PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

ou812

If someone is a candidate for fat transfer I would never advise Renuva over the former. You are right, as a stand alone treatment it can be cost prohibitive. However after you have undergone 1-2 rounds of fat transfer and need a top off of less than 10 m of fat then Renuva would be a great add on rather than undergoing another round of the more invasive fat transfer just for a "top off" or to even out irregularities.
Best Wishes
Dr. Tsay

MoMoney,

You've nailed several great points on Renuva. It does stimulate your body to grow it own fat AND collagen (people underestimate the collagen stimulation that in inherent in the growth factors in Renuva). How much as a head to head comparison to say Bellafill or Sculptra or Calcium Hydroxyapatite has yet to be clinically determined. There are no long term studies on Renuva beyond maybe 10 years for longevity so we shal see. I believe as stand alone it can be pricier than HA but definitely will be much longer lasting than HA. I have injected a lot of Bellafill in my experience (in the face and NOT for GE) and have not had any serious or major adverse reactions, but I have friends/doctors that have seen some catastrophic cases and all it takes is 1 to bring down your practice.
Best wishes,
Dr. Tsay

MoMoney wrote:

Skeptical_One wrote:

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Skep I actually very much appreciate you diving further into HA. Its actually been a very difficult decision - trying HA first or jumping right into the longer-term options. I will trust you that HA can produce good / non-squishy results if you choose a quality doc/filler.

My continued concerns with HA are the following:
<>I will likely need 2 procedure just to get .5in. The doctor that I want to use is a 7 hour drive from me. Because he is a Urofill guy he only uses 6cc's max first round, as they believe too much too soon increases risk of migration and squishiness.
<>HA seems to be susceptible to quicker degradation due to the use of a dick pump and consistent high physical intensity lifestyles, both of which apply to me. While I can chuck out $6-10k to reach .5+ with temp filler, if it lasts less than 1 year its just not worth it to me
<>IIRC Avanti Derma prefers people not to have had HA prior to Ellanse or PMMA. Because I have an 3 piece inflatable implant, I am already on the list of non-preferred patients as per their website. I'm not sure if they would deny me if I have too many checks against me.

I will be scheduling a virtual consult with AD soon to ask some specifics regarding my situation.

If there are people who have had longer term success with HA (12+ months before needing a top off) and use a dick pump and are extremely physically active, then I would consider. Unfortunately a lot of these speculations are based on a few forum observations and some conversations with guy/gals who have get facial fillers are report shorter durations during high activity. But I also have no idea what fillers they used, quality of doc, ect. Again, a ton of speculation here, but a significant amount of time and $$ on the table.

I wasn't trying to dissuade you from Ellanse, simply trying to balance the narrative around HA - you bring up valid concerns on your end and like I've iterated previously, it appears you have set your sights on Avanti Derma and I think you'll be satisfied with your decision.

Keep us up to date with your virtual consultation with AD, didn't realize they offered that (assumed either phone or in-person). Let me know how it goes, I can perhaps convince them to make it more abundantly clear they offer this service, very useful for many who can't fly to Mexico on a whim.

Skeptical_One wrote:

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Skep I actually very much appreciate you diving further into HA. Its actually been a very difficult decision - trying HA first or jumping right into the longer-term options. I will trust you that HA can produce good / non-squishy results if you choose a quality doc/filler.

My continued concerns with HA are the following:
<>I will likely need 2 procedure just to get .5in. The doctor that I want to use is a 7 hour drive from me. Because he is a Urofill guy he only uses 6cc's max first round, as they believe too much too soon increases risk of migration and squishiness.
<>HA seems to be susceptible to quicker degradation due to the use of a dick pump and consistent high physical intensity lifestyles, both of which apply to me. While I can chuck out $6-10k to reach .5+ with temp filler, if it lasts less than 1 year its just not worth it to me
<>IIRC Avanti Derma prefers people not to have had HA prior to Ellanse or PMMA. Because I have an 3 piece inflatable implant, I am already on the list of non-preferred patients as per their website. I'm not sure if they would deny me if I have too many checks against me.

I will be scheduling a virtual consult with AD soon to ask some specifics regarding my situation.

If there are people who have had longer term success with HA (12+ months before needing a top off) and use a dick pump and are extremely physically active, then I would consider. Unfortunately a lot of these speculations are based on a few forum observations and some conversations with guy/gals who have get facial fillers are report shorter durations during high activity. But I also have no idea what fillers they used, quality of doc, ect. Again, a ton of speculation here, but a significant amount of time and $$ on the table.

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

123abc wrote: Thank you for the quick reply, that’s greatly appreciated..

You’re right, more than a year.. I checked and last time I got an email reply was in March 21.. wow, time sure goes by..

- I’m including a screenshot of what I see on my ends, there’s no “New Topic” link anywhere and I’ve refreshed the page numerous times and have tried other links in the site? Not sure what I’m doing wrong?

- Is Rejuval affiliated with Dr. Morganstern (sp?) in Atlanta? This was the clinic I was looking into last time when I found out Ellanse was no longer an option..
I noticed their website no longer has a link for prior-surgery repairs? In the past it was peyronie’s disease, enlargement AND repair. ..but the last portion is no longer visible on their site?
Any idea why? Maybe they don’t do repairs anymore..

