PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Wouldnt recommend it I have Ellanse M and I lost quite some size

Hey man any updates? I'm also based in Victoria and have been considering this same clinic, but on principal I wouldn't want to give them any business if this is how they treat their patients. Not to mention being scared of getting the same outcome.

Most of the posts here are about Dr. Oates in Perth, with little information on the other locations doctors. This is a bit concerning especially seeing as Perth would add a few thousand dollars to the overall expense for any of us based on the East coast.

Hope you're ok mate!

I've been debating between sticking with ellanse for my next top up or going with PMMA over my previous Ellanse L. I've had 4 sessions totaling round 35 cc's.

It's been Probably 3 years since my last ellanse L.

Have any of you had the type M ellanse recently at Avanti? Or for at least a few years? I would like to stick with Ellanse since my body is already use to it, but I would like to know if it's been as good as the type L. I've seen to be holding onto collagen still, but I have lost some for sure in spots.

Anyways let me know your thoughts...

If you search this forum and see no mention of them, you might be better off saving your money. If you're going to be in Mexico anyway- might as well go with Avanti.

Although I'm biased to Linneasafe I saw another user have a good experience with Ellanse which lasts longer than HA. I've seen some people go back to their regular size after 6 months, but I guess everyone matabalizes it differently. @7indream is a good example.

spaghetticonfetti wrote: Update 30/03/2026

I’ve noticed over the past few months the skin becoming slightly red, and some swelling. I believe it is a delayed reaction to the filler, which may have been triggered by having a cold+fever. Dr Greta agreed it was likely a delayed immune response which is uncommon but does happen.

Today I had the filler completely dissolved. There are a few reasons-

Firstly it had been slowly migrating and looking more lumpy, particularly around the base where it seemed to clump up into a firm ridge. This would require a spot dissolve/top up to fix, but as is the nature of the filler would only be temporary before it changes over time. I decided I didn’t want to have to deal with the maintenance involved long-term.

Secondly the reaction my body had made me quite anxious, and if this is a problem that can occur whenever my immune system feels like it and I have to rely on antibiotics to keep it from worsening, that doesn’t seem like a good idea long term either.

Lastly I have had a bit of a change of mindset over the year. I’m now in a relationship with a supportive partner and I just don’t think I have the same motivations that I did last year. It was an interesting chapter but ultimately I’m glad to return to natural and focus on other things 😊

Thanks for the update, and to be frank, male enhancement isn't for everyone, and at least you were able to make that informed decision moving forward.

This is also, in my opinion, a good look for Hyaluronic Acid (HA) because it reinforces its advantages in a marketplace of options (there is no one superior option, they all have their own pros/cons). I'm talking about the ability to reverse some or most of the filler, and what remains will eventually dissipate in time. This way you could try it out, and when things were going well, you expressed a positive reception to the filler -- and if there was no longer interest, you knew this route was available to you.

Now I do want to touch on the immune response so that readers don’t inadvertently misinterpret your case or leave with misconceptions (which I know was not your intent; you simply shared your experience, both the good and the bad, which we appreciate). While HA generally does not provoke as strong of an immune response as fillers like PMMA or Ellanse, it is still recognized by the body as a foreign substance (despite being similar in structure to naturally occurring HA).

Because of that, some level of immune response can occur, and it’s possible there was some overlap with your cold at the time, which may have influenced how your body reacted -- whether coincidental, correlated, or otherwise.

That said, HA does not require the use of antibiotics unless you are: (a.) recovering post-op after the procedure and/or (b.) dealing with an infection acquired through process of undergoing the procedure (in which case, you try to resolve that one & done). From what you’ve described, neither of those seem to be the situation here.

It’s possible there was some overlap between your general immune response (e.g., being sick at the time) and how your body reacted to the injections. Some individuals can have heightened or prolonged sensitivity to fillers as a foreign material, even when there is no infection present.

Antibiotics wouldn’t typically address that kind of response, so if they seemed to help, it may have been coincidental with the timing of symptoms improving rather than a direct effect.

