PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Boinkerz wrote:

Skeptical_One wrote:

Boinkerz wrote: Would have been interested to hear his pricing for the fat transfer route.

Since prices are subject to change, I typically encourage readers to contact the Provider directly, Dr. Tsay can be reached during the week at 714-760-9918.

Yah I think everyone understands that, but he gave a ball park pricing regarding HA fillers in the interview, so a ball park pricing for fat transfer would have been neat.

From Dr. Tsay:
I charge a flat rate if $6500 for fat transfer to the penis. I typically put 60+ mL of fat in one session and the advantage is that the prices does not depend on how much volume they receive as opposed to using HA which is dependent on volume. More than half the time patients do request an additional treatment within a year or two after their first time receiving this treatment. An alternative to a second round of fat transfer would be to use renuva as a top off or for adding minor aliquots of volume. This price can vary depending on how many mL of Renuva they would like to receive. I hope that helps.

Skeptical_One wrote:

Boinkerz wrote: Would have been interested to hear his pricing for the fat transfer route.

Since prices are subject to change, I typically encourage readers to contact the Provider directly, Dr. Tsay can be reached during the week at 714-760-9918.

Yah I think everyone understands that, but he gave a ball park pricing regarding HA fillers in the interview, so a ball park pricing for fat transfer would have been neat.

Boinkerz wrote: Would have been interested to hear his pricing for the fat transfer route.

Since prices are subject to change, I typically encourage readers to contact the Provider directly, Dr. Tsay can be reached during the week at 714-760-9918.

Would have been interested to hear his pricing for the fat transfer route.

EricPig wrote: @Rybrad
So I started around 6x4.5 and had one procedure and now I’m 6x5.75 and scheduled for my second.
I’m a Loria medical patient which I’m seeing isn’t a popular thing on this site. I personally haven’t had any negatives with working with them and I loved my first procedure. Honestly I don’t see other companies who offer permanent filler to have any less issues. For example - I know a few guys who’ve gone to Tijuana and come back with infections and imperfections just like the ones being roasted on here for so … maybe I don’t know enough. I’m down to learn. I’m not advocating for them. It’s just my experience.
My third procedure I am looking for another company closer to me, but not because I’ve had a bad experience with Loria.

There is a saying, you can't make everyone happy.

I could take a buddy visiting from out of town to my favorite restaurant, and insist he gets the ribeye steak. Upon arrival, the steak is overdone and clearly we're both disappointed. Of course they apologize and bring us out a new steak and free desert on the house. So even the finest restaurants occasionally butcher a steak. That's my analogy for the vast majority of quality physicians performing penis enlargement. The true can be said for a reputable barber or tattoo artist.

Dr. Loria on the other hand is the kind of establishment you go to crossing your fingers the chicken isn't days old and or whether or not the cooks actually earned the (fake) culinary degrees on the wall. Yea that's right, the guy said he was a Cosmetic Surgeon and frankly, he's not. However, his real expertise was Nutrition and Hair Restoration for some time.

Silicone-enhanced penises are what I consider the great deception in male phalloplasty. Results are instant, permanent, and often-times quite aesthetic. However, large volumes of silicone oil are not one of the safer alternatives in penis enlargement. Firstly, you're required to wear a tight band at the base of your penis just to prevent migration. That alone is a scary prospect. Then, if you happen to be one of the unlucky few who end up dealing with an unusually fierce reaction to the the oil, it becomes very difficult to remove, and can even require skin grafting. I know someone personally who is undergoing illness and it may be attributed to his obsession with silicone oil.

But more importantly, and I've read and seen this around a few times and it's such a valid consideration: if silicone oil is available off-label by the use of any of these phalloplasty doctors, why do the vast majority of them refuse to use it in the penis? Urologists, Plastic Surgeons, Dermatologists, all of them can use it, but instead they opt for Hyaluronic Acid (HA), PMMA, Ellanse, Renuva, Radiesse, and Fat. Why is that? It's because they don't want to deal with the mess that is silicone-enhanced penises.

And what about the PhalloBoards? You don't think I couldn't delete the negative comments and newcomers wouldn't be the wiser? I'm sure the likes of Loria would pay me handsomely considering how much he spends marketing a month. I genuinely care that my readership has access to pool of physicians that perform ethical medicine, it's how I built this site over a decade. I've turned down a number of Clinics I found to be shoddy or unscrupulous.

Also, when speaking to Doctors (both Sponsors and non-Sponsors alike), I'm told this silicone stuff rivals the Penuma in "repair" jobs on these poor men. If you really wish to enhance your size, seek out a vetted, experienced doctor who practices ethical medicine.

