PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

I'll preface with this. When I finally pulled the trigger back in 2019 to get dermal fillers, in the back of my head I knew my end goal would be something substantial so long as it was safe and functional.

I took a break from PMMA due to logistics, COVID and because I wanted to be a bit patient with watching options develop. All of a sudden, HA practitioners began popping up with pleasing results, rumours of practitioners using other fillers began swirling (such as Ellanse, Scultpra, Radiesse, etc) and I wanted to just wait and see.

In early 2023 I stumbled across two HA practitioners in the greater Toronto area. The consult at one just was not for me. The second seemed more cautious about my PMMA and his bedside manner seemed agreeable to me. I went a couple of times for HA. His approach was a bit rudimentary compared to my prior experience at Avanti. Topical numbing only, small amounts of HA (to be cautious, which I totally agreed with, this is not a knock), product placement always seemed to be in line with the trend some practitioners have of just placing it on top. It gives it a pronounced appearance flaccid but that's about it. Not ideal in my mind. I wasn't overly thrilled with the aesthetics and still wanted more but I was kind of told to wait. Of course nothing changed.

Fast forward several months and I randomly did a Google search, scrolled and found Leonardo Medicine. Never had seen the result before in a search. I checked out his site and did some digging, doctor seemed quite accredited. His results pictures were also excellent. So I finally reached out and he did a virtual consultation. Initially it was for his Hybrid Filler, which is a blend of HA for bulking and Radiesse to promote collagen growth more akin to the sphere based fillers like PMMA and Ellanse but not as permanent. He wanted to wait while he talked to other doctors who have come across PMMA patients and talked to Radiesse's manufacturer to get their input.

We decided to not try Radiesse at the time.

But he was willing to add size and do an aesthetic correction with HA. I was stoked. Lol.

Arrived at the clinic. It's in a building that was once residential it appeared but has been fully renovated. I'd compare his suite to a large two bedroom apartment. There is also a physiotherapy office, some type of medical testing clinic and I think a family practice and his independent office. Clean bright procedure room, secondary room and office, washroom, consultation and waiting area. I honestly love his practice. You feel private and comfortable. For anyone who has seen Avanti's office, similar clean and comfortable space. Parking is easy, highway access is easy.

Anyway. Topical numbing. Then an injected nerve block. Then for most patients an injection to induce an erection (Trimix I think it's called?). This never worked for me so we stopped using it and I had more luck just inducing one without for whatever reason. He prefers to inject erect or at the very least see it erect so he can have erect aesthetics in mind when filling. He uses some type of light that shows veins etc to make it even easier to work with the cannula or other syringes. Whole thing usually takes about an hour and a half from going in until leaving, give or take.

After my first fill, I was very happy with my aesthetics. At no point beyond that was it really to overly correct anything. Most guys would have been very happy at that point honestly.

So full disclosure, I have had quite a bit done. I am extremely happy with it. He can definitely do a very natural looking minor enhancement for those that want it, I've seen many of his results like that and talked to guys here in PM and on Reddit who ended up going and were very happy with half an inch or an inch.

Here's all of my appointments and volumes excluding this week. The attached pics are one comparison from when I first went to him and then prior to my most recent appointment (I was there for a hair treatment study a couple weeks ago and offered for him to take a pic).

August 7, 2023: 10 syringes of Revanesse Ultra (1.2mL for each syringe)
September 18, 2023: 8 syringes Revanesse Ultra
October 10, 2023: 8 syringes Ultra
October 30, 2023: 6 syringes Revanesse Contour
November 28, 2023: 4 syringes Contour
December 18, 2023: 5 syringes Contour
January 19, 2024: 6mL PRP

Not shown in pics below is what I am now, I went in yesterday for:

April 1, 2024: 8 syringes Contour + 6mL PRP

I will update and share more pics if the interest is there.

All summarized, I've been very happy. The addition of the PRP to the filler layer seems to have also helped keep things feeling very nice. I can't really say enough good things.

Yes, first and foremost, go with trusted providers. That isn't to say "Thicken" isn't a good brand, but there are Clinics up popping up left and right who already use fillers off-label, and upon learning that this (penis enlargement) is an option, offer it because they can. Truth be told, most of the worst work I see are by non-Sponsors.

I know that's easy for me to say, but the fact remains that the VAST majority of traffic never posts even once. Even among Registered Members (you don't need to register to read, only to post, or to purchase Premium Membership to view attachments), I believe on PhalloBoards 2.0 it was like 15% ever posted once or more, it's considerably less here. Most guys do their research, book, and go about their lives. I really wish more guys would pay it forward like the pioneers before them.

