PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Thank you Skeptical_One for the information and you are right...I certainly came to right spot for this topic, I have been reading and likely over-reading all the options for penile enlargement as well as the reviews. I have taken Penuma off the list of options for myself.
Today, I was able to speak with Dr, Liu about Surgimend as well as AlloDerm, and will be looking at both options. I was able to find information and experiences for both on this site; however, still am not sure which will be best for me. I do want to add girth foremost, and length would be great as well, but also look natural and most important: function.
Dr. Liu seemed great and was very patient, knowledgeable and responsive. I just was curious if anyone had any feedback about his work, as well as outcomes of either Surgimend or AlloDerm, or both. Thanks!!

Thank you. What these patients went through was insane. I have officially given up the thought of getting Penuma. Hopefully, there will be much safer options in the future.

Hey guys,

For those of you have been thinking about the Penuma surgery, have you had a chance to review Medical Board of CA's amended accusation against Dr. James Elist/Dr. James Jamshid Elist?

I was SHOCKED by what I read.

The document states:

24. Between 2014 and 2018, Respondent employed an individual, Omead M., in his practice. Omead M. was finishing medical school and applying for residencies during this time, but held no license in California, as a physician and surgeon, physician assistant or any other typeof health care provider. Respondent asserts that he did not refer to Omead M. as "doctor" and that he instructed Omead M. not to call himself, "doctor;''

25. According to Respondent, while under his supervision, Omead M. performed medical assistant activities not requiring a license, such as answering emails and writing history and physical findings. Throughout Omead M. 's email correspondences with Respondent's patients, Omead M. states that he is under the supervision of Respondent, and refers to himself and is referred to as "Dr. Omead."


That's crazy.

This document also lists what some patients went through. They reported Dr. Elist to the Medical Board, and this document details how Dr. Elist departed from the standard of care.

Here's an example:

Respondent committed an extreme departure from the standard of care when he failed to take action to have Patient 1 urgently evaluated when, on December 3, 2018, Patient l emailed Respondent photographs clinically suspicious for post-operative infection. Instead, Respondent suggested he apply Neosporin.

Respondent's care and treatment of Patient l further departed from the standard of care as follows:

A. Respondent diagnosed Patient I with PDD without a proper evaluation - specifically, without obtaining or performing a formal psychological evaluation of Patient 1, or making a referral to a mental health professional. Respondent then recommended implant surgery even though the physical examination did not support the chief complaint or assessment.

B. Respondent documented planning a release of the suspensory ligament for Patient 1, even though this procedure is not considered safe.

C. After documenting in Patient 1 's note, "tight suspensory ligament," Respondent then failed to document any description of the suspensory ligament in Patient I's operative notes. Instead, in the operative case dictations it is stated: "suspensory ligament was identified and preserved." Respondent's documentation is inconsistent and inaccurate and appears template when compared to that of his other patients.

D. Respondent had Patient 1 sign a "Release of Claims" in exchange for performing future removal surgery at no cost.

E. Respondent offered Patient 1 a monetary payment in exchange for removing Patient 1 's social media posts regarding the care and treatment he received from Respondent.

--->No wonder, it's hard for me to find negative reviews on Yelp and Google Reviews.

The "Prayer" section on the page final page of this document states:
WHEREFORE, Complainant requests that a hearing be held on the matters herein alleged, and that following the hearing, the Medical Board of California issue a decision:
1. Revoking or suspending Physician's and Surgeon's Certificate Number A 35400, issued to Respondent James Jamshid Elist, M.D.;
2. Revoking, suspending or denying approval of Respondent James Jamshid Elist, M.D.'s authority to supervise physician assistants and advanced practice nurses;
3. Ordering Respondent James Jamshid Elist, M.D., to pay the Board the costs of the investigation and enforcement of this case, and if placed on probation, the costs of probation monitoring; and
4. Taking such other and further action as deemed necessary and proper.

