PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

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

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

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

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

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

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

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

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

I hope that helps.

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

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

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

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

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

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

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

hebert1234 wrote: So what is the approximate price of Renuva?

Because prices are subject to change, it would be best to contact their Clinic directly for current pricing.

For contact info, visit https://www.phalloboards.info/directory/81-dr--tj-tsay.html

So what is the approximate price of Renuva?

hebert1234
I am not familiar with Megafill (although sounds interesting), but Renuva is a matrix made up of fat growth factors such as adiponectin and other growth factors. I hesitate to use the term "permanent" as even surgical procedures are not permanent because your body still ages with time and the cosmesis will therefore change with time eventually. However since these are NEW adipocytes that are created and formed, I would like to think these adipocytes (fat cells) do not "die" similar to the adipocytes that we are born with do NOT die unless we purposely remove them (via liposuction, lipolysis, kybella, etc). The inventory during Covid for Renuva was very scant but I have been given the green light to order as much Renuva as I need, so this supply chain bottleneck should no longer be an issue.
Cheers...

As I know,If renuva is a dermal matrix, it should be a semi-permanent material, which doctors in Korea call megafill, and it usually lasts 2-5 years.

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

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

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

Hobby19cm wrote: I am looking at non traditonal fillers as an alternative for PE.
Anyone has any recommandations?

Renuva - there will be an announcement of this filler shortly, and it's first time use by Dr. Tsay of Orange County (California). My understanding (in layman terms) is that it's a filler that mimics fat, and Dr. Tsay describes it as very effective in providing good results. It's exciting to see viable options continue to emerge, providing readership with an opportunity to determine what's best for them.

I mean... if you aren't a shill, you certainly sound like one. First post, but alleges he's researched forever on a Doctor no one here knows. Or perhaps you're just a big fan, who knows. Just tell the Doc he can email This email address is being protected from spambots. You need JavaScript enabled to view it. re: Sponsorship before he gets blacklisted for "Suspicion of Shilling".

If you got a financial incentive to post a real review, that's fine. If this is fake altogether, there will be issues.

And by the way, PMMA is absolutely permanent. I had my first round of injections in 2011 and still holding strong. Haven't seen a single corroborated comment in the past decade to suggest otherwise.

What "injections" did you have done if they weren't either PMMA or HA? Presumably Fat Transfer (FFT)? Renuva? Dodging Noxcuse's question is technically grounds for a forum suspension, so let's get on the right foot moving forward.

ColdFire wrote: I think Dr. Jane Chung is her name. I scheduled a consult with her on Tuesday.

If it doesn’t look promising, I’ll probably head down to LA.

Yea I think she's the one I was trying to remember. Honestly not familiar with her cosmetic prowess but it doesn't hurt to get a consultation if she's local.

If she makes a good impression and seems professional, please ask her if she's heard of PhalloBoards and considered any associations/sponsorships. Of course this is predicated on the quality of her work, ethics, and expertise, but it wouldn't hurt to run it by them if you don't mind.

As for Dr. Tsay, see: www.phalloboards.info/forum/general-disc...ering-ha-renuva.html

Beebermd wrote: Bellafill is PMMA but has subtle differences in the carrier compared to the PMMA commonly referred to on this board. I know some people use it alone, possibly mixed with renuva (fat). I haven’t seen enough results to render a judgment, so I would approach it with the regard as other PMMA treatments at this time. It is a permanent filler, not at all like HA

True, however, the bovine carrier isn't a subtle difference. If anyone follows enough PMMA progress reports long enough, they'll know that the window of post-op recovery is crucial to the success (aesthetically-speaking) of one's own PMMA outcome. Most of these reports are based on PMMA with cellulose carriers, as opposed to Bellafill's bovine carrier.

The big difference is in the reabsorption of the carriers; cellulose takes days whereas bovine takes weeks. This means a longer window of recovery, which means a greater likelihood of aesthetic irregularities (i.e. nodules, bumps, ridges, etc.).

Avanti Derma, the leading Clinic on PMMA implantation (world-wide), stresses the necessity of post-op molding & massaging of your unit after the procedure, to ensure an aesthetic & "natural-looking" outcome.

Why Bellafill is offered and alternative PMMA brands (with cellulose carriers) aren't? Suneva (American Company) holds the patent on the PMMA dermal filler in the U.S., so it can only be sold and used off-label within the states. This also explains why it can be cost-prohibitive, and why many practitioners will mix it with other fillers to reduce the overall cost.

In a nutshell, Bellafill will give you girth, but you're prone to a higher chance of aesthetic irregularities (which imply multiple corrective procedures). Considering the fact that Avanti Derma recommends multiple follow-ups, I'm afraid Bellafill alone is far from ideal in its current iteration.

Bellafill is PMMA but has subtle differences in the carrier compared to the PMMA commonly referred to on this board. I know some people use it alone, possibly mixed with renuva (fat). I haven’t seen enough results to render a judgment, so I would approach it with the regard as other PMMA treatments at this time. It is a permanent filler, not at all like HA

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).