PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Dr. Loria, you mean the hair restoration specialist & nutritionist who jumped onto the phalloplasty-bandwagon because he could make a killing pumping dicks full of (dangerous) silicone oil, and lying on his website that he's a cosmetic surgeon (which should be actionable by the Board of Medicine in Florida), you mean that Dr. Loria?

The Dr. Loria who years ago got caught multiple times creating fake accounts here, and even impersonated me on other penis forums because he has the maturity of his front desk resceptionist and not a full fledged physician?

The Dr. Loria who claims his concoction filler has PMMA and other mixes, but ultimately turned out to be straightup silicone? You know, the silicone that NO OTHER ethcial Doctor in the U.S. uses for penis enlargement, despite having access to it.

I wouldn't trust Dr. Loria to clip my nails. I wouldn't extend Dr. Loria Sponsorship here even if he offered to buy me a Ferrari. So I can't imagine I'd trust any of his trainees no matter how skilled they are, and I sincerely hope Dr. Berrett figures out this "cash cow" isn't worth his medical credibility.

The PhalloBoards is and will forever remain a No-Silicone-Zone. Besides, with SO many proven fillers on the market (HA, Radiesse, PMMA, Ellanse, and Fat), why even chance it with a "mystery" injection given by a guy trained by the "legendary" Dr. L?

Some-Book2543 wrote: Thanks for replying Skeptical_One! I am new to the site, but I have read through some archived forums. The Penuma definitely does not seem popular here, and for good reason from a lot of the stories. However, on other sites and forums, I am finding more people with positive results than negative. So I am weighing all sides. This site does seem like a haven for folks with terrible outcomes. That said, fat transfers and dermal matrices seem even way more risky than the Penuma. I've seen reports of necrosis, and horribly shaped endings. Forgive me for still learning, but what are some of the non-surgical girth enhancements you referenced?

What other sites exactly? You mean the Penuma subreddit that does some soft censorship (I posted once or twice asking questions about the complaints people have made on places like this forum and they weren't having it). I say "soft" because they do still let a good number of dissatisfied and/or removal patients post, although if they still exist I don't know (??).

As someone who's moderated the only forum devoted to the topic of surgical penis enlargement for over a decade, I would strongly suggest taking my word that fat transfers aren't as "dangerous" as a rigid silicone implant, in-fact, the fat is your own tissue. That's neither here or there.

As for non-surgical girth options, there are a few popular & viable ones spoken of today:

Hyaluronic Acid (HA): Temporary filler that provides instant volume. Temporary implies that you may require top-offs in the future as the product will absorb over time. Anecdotal evidence suggests HA can survive 18+ months before a top-off. HA naturally occurs in the body and is relatively safe for cosmetic use.

Ellanse: Long-term temporary filler that stimulates collagen growth for girth. This is predicted to survive 2-4 years (possibly longer?) before any necessary top-offs.

Radiesse: Much like Ellanse in how it generates new girth, but not reported to last nearly as long.

PMMA: The only recommended permanent filler option available. Trade-off is travel to Mexico (Avanti Derma), since the American iteration of PMMA (patent-enforced) is not only very expensive per volume, but uses a bovine carrier making it less ideal for penile application.

Avoid silicone fillers.

The aforementioned, especially HA, Ellanse, and PMMA, are most popular here. Deciding what's best for an individual depends on a number of variables (advantages of temporary-vs-permanence, travel & costs, expertise of practitioner, etc.)

Skeptical_One wrote: A few observations made from recent comments in this thread:

I definitely admire Dr. Carney's candidness and "medically-conservative" approach, and I believe he's performed enough procedures & corrections (stemming from other clinic's work) to formulate a very credible opinion on all-matters phalloplasty. As for his observation with Ellanse, he isn't wrong about the contour irregularities, but I would caution readers to note that it was a matter of professional opinion, and not a condemnation of the filler itself (heck, he's injected Ellanse prior to the FDA stating that it must be halted till trials are complete).

