PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

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

Monroe2345 wrote: feel like I need a support group for this stuff and real life accounts. Super hard to know what to do, if anything!!

You've come to that exact place... it's basically what this site was made for and is today.

Girth is much more attainable than length if it's cosmetic procedures you're looking at.

A simple breakdown involves choosing between surgical or non-surgical.

Surgical options like the Penuma I wouldn't recommend, but dermal graft matrices like Surgimend can be great for those who are looking for permanent, modest gains. If you look at the North American Directory you'll find that Dr. Liu and Dr. Solomon offer these. They are both Board Certified Plastic Surgeons.

Fat Transfer is also an option.

Non-surgical options are essentially dermal filler injections. I wouldn't recommend silicone oil, but there is an abundance of temporary and long-term options to choose from. There are pros & cons to each. Fillers include Hyaluronic Acid (HA), Radiesse, Renuva, Ellanse, and PMMA. If you can, only an hour flight to the Pollock Clinics that offer HA, Adult Circumcisions, Vasectomies, and a whole host of male procedures & services.

Feel free to provide your stats, your goals, and your risk thresholds and I can maybe better point you in the right direction.

hotdirt9114 wrote: I have a consult with Dr Loria and he does inject small droplets of silicon which then cause your own collagen formation etc. There are a lot of positive reviews. The negative ones tend to be for guys who want a "monster" size which is not my goal. I am tempted by this as we are both in Miami so I can pop by his office anytime for help vs Avanti Derma which is a flight away.

I looked into PMMA also and the clinic (Avanti Derma) claimed it will last 5 years or so ( drive.google.com/file/d/14SDp6hLDu08iyoIGuJgsfFU1bfMiEMoU/view ).

Ellance ( phalloboards.info/general-forum/progress...inside.html?start=15 ) doesn't seem to be a bad option also as I'm happy to top up after 5 years or so (just tired of the yearly top up).

I have been using 2-4ml Voluma yearly as a top up to keep my girth but its just too soft and I don't like it. Thicker is nice but only is "hard" all over without lumps and bumps.

My erect girth is around 5.25" and I only want to get to about 6" (even a bit less like 5.7" is fine). My erect BPEL is just over 6.5" which I'm happy with.
I am gay so a very thick penis is no good as the guy won't be able to suck me / will be hard to penetrate then. I'm not just trying to round it out so its a nicer looking dick / cosmetic rather than the thickest one out there.

Any suggestions are welcome on what is best here.

A few corrections here - PMMA is permanent and therefore lifetime. If travel is an issue, Dr. Rupeka and Dr. Carney also perform it in the states.

Ellanse was projected 1-2 years by the manufacturer but Clinics are reporting much longer lifespans (3-4+ years). Ellanse is only available abroad.

Hyaluronic Acid (HA) may not be long-term, but the trade off is the best safety profile among the fillers mentioned here.

I would not recommend silicone oil. After seeing Dr. Loria results and how the patients describe their procedure, I'm reluctant to believe he uses a micro-droplet technique. Of all the Doctors discussed on this site (who happen to be innovators in the field of male enhancement), none of them employ silicone oil for girth despite having access to the filler....begs the question, why don't they also use it? This is because if & when complications from silicone oil happen, they can be incredibly difficult to manage. Dr. Loria himself would be unqualified to perform any surgical intervention in the event you need your penis saved and it will likely come out of pocket. Admittedly, silicone results can look pretty good immediately post-op, but the amount of volume Dr. Loria uses would have me a nervous wreck with all that inside me.

There is also Renuva used by Dr. Tsay which is basically like a fat filler but without the need to harvest it surgically, making it a relatively safe option as well.

If all you need is 0.75" to reach your goal (which is a reasonable one), any of the aforementioned options (minus silicone) should work. You'll want an experienced practitioner. Good luck!

Skeptical_One wrote:

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

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

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

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

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

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

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

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

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

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

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

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

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

Screen2584 wrote:

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

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

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

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

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

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

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

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.

samsmithms wrote: I am scheduled for a fat transfer for girth in November. I am not circumcised. The doctor will remove fat and then transfer it to the penis. He also adds Renuva to the fat that he transfers. Does you penis feel soft (squishy) to touch? Do the veins show up more in the shaft post transfer? Did you do penile massage several times each day after the transfer? How much of the fat do you feel you have lost post transfer? Do you you have prior and post measurements of penis girth? Sorry for all the questions but I am trying to absorb any and all the information I can gather. Thanks! Sam

First off, you should know that dermal fat graft is very different from a fat transfer, but I believe that with the knowledge I have obtained I can still give you some advice. Generally, circumcision is NOT necessary, but if you had past problems with phimosis some doctors performing phalloplasty will recommend it. I even saw some clinics that seem to insist on performing circumcision as a preventive measure. Anyway, you should not be concerned at all about not being circumcised, I believe.