Either way, if anyone who reads this has experienced something similar (i.e. recurring or concerning), it would be worth discussing with your Provider so they can help distinguish between infection vs. a non-infectious inflammatory response and guide you appropriately.

As for the maintenance of the HA, in your case I think there may have been a double-whammy: [1] a less-than-ideal response to the filler itself (regardless of whether it was directly tied to the HA specifically); and [2] the need for follow-ups in your specific case may have understandably added to your concerns around ongoing maintenance.

In other words, you found out in a happy-ending sort of way that you just weren't the optimal candidate for the procedure. Around the same time your outlook & attitude on life has been evolving through positive changes in your personal life. I'm also happy to learn that Dr. Greta got you back to the natural state you preferred to be in, she struck me as a bona fide professional in all aspects of her work.

And honestly, it's great that you could explore this chapter, share your experience with us, and be one of those instances where someone tried it out, enjoyed it for what it was, but ultimately decided for a different path.

And that's great. Wishing you the best with your newfound partner!

I recently made a new post in progress reports about my 40cc of ellanse journey if you want more in depth into it. In this post I'll just give a summary. I began in 2020 my pre stats were
FL- around 5in this varies significantly obviously
FG- 4.25-4.5ish also varied significantly
EL- 6.75ish
EG- 4.75ish
I've had 40cc of ellanse from avanti derma between 4 appointments from 2020-2023. I haven't had anything since then.
My current
FL- 5.5-5.75 varies
FG- 6ish varies
EL- 6.75-7
EG- 6.5-6.65
I've had almost no loss since my last appointment in 2023. So the ellanse last.
I'm not in a place where I'm desperate for size or anything but I wouldn't say no to a slight increase to the 6.75-7in girth range. My wife can handle it and I enjoy it.

So moving forward I'd like to hear your thoughts on these 3 options that I'm debating on I'll list them with what I think or pros and cons

Option 1: return to avanti derma for another round of ellanse.
Pros- amazing staff, I've used them before, I trust them, they do excellent work.
Cons- having to deal with airports right now, I'm pushing the limits on natural look right now so anymore could possibly come with alot of irregularities.

Option 2: go to doctor Sullivan for bellafil
Pros: I've read very good reviews on him here. Offers financing which is a nice touch. Wouldn't have to worry about loss with it being long lasting.
Cons- still dealing with airport. Irreversible outside of surgery if there was an issue. Not local so touchups aren't really an option.

Option 3: ha at phallofil
Pros: local can easily get to Houston within an hour or 2. Easily reversible if need be. Offers financing nice touch. Due to being local I can go multiple times for touchups
Cons: expensive for something that is pretty temporary. Possible squishy feeling with ha? I'm not sure on that. The after care procedure for them seems longer than any of my ellanse appointments.

So can anyone give me some insight. Mostly into things like ha texture. If you've added ha on top of ellanse or pmma. Is bellafil permanent Dr. Sullivan mentions 5 years in several videos I've watched.

I've included a few pictures of my progress through the years.
Thanks for any advice and input y'all are able to give me.

My Goal: 7in symmetrical girth. Not overly concerned with aesthetics since I'm married and wife is aware of it all. I don't want any major deformities though as I'm not bashful about being naked and don't exactly people looking going wtf happened to you lol.

Yes ellanse is more expensive. My understanding is ellanse is a biodegradable polyester. Whereas pmma is a permanent acrylic polymer that doesn't degrade over time. Your body produces collagen to encapsulate these. You need to check the doctors forum and ask them for a better answer.
My length is around 6.75-7 I believe the last time I measured.

Those results look pretty good. What is your erect length out of curiosity?

Dose Ellanse cost more than the standard Linneasafe PMMA? I was just looking that apparently Ellanse lasts longer than Radiesse?

Ellanse is polyester? Seems like it would be similar to Linneasafe. I'm not sure how the body would matabalize polyester- since I would think it would last forever.

So I've been a member here going on 6 years now. I've had several progress reports posted throughout the years. I'm getting ready to schedule another appointment primarily for touch up and slight increase. So I decided I'd make a new post sharing my journey for any that are on their own or starting on theirs.
I've had a total of 40cc of ellanse from 2020- 2023. I haven't had anything since 2023. So I'm proof that ellanse does last longer than originally estimated.

