PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

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.

I saw that CALIBRE Clinic in Australia has a very interesting page where they compare different procedures they offer, including different kinds of fillers and dermal fat graft, and I assume it would be allowed to link to them because they are a sponsor of the board? www.calibreclinic.com.au/product-options

When it comes to PPMA, FFT and dermal fat graft they list irregularities as being common, but it seems they are of different kinds.

For PPMA they list: nodules, granulomas, product hardening and lumpiness.

For FFT they list: skin fibrosis, scarring, and possible skin necrosis.

For dermal fat graft they write: "Fat graft has tendency to result in some lumpiness. Scar tissue is material (both at harvest site and where penis is re-stitched), which can result in deformity."

Interestingly, it says that the lumpiness with dermal fat graft can be corrected. I had my dermal fat graft almost 11 weeks ago, and there is a lump at the base of the penis, as I have previously shown. I am very curious if anyone has any idea how CALIBRE Clinic would correct it?

I saw that Dr. Jayson Oates wrote on the forum 04/12/16: "Surgery with lengthening and dermal fat grafts can be successful, with the right surgeon. But is major surgery, very expensive (>$30K in Australia) and has protracted down time."

Interestingly, it seems they do not offer the lengthening procedure anymore, based on their website. That would be interesting to know why?

As for what procedure they seem to prefer, it is obviously hyaluronic acid. Both several years ago and now it is clear it is their preferred procedure. They give it a risk rating of 1/3, compared to 3/3 for PPMA, FFT and dermal fat graft.

They also state that irregularities are "possible" rather than "common". I guess the low-risk rating might partially be because it is reversible?

What they write about complications is: "Nodules may form early or possible scar granulomas at a later date, but can generally be resolved quickly with Hyalase/steroid injections."

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.

I won't speak for others but there are a few things that do weigh in favor of the cost-benefit of HA:
(1) It has a strong safety profile. It's used all over in cosmetic medicine with reportedly low complication rates AND happens to be a naturally occurring substance in your own body.
(2) Somewhat reversible. I've read varying degrees to the extent it can be reversed with hyaluronidase, which could be useful for those who need corrections or for those who want to remove it. Fillers that rely on bio-stimulatory effects (Ellanse, PMMA, Radiesse) require more invasive measures to remove.
(3) For some guys, NOT being permanent is attractive. Not all results are equal -- if you aren't happy, you aren't stuck with it forever, nor will you have to worry about any additional measures down the road for removal. Plus, not all experiences are the same -- maybe your partner doesn't like your oversized girth, at least you know in a few years it will return to as it was before. You may think that sounds crazy but I've seen reports of bigger men being turned down quickies (vaginal tearing) and anal (self-explanatory).

In the same breath, obviously top-offs periodically can prove cost-prohibitive for some folks, especially if your body is the type to breakdown fillers quicker. If budget & logistics play a significant role in your long-term plans, then alternative fillers or procedures may make more sense.

A lot of guys have shared that they like the idea of HA being their "first time" filler. This way they can decide whether or not they even like girth enhancement before pursuing any additional appointments. They can also see if HA makes them happy, continuing with it every few years, or if they rather opt for more permanent options instead.

I hope HA guys chime in

Thanks, and I appreciate yours as well.
Interesting enough there was no immediate aftercare after the bellafill injections. No wrapping etc... The only aftercare was doing the pumping starting several days after said injections. On a recent visit I had one syringe of hyerdilute radiesse injected into the shaft to correct a hyperpigmentation. The Dr. said I may also receive a little increase in girth, but it is too early to know that. Interesting enough after that injection my retraction got a lot less which I am very happy with that as well. Gainswave was also done at this last visit but no prp this time.

Tim62411 wrote: I also see a lot of people talking about PMMA Avanti Derma. skeptical_one: if it were you, would you be going the surgical route or filler route if you had BPEL of 6” and erect girth of 5” mid shaft. I know surgery is about the only option for a length increase.

My role here prevents me from "trying to play favorites" or "what would you pick" scenarios, because it will create a conflict-of-interest. That said, I can propose to you pros & cons worth considering, and you make the best judgment given your circumstances.

The appeal of Surgimend in your case is two-fold:
(1) because the dermal graft is precisely cut to size, you won't have to deal with the aesthetic irreuglarities that comes with fillers (e.g. nodules, ridges, bumps). The shaft theoretically should be uniform in contour. It's also a material rich in collagen and will mimic gains achieved with fillers. The only downside here (really depending on who you ask) is that the girth is somewhat capped. In other words, once you have your procedure done, there is no "topping off" or "adding more girth." You'll want to ask the Doctors yourself but I believe gains of 0.5"-1.0" in girth are plausible, and that's quite significant (if you were 5.75" in erect girth, you're effectively Magnum XL).