The reason I cite those statistics is to explain that there is a lot of back channel information I'm privy to. Emails and Private Messages come my way seeking advice that simply choose not to post publicly. They know with my work here that I treat anonymity like HIPAA (despite not being a Healthcare Practitioner), so I see a lot more than just what goes on publicly. Suffice it to say, most of the worst work (in terms of aesthetic appeal) come from "no-namers."

Also, the Sponsors here not only have been vetted, but have demonstrated a desire to be leading innovators in the field, and that's reassuring. Furthermore, putting their face on this forum takes guts because substantiated negative reviews are permitted (there is no censorship or shilling here). So if someone is willing to embrace Sponsorship of the PhalloBoards, it tells me they want to be a big player in the industry, and not some Family Practitioner-turned-Botox Spa side hustle (no offense to any who may fall under that category, I'm sure there are some who are indeed good at their craft). Sponsorship isn't terribly pricey by a Doctor's/Clinic's standards (I do not disclose financial-specifics other than acknowledging that they are Sponsors, which means exactly that) so if they don't have the guts or pocketbook (i.e. low volume whether because they are extremely new to the scene which implies inexperience or because they put out bad results) to promote themselves on the only site anywhere on the web dedicated to the topic of surgical & non-surgical elective medical male enhancement, why put your one & only penis in their hands? Stick with the "Big Guns" if you want a "Bazooka."

I cannot vouch for the Newport and Los Angeles PhalloFILL Providers (It's only the Headquarter Dallas Location that is an Official Sponsor here), but they have been trained by the PhalloFILL team so you certainly aren't dealing with slouches. On the other hand, Avanti Derma primarily employs Ellanse and Linnea Safe (PMMA) which if you are not comfortable with, I'm not going to try and impose on you other than to say that they have been demonstrably efficacious in the penis long-term (nearly 15 years-ish following its use).

Many start with HA, some like it and don't mind its annual maintenance (every 12-18 months or so, depending on your body's propensity to breakdown foreign bodies), usually requiring less and less volume, making costs manageable (and well worth the investment because its effects are life-changing). Others may prefer the Ellanse or PMMA route afterwards if they were either unsatisfied with HA or found the maintenance to be costly long-term. A lot is to be considered, weighing pros & cons, there is no perfect option, some like the safety profile & non-permanence of something in their penis, while others like to get it one & done and never have to worry about it again. As long as you aren't getting a rigid silicone implant or high volumes of silicone oil inside of you, and stick to the PhalloBoards friendly fillers, you'll be alright (i.e. HA, PMMA, Ellanse, Radiesse, Fat Transfer, and Renuva).

That said, just as I praised Ellanse & PMMA, I will equally praise HA and confirm your understanding that it has the best safety profile among all fillers, because it does. It's already naturally occurring in your body, it's only been cross-linked in a lab to behave more like a dermal filler, somewhat if not mostly reversible (depending on how much volume injected and how soon after you choose to do it), and will EVENTUALLY dissipate in the event you don't like it, meaning you won't need any invasive procedures to remove it surgically (that said, again being as impartial as I can be, it's exceedingly rare for people to get PMMA or Ellanse completely removed when having it originally injected by a legitimate practitioner).

Personally, if it was HA I truly desired, I'd hit up Dr. Tsay ( Additional Link ) in Orange County or fly to the PhalloFILL Office in Dallas ( Additional Link ). Again, not a knock on the Newport or Los Angeles locations, I just can't personally vouch for them, but if it were them vs. Thicken, my bets on the PhalloFILL locations. That said, if you are going to spend what you're spending, I'd take a look at some of the options I mentioned.

Good luck and keep us posted!

Endolift effect is around 2 years?

So like on the instagram-link - you would do it on the shaft, right? This is what you meant by mircroneedling? Or this is called only Endolift, right?

- Is it a problem that I have there Pmma now in the meantime … ? I m very happy with the optical result of my Pmma (what I have since 2019) - but an unsuccessful FFT the year before (2018) (all absorbed) gave me a lot loose skin - so my Pmma has too much space to move around. In 2023 I already did a very strict tight cut revision circumcision- but this does not help. The filler still moves left/right while touching. Also in erection.

- What are the costs of the surgery on the shaft?


I m happy to hear your feedback !