You see, all dermal fillers that require significant collagen production (i.e. PMMA, Ellanse, and Radiesse) means there is an element of unpredictability in how that collagen may develop patient-to-patient; sure, much of this can be mitigated with proper injection technique, but there is always variability with the collagen. Also, it's difficult to know how rigorous each patient will follow post-op protocol, which too can lead to aesthetic irregularities. The "rubbery" feel is there (especially in larger volumes/multiple sessions), but is only detectable by those who know it's already inside of you, like you and your doctor (never has anyone here reported that a partner complained about a rubbery shaft). Like PMMA, the added collagen thickens the skin, hence the "rubbery" feel when pinched. As someone who has some of the thickest skin via dermal fillers, I can tell you that I have had zero suspicion among double-digit partners.

As for their website's clarification on costs & procedures, I forwarded the feedback directly to their Offices and hope they'll provide some updates.

Lastly, the idea of posting "After" photos months later is a bit challenging. You'll find that no Clinic publishes Before & After's outside a clinical setting, and that explains why the "after" photos are immediately post-op. Trying to ask your patients to send you dick pics from the comfort of their homes to publish online is both unprofessional and unscientific. Furthermore, if a patient comes in for a second round, that Clinical picture effectively becomes a "Before" photo. That's precisely why this forum's Progress Report section is so useful, it provides insight to would-be patients on more realistic, long-term expectations.

As for gauging long-term "after" results, these doctors do in-fact have a good grasp because many times these patients come in for a second round, meaning the doctor gets to examine his or her work long-term; also, I'm certain some patients send photos to their practitioner over months & years, and this site remains an invaluable source for comparison as well. In other words, most of these physicians are pretty familiar with the "final outcomes."

Every provider (AD, Morganstern, androfill, etc) has before and after photos on their website. Those photos are taken immediately after the procedure and are not indicative of the final outcome. I’m not suggesting the doctors have patients send them dick pics I’m simply stating that one shouldn’t base his expectations on those photos. Your dick will not look like those “after” pictures 6 weeks after your procedure. One will get a much better idea of realistic expectations from progress pics they see on this board. I would say the same for the feel of the fillers. I trust the hundreds of members of this forum to give honest feedback on the feel of their penis over the physicians who see them 3 times at most. Brass tacks - this forum is invaluable for setting expectations. I relied on the feedback here to make my decision and it led me down the right path.

Thanks for forwarding the concern to them. When I brought up something else that I read on the website, they pretty much indicated that some of that info was a bit outdated.

Skeptical_One wrote: A few observations made from recent comments in this thread:

I definitely admire Dr. Carney's candidness and "medically-conservative" approach, and I believe he's performed enough procedures & corrections (stemming from other clinic's work) to formulate a very credible opinion on all-matters phalloplasty. As for his observation with Ellanse, he isn't wrong about the contour irregularities, but I would caution readers to note that it was a matter of professional opinion, and not a condemnation of the filler itself (heck, he's injected Ellanse prior to the FDA stating that it must be halted till trials are complete).

You see, all dermal fillers that require significant collagen production (i.e. PMMA, Ellanse, and Radiesse) means there is an element of unpredictability in how that collagen may develop patient-to-patient; sure, much of this can be mitigated with proper injection technique, but there is always variability with the collagen. Also, it's difficult to know how rigorous each patient will follow post-op protocol, which too can lead to aesthetic irregularities. The "rubbery" feel is there (especially in larger volumes/multiple sessions), but is only detectable by those who know it's already inside of you, like you and your doctor (never has anyone here reported that a partner complained about a rubbery shaft). Like PMMA, the added collagen thickens the skin, hence the "rubbery" feel when pinched. As someone who has some of the thickest skin via dermal fillers, I can tell you that I have had zero suspicion among double-digit partners.

As for their website's clarification on costs & procedures, I forwarded the feedback directly to their Offices and hope they'll provide some updates.