- I mentioned Chicago because that’s where I had my original procedure.. back then (late 90s?) few places had any enlargement procedures. I traveled pretty far to get to Chicago so I’m totally ok with travel.. As someone who’s been dealing with lumps, sponginess, etc. for years I am absolutely ok with traveling to the clinic which, hopefully can help me the most.

- the place you mentioned minutes from San Diego - I assume it’s in Mexico? I remember the murder of a patient who went to Mexico for a procedure so I’d be lying if I said I’d not be worried to travel to Mexico even though I’m sure the area where they perform it is safe.. but..

Also, if there were complications I’d be very worried..
I’m mid 50s now so whatever I decide will be my last hurrah and I want to pick the safest and the best option available..

I know there’s a place in Australia, I could conceivably go there too but it’d be a long way and again, complications?

I’ll read up on the renuva option…

Yes Rejuvall is affiliated with Dr. Morganstern of Atlanta, but Dr. Carney heads up most of their penile work. They do repair work but of course, it's at their discretion - you'd have to consult with them directly on the matter.

And yes Avanti Derma is in (Tijuana) Mexico, and while every major city has its "bad spots", it's relatively safe if you go to & from your destination. I'd argue I feel less safe in Los Angeles, Chicago, or Baltimore than I do in Tijuana, and people get robbed in those aforementioned cities over wallets and bikes... so I wouldn't stress about Medical Tourism to Mexico which happens safely daily.

Australia is needlessly far for your situation to be frank.

Reach out to Dr. Tsay if you'd like to get his personal opinion on Renuva given your circumstances.

No procedure is without risk. I'd look to get your situation resolved first before adding any additional girth. Good luck.

Thank you for the quick reply, that’s greatly appreciated..

You’re right, more than a year.. I checked and last time I got an email reply was in March 21.. wow, time sure goes by..

- I’m including a screenshot of what I see on my ends, there’s no “New Topic” link anywhere and I’ve refreshed the page numerous times and have tried other links in the site? Not sure what I’m doing wrong?

- Is Rejuval affiliated with Dr. Morganstern (sp?) in Atlanta? This was the clinic I was looking into last time when I found out Ellanse was no longer an option..
I noticed their website no longer has a link for prior-surgery repairs? In the past it was peyronie’s disease, enlargement AND repair. ..but the last portion is no longer visible on their site?
Any idea why? Maybe they don’t do repairs anymore..

- I mentioned Chicago because that’s where I had my original procedure.. back then (late 90s?) few places had any enlargement procedures. I traveled pretty far to get to Chicago so I’m totally ok with travel.. As someone who’s been dealing with lumps, sponginess, etc. for years I am absolutely ok with traveling to the clinic which, hopefully can help me the most.

- the place you mentioned minutes from San Diego - I assume it’s in Mexico? I remember the murder of a patient who went to Mexico for a procedure so I’d be lying if I said I’d not be worried to travel to Mexico even though I’m sure the area where they perform it is safe.. but..

Also, if there were complications I’d be very worried..
I’m mid 50s now so whatever I decide will be my last hurrah and I want to pick the safest and the best option available..

I know there’s a place in Australia, I could conceivably go there too but it’d be a long way and again, complications?

I’ll read up on the renuva option…

123abc wrote: Hello..

Haven’t logged in for well over a year, kind of gave up on my search for repair..

I noticed there’s now a message Board 3.0?!
I was still trying to figure out 2.0..

How do I post messages on the new board?
I looked everywhere and don’t see a “post a message” tab?

So I found my old message and am replying to it hoping it’ll populate on the new board?

My question is - has Ellanse been approved again in the US?
Last time I’d logged on I found out it wasn’t approved any longer..
Still looking for repair from a FFT done in Chicago many, many years ago.. lumps, sponginess, etc., etc..

Thank you..

There is a New Topic link just above the threads, that's how you can start a new discussion.
PhalloBoards 3.0 has been out for nearly 3 years you sure you haven't logged in for a year?

I don't mind bumping topics (even if they are 2 years old) assuming they can resume a relevant topic or inquiry, so this is fine.

As for your questions:

Ellanse is still not available in the U.S. - however minutes from San Diego (California, USA), you can get Ellanse injections via Avanti Derma.

As for FFT repair, you can conceivably get more fat to patch up any absorption. Methods have improved drastically from years ago from when you you've had yours performed.

Alternatively, get Renuva injections, which is an adipose matrix (basically fat converted into a dermal filler), which can also patch up your FFT job without requiring fat harvested from your body.

For the FFT repair I'd recommend Rejuvall (Dr. Carney).

For Renuva, you can reach Dr. Tsay who can even be available to chat by phone.

As you can see, none of these recommendations are in Chicago, but if you want quality results and/or repairs, be willing to travel, since it's your one & only penis after all.

Good luck.

