off-label but choose not to use it, ask yourself why? Some of these Doctors even offer multiple filler types, from fat to PMMA to HA, but why not include silicone if it was so effective? The reason is that silicone oil is prone to migration and is a poor candidate for girth enhancement.

Unlike most other fillers, the complications stemming from silicone oil can be disastrous. Call any reconstructive surgeon or urologist with a history of repairing phalloplasty and get their opinion on silicone oil. Heck, even the Penuma guys (which itself is a failed implant device) discourage the use of silicone oil, makes you wonder..

Furthermore, Avanti Derma once used silicone for micro-droplet correction of small areas after PMMA but discontinued its use altogether. Dr. Victor Liu happened to offer silicone oil aomong all the other procedure types he had, but he too has discontinued its use.

Dr. Loria is not a Cosmetic Surgeon like he's advertised in the past, and he massively inflated his "10,000" procedures performed (which if you do the math, realize it isn't just an exaggeration, it's an impossibility). He was a hair restoration specialist & nutritionist who decided to jump on a cash bandwagon and now employs unethical phalloplasty, including the introduction of this LEEP procedure which is remarkably dangerous in my opinion. Someone representing Loria reached out to me for Sponsorship and I declined, and by doing so turned down a considerable amount of revenue (as I'd likely be able to charge him extra given his risk/liability).

What does discourage me at times are how many of these silicone complications don't return to any forum or social media to report their adverse event. Maybe I'm being hard on them, I wonder if Dr. Loria makes men sign off a waiver that you can't report or review your procedure online (which I've heard done by other questionable doctors in the past). I know these men exist through backchannels, including my own email inbox.

That said, I'm not trying to alarm those with it inside them already. Not all silicone penises are ticking time bombs and some guys have managed.

PMMA on the other hand, you probably don't need more than 20cc to gain the same yield, because much of the new girth comes from neocollagensis, which generates your own tissue. This means the bulk of your girth is in-fact YOU. Admittedly, you'll likely need more rounds of PMMA than silicone to achieve the same girth, but the trade-off is worth avoiding the pitfalls of silicone oil.