(2) The two Doctors you are considering (Dr. Liu & Dr. Solomon) can both perform Ligamentolysis (lengthening) and Surgimend on the same day, making logistics and costs much more manageable. The only downside here is that recovery time is typically longer when getting multiple procedures done same day.

In contrast, if you get fillers performed, you'll still have to visit a Surgeon to get ligamentolysis. Fillers are also known to require multiple appointments to achieve desired aesthetics and size, bringing potential costs on par with the surgical route.

Fillers greatest advantage are that they are non-surgical, making them outpatient and recovery quicker. PMMA in particular makes your "skin thicker" as opposed to your "shaft thicker" (like Surgimend would).

Avanti Derma is certainly a great Clinic, and the reason you see a lot of them here is because PMMA dominated the discussion for most of this site's existence, before topics like Ellanse, Radiesse, HA, Renuva, and PRP-Treated FFT became regarded as effective alternatives in the filler discussion today. The good news is that now we have options, which also expands our ability to choose our physician, region, budget, etc.

As for Surgimend, it's the only surgical (*not non-surgical) option I recommend, and most other surgical alternatives are either obsolete or too risky for me to consider.

I hope that helps.

The following are Q&A submissions from Dr. Tsay.

---

(1.) How much girth/circumference can you achieve with girth enhancement?
Generally speaking, for our fat transfer patients, we can put upwards of 50cc’s of fat at a time, and patients can expect a 15-25% increase in girth in a single session. For example, if you start with a flaccid circumference of 4 inches, you could reasonably expect to go to 5 inches in circumferential measurement (which can be visually significant).

For dermal fillers, we don’t want to put too much in at one time. I generally like to cap that out between 10-15cc’s per visit. You’re going to get a mild increase in girth in one session. When you build upon that over multiple sessions, I find that 50cc’s (in total) is the sweet spot for the average size penis to really see a significant girth enhancement.


(2.) How long can filler injections take and what kind of anesthesia is used?
This procedure is all done under local anesthesia. I find that this is generally sufficient enough, and we also offer nitrous oxide (i.e. laughing gas) if you are at all nervous prior to coming in. We can also prescribe sedatives that will give you a calming experience throughout the procedure.


(3.) Can girth injections affect the function or sensitivity of the penis? What complications are there to consider?
Some of the common complications are bruising and swelling. This is usually self-limited and lasts 7-10 days. We usually recommend not to use the organ (penis) for at least one week after the procedure. Not only will the penis be sore, but there will be open wounds that need to be completely healed before resuming any sexual activity.


(4.) How does the newly girth enhanced penis feel?
We usually follow up with the procedure about 2-3 weeks afterwards, and at that time the swelling is gone, the bruising is gone, and you can really appreciate the final result from either the fat transfer or dermal filler placement.


(5.) Can you gain length from girth injections?
So the procedures (fat or dermal filler) don’t give you an increase in length per se, but more than half my clients who state they appreciate the increase in girth, also say that their flaccid length increases as well. So that is a beneficial “side effect” of girth enhancement.


(6.) What to expect with a procedure?
At Ageless MD, we offer a variety of different fillers, as well as fat transfer, to enhance the overall girth of your flaccid and erect penis. We also use dermal fillers to enhance and increase the size of the glans.


(7.) Can you tell us more about the use of Platelet Rich Plasma (PRP) to aid gains?
Many of our patients combine their penile enhancement with PRP. When that happens, the PRP has regenerative properties, so it increases the quality of the erection, the duration of the erection, and the sensation around the glans.


(8.) What is your preference of filler and/or brand?
At Ageless MD, we use a variety of different filler products to enhance the girth of your penis. The most obvious would be fat tissue; this involves a fat transfer via miniature liposuction from your lower belly. We process the fat to be micronized, and used in a syringe to be injected all along your shaft to increase your girth. I believe fat is the best filler, assuming you have enough to harvest for girth enhancement.

If you don’t have enough fat, there are a lot of other choices such as fillers made of Hyaluronic Acid (HA). There is also another filler called Radiesse that we use and that’s made of Calcium Hydroxyapatite (CaHa). The reason I like this filler in particular, is that CaHa is found in your bones. What better product that is already naturally occurring in your body, that we can use to put into the penis to mimic a firm, hard erection.