Oh and @EricPig , sent you a PM pretty much saying what I said here. I don't mean to alarm you as you may be just fine (not all silicone patients face complication), but there are many Clinics that will turn you away if you've had work done with Loria. Just an FYI, and be honest with them, last thing you want to do is encourage a complication by withholding necessary medical info. Good luck either way!

Great interview, I'm glad to see a more candid discussion regarding these procedures. If women can enjoy the perks of enhancement, I believe the attitudes of men will change too. Maybe might take years, but it's a mature exchange like this one that gets the ball rolling.
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big_dick_energy wrote: Hi everyone, I'm new to these boards and a little overwhelmed with all of the options and different types of fillers out there. Personally, I'd be fine with just adding 0.5-1 inch in girth (currently at 4.5 inches EG). I'm leaning towards HA at the moment since I want to test it out before doing anything permanent, but I'd like to hear any and all recommendations!

Hypothetically, if you had $5k to spend every 2 years, what procedure/filler are you choosing? If you had $10k instead? $15k? And If money was no concern?

-In my opinion, if you had $5k to spend every 2 years, I feel like it's a toss up with fillers, which include Hyaluronic Acid (HA), PMMA, Ellanse, Radiesse, and Fat. There is also Renuva which is a fat injection that doesn't require harvesting fat from your body, making it non-surgical ( Dr. Tsay of Orange County offers this new filler). In this budget range, you'll likely find a tiebreaker by reaching out to vetted Clinics and obtain consultations, see which practice is the best fit for your goals, budget, etc.

-If you were dealing with the $10k-$15k range, surgical options open up, including the use of a dermal graft matrix like Surgimend. These are used by the likes of Dr. Victor Liu and Dr. Mark Solomon . These are typically one-time procedures and permanent.

-If money was of no concern, I'd lean toward HA or Fat Transfer. You'll likely have to top-off these fillers over time but if finances weren't an issue, these represent arguably the safest fillers/methods available today. Note*- I'm not suggesting more long-term or permanent fillers like Ellanse or PMMA are unsafe, but relatively speaking, HA and Fat are derived from natural sources and going to be the most bio-compatible.

What you will want to avoid are any silicone-derivative enhancements, including silicone oil, rigid silicone implants, etc. Everything else mentioned in this post has shown a solid, efficacious track record.

I hope that helps.

Looking forward to my follow-up HA filler session this week with Dr Tsay. Will post thoughts/ results after.

Dr. Tsay's Q&A has been updated with some new entries! --> Follow this link.

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.

ryebread77 wrote: Update: 12/17/2022

So it has been a week since I got 5 ML of Bellafill. Most of the bruising is gone but still tender. I massaged and took hot baths as much as possible but it seems like I have about four nodules under the skin which is tender as well. What do I do? Do I need to go back to Dr. Carney? I may wait to see if it goes away over the next few weeks. Thoughts?

Nodules are common with fillers that work through neocollagenesis (e.g. Bellafill, Linnea Safe, Ellanse, Radiesse), due to some unpredictability inherent to injecting larger volumes. They are completely benign and harmless, but can sometimes be an aesthetic nuisance. Some tend to be small and improve over time on their own, others are simply too palpable and will require a future intervention to resolve.

For this reason, most men wait 4-6 weeks, and if there are no improvements, can see their Doctor to have it corrected.

ou812 wrote: Thanks for sharing your experience so far. Did he actually use 60 cc of fat along with the surgimend? That sounds like a lot seeing that most injectable procedures are in the 5ml to 20 ml range. Any idea of the thickness of the surgimend alone?

There are different volumes injected based on the type of filler.

For example, you have fillers that are in it of themselves the majority contributor of your new-found girth, like fat transfers and silicone oil (note* I do not recommend silicone oil in the penis, however fat transfers are fine). Because the material itself is largely responsible for your gains, you'll find that higher volumes will be injected to reach the desired goal. This is why you typically see 20cc-80cc's involved in fat transfers, silicone oil, and other fillers that are the "girth" themselves.

Then on the other hand you have fillers that induce significant collagen production (e.g. PMMA, Ellanse, Radiesse), and that collagen is largely what makes up your new-found girth. For this reason, you only need to inject 5-20 mL of product because much of your acquired girth will be from collagen creation and NOT the filler itself. For example, PMMA's microspheres themselves aren't what you grab when you're holding your thickened shaft; instead, you are feeling a special type of collagen that was triggered by the presence of those PMMA microspheres.

I hope that makes sense? Some fillers ARE your gains, while others TRIGGER your gains, and this leads to a discrepancy in how much is needed to get similar results. I'll have to keep brainstorming to see if I can simplify this further in follow-up topics.

