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| 24 Jan 2024 21:44 | |
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Being that PMMA is inert, I think it won't trigger any reaction in a skin test. In general, patients with severe autoimmune conditions, though, should refrain from any kind of elective procedures. Relatively benign conditions like lichen planus and others should be discussed directly with the practitioner because he needs to consider possible interactions with the filler, clinical condition, patient profile, etc., and use his/her medical criteria. DrC Avanti Derma | |
| 24 Jan 2024 21:19 | |
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Hello
@Abc123 It is highly recommended to get a circumcision if you want to maximize your gains. In our patient selection criteria, getting circumcised will move you from "less-than-ideal" to "ideal" if we only consider the circumcision. Other issues may warn an injector and even disqualify you for the procedure. The ideal waiting time between sessions is a minimum of 6 weeks. During that period, the carrier in Ellanse (carboxymethylcellulose) will get absorbed, and collagen production will be triggered. It doesn't make any sense (actually, it is questionable) to re-inject before that period because the patient hasn't even shown the final results yet. The volume needed per session is just a guesstimate, especially not knowing the patient's statistics: age, ethnicity, size, and especially circumcision status and style, if it exists. The best estimate is given after physically exploring a patient; even then, we often need to adjust during the procedure. If interested, we offer complimentary evaluations through photographs or, even better, Zoom conferences. You can always set it up by contacting Ian (This email address is being protected from spambots. You need JavaScript enabled to view it.). DrC @ Avanti Derma | |
| 24 Jan 2024 20:52 | |
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| 24 Jan 2024 18:27 | |
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Alright thanks a lot I’d have a few last questions if you don’t mind answering
@Skeptical_One 1: My understanding is that being uncircumcised is suboptimal for any filler procedure, so I‘m going for a circumcision. Is that a necessary step to take in your opinion? 2: I read that dr berg suggests getting ha fillers if you’re a first time patient before getting Ellanse, what is your opinion on the matter? 3: What would be the maximum ml Ellanse you‘d do in one session? Is it dependent on length too? If there’s any way you could answer these I‘d really appreciate it. | |
| 24 Jan 2024 16:10 | |
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I am growing to prefer this approach, and I know Rejuvall (a reputable Clinic in the U.S.) is also implementing this measure. Dr. Horn (of Androfill) is maybe the highest volume injector of both Hyaluronic Acid (HA) and Ellanse in the penis in Europe that I'm aware of, or most certainly top 3. He has the requisite expertise in this area of male enhancement. By introducing low volumes of HA first, a few critical things can be ascertained:
To be frank, you may not get much in the way of girth (but you will likely see some tangible gain) -- this methodology is designed to ensure that when you do bulk up, it will be done so with the best results and natural aesthetics possible. Think of this first appointment as a preliminary round to "check the foundations before renovating." The more I learn about this approach (both through Androfill and Rejuvall), the more I endorse it; the biggest complaints with dermal fillers have always been aesthetics (e.g. asymmetry, nodules, etc.), and this approach aims at reducing, if not eliminating, those issues. If you are uncircumcised and are choosing NOT to get circumcised, this approach is even more sensible (this is because uncut men experience higher rates of aesthetic irregularities when undergoing injectable dermal fillers in the penis). | |
| 24 Jan 2024 15:56 | |
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The earliest I've heard recommended by a reputable/experienced Practitioner to wait for a follow-up at minimum 6 weeks. Keyword, minimum, as in there is no need to rush to get a 2nd appointment. Other Clinics will vary suggesting a few months or more. Suffice it to say, 2 weeks seems a bit too short of a wait time in-between follow-ups. You may want to wait longer, as some changes may become even more apparent with the passing of time (example: some of my very soft and small nodules near the base disappeared without revision over time). If U.K. is a bit of a hassle, Dr. Horn has a Brussels, Belgium Office that may be more accessible (e.g. train, bus, or shorter/cheaper plane ride). I'm not sure about the availability of Ellanse in that Office, but it wouldn't hurt to ask. In other words, I'd get Ellanse done with someone with tons of Ellanse under their belt (in terms of procedures performed). | |