Conceivably a lot - however, I wouldn't advise going overboard with HA filler. Men here, especially those without any work done, have no idea how significant 0.5"-1.0" is in actual girth. The change in volume is quite significant.

If you want a natural end-result with HA, go with practical goals (like I said, try not to exceed 1 inch in circumference). This not only will improve how it feels and looks, but will be much easier to manage if you need future revision work.

To be honest, I think going overboard with any filler increases the risk for aesthetic irregularity. I think the "squishiness" effect is a bit overblown - your natural erect penis still has some "give," much like why dildos are not rock hard like vibrators. Furthermore, overfilling is equally problematic for more permanent fillers like Ellanse or PMMA, where the skin can become "too rubbery" to the touch.

In other words, HA, Fat, Ellanse, Radiesse, Renuva, and PMMA are all viable fillers when (1) medical grade; (2) performed by a qualified & experienced practitioner; and (3) not over-filled, especially not all at once.

I also agree with Hyperbol - regardless of the contour/palpability of your penis, the vast majority of partners are going to dwell on how much it fills them up... if they've seen enough penises they'll know how much variation there is in size, shape, veins, coloration, etc. What COULD raise suspicion is if you over do it. Just like lips, you ever see a woman with disproportionally large lips? The ones who add just enough to plump them up get away just fine, same applies.

On a side note, if you have a significant other who's comfortable with your decision and aesthetics aren't high on your priority list, then sure, you can probably exceed 1 inch, many have. Just be aware of your circumstances when making these decisions.

Honestly any filler will do, it's a matter of communicating your desire to your practitioner on what you're trying to achieve: for example, those with "baseball bat" style penises will likely want most of the filler at the base, tapering upward toward the glans. This can be achieved with Hyaluronic Acid (HA), Radiesse, Renuva, (your own) Fat, Ellanse, or PMMA; in other words, all viable penile fillers.

I'm waiting for Dr. Tsay to provide me with his Restylane Lyft for $5500 for 10 mL Summer 2022 Special banner.

Normally Hyaluronic Acid (HA) injections in the US can start at $7,000-$8,000+.

10 mL is a modest volume, and depending on your length, can provide substantial gains. I try and encourage my Sponsors to issue specials so that my readership can reap the benefits.

felipebr wrote: I am planning my trip to Tijuana soon to get Circumference Augmentation in Avanti by Dr. M. Initially I was thinking of choosing the PPMA option as it is forever and seems safe.
But here in Brazil women had a lot of problems with PPMA in their buttocks, and the problems appeared years after the procedures so I'm a little afraid, I know Avanti has a good reputation and a good technique.

Anyone now about future problems and complication with PMMA for pennis enlargement? Is it better to choose the Ellansé?

I'm sorry but I would trust nothing coming out of Brazil. I've seen cases that turned out to be shoddy doctors using questionable silicone oil or who knows whatever else. Medical-grade PMMA injected by an experienced & qualified practitioner is relatively safe. I say relatively as in its comparison to cosmetic medicine in North America, who knows what's going in more corrupt places like Brazil.

Stick to PMMA, Ellanse, HA, Radiesse, or Fat if you're looking for non-surgical. Surgimend is the only surgical option I'd recommend. Avanti Derma practices ethical medicine, and Dr. Morales has a positive reputation. Just feel free to reach out to them about the Brazilian horror stories, they know the truth behind a lot of those myths. Good luck.

I agree that the glans can take quite a bit of filler. I personally max out at 5 mL in a given session. In regards to which HA product in the glans I prefer either Juvederm Ultra XC, or a Restylane L due to the softness of the product and less degree of lumpiness. In fact most of Restylane products would probably work well in the glans. Juvederm Ultra XC happens to be the most hydrophilic meaning it pulls water more than any of the Restylane products. I don’t have experience with RHA as much yet bc it is quite new to the US.

In regards to collagen stimulating fillers in the glans I think the biggest concern for most injectors/doctors is safety, or at least it should be the greatest concern for our patients and secondarily of course results. In that regards dissolvability naturally steers us to the HA products. Technically in the US there are 3 “collagen stimulating fillers: PLLA (Sculptra) PA (Bellafill), and Calcium Hydroxyapatite (Radiesse). None of these are immediately dissolvable and Radiesse is the thickest (like toothpaste) and would most likely have a higher chance or lumpiness and occlusion. Sculptra because it’s a powder mixed with water so technically an aqueous suspension would probably be the safest because in the face it has a very low chance of “clogging” a vessel because of its aqueous nature. But each vial of powder is constituted with minimum 7-9 ml water and requires several months to see the results. But interesting to see what further research brings in this arena.