Lastly, the idea of posting "After" photos months later is a bit challenging. You'll find that no Clinic publishes Before & After's outside a clinical setting, and that explains why the "after" photos are immediately post-op. Trying to ask your patients to send you dick pics from the comfort of their homes to publish online is both unprofessional and unscientific. Furthermore, if a patient comes in for a second round, that Clinical picture effectively becomes a "Before" photo. That's precisely why this forum's Progress Report section is so useful, it provides insight to would-be patients on more realistic, long-term expectations.

As for gauging long-term "after" results, these doctors do in-fact have a good grasp because many times these patients come in for a second round, meaning the doctor gets to examine his or her work long-term; also, I'm certain some patients send photos to their practitioner over months & years, and this site remains an invaluable source for comparison as well. In other words, most of these physicians are pretty familiar with the "final outcomes."

A few observations made from recent comments in this thread:

I definitely admire Dr. Carney's candidness and "medically-conservative" approach, and I believe he's performed enough procedures & corrections (stemming from other clinic's work) to formulate a very credible opinion on all-matters phalloplasty. As for his observation with Ellanse, he isn't wrong about the contour irregularities, but I would caution readers to note that it was a matter of professional opinion, and not a condemnation of the filler itself (heck, he's injected Ellanse prior to the FDA stating that it must be halted till trials are complete).

You see, all dermal fillers that require significant collagen production (i.e. PMMA, Ellanse, and Radiesse) means there is an element of unpredictability in how that collagen may develop patient-to-patient; sure, much of this can be mitigated with proper injection technique, but there is always variability with the collagen. Also, it's difficult to know how rigorous each patient will follow post-op protocol, which too can lead to aesthetic irregularities. The "rubbery" feel is there (especially in larger volumes/multiple sessions), but is only detectable by those who know it's already inside of you, like you and your doctor (never has anyone here reported that a partner complained about a rubbery shaft). Like PMMA, the added collagen thickens the skin, hence the "rubbery" feel when pinched. As someone who has some of the thickest skin via dermal fillers, I can tell you that I have had zero suspicion among double-digit partners.

As for their website's clarification on costs & procedures, I forwarded the feedback directly to their Offices and hope they'll provide some updates.

Lastly, the idea of posting "After" photos months later is a bit challenging. You'll find that no Clinic publishes Before & After's outside a clinical setting, and that explains why the "after" photos are immediately post-op. Trying to ask your patients to send you dick pics from the comfort of their homes to publish online is both unprofessional and unscientific. Furthermore, if a patient comes in for a second round, that Clinical picture effectively becomes a "Before" photo. That's precisely why this forum's Progress Report section is so useful, it provides insight to would-be patients on more realistic, long-term expectations.

As for gauging long-term "after" results, these doctors do in-fact have a good grasp because many times these patients come in for a second round, meaning the doctor gets to examine his or her work long-term; also, I'm certain some patients send photos to their practitioner over months & years, and this site remains an invaluable source for comparison as well. In other words, most of these physicians are pretty familiar with the "final outcomes."

I agree with Buckeye about being completely transparent with your healthcare provider, it's in everyone's best interest to come clean so that a proper diagnosis can be made.

A urologist would be the person to see, yes, but I'd also recommend seeing someone who has actually performed corrections on men with filler injections, including silicone... at the very least for a second opinion in the event your first doctor recommends anything drastic. Dr. Carney comes to mind, he works out of Atlanta and I'm fairly confident he's dealt with silicone filler issues before.

Either way, silicone in it of itself isn't a "sentencing" for your penis, and there are people with silicone that are okay, but this is a stark reminder to newcomers how essential it is to find ethical and experienced practitioners using either hyaluronic acid (HA) or dermal fillers like Radiesse, Ellanse, or PMMA, (no silicone) and that even going down this route isn't without risk.

I think you'll be okay, and if you have the time/budget, Dr. Carney is an option worth considering because you won't have to feel the need to "hide" any details and you'd be talking to someone who has dealt with your specific issue before. You have to remember that modern phalloplasty is still relatively "new" and many healthcare providers might not have a clue what you did or how to go about treating complications, hence my recommendations. Good luck!