| 24 Jan 2024 00:12 | |
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Dear all! I'm a new user here, and I have already a consultation booked with Dr. Horn at Androfil, London. I'm anticipating going for 6ml of Ellanse; I have had no previous filler procedures, so I will be totally virginal going into this, providing I still feel completely comfortable after the consultation and I am accepted as a suitable patient. I understand that there is an inclination to reduce the amount of filler, especially in a irreversible product like Ellansé. However, Androfil are currently only offering 6ml. What sort of gain would I be expecting, and is that even enough filler to be able to mould harmoniously around the entire shaft? I'm rather limited financially, so there won't be any top-ups, if even conceivable until my initial 12 months of finance is paid off. I'm approximately 6" in length, and about 5.5" in girth at the base. | |
| 23 Jan 2024 15:55 | |
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Older wisdom those who were using Ellanse a lot. wait at least 3 mo for everything to settle down. If you dont want to listen, then dont. Your dick will still be swollen at 6 weeks. Not in a bad way. But it will still be puffy and squishy. | |
| 23 Jan 2024 12:01 | |
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It was the only clinic in Europe outside the uk that offers ellanse . To be fair I asked per whatsapp so if I‘d go in for a consultation the answer would probably be different. Where does the discrepancy from 8 weeks to 6 months come from? 2 months does not seem unreasonable
@Skeptical_One @Hyperbol | |
| 21 Jan 2024 20:31 | |
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What clinic may I ask? Two weeks is the most ridiculous thing I've ever heard. Your dick won't even be healed completely yet. You might still have swelling. Your dick goes through a beating. A lot of bruising and swelling. Any swelling whatsoever will totally have an impact on your next session. Even if it's a top up. I would wait at least 6 months. | |
| 21 Jan 2024 15:52 | |
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I‘ve got an answer of 2 weeks minimum before for a top up from a clinic I don’t know if that’s realistic though. | |
| 20 Jan 2024 12:50 | |
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As Dr. Sullivan pointed out, there is no FDA approved penis enlargement filler (or method) per-se. These dermal fillers (Hyaluronic Acid, PMMA, Ellanse, Radiesse, and Renuva) are used off-label into a layer of the penile shaft skin to create volume (simplest way of putting it). These fillers however, have been FDA approved for other specific reasons, none of which indicate girth enhancement, hence the off-label use (which is legal). I should note that Ellanse is still not FDA approved in the U.S. and is only available abroad. In my personal opinion, Hyaluronic Acid (HA) is arguably the safest filler given that it already exists naturally in the body -- medical device manufacturers have cross-linked them to behave as dermal fillers to increase the volume of the skin. They are temporary in nature and somewhat reversible too with the use of a special enzyme to breakdown the filler if necessary. The trade-off with temporary fillers is that you will have to periodically top them off, and the rate at which HA breaks down/reabsorbs varies person to person. A safe bet is once a year, and you'll often times not need nearly as much volume to get back to your size-goal because not all of the HA will have diminished by then. I call this a trade-off because while you wish to seek out the safest option, you'll have to accept that maintenance comes along with it. A counter example would be something permanent like PMMA (Bellafill in the U.S.). Due to its permanence, it can be very difficult and invasive to remove all of the PMMA in the event you have an undesirable result or complication. The trade-off here is that while it isn't as manageable as HA in terms of reversal/complications, you won't have to top it off periodically once you've achieved your final size goal. I should note that Bellafill is FDA approved and by and large is a safe filler too, relatively speaking. So as you can see, some people prefer the peace of mind of HA in the event that they have undesirable results or complications because they are easier to manage, or would like to trial girth enhancement due to HA's temporary nature. On the flip side, permanent options like PMMA or dermal graft surgery offer a sort of "one & done" solution (with some potential subsequent touch-up appointments) which is a life-long convenience but can come with unforeseen challenges, despite complications being uncommon. You have to assess your own risk threshold, size goals, and what trade-offs are more compelling. | |