I understand the attractiveness of stimulating collagen in the glans but theoretically speaking any HA injected in the skin stimulates collagen to a certain degree. Interested to see more studies come out on this topic bc it is not a very commonly explored territory.

Dr. T

This topic will serve to publish periodic Q&A's from Moderators and Forum Members alike on all matters related to Dr. Victor Liu's Plastic Surgery Practice. He will share details about his services as well as his opinions & insights on all matters male enhancement.


(Q1.) Can you share with me what you provide in the way of testicular enhancement?
When one or both testicles are missing resulting from trauma, surgery or congenital, the appearance can be improved by putting in a testicular implant which can be done under local anesthesia with practically no downtime. In cases of testicles sitting "too high" it can can corrected by scrotal enhancement. The testicle is attached to the bottom of the scrotum by the cremasteric muscle. By enlarging and stiffening of the scrotal wall the testicle is pulled downwards back into the scrotal cavity thus giving the scrotum a more normal and pleasing appearance.


(Q2.) Could you describe your lengthening procedure?
The upper part of the base of the penis is attached to the under surface of the pubic bone by the suspensory ligaments. Up to 1/3 of the penis shaft is behind the bone and cannot be seen nor is it "functional" There are two suspensory ligaments, the superficial and the deep ones. The superficial one (fundiform ligament) is a continuation of a layer of the abdominal wall called the scarpa's fascia. The deep one is the commonly called suspensory ligament of the penis. By dividing these ligaments the penis can be pushed forward and therefore the functional part of the penis becomes longer. The amount of elongation depends on several factors: 1. How much of the penis is behind the bone; 2.The width and slope of the bone (pubic symphysis); 3.The soft tissues around the area (are they tight or loose, stiff or flexible are some of the factors) Each individual is unique and and the amount of lengthening is different for each person.


(Q3.) What type of fillers do you use?
Both temporary and permanent fillers, including Juvederm, Restylane, Voluma, Radiesse, and Bellafill.


(Q4.) Do you offer financing?
We do not but can use Credit Care.

The problem I've had with this "Loria proprietary filler" nonsense that's been peddled for years is how absurd that excuse really is. There is NO REASON your performing physician can't disclose the ingredients, fillers, and materials being put inside of you. Not only is it your right to know as a patient, but this kind of info could come in handy should you (heaven-forbid) deal with a complication down the road.

No offense to Dr. Dellinger or Elysian, but he ought to toss this Loria garbage out and go to something with a considerably better safety profile for the penis (like Hyaluronic Acid, Radiesse, Bellafill, or even FFT). I have a feeling he may not be privy to the quackery that is Loria-anything.

To all the readers here who may be unfamiliar, the issue with silicone oil is that it can be (a) very prone to migration; (b) when complications arise, they can be much more severe than other fillers; and (c) because results can look so good post-op, it makes it all the more deceptive to those who are not "in the know."

It should be said that the vast majority of practitioners leading in the field of male enhancement either don't use silicone fillers or prefer not using silicone fillers in the penis, and that too should be worth noting. I have only ONE Sponsor who happens to use silicone in other areas of the body (which I can't speak for), and does offer it if asked, but is NOT permitted to advertise it here (a compromise made because he has so much expertise in other male procedures, including lengthening and testicular). Think about this: if all of these phallo-doctors have off-label access to silicone oil, why don't they also use it? The answer is quite simple: no one wants to deal with the issues associated with a poor silicone result.

That said, I don't want to alarm you Magic_Wand, if you were administered Silikon1000 via microdroplet technique, it probably isn't so bad. I can't see why they would do it any other way if all you wanted corrected was the gap.

Hello good Phalloboards members! This thread will serve as my record through the phalloplasty process, what I have learned, and my current progress/thoughts.

Let’s start at the top…

Motivation:

All my life I have been self conscious about my penis size. I was bullied for it in middle school. But this is only one factor contributing to my desire for a larger penis.

At the end of the day, size does matter. I have been married for a decade and have wonderful children. Sex still feels great, but it’s not as tight as it used to be. Yes, my current size can get the job done - and if getting the job done was all that mattered, then I’d be happy. But that’s like settling for a C. I want to go for an A+ experience. Bigger = more sensation = possibility for more pleasure. Seems simple enough.