Sounds scam-ish but I'd like to know more details; I could be wrong but I'm pretty sure there is more to it than just "pure blood", like perhaps a different therapy similar to PRP to make it practical for filler (or growth factor) use.

If you want actual gains, get a proper filler with a proven track record; I can't imagine why one would take a silly gamble when HA, Fat, Ellanse, Radiesse, Renuva, and PMMA are on the market! If your friend is comfortable talking penis enlargement, then show him this website. I would like to know more about the procedure he's talking about, because if it is a scam, I'd like my readers to know.

Rnair wrote: Hi, I'm an internal medicine physician myself and am looking for girth enlargement, what would you recommend for me , I am uncircumcised and can travel to california, located at washington presently.

I'd give their office a call and ask to speak to Dr. Tsay; he's very well reputed for his skill-set in aesthetic medicine and offers a variety of filler options from Hyaluronic Acid (HA), Radiesse (similar to Ellanse), and Renuva (stock may be limited due to covid-impacted industries).

Avanti_Derma wrote: Hello @briceb ,
The only product that I would use for glans enhancement is hyaluronic acid because it is a substance that naturally exists in our bodies.
HA is a soluble, reversible gel that protects, to some extent, patients from potential accidents such as spongiousum body collapse and pressure-related necrosis of the mucous membrane/epithelium.
What worries me the most is the thickness of the glans epithelium. It is very thin (around 2mm) and easy to penetrate with a needle, ending up in the spongiosum body's depth and depositing the product right into the bloodstream; micro-cannulas don't work here.
Of course, the following statement only exists in my imagination: if some HA enters the bloodstream, it is possible that by the time that it ends up in the micro-vascularity of the lungs, it has been somehow dissolved or diluted.
On the other hand, if any of the microsphere-based products (Ellansé, Radiesse or Linnea) are accidentally injected into the corpus spongiosum, we know for sure that they won't be dissolved and will create a small (hopefully) pulmonary embolism.
For everybody's disappointment, the glans is not an area that has the ideal anatomical structures for the implantation of a soft tissue filler, much less to receive any type of prosthetic implants.
The best you can hope for is a mediocre and temporary result with the use of HA, the safest product for the area.
DrC

Hi Dr C!

As I said we have been injecting 4 ml HA and doing multiple sessions for the glans. But it is NOT safe in the blood stream. It can result in a syndrome like Fat Emboli Syndrome and there have been a number of deaths - primarily with intravaginal injections.

Hello @briceb ,
The only product that I would use for glans enhancement is hyaluronic acid because it is a substance that naturally exists in our bodies.
HA is a soluble, reversible gel that protects, to some extent, patients from potential accidents such as spongiousum body collapse and pressure-related necrosis of the mucous membrane/epithelium.
What worries me the most is the thickness of the glans epithelium. It is very thin (around 2mm) and easy to penetrate with a needle, ending up in the spongiosum body's depth and depositing the product right into the bloodstream; micro-cannulas don't work here.
Of course, the following statement only exists in my imagination: if some HA enters the bloodstream, it is possible that by the time that it ends up in the micro-vascularity of the lungs, it has been somehow dissolved or diluted.
On the other hand, if any of the microsphere-based products (Ellansé, Radiesse or Linnea) are accidentally injected into the corpus spongiosum, we know for sure that they won't be dissolved and will create a small (hopefully) pulmonary embolism.
For everybody's disappointment, the glans is not an area that has the ideal anatomical structures for the implantation of a soft tissue filler, much less to receive any type of prosthetic implants.
The best you can hope for is a mediocre and temporary result with the use of HA, the safest product for the area.
DrC

davekay wrote: hello s.o.

first off, thank you for this site its been most helpful and why i am back now.

i chose dr. zimmerman because of his credentials and his team. i had spoken with a few drs via zoom (dr jane in ca and "the" dr c") on the way to that decision.