I answered the question earlier. Bodytite and Renuvion are basically used during surgery for body skin tightening. They both require incisions and are overly aggressive for a small are such as the shaft. Now that you mentioned it, I have used endolift (see link to my instagram below) to tighten the skin of the shaft because a client complained about too much loose skin on the shaft from swelling after excessive masturbation. That could also theoretically could be used for melting fat see link below but RF microneedling is way safer. Remember safety should be a top priority for any cosmetic procedure.

www.instagram.com/reel/C0iTsbxL2QR/?utm_...gsh=MzRlODBiNWFlZA==

Update to FAQ (always educational) --> phalloboards.info/forum/dr-tsay-ask-me-q...wers.html#1308716255

@Dr_Tsay

- Is it smth like Shockwave Therapy what also women use to burn fat?

- Or can it be more compared to BodyTite/Renuvion ?


Maybe additional question
Also: I do not expect an exact answer but do you think RF needling would be a risk / or reduce my Pmma (what I got in the meantime)

There is no such thing as the absolute best, many of the best Doctors are innovators in an otherwise experimental field. If you search the Physician Directory I linked above, you'll find that they are very capable in their methodologies. What you need to assess is logistics at this point if "money isn't an issue." Good luck.

PMMA is the the safest permanent non-surgical option, Alloderm (Surgimend is under recall at the moment) is the safest surgical method (under an experienced Surgeon), and the P-Long protocol is the safest means that don't involve injections (other than monthly PRP) or scalpels. Permanency in it of itself isn't necessarily superior to temporary fillers like Hyaluronic Acid (HA) as it is more recognizable to the body than foreign objects like PMMA, Ellanse, or Radiesse micro-spheres. Food for thought, but they are all viable options as iterated in my prior post.

Viable options still in discussion, in a nutshell:


Non-Surgical (Injectable Dermal Fillers):

• Hyaluronic Acid (HA)
• PMMA
• Ellanse (not available in the U.S.)
• Radiesse
• Renuva

Surgical:

• Fat Injections (FFT)
• Dermal Grafts (e.g. Alloderm, Surgimend)
• Ligamentolysis (lengthening surgery)

Protocols (neither surgery or filler injections; primarily relies on a prescribed enlargement routine and possible supplementation over a period of time:

• P-Long
• A soon-to-be-announced Rejuvall Protocol

Also worthy of note* -- rigid silicone implants for the purposes of augmentation are still just as bad as they were in 2011, and large volumes of silicone oil as dermal filler injections are arguably just as bad -- avoid both!

Check out the Phallo-Guide for a refresher, then hit up the Physician Directory to see which vetted & screened Practitioners are in your area who may provide the kind of services you are looking for.

And of course, there is a lot to catch up on, so find an hour(or more) every week and brush up on the last couple years of discussion and progress reporting. Good luck!

Lots of options now ranging from fully temporary like HA filler to short term stimulatory fillers like Radiesse to longer term stimulatory like Ellanse or still permanent stimulatory with PMMA.

Spuds1987 wrote: Has anyone here have any experience with Dr Carney. I believe I will have to get silicone removal done and was just wondering if any one has had this done. I unfortunately was ill informed and had what's was called "proprietary formula" injected... I later found out that it was silicone and some other unknown formulas. Was assured that it was safe. Long story short I developed an abscess and have been on antibiotics for about 40 days... I'm not draining anymore at the moment but I fear infection will come back. I still have a small hole in shaft that does not appear to be healing... My urologist has not been much help and referred me to another urologist.... Just looking for some advice.

Yes many have gone to Dr. Carney to have the silicone removed, I know this through both firsthand and secondhand information.

The issue is that most of those guys are almost certainly not logging in daily (most guys who have to deal with these matters usually rather not dwell on the subject post-removal), and you'd have to be lucky that both a former Carney-silicone-removal-patient happened to log in (or will log in the near future) AND come across this post.

Your best bet would be to reach out to Dr. Carney's office and ask if they have any former patients who have willingly provided their contact info in the event others needed to reach out for support/guidance.

Also, this is why Dr. Carney is so strongly recommended in this situation: (1) Most Urologists aren't necessarily versed in male phalloplasty (the field remains experimental, in other words, there is no Urological Textbook on how to properly enlarge the penis); (2) Dr. Carney is both a Reconstructive Urological Surgeon AND "phalloplastician" (as in, he's well versed in most medical penis enlargement methodologies); and (3) he's done these specific removals a number of times to make him as qualified as any to perform the procedure, so that should be some reassurance moving forward.