Skeptical_One wrote:

hotdirt9114 wrote: Is Silikon oil a bad thing? This is what Medical Man Cave said to me:

Our procedure produces permanent results. No need to come back in for top ups. We do not use a permanent filler. The oil based silicon that we use is replaced with naturally produced Collagen. After 30 day the oil based silicon will be flushed out of your body, leaving you with only the naturally produced collagen. This is what produces the permanent gain in girth. The procedure will not affect your ability to get an erection or change any level of sensation in the penis. Everything will look even , there will not be a spongy or lumpy feel or look to your penis. After the collagen fully forms, you will see an increase of about ¾” in girth and you may see a small increase in length at the head of the penis. The shaft and head of the penis will look even, due to the even distribution of the injected product and collagen growth.

This is unfortunate. I was hoping we could have a Colorado-based Sponsor here but upon learning this I'm afraid I won't be reaching out.

Silicone oil is deceptive in that it can certainly provide instantaneous and aesthetically-pleasing girth, but can come with serious issues if & when complications arise. Also, given all the other relatively safer filler options available (PMMA, Ellanse, HA, Radiesse, Renuva, and Fat), why even play with fire??

And as far as Mancave's assertion that the silicone would be "replaced" with you collagen, that's simply untrue. Collagen may develop, sure, but the silicone isn't going anywhere and will remain in your penis. I'm troubled they are being so inaccurate here.

That thing about the silicone being "flushed" out of the body is intriguing, but totally unbelievable. At the same time, it makes me wonder if anyone came across such claims before?

Here we have someone claiming that the silicone will be "replaced" by collagen, and the silicone will be flushed out of the body. As far as I know, silicone is one of the substances that are likely to be able to transition elsewhere in the body, but it cannot leave the body.

Silicone breast implants vs saline implants are a perfect example. If the saline implant is ruptured, it will indeed leave the body, but this is absolutely not the case with silicone implants. Because of how common silicone implants are, and having been around so long, it is well-known how silicone reacts in the body.

hotdirt9114 wrote: Is Silikon oil a bad thing? This is what Medical Man Cave said to me:

Our procedure produces permanent results. No need to come back in for top ups. We do not use a permanent filler. The oil based silicon that we use is replaced with naturally produced Collagen. After 30 day the oil based silicon will be flushed out of your body, leaving you with only the naturally produced collagen. This is what produces the permanent gain in girth. The procedure will not affect your ability to get an erection or change any level of sensation in the penis. Everything will look even , there will not be a spongy or lumpy feel or look to your penis. After the collagen fully forms, you will see an increase of about ¾” in girth and you may see a small increase in length at the head of the penis. The shaft and head of the penis will look even, due to the even distribution of the injected product and collagen growth.

This is unfortunate. I was hoping we could have a Colorado-based Sponsor here but upon learning this I'm afraid I won't be reaching out.

Silicone oil is deceptive in that it can certainly provide instantaneous and aesthetically-pleasing girth, but can come with serious issues if & when complications arise. Also, given all the other relatively safer filler options available (PMMA, Ellanse, HA, Radiesse, Renuva, and Fat), why even play with fire??

And as far as Mancave's assertion that the silicone would be "replaced" with you collagen, that's simply untrue. Collagen may develop, sure, but the silicone isn't going anywhere and will remain in your penis. I'm troubled they are being so inaccurate here.

Screen2584 wrote:

Skeptical_One wrote: Honestly if you are looking for a filler without the surgical factor (and the harvesting of your own tissue), then virtually any dermal filler would suffice, including PMMA, Ellanse, Renuva, Radiesse, and Hyaluronic Acid (HA).

The advantages to dermal grafts like Alloderm is that they alleviate known irregularities posed by fillers, like nodules and lumps, so having them used as a filler takes away from that strength. I mean don't get me wrong, I suppose it could work in a filler form, but how well I don't know.

The brand Surgimend is the dermal graft matrix adopted by the resident American Plastic Surgeon Sponsors of this site, and is pretty much is like an Alloderm.

So if I understand you correctly, then dermal grafts are less likely to cause irregularities, compared to fillers? That is encouraging for me to hear who got dermal fat graft 11 weeks ago.

Not exactly. The dermal grafts matrices I was referring to were the synthetic kinds (e.g. Surgimend, Alloderm, Belladerm). These are "synthetic" in that they are derived from human or animal dermis. A dermal fat graft taken directly from the host (like from under the buttocks) may not be as precision-cut when compared to something made in a lab, and won't necessarily be free from irregularities.

Screen2584 wrote: I assume it would be allowed to link to them because they are a sponsor of the board? www.calibreclinic.com.au/product-options

Of course. Not only that, but virtually any link, article, or study that is relevant to the topic can be posted, Sponsor or not. This forum is meant to expand the knowledge database of this field and any credible information ought to be shared.