My Current Size: (See Attached Pictures)

And here come the stats…

Flaccid Length: 4”
Flaccid Girth: 4”
Pelvic Bone Erect Length: 6.2”
Erect Girth: 4.6”

It was a little colder when I took these pictures, but I generally hang a little longer.

As far as where I fall in the distribution, I’m right about smack dab in the middle of average.
My girth is 46th percentile.
My length is 82nd percentile.

Would be nice to have a bit more girth… that leads me to my:

Goals:

I think my length is fine. Sometimes I hit my wife’s cervix in certain positions and feeling around in there, the canal ends maybe 4” from the opening. Girth is where it’s at.

I’m going for somewhere between 5.5” and 6” in girth. Function over form.

Oddly enough, I don’t really care about having a big bulge. In fact, I’d prefer not to really have a large bulge if possible… but if things go well, this likely can’t be helped.

Step 1 -- The Consultations

I like to know how things work. The more I can learn, the better. Phalloboards have been extremely helpful when researching the types of fillers that can be used for girth enhancement. I was actually very close to getting the Penuma device when I stumbled across Phalloboards and discovered that it was clearly the wrong option.

Here are the folks I consulted with over the last two weeks:

Dr. Jane Chung

• Jenesis Lipoplasty and Laster
• Recommended Filler: Juvederm Ultra XC+ (HA)
• Cost per cc: $950
• Experience: Over 1000 cases (10 years)
• Summary: Love her as a doctor. Her work is masterful, but extremely expensive. She doesn’t use Voluma which surprised me and only would go for 5-9 CCs in the shaft for the first treatment.

Dr. Victor Liu, MD

• Own practice
• Cost per treatment (as much Oil as you can take): $8,000
• Experience: Roughly 80 Cases
• Summary: Dr. Liu was very straightforward and nice. A very experienced plastic surgeon that seems to specialize in more female services. I found him through realself.

Ian Garcia

• Avanti Derma
• Recommended Filler: Linea Avanti (PMMA)
• Available Filler: Ellanse (PCL)
• Cost per treatment: $5000 (PMMA), $450 per cc (PCL)
• Experience: 4-5k
• Summary: I loved talking with Ian. Super professional and insightful. I’m a little nervous about going out of the country for treatment, but these guys are professionals. Reading Dr. C’s posts throughout phalloboards really makes me respect their practice.

Dr. TJ Tsay

• Ageless MD
• Recommended Filler: Juvederm Voluma (HA)
• Available Filler: Hyperdilute Radiesse (CaHA)
• Cost per treatment: $850/cc Voluma, $650/cc Radiesse
• Experience: Didn’t ask number, but seems very experienced.
• Summary: Talking with Dr. Tsay was great. He is incredibly knowledgeable and answered several questions I had about the different filler technologies. His practice in LA is great and I’d feel very comfortable in his care.

The consultation phase was great. For anyone considering fillers, PLEASE speak to many different physicians. As you can see from my experience, each practice offers different options that have pros/cons.

If I had to rank my preference based on physician, it would be: Dr. Tsay, Avanti Derma, Dr. Jane, then Dr. Victor.

Step 2 -- Deciding what to go with

Now, this is the hard part. Let’s start by comparing and contrasting fillers.

Disclaimer: I’m not a doctor - just some dude who talks to doctors and reads a ton on the internet. How I see it, there are two types of fillers: volume fillers and dermal fillers.

Both work in the same subdermal level of the skin but end up with slightly different results. Volume fillers create volume with the substance that is injected by capturing water and expanding (Like HA) or an inert volume like silicon oil. Many dermal fillers stimulate collagen growth. This is done with some type of collagen stimulant like plastic microspheres or some other material (we will break this down a little more in a second). Over time, your body produces collagen around these spheres and effectively thickens that layer of the skin adding volume. These fillers are typically injected with a vehicle that acts somewhat as a volume filler while your own collagen builds up. The vehicle is typically dissolved within a few weeks.

Okay… So let’s compare and contrast our filler options:

HA
Temporary (9 months to 18 months)
Pros: Safe. Reversible. Time Tested.
Cons: Softer finish. Metabolizes pretty quickly. Expensive.

Silicon Oil
Permanent
Pros: Instant volume. Cheaper
Cons: Horror stories of people getting degloved with it. Volume filler, so likely to end up squishy.