I'll start at the beginning. I was the guy that was good looking and athletic. I always had women anytime I wanted them. I was confident in all areas except the one area that usually matters most to men. My dick size. I knew according to measurements I was average. But at 6'3 230 average wasn't good enough for me. I had dabbled in manual pe always researching new things to try. Nothing was working. Then I came across this site. I can't thank skeptical enough for the work he's done here. He's changed lives. When I started my journey my flaccid girth was around 4.25-4.5in. Erect girth was around 4.75in i believe. I was to scared to try permanent filler like pmma at the beginning but ha sounded to temporary and more expensive in the long run. I settled on ellanse. I booked with avanti derma and Dr. C did my first 2 appointments. One in 2020 the other 6 months later. This pushed my girth to around the 5.75 range. I was very pleased but one thing many of you will find out on your journey. You will always want more. My goal was a 6in girth. So a year or 2 later I scheduled again and received another 10cc. I was now up to 30cc and was around 6-6.25in girth. But remember what I said about not being satisfied well I scheduled one more appointment and received 10 more cc this pushed me to 6.5 girth. This was great but I was also reaching the point that things would just no longer look natural. Glans look almost non existent in flaccid state.
I do want to state I'm married an obviously my wife is aware. When I started this and told her about it. She was just like why. Your dick is fine you don't need to do that for me. I explained to her that it was for me. When she's older she's going to get a boob job for her confidence. This was the same thing. It was for my confidence. She understood and has supported me this whole time.

I said that to point out that since I'm married and my wife is completely aware I'm not overly concerned with the appearance. I don't want a completely deformed dick but slight irregularities aren't a concern. Others have seen my dick since then and not one person has ever had any suspicion that I've had work done. So while it's obvious to those of us that have done this. Your normal person won't notice.

The procedures I've done. The first 2 times were ellanse and prp. I've never done glans are any red-light therapy. The last 2 procedures were ellanse and the botox to increase flaccid hang while recovering. I didn't notice a difference in the flaccid hang from this.

This next procedure I plan on getting ellanse, ha the glans, and possibly scrotox for the bean bag.
If I think the ha to the glans helps with appearance I may try and find a local provider that could do top ups on the glans every 6 months or so.

So to sum everything up
2020- 4.25-4.5 flaccid girth.
4.75 erect girth.
Final stats 40cc later March 2026- 6.25-6.5 fg
6.5-6.75 erect girth.

Post 5th appointment 50cc later- ? I'll update once I schedule.

If you've any questions please ask in the comments and I'll try to help.

I think injection technique and brand of Hyaluronic Acid (HA) which is often cross-linked for different cosmetic applications will play a role in its tangibility. We're our own harshest critics so we tend to forget that the penis (even when erect) has some slight give when pressed. There are people who are quite happy with how their feels and prefer the non-permanence.

The PMMA is not necessarily any less "noticeable" as enhancement, in fact it can feel like your skin has a band of rubber adhered to the underside of the shaft dermis; some guys don't mind this trade-off for permanence.

It's preference, risk aversion, and matters of maintenance. They both (PMMA & HA) by all accounts don't feel 100% natural to when under scrutiny, unless you were getting a very mild enhancement (20 cc's or less, not more than 2 appointments). I should say however, to the unsuspecting or uninitiated (those who aren't looking, much less those who even know male enhancement is possible) are typically not going to notice either, especially if you don't go overboard.

I know PMMA gets discussed here a lot and its associated Clinics, but I will tell you HA aficionados like Dr. Tsay of Orange County, California, the Dallas PhalloFILL Clinic (I can't speak for the urologist Member Shawn9212 spoke of if it was an affiliate office), and the Shafer Clinic (S.W.A.G. Procedure) of New York City have put out stellar work for years and have had repeat business with respect to HA. Heck, even options like Radiesse shouldn't be overlooked (Ellanse-like in that it has temporary microspheres, but HA like in its longevity), which could be combined with the P-Long protocol through an expert in Aesthetic Medicine like Dr. Luis Lee of Northern California.