--->I want to SINCERELY thank Phalloboard for saving my life. I was NOT aware that Medical Board's investigating this doctor until I found phalloboards. I also want to thank those patients who're willing to provide clinical information to the board's investigators. I don't think that I'll have Penuma done anymore. Sigh.

Monroe2345 wrote: feel like I need a support group for this stuff and real life accounts. Super hard to know what to do, if anything!!

You've come to that exact place... it's basically what this site was made for and is today.

Girth is much more attainable than length if it's cosmetic procedures you're looking at.

A simple breakdown involves choosing between surgical or non-surgical.

Surgical options like the Penuma I wouldn't recommend, but dermal graft matrices like Surgimend can be great for those who are looking for permanent, modest gains. If you look at the North American Directory you'll find that Dr. Liu and Dr. Solomon offer these. They are both Board Certified Plastic Surgeons.

Fat Transfer is also an option.

Non-surgical options are essentially dermal filler injections. I wouldn't recommend silicone oil, but there is an abundance of temporary and long-term options to choose from. There are pros & cons to each. Fillers include Hyaluronic Acid (HA), Radiesse, Renuva, Ellanse, and PMMA. If you can, only an hour flight to the Pollock Clinics that offer HA, Adult Circumcisions, Vasectomies, and a whole host of male procedures & services.

Feel free to provide your stats, your goals, and your risk thresholds and I can maybe better point you in the right direction.

Hi! I have been researching and looking at ways to increase my size and girth. I have over-read things and personal accounts which have now made me hesitant to do anything. I was looking at penuma, injections (PRP and fillers) as well as surgical procedures overseas. I was curious if anyone locally has had a procedure? I guess for me, while I would like to increase length as well, increasing girth would be my priority. Am curious to know more first hand information…feel like I need a support group for this stuff and real life accounts. Super hard to know what to do, if anything!!

Forget about this procedure, it is just too risky. Sure some people had a bad experience with filler or dermal graft, but did you ever see a whole community dedicated to the grief of people who got it? No! Look on Reddit and you will find such a Penuma community.

Yes. Also people have to aware alot of complications that happen are not immediate. So you could be reading postive reviews from people who's procedure actually ended up being a disaster with time.

That is why i think he is abit naive to claim or belive
the "new" procedure that is a year old can be judged to have no complications. The people having it now are the guinea pigs. The final verdict is unknown on this procedure.

Also he seems very quick to big up the procedure and Dr. Which kinda makes me suspicious. But i know the guy from LPSG and had started other treads there so i think it is properly more on a current euphoric feeling now than a user connected to advertising for the dr. Time will tell how it will end for him. He regularly posts on twitter so if he does need it removed we will probably find out.

He also said he did not care about never being able to have sex. All he wanted was a monster cock. He explains his reason on a u tube post. Not suprising he was bullied as a kid which gave him insecurities.

I fixed the link for you.

Not sure how he gained that increase in erect length other than a pure miracle/anomaly of a case... maybe the implant forcefully stretched out his skin that otherwise wasn't being utilized, I don't know. However, the vast majority of reports over at PhalloBoards 2.0 AND the Elist subReddit indicate erect length being virtually unchanged, or even shortened. This tells you how anomalous his purported length gains are.

The Penuma Implant remains a very risky proposition, and heck, Dr. Elist (creator of this device) is potentially facing the loss of his Medical License which the Board of Medicine of California are reviewing now. Rigid silicone implants are super artificial, it's like having a dildo as a dick. There are countless reports of men who face serious complications from this type of procedure, which can be found at the PhalloBoards 2.0 link above and over at a Penuma Complications subReddit.

Obviously no procedure is without risk, but some come with a severity I consider unacceptable. You don't think these Penuma Doctors wouldn't pay me handsomely to delete bad reviews and bring them on as Sponsors? I could probably afford a Lambo with what I suspect they'd be willing to pay, even if it is just speculation. I wouldn't do it of course, I sincerely care what is presented to my readership. Suffice it to say, I've seen and read enough to know that the procedure itself is inherently flawed, and so no amount of refining or innovating will fix the problems that seem to occur over and over again.