| 20 Jan 2024 09:52 | |
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Yes, pretty much spot on in terms of your understanding of fillers. I believe a 0.6 inch gain in circumference is a pretty fair expectation from one round, and a likely follow-up round to touch-up natural aesthetics (and add any additional girth if you wish, but always stick to practical goals). Hyaluronic Acid (HA) will breakdown overtime, however total degradation/dissipation can take upwards to 24 months. Typically, it's usually within 12 months you see some loss, and you'll find the need to top-off (with much less volume than originally injected) to maintain your size goals. Fortunately, HA has a strong safety profile (it's a naturally occurring substance in your body modified by medical device manufacturers to behave as a dermal filler to create volume). There are also permanent options like PMMA, Megafill, and Dermal Grafts. There is definitely added weight, and for some can improve the appearance of flaccid length since the implanted material can prohibit full retraction. Erect length on the other the hand is not impacted by the presence of filler or implant. As a side note, overfilling can create a disproportion between glans and shaft, so you will want stick the goals you stated above, which I believe can be done without sacrificing much in terms of natural aesthetics. Proud Urology offers virtually every option on the market, and only a 3-4 hour flight from Hong Kong (they are located in Seoul, South Korea). Very reputable Urological practice, more can be learned by selecting the links found in their Directory Listing link I provided. James, the Patient Coordinator @Proud_Urology is fluent in English and quite helpful if you needed to coordinate travel arrangements. Given your locality, Proud Urology is likely the best option, or at the very least, worth the initial consideration. Logistics are just as important as value, expertise, and results. The vast majority of patients (irrespective of Clinic or Doctor) will likely need at least one follow-up session if you go the route of dermal fillers -- being within a reasonable flying distance makes them all the more appealing in my opinion. Androfill is a great International Brand but I can only vouch for their United Kingdom operations. Those outside their U.K. Borders are effectively affiliates, and while having been trained under Androfill in some capacity, can't be vouched for from where I stand, that would be more-or-less a research process on your part. I would avoid no-namers for the sake of price or convenience. This is your one and only dick, and you ought to be sure whoever is performing their work are Clinics/Doctors who are advancing the field as leaders in the industry and well respected, both among patients and professional peers. Other than HA, Fat Transfer is regarded by many as a safe alternative since it harvests your own body's tissue (adipose cells), thus a more a subtle inflammatory and immunological response. That said, HA may still win out as the safest because Fat Transfer still requires additional surgical steps (i.e. harvesting fat from the body prior to penis enlargement). HA is somewhat reversible. If done early and when not much volume is used, you can get most of it neutralized via Hyaluronidase, an enzyme that acts like an "anecdote" to HA -- however, at larger volumes and/or longer durations, some collagen and elastin may result in the presence of this HA (albeit nothing close to the amounts created by permanent & semi-permanent fillers like PMMA and Ellanse), and may prove to be difficult to eradicate 100% of the HA. The good news is that HA will eventually breakdown at one point or another. | |
| 20 Jan 2024 07:31 | |
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In terms of neocollagenesis / creation of new tissue (i.e. collagen, fibroblasts, elastin, and vascularization) -- Ellanse and PMMA are quite similar, if not identical in process -- for that reason I'd imagine the waiting period between appointments with Ellanse would be comparable to that of PMMA -- a minimum of 6 weeks. Perhaps @Avanti_Derma can chime in, given that they are the only Clinic I know of that provides both fillers in high volume (and by extension, a legitimate & significant sample size). | |
| 19 Jan 2024 19:00 | |
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@heyho12345 So what phalloplasty options are you now considering based on this condition? | |