While it isn't 100% risk or complication-free, HA boasts a strong safety profile because of its lack of permanence (and can be reversed to some extent), as well as the fact that it also naturally occurs in the body (and what's injected is a cross-linked iteration made in a lab), which gives credence to the idea that it induces less of an inflammatory response overall.

brazilianadventurer wrote: ramirestosatti.com.br/

Regarding his filler, he says it's approved by the Brazilian Health Regulatory Agency but doesn't specify it being Hyaluronic Acid (HA) or the brand of HA.

Not a red flag per se, because elsewhere he does say when regarding filler longevity: "It depends on the product used. Short-term products have an average lifespan of 1 year, while long-term products last a lifetime" which sounds like he promotes both HA and Ellanse or PMMA. I just wish he was more specific about it on his site. Did you see the packaging of the fillers? Any sort of information that would verify what he's using?

I mean again, if he's offering temporary and claims it to be HA, it tracks, and if he also offers PMMA, again, it tracks with his answer regarding product longevity, but it's difficult to hard vouch for the vagueness and limited information found on the site you provided. I hope you share that feedback with him again in the future so that he can at least elaborate to those who are much more informed consumers (i.e. those who visit the PhalloBoards when shopping around).

I believe dermal fillers require regulatory approval in Europe just as they do in the U.S. -- you can reach out to Linnea Safe and Bellafill (two known brands of PMMA) to see if they offer European iterations and where. The closest alternative would be Ellanse, which I believe is approved in some European nations; while the microspheres aren't permanent, they still stimulate a similar (if not identical) collagen type that you find with PMMA patients, and this kind of collagen is seemingly robust, lasting much longer than had initially been marketed by Ellanse's manufacturers (in other words, this is as close to PMMA as you'll probably get in Europe at present time, until someone can demonstrate otherwise).

Hyaluronic Acid (HA) and Fat Transfer still remain the most popular methods across Europe from last I gathered.

BigGym wrote: Just curious what the consensus is on using an ADS after filler (Ellanse) has settled. Is it beneficial as the collagen is forming or does it matter?

Once it's "settled" -- it's usually okay to use -- however that's assuming it's not overused: Frequent use (excess in sessions per day/week, and duration of time per session), high intensity (these aren't muscles and are susceptible to injury), and improper technique (this is exercise-dependent, but worth noting nonetheless) can not only lead to setbacks, but potentially cause irreparable issues down the road.

Given that Ellanse's collagen behaves much like PMMA's, it tracks that these devices can be used like they were before your procedure, but admittedly, long-term implications are not well understood.

Hi, I'm Italian too. In Italy, there are no clinics that offer PMMA, only HA or fat transfer. They don't even offer Ellanse, which is semi-permanent. Beware of so-called doctors who offer significant, permanent girth enhancements without specifying the product used. They inject silicone oil, causing serious long-term problems. If you're looking for PMMA, you'll have to travel to the U.S. or Mexico, where there are sponsored clinics here on the forum with hundreds of reviews. Although widely used, PMMA is not without risks and complications, and the microspheres will remain in your body for the rest of your life. It's a decision you should carefully consider before taking the plunge. The excitement of increased girth initially improves self-esteem, and the difference during sexual intercourse is significant. However, complications can arise immediately after treatment (infections) or months or years later, often granulomas, or worse, chronic inflammation and pain that are often difficult to treat. Most clinics require circumcision at least three months before the filler, and follow-up visits over the years are worth considering, especially if anything changes. Multiple rounds are generally done (two for increased circumference and one for cosmetic touch-ups), although it all depends on your goals and starting stats. The goal for many is 6 inches (15.2 cm), but over the years I've seen people go beyond this magic number, and the more PMMA you inject, the greater the risks you'll face if problems arise. Good luck.

I slept with it on like I said I was a little nervous the first night because I was so swollen but it was fine. When I tried to put a little tension on day 2 my penis felt harder and rubbery so I backed off. The idea is gentle extension while healing not stretching under tension as you normally would.