PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

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?

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

Hyperbol wrote: Yeah that makes sense, it's considerably cheaper in Canada sounds like. And, yes, I'd be more comfortable pushing to 8 inches with HA too. I'd be more comfortable with Ellanse too but not as comfortable with HA. I just don't think my skin can hold that much. Do you mind if I ask which region? Like would it make sense for an American, if they're allowed through, to travel there to get HA that much cheaper?

There's variation. One clinic wanted flat rate $10,000 and was vague on volumes but I got an "up to 20 ml" answer verbally. Sold it as a complete procedure akin to Avanti, although it obviously isn't a permanent procedure like them, so screw that. Another injector was like $550 I believe per unit. No injected numbing, none of the more proper method I've since experienced with HA or experienced prior with Avanti.

So there's variation. The practitioner I use now prefers to use an HA and Radiesse blend in patients with no existing products. I kind of see the benefits of that.

Anyway, travel at that point would again depend on you comparables. There's so many options in the US now though so...

Yup wrote:

justn8 wrote: Yeah travel and logistics usually affects the decision. And also how much you're wanting to get.

When I went to Avanti I initially got a discount being in a promotional agreement and used travel rewards points, so it was a no brainer. The hotel was reasonably priced as well.

More recently with what I'm paying for HA/Radiesse here it's hard for me to justify the logistics.

Without knowing how much total volume you want and your personal situation in terms of time availability it's hard to give advice beyond the obvious numbers you've calculated above.

I am currently 7.7L x 5G. Done PE for a while; currently using the Apex extender and pumping. My goal would be to go from 5" girth to 6.5" girth. I work remotely at home with my wife, but have three kids. Overall flexibility is pretty good. I can work from anywhere and get a decent amount of PTO.

Avanti might be your best option then.

On the US front, Rupeka uses a ton of Bellafill so I'd assume he gets a better price and passes that along. I'd assume Jiva is priced based on their costs respectively.

justn8 wrote: Yeah travel and logistics usually affects the decision. And also how much you're wanting to get.

When I went to Avanti I initially got a discount being in a promotional agreement and used travel rewards points, so it was a no brainer. The hotel was reasonably priced as well.

More recently with what I'm paying for HA/Radiesse here it's hard for me to justify the logistics.

Without knowing how much total volume you want and your personal situation in terms of time availability it's hard to give advice beyond the obvious numbers you've calculated above.

I am currently 7.7L x 5G. Done PE for a while; currently using the Apex extender and pumping. My goal would be to go from 5" girth to 6.5" girth. I work remotely at home with my wife, but have three kids. Overall flexibility is pretty good. I can work from anywhere and get a decent amount of PTO.