Different clinics use different fillers, but I never saw any clinic that advertised combining different fillers. It would be interesting to read what more experienced members think about this? From what I read; I believe that is when complications usually occurred when people got many different kinds of fillers over a long period.

Because different fillers apparently have very different qualities, resulting in different outcomes, and possibly different complications that can arise. With some fillers, it seems that massaging the penis each day is mandatory even. Then with some other fillers, the need for massage is not even mentioned, but it says there is still a risk of fat moving and forming lumps. Again however, I believe this is least likely to happen with fat transfer, because the fat will be absorbed gradually.

Fat transfer seems to be the safest, but at the same time the results seem temporary, with much of the fat being absorbed. I read that 70% fat absorption is expected, and 30% fat can remain, but here is where the information I found is contradictory: some clinics claim it is permanent, but I read on way too many places that this is NOT the case, so personally I cannot believe the claim that the result would be permanent. I believe eventually all the injected fat will be absorbed.

It sounds like an interesting approach then to combine fat transfer with some filler. As for what filler is best, it is very hard to say. In the USA, Europe and Korea they all seem to use different fillers. I cannot even say what is the safest, and I doubt anyone can say for sure, because different doctors in different regions use different fillers and they will surely all say that their choice is either the safest and/or has the best results.

samsmithms wrote: Dr Hakky is planning to use fat from stomach area and transfer to penis shaft. He uses Renuva in the fat bag before injecting the fat into the shaft. I am not sure what other procedures he offers. From all my searching so far, Fillers are not permanent, Some fat (about 30%) will leave the shaft but the rest is expected to remain.I am hoping this is correct. I am currently 5 EG and wanting 6.6-7 EG. I am really not sure what average is but I think is must be larger than mine at 5 inches. Guys at the gym look much thicker. My length is not good either. Some have written that larger girth can make a short penis look shorter
I hope that is not correct. I have also read that some guys hang just a bit longer after transfer of fat and that the penis feels heavier.

5 inches EG is pretty normal, and I doubt the majority of gym-goers are naturally packing in excess of 5.5" EG. Anything north of that is pretty uncommon. Besides you are seeing flaccid compared to your own, you're likely getting a skewed sample. To be frank, you'd be certifiably thick after even one session of filler (with a follow-up addressing any revision if necessary).

samsmithms wrote: I did a phone call with Allen. I was eliminated because I am not circumcised. Dr Carney requires patient to be circumcised.

That's a new development - last I checked, I knew they preferred circumcised men, but it appears they've chosen a complete departure from uncut penises. This isn't a surprise to me, I've been told by a number of Doctors (and from patient reports on the forum) that uncircumcised units tend to be more prone to aesthetic irregularity, and no one wants "unhappy customers."

I'd strongly recommend men who are uncut and wish to remain that way to consider more temporary filler options like Hyaluronic Acid (HA). That isn't to say uncut men who have undergone alternative fillers can't have successful outcomes, but trying to manage aesthetic irregularities with bio-stimulatory fillers (i.e. Ellanse and PMMA) proves more challenging in the long-run. Even fat-based treatments could prove just as challenging, like FFT (fat) or Renuva (synthetic fat). The other alternative would be to go for lower volumes. And of course, the final alternative would be to seek out a practitioner who provides these procedures to uncut men, but be mindful that these potential aesthetic irregularities come at a higher chance.

According to one of our resident Sponsors, Avanti Derma, they describe the aesthetic irregularity more common with uncircumcised / uncut men as the "accordion effect." Per Avanti Derma, they describe this as: "The accordion effect is a common thing among uncircumcised patients that have tried girth enhancement with fillers, and it is the clumping of the skin at the base of the penis when it is retracted. Making sexual intercourse difficult."