The Loria operation needs to be shut down. I just don't understand why he doesn't employ Hyaluronic Acid (HA), PMMA (Bellafill), Radiesse, Renuva, or Fat Transfer as his filler-of-choice; all those have been demonstrably efficacious, but for some unexplainable reason he (Loria) would prefer his silicone oil proprietary cocktail mix injections. I have some ideas as to why he still takes this asinine route, but I'd much prefer waiting to see what else comes down the pipeline first.

Best of luck.

While I can't speak for him definitively, I'm about 90% sure my current practitioner practitioner has taken this approach with patients that have significant retraction. Botox (believe he calls it Grotox) first and then fills with an HA and Radiesse blend at a later date. Basing it off conversations I had with Dr Leonardo while there and one of his patients I've talked to was having it done in that order if I'm recalling correctly.

It makes sense. Especially for any collagen generating/microsphere type filler.

If it was me, I'd give it a go. It wouldn't negate any effects. Just an unprofessional opinion, can't suggest you do anything.

evolution10wrx wrote: better written, I want to increase the thickness of the penis in the healthiest and most FDA approved way.

As Dr. Sullivan pointed out, there is no FDA approved penis enlargement filler (or method) per-se. These dermal fillers (Hyaluronic Acid, PMMA, Ellanse, Radiesse, and Renuva) are used off-label into a layer of the penile shaft skin to create volume (simplest way of putting it). These fillers however, have been FDA approved for other specific reasons, none of which indicate girth enhancement, hence the off-label use (which is legal). I should note that Ellanse is still not FDA approved in the U.S. and is only available abroad.

In my personal opinion, Hyaluronic Acid (HA) is arguably the safest filler given that it already exists naturally in the body -- medical device manufacturers have cross-linked them to behave as dermal fillers to increase the volume of the skin. They are temporary in nature and somewhat reversible too with the use of a special enzyme to breakdown the filler if necessary. The trade-off with temporary fillers is that you will have to periodically top them off, and the rate at which HA breaks down/reabsorbs varies person to person. A safe bet is once a year, and you'll often times not need nearly as much volume to get back to your size-goal because not all of the HA will have diminished by then. I call this a trade-off because while you wish to seek out the safest option, you'll have to accept that maintenance comes along with it.

A counter example would be something permanent like PMMA (Bellafill in the U.S.). Due to its permanence, it can be very difficult and invasive to remove all of the PMMA in the event you have an undesirable result or complication. The trade-off here is that while it isn't as manageable as HA in terms of reversal/complications, you won't have to top it off periodically once you've achieved your final size goal. I should note that Bellafill is FDA approved and by and large is a safe filler too, relatively speaking.

So as you can see, some people prefer the peace of mind of HA in the event that they have undesirable results or complications because they are easier to manage, or would like to trial girth enhancement due to HA's temporary nature. On the flip side, permanent options like PMMA or dermal graft surgery offer a sort of "one & done" solution (with some potential subsequent touch-up appointments) which is a life-long convenience but can come with unforeseen challenges, despite complications being uncommon. You have to assess your own risk threshold, size goals, and what trade-offs are more compelling.

Excellent results! You must be thrilled.

I switched from getting Revanesse Versa (Ultra up here) to Contour because it's firmer as well. From what I've read, it and Volux are both more designed for jaw line sculpting etc so they're very thick and firm. And now I want to start integrating Radiesse to firm up even more and build more actual collagen. I definitely understand you wanting to get Volux. Please keep this up to date, I'm curious how long it lasts. Seems rated for 24 months which is nice.

Sullivan seems to be a great practitioner. His input on here is also excellent.

Dr_Sullivan wrote: It's important to note that this specific filler is not currently available in the United States, and as such, I do not have personal experience with it in my practice but I am aware of it.

Ellanse is similar to other biostimulatory fillers such as Radiesse, Sculptra, and Bellafill, in that it stimulates your body to produce its own collagen. This process can provide longer-lasting results compared to some other fillers. Like Radiesse and Sculptra, Ellanse is eventually absorbed by the body, but it tends to have a longer duration before being reabsorbed. On the other hand, Bellafill is more permanent compared to Ellanse, as it does not completely reabsorb over time.

Given your positive experience with Ellanse and the natural absorption over time, exploring alternatives that are available in the U.S. could be a viable option I would suggest considering Bellafill.

Best regards,

Dr. Sullivan

I'm very aware of Radiesse being used by some for girth augmentation. What about Sculptra? Could it possibly suitable vs Radiesse?