My biggest concern with Penuma is how its long-term damage to unsuspecting men will have a very serious and negative impact on the direction of medical male enhancement. If the medical community as a whole only hears about the complications and botcheries, it will be hard to incentivize future Clinics from improving on what DOES work.

If you're reading this and are still on the fence about Penuma, go ahead and scratch it off your list. There are so many more effective and proven ways of increasing size, no need to consider something so obsolete.

Twitter Link

I been following this guy who got a penula implant. He belives he will go from 8.5×5.3 to 10×8. He says his erect length has increased immediately after op and belives it should continue to increase with time. How does an implant increase lenght btw? Will watch this with interest. From what i read on here about silicon implants from Dr Elist is that after time they need to come out and you're left with a shorter penis and nerve damage. When he was asked about the risks of needing it to be removed he said this new procedure doesn't have the complications like the old style. But then he said the new procedure is just a year old. So how could he claim that there will be no complications in the future with a procedure that just started a year ago.

I dont think link to his twitter worked. His twitter is nude spirit

skiman wrote: "]With AlloDerm/Surgimend/MegaDerm it would seem that infection after insertion of the grafts is the most worrying issue, where the body rejects the graft, however it would seem even long after there is still a chance of infection. The idea is that the graft will integrate with the tissue and vascularize. Those materials do not come from your own body though, and even much later, it would seem possible with infection."

@Screen2584
What leads you to believe that there is chance of infection much later after the procedure? It would seem to me that once fully integrated the chance of infection would be very low. @SO, have you heard anything on this?

I base my assumption solely on having browsed different galleries of reconstructive surgeries, and when it comes to AlloDerm it usually say it was removed due to infection, while when it comes to dermal fat graft it will say it was because of shrinkage. AlloDerm should usually integrate, as it is natural, however it is not your own tissue. As you say, there is chance of infection, although it is likely to be very low. This is in contrast to for example the Penuma implant, which is a totally foreign material, so the chance of infection would presumably be very high.

There are so many different dermal graft materials, and different surgeons in different countries will say one material is the best, so it is very hard to know which one is truly best. All these materials are supposed to integrate with the tissue and vascularize, so the concept is the same. It is just that one surgeon who uses AlloDerm says it is the best, another one who uses Surgimend says it is the best, and someone else says MegaDerm is the best, and so on.

Personally, I do not really think it matters. It is not that someone from Korea should travel to the USA just because AlloDerm is available there while only MegaDerm is available in Korea. I believe these materials are not so different like fillers, for example PMMA and HA. The two fillers are obviously very different, but I believe this is not the case if comparing for example MegaDerm and AlloDerm.

Dr. Solomon is often recommended for reconstructive surgery, for example removal of Penuma implants, so I think he is a very good choice. I believe the reason why so few surgeons offer these kinds of procedures is because it is much more complex than injecting a filler. In Europe and Asia, the surgeons I read about who do it are usually reconstructive surgeons or specialized in gender reassignment surgery.

As I understand it, infections are much less likely with dermal fat graft, but it is more common that they shrink. It seems that AlloDerm on the other hand can cause infection right after the surgery, or long after the surgery, and I assume Surgimend and MegaDerm are the same. With both dermal fat graft and AlloDerm/Surgimend/MegaDerm it seems very important that the result right after surgery is good.

With AlloDerm/Surgimend/MegaDerm it would seem that infection after insertion of the grafts is the most worrying issue, where the body rejects the graft, however it would seem even long after there is still a chance of infection. The idea is that the graft will integrate with the tissue and vascularize. Those materials do not come from your own body though, and even much later, it would seem possible with infection.

Dermal fat graft on the other hand, it comes from your own body, so infection or rejection would seem very unlikely. Immediately after surgery, there is risk of fat tissue fibrosis. Gradually the dermal fat graft should integrate with the tissue and receive a blood supply. Later on, instead of infection, the risk instead is of the graft dying due to loss of sufficient blood supply.