Dream wrote: @MoMoney : I think aftercare for implant and aftercare for pmma have basically nothing to do with each other and are just amazingly different things. And i wonder how you can afford to spend 5k much easier than take 7 days off.. and i can see that happening. I think one 'should' take 4 days off doing aftercare (day 1 being operation), and i guess that's little off-time compared to other operations.


Swelling at Frenulum:
I still have a little foreskin
I use esl40 stretcher, which presses together the glans, the frenulum and uppermost beginning of shaft, which is good. The swelling of foreskin often comes later (hm, ok i think one round it came on day 2, one round only at day 7 - but perhaps that was because of the additional 1ml from the doc some days later), when i don't even use the stretcher anymore. I will use babysocks or something to press frenulum together, i found it makes the swelling go away faster.

I have money but I dont have time. I make good money (nothing absurd and I would rather not spend the $5k), but I get 3 weeks off from work, and 1 of which usually gets eaten up by health/medical. Those vacation weeks are spent on my SO. Thinking about it more now, it would be even harder to take one of those weeks for filler therapy each year. Makes Renuva or something with 2 total visits ever looks better. My job requires that I work most weekends, holidays, ect. Its a trade off.

I understand that the implant and filler aftercare are 2 completely different things.

This is a great post, but simultaneously makes me second guess going through with a filler... at least for a long time.

It really sounds like:
A. most doctors have no clue about proper post-op care, even most of the high volume ones
B. one has sizeable amount of risk for not knowing all of the tips and techniques that would otherwise not be provided by your doctor
C. one needs to be able to take time off from work to TLC their post-filler dick for one week

If I took a week off work anytime soon my boss would kick me in the ribs. Now if I could get HA or Renuva done on a Friday (taking the day off), and be back to work on Monday without having to mess around with my dick during the work day, then I could do that.

Being that I have a 3 piece implant (not a size thing, its for guys with ED or horrible peyronies), I think I would absolutely need to take a week off because, for good or for worse, I'm a permanent shower now, and the cylinders of implant would not allow me to hang/stretch my dick to any capacity. I also have to have my dick stuffed in my pants in funny ways in order to hide it in public - this isnt an issue for me, but I'm guessing it could be highly problematic if I'm still waiting for the filler to set in during the first 7 days.

I know I'm an outlier with the 3 piece implant, but any input in this regard would be helpful.

On the other hand, my implant surgeon, who is global leader in the implant arena, gave me post op instructions regarding filler that is measurably different than the advice on this specific thread. Not to say one is right or wrong, but maybe his advice is key for impantees like myself. when it comes to implants, you listen and abide by every instruction he gives - but i also recognize that doesnt mean he knows the filler game inside and out like he does implants.

Likely I will just wait until winter when I can take time off.

For the record, I very much do appreciate this thread and thank you for taking the time to put all of this info together.

Ok thats good to know and I'm happy they are not requied. I would probably skip temp fillers if they required antibiotics each round. I personally dont think regular exposure to those is healthy, but thats just my opinion.

My inflatable penile implant surgeon, who is top 3 for my type of implant in the US, is also one of the Urofill docs. I will likely try this with him. Renuva with Dr TJ Tsay is also on my radar. My implant doc also offers Renuva, but he doesnt think Renuva alone without fat transfer will do anything in the long term. Need to figure out what the right answer is here, but HA/Urofill seems like a great first start.

I'm curious too. I understand it costs more than HA and probably more than Bellafil. If it takes the same volume as a fat transfer, like 50-60 cc, that would be cost prohibited. From what read it last the life of a fat cell, around 10 years.

Renuva seems to be one of the new kids on the block.

My IPP surgeon recommends it. I generally trust him. He claims that Renuva or Renuva/FFT combo is essentially permanent or permanent-sh (acknowledging body natural changes over time).

I see mixed sentiment from the community regarding this. Some saying permanent, some saying temporary, some saying pseudo-permanent (changes as your body naturally changes over time).

Also, was it determined that Renuva alone stimulates your body's creation of fat, collagen, or both? Again, I see claims going in each direction.

I generally really like the idea of of Renuva if its permanent-ish. I'm way too skinny to do FFT, and I don't feel like forking out cash each year to do HA. PMMA is another option, but my IPP surgeon is against it.

Can anyone provide tangible proof regarding any of the above? Or, if there is anyone with anecdotal experience, that would be appreciated too (although I haven't seen any guys on here who received Renuva only, but I admit I may have missed them).

Anyways, I'm looking to narrow down my options here. Renuva, HA, and PMMA are all options on the table. Ideally, Renuva would be permanent or semi-permanent, and I can go get a few rounds to gain .5 inch and then move on with my life.

I may end up getting consultations with Dr. Tsay and Dr. Emer just to get a 2nd/3rd opinion.

Thanks everyone.

MoMoney wrote: Any evidence that things like fasting will be detrimental to Revuna?

I see that the cost of FFT is $6500. what is the expected cost of Renuva for .5-1.0 girth range? Sounds more affordable than yearly HA top offs.

As of January they charge $2150 per 3ml of Renuva. So to get the increase you are looking for of like a 25% increase in girth, doing the math you are looking at like $30,000. Correct me if I'm wrong.