PMMA
Permanent
Pros: Collagen stimulating. Firmer finish. Fairly inexpensive at Avanti Derma (Bellafill is crazy expensive though)
Cons: Degloving is scary if things go wrong. Not recommended past two sessions if you want more girth. Risk of granulomas are higher.

PCL/CaHA
Temporary/Semi-permanent
Pros: Collagen stimulating. Firmer Finish. Reasonably priced.
Cons: Uncertainty about dissolving period.


Lots of information here, but here is where I’m at. I don’t want a squishy finish. I don’t think my wife would love it either. That kills Silicon Oil and HA (in the shaft, definitely considering the glans for HA though)

That leaves me with PMMA or PCL/CaHA. I think I have three options:

Option 1 - Go PMMA. People have been doing it for a long time and the negatives we have seen on the cheeks in 15 year patients won’t apply as much to the penis as there isn’t really fat to wither away around the PMMA. Though, this is permanent. What if the ideal filler comes out and it can give you 2” in girth?! Did I pull the trigger too early? On the other hand, if I can hit my goal with PMMA, why not just settle for this.

Option 2 - Go 1 year Ellanse or Radiesse then switch to PMMA. Talking with Ian, this is certainly possible but most physicians will recommend the PCL/CaHA is fully dissolved before injecting PMMA. This sounds like an appealing option. It gives me the opportunity to try it out and learn how to do post care with collagen stimulants before learning on a permanent option. However, this is more expensive AND I’m not sure if I will want to have to wait for things to full dissolve after experiencing a better size.

Option 3 - Go with 3 year Ellanse. I’ve heard this can be a great option as it’s temporary, but will last quite a long time. Reports of people not seeing any loss in two years seems to be pretty common. Getting topped off with Ellanse would be fairly easy and mitigate risks for deformity if something went wrong. You still get the firmness, but I've heard this can have a slightly rougher finish than PMMA. One of the questions I’ve had about Ellanse is will the penis start to deform as the spheres start to dissolve. Assuming they likely won't dissolve evenly over the penis, it seems like you are likely to get lumps as you reach the end of its life lifecycle.

I need your help!

Questions:
Has anyone gone through a full PCL dissolve? Any issue? What was it like?
PMMA 10% seems to be the best way to reduce the likelihood of nodules/granulomas. Thoughts?
Has anyone tried taking Collagen supplements (Protein, pills, etc.) prior to a PMMA or PCL treatment? Think it would help boost production around the spheres?

Right now, I’m leaning towards Option 3. I’m 30 years old with hopefully 60 more years of sex ahead of me. It would be a shame to be permanently deformed. Ellanse seems like it really checks all the boxes. Money isn’t a super big problem for me, but I’d like to not pay more than I have to. Plus, I trust Avanti Derma based on their prior work. What do you think?

I’ll keep everyone posted on my progress + photos.

Unhung1 wrote: seems like you got ripped off and if no one else wants to say it i am cause like you said this effects anyone who been considering getting it like me. i dont believe that 6 month bs for a second and its the 1st time i heard it in this thread. my complete understanding was swelling at 1st so thats when your the biggest then around a month later is your final results. your not magically gonna grow another inch in 6 months.

just like everything else in life it just seems like some will have a better experience then others.

to clarify what i mean by ripped off. im not necessarily saying they skimped on the actual product they gave you, although im not ruling it out. but their website and all the testimonies say you will gain atleast 1 inch in erect girth in 2 procedures and you didnt come close to that.

thats a rip off bottom line

I'm afraid you don't know what "rip off" means. It implies that the seller cheated or deceived the buyer, and that's incredibly unfair given the current information available (let alone the Clinic's upstanding reputation).

The PMMA filler is a collagen-inducing filler, meaning your gains are predicated on your body's reaction to the microspheres. In other words, collagen-inducing fillers like PMMA, Ellanse, and Radiesse cannot guarantee a specific gain, only a range. This is unlike volume fillers (Hyaluronic Acid & Fat) where you can instantly predict gains because the girth comes from the filler itself.

Traditionally their PMMA range has been 1.25cm-2.5cm (0.5" to 1") because this is the average seen by their patients, not a guarantee on your appointment date. That said, it is an advertised range and the 0.3cm is well below this, therefore I hope and suspect Avanti Derma will review this situation if & when Dobra69 reaches out to them.

There is a thin line between "dissatisfied vs ripped off," and a lot of that comes with context. I think we give all parties a chance to address the situation before drawing conclusions, especially given Avanti Derma's proven professionalism in the past. Dobra69, have you reached out to them regarding your unhappiness with the gains? And if so, what was their response?