There are quite a few large studies that have been done on AlloDerm, dermal fat graft, and also BellaDerm. I am not sure about MegaDerm or Surgimend. You could look up those studies. Some of them were done in China, Serbia and the USA. Considering that you live in the USA, then Dr. Solomon would seem to be the best choice, both because of his reputation and because it seems there are extremely few surgeons performing such surgeries in the USA.

I am forever thankful that I found Phalloboards. I was literally scheduling my appointment with Elist when I stumbled across Phalloboards. I absolutely hate that these poor guys are having to go through this stuff.

In the complaint it's revealed that the man whose case set this all in motion had his procedure paid for by Master P (!!!) who was making a documentary with Elist.

...28.
Approximately two months later, Respondent's office called Complainant and invited him to enter a contest Respondent was running in which the winner would receive free penile enhancement surgery in exchange for appearing in a documentary on his progress. Respondent's office informed Complainant that the documentary was financed by rapper Percy Miller, also known as "Master P."
...32. Upon arriving at his hotel in Beverly Hills, Complainant participated in a pre-operative interview with Respondent and Master P about why he had selected Respondent's penile implant. According to Complainant, he was given scripted answers. At that meeting, Respondent, Complainant and Master P signed a contract stating that 1) Complainant would receive a penile implant and have his progress filmed; 2) Master P would pay for the procedure and documentary crew; and 3) Respondent would perform the procedure.
Complainant asked for a copy of the contract, but did not receive one

No documentary ever came out and my googling couldn't find any previous public connection between Master P and Elist. It doesn't seem like he's in any legal jeopardy but anyone who evangelized the Penuma and sought to profit off it deserves at the very least public shaming and I hope he gets it.

There was a popular singer from my country who claimed to have gotten an implant (like 10 years ago) and claiming to have gone to 10''. Never mentioned the name or where he got it. Since then, I've done my research and my thoughts are he's lying because penuma is the only 'implant' I found about and we know what it's like. The other ones are basically for ED and they don't provide any gains. So correct me if I'm wrong but there isn't anything one can do about length surgery-wise? Obviously ligamentosys or whatever it's called that basically adds something to your flaccid but very rarely anything to the BPEL.

otis wrote:

ivan808 wrote: I actually wish I had done Penumma. You get a 2'' girth increase and not-very-big chances of more length, but still an option and at least the girth is there and won't just vanish into thin air. Oh, and you instantly go to a shower... (I am aware of some of the cases about it here , the ones on reddit are different so I guess I've had a 50-50 chance of success there).

Here's the thing about the Penuma subreddit: anyone who gets their implant removed has their post removed from the sub. Because, you see, it's a forum for people who have the Penuma, not people who had it removed, there's a separate forum for that (r/penumaproblems). If you ignore all the times it goes horribly wrong, the Penuma works great every time!

I read their Reddit group for a while, and it is scary how convincing and legit everything seems, just like the website of Elist. It is like another "world".

There is even a doctor writing there who basically claims that Penuma surgeons are leading in the world, and he warned about how irresponsible other surgeons are for performing other surgeries instead of Penuma. According to him, 150 Penuma surgeries are performed each month.

He wrote that unlike him, those other surgeons not doing Penuma are not urologists, and being plastic surgeons they perform dangerous and supposedly prohibited surgeries.

Specifically he mentioned ligamentolysis, saying that it is a very dangerous surgery. The impression conveyed is that if something is not dangerous, then it is far inferior to Penuma.

I think the biggest proof that Penuma is not good is that it is not routinely performed around the world, and not only that, but it seems every other surgeon who had something to say about it said that a silicone implant is a very bad idea.

If it was good, it would be performed in Europe, Korea, Australia, and not just by those few surgeons in the USA.

Duplicating a silicone implant would be very easy too. I saw one website of a clinic in India that claimed to offer such a silicone implant made in India, so of course they could have invented their own silicone implant in for example Korea, if it was truly a good solution.