please excuse my word choice re the radiesse, i did mean when it dissipates. on that, i havent noticed any loss yet and would rather not see any so i was going to go just before that would start and my guess would be about a year. i am over 50 and my body doesnt do anything fast anymore so hopefully it wont chew thru the radiesse that fast, either

spending wise it was about 5k for the radiesse and a little more than twice that for the bellafill. i got about 3/4 both times and yes, if radiesse was permanent like bellafill i would choose that, agreed.

i did see the vials and the lot numbers are in my patient file along with my before pic. i will email kanani and get those sent to me. what info am i looking for? i would say for the record that i have had all positive experiences there to date and dont suspect anything but going forward.

Okay, the fact that you spent twice as much on Bellafill makes sense -- it isn't often you get Bellafill reports because the cost is oftentimes prohibitive. I suspect at those prices, you are in-fact getting what you paid for. I always ask members who are seeing Doctors that aren't mentioned frequently to furnish what they inject -- this is due to the industry having a poor track record & history, and why I don't just bring on anyone as a Sponsor (as I'm sure you know). I'm sure Dr. Z is legit and I'd be curious to see how he stacks up.

Thanks for starting the progress report - per my guidelines you are granted lifetime premium membership

I'll be interested in following your progress; despite Bellafill's high costs, it would be interesting to see if it's indeed viable (in the long-term) regardless. Good news is that it is still technically medical-grade PMMA, so that's always good.

hello s.o.

first off, thank you for this site its been most helpful and why i am back now.

i chose dr. zimmerman because of his credentials and his team. i had spoken with a few drs via zoom (dr jane in ca and "the" dr c) on the way to that decision.

please excuse my word choice re the radiesse, i did mean when it dissipates. on that, i havent noticed any loss yet and would rather not see any. i was going to go just before any loss would start and my guess would be about a year. i am over 50 and my body doesnt do anything fast anymore, so, hopefully it wont chew thru the radiesse that fast, either

spending wise it was about 5k for the radiesse and a little more than twice that for the bellafill. i got about 3/4 both times and yes, if radiesse was permanent like bellafill i would choose that, agreed.

i did see the vials and the lot numbers are in my patient file along with my before pic. i will email kanani and get those sent to me. what info am i looking for? i would say for the record that i have had all positive experiences there to date and dont expect anything but going forward.

Hello. Not sure if I've heard of Dr. Zimmerman much, but I'm sure we'll learn more.

A few things of note: you can't just have the Radiesse "replaced" with another filler, it first has to dissipate, or it's layered with the existing filler. I'm assuming you're seeing some loss of the temporary dermal filler, hence the move to 100% Bellafill?

Also, mind if I ask how much you're going to end up spending? With what appears to be 40cc in under a year, I'm guessing this was a sizeable investment. Were you given the opportunity to see the vials/boxes before work was done?

On paper Bellafill isn't an ideal iteration of PMMA in large volumes, but any sort of progress reporting is useful.

long time lurker first time poster. i am at 9 mos in, june 20 was round one and july 20 was round two. the office team is great and very helpful, i spoke with kanani mostly but angelique and angie were super helpful also. i got 15cc radiesse and 1cc versa the first time and 20cc bellafill and 2cc versa the next month. my before pic is in my file at aesthetic revolution las vegas and i didnt take any round one pics. round two pics i do have and am posting. i have a six month pic as well for consideration.
i am going back this summer to have the radiesse replaced with bellafill and this time the 20cc will be done in two trips three months apart as i had a small lump develop near the glans on the underside. no big deal its just tweaking the procedure a bit.

Touch-ups do and have corrected aesthetic irregularities. It isn't necessarily about adding more product, but rather, "breaking up" clumps and smoothing out problem areas. PMMA, Ellanse, and Radiesse are dermal fillers, and to some extent, collagen production has a slight unpredictability to it, making touch-ups (an almost) inevitable part of the process.