Dr Hakky is planning to use fat from stomach area and transfer to penis shaft. He uses Renuva in the fat bag before injecting the fat into the shaft. I am not sure what other procedures he offers. From all my searching so far, Fillers are not permanent, Some fat (about 30%) will leave the shaft but the rest is expected to remain.I am hoping this is correct. I am currently 5 EG and wanting 6.6-7 EG. I am really not sure what average is but I think is must be larger than mine at 5 inches. Guys at the gym look much thicker. My length is not good either. Some have written that larger girth can make a short penis look shorter
I hope that is not correct. I have also read that some guys hang just a bit longer after transfer of fat and that the penis feels heavier.

I am scheduled for a fat transfer for girth in November. I am not circumcised. The doctor will remove fat and then transfer it to the penis. He also adds Renuva to the fat that he transfers. Does you penis feel soft (squishy) to touch? Do the veins show up more in the shaft post transfer? Did you do penile massage several times each day after the transfer? How much of the fat do you feel you have lost post transfer? Do you you have prior and post measurements of penis girth? Sorry for all the questions but I am trying to absorb any and all the information I can gather. Thanks! Sam

(9.) Do you have a preference for Renuva or Hyaluronic Acid (HA) for penile girth enhancement? If not, could you describe the pros & cons of each?
This question is not that simple to answer. If it were for myself personally, I would want to use Renuva. The main reason would be longevity. HA's are safe and have been around for decades. The results are very consistent and predictable (in the right hands). Renuva is still a fairly new product to the market and not that many people are familiar with what it is and what it can do. Ive been using it already for more than 5 years for aesthetic purposes in the face and body. Initially, I would use Renuva in male enhancement to "top off" a fat transfer procedure that I had already performed because Renuva causes your body to grow its own fat. Gradually I am using Renuva more and more for girth augmentation even as an alternative to fat transfer. It is extremely easy to use right out of the box. There is no liposuction needed to harvest ones fat which reduces the downtime and recovery from a mini liposuction procedure. During Covid supply chain issues caused a pause in the sale of Renuva, but in 2022 the inventory has been robust and without any limitations on accessing product. So Renuva game on!


(10.) Do you use a blunt-tip cannula or needle for injections?
95% of time I am doing this procedure I am using a blunt tip cannula. Either a 22 G 50 mm or 22 G 70 mm depending on how long the organ is. When I reassess and have to finalize and even things out, I connect a 27 gauge 1/2 inch needle that comes with the HA product and inject the remaining with a needle for fine tuning. For glans augmentation I use a small needle and only inject a maximum of 5 ml in 1 session for safety reasons.


(11.) What, if any, are the risks of filler migration?
The penis not a static organ like a chin or or ear. It lengthens, retracts, curves and reaches different directions when being used. With that being said, filler migration is to be expected. For the first month following a girth enhancement procedure, the product can be manipulated/massaged to even out any irregular distribution. After 2 months the product has almost fully integrated into the tissue so there is less change of moving things around. As long as the product is placed in the proper plane, this should not cause any issues such as migration of filler somewhere else and staying there long term.


(12.) How many sessions can a patient expect to achieve an ideal result?
This all depends on the budget of the patient and how quickly they want to achieve their goals. If they want full correction as quickly as possible, this can happen with a 1-2 fat transfer sessions. With HA fillers or Renuva, this can take several sessions and the goal can be obtained incrementally, which is not a bad thing.


(13.) What makes an ideal candidate?
An ideal candidate is someone who is circumcised, does not have any preexisting scar tissue, someone who desires mainly girth enhancement, and has reasonable expectations of reaching their goal. In many instances ones goals may change over time. For example, a patient may initially want to go from 3.5 inches in flaccid girth to 4.2 inches. This is 20% and visibly very noticeable. Its not KING KONG size by most standards, but they may enjoy that for a while and later want to go further and try to attain 4.8-5 inches in girth and be the king of the locker room. As long as one is doing this in a safe manner using safe products, this is the most important factor to consider.

Wanna8x6 wrote: Hi all -

Curious to hear about any new research or trials for these types of procedures. Have to believe there are new fillers in development or some other kind of improvement getting examined. For example, I believe Volux (not offered in US for penis enhancement - I was told) is getting a look.

Most fillers today are quite satisfactory in what they do, chances are most development is being put into improving them, in terms of quality and cost-effectiveness.

Volux is simply another iteration/brand of Hyaluronic Acid.

That said, the most "recent/new" filler I've seen around the corner is Renuva, which is essentially an "off-the-shelf" fat injection, coupled with a mixture of proteins, collagen, and growth factors. This eliminates having to harvest fat thus making it completely non-surgical. Dr. Tsay is the only Sponsor offering Renuva for girth enhancement that I'm aware of at this time.