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11 Jun 2016 12:33
I must say I do see the point in Ellanse. The main problem with PMMA is that you don\'t really know the health risks 5+ years down the road. You don\'t have that problem with Ellanse. The thing that makes HA unattractive in my opinion is the fact that is dissolves gradually. I just cant imagine dating someone and have my penis become smaller month after month. Also, we have the financial and time consuming aspect (+ psychological stress) of having to get refills/touch ups frequently. Then there is firmness. Wade told me via mail that HA is less firm than Ellanse. In my opinion the most important aspect really, as size is really just a means to an end. You could be very big but if you\'re not firm its not worth a lot. If you have a good practitioner I cant see why you should be very disappointed with an Ellanse injection given that you can always get touch ups if it isn\'t perfect the first time around.
11 Jun 2016 12:33
I\'ve got to say I don\'t see the point of a temporary option longer than 18 months that isn\'t reversible.

Unless you\'ve had a PE result you didn\'t like or a complication, you won\'t be able to fully empathise how it makes you feel. Thus the idea of it dissolving over 2 or 3 years doesn\'t seem too bad even if you don\'t like it. But honestly it\'s really tough mentally. I know of 2 guys who recently had HA and didn\'t like the result. They had to wait 2 weeks to get it reversed and both said it was a really tough time. It sounds a bit pathetic I know, but I understood. If you ask Reklaw what it feels like waiting for his procedure to slowly absorb over time, he\'ll tell you that it\'s mentally draining and hard to deal with. Ask Bonehead what it was like waiting years for his scaffolds to dissolve. I\'ve never come across anyone who has been unhappy with a temporary result, that didn\'t have a really hard time coping while waiting for it to absorb.

Personally I\'d stick with HA or at the most Radiesse. Any filler that can last several years and can\'t be reversed defeats the main benefit of the temporary option in my opinion. It\'s one of those things most won\'t understand until they experience it, but having a penis you don\'t like for even a few weeks can drive you crazy. If Ellanse can last 2, 3 or even 4 years, then I don\'t think it\'s a good filler for the penis. I get why it would be very appealing and understands most think they\'d be able to cope with an unsatisfactory result knowing it\'s only temporary, but from what I\'ve seen and experienced, it will effect most guys much more than they think it will.
11 Jun 2016 12:33
No more Ellanse at Dr. C\'s as of 7/19, no reason given- Have to say I\'m a bit bummed. It\'s Radiense or PMMA.. Looks like Dr. Oats will be breaking ground on his own. Best of luck down under Doc !! Keep us posted.
11 Jun 2016 12:33

aleksk wrote: Tell us more, Dr Oates. Did 4 ml result in any appreciable increase in girth? It sounds like a small amount. Do you think there is a risk that it might result in lumps later as it settles or no risk for that happening? Was the patient satisfied with the aesthetics of it? Which version did you use- the 1, 2, 3 or 4-year one?

Do you think it comes out smoothly from the canula and you have a good control over how you spread it?

Also, could you tell us at what price you\'re offering Ellanse? If it\'s the same as HA in terms of results, i would prefer it 100 times over HA because some of its versions are long lasting and do not gradually dissolve. You could theoretically get away with injecting 3 times in 10 years and have decent girth and good aesthetics all along. That\'s the appeal of it. Provided it doesn\'t lump.

Final question: Do I have to fly to Perth for this or are you practicing in Sydney periodically? And I mean you personally, not the other doctor.


4ml is a small volume - using it more so for a touchup. It went in very smoothly and did not cause any swelling. I doubt it will lump - but will be reviewing in a few weeks. The patient is very happy so far.

We are not routinely offering Ellanse just yet. We are still waiting to see what duration we get from Voluma - if it lasts 3 years then we dont need to change. The other is does Ellanse last 3/4 yrs in the formulations that it should ( the thing with Ellanse is that if we say it will last 4 yrs - it needs to last 4 yrs!). If we used enough volume it could be that we get the price down to compete with Voluma - I am hoping we can negotiate a cheaper Voluma price soon because of the amount we are using.

In the trial we used 2 yr version.


11 Jun 2016 12:33
I did 4 ml of Ellanse into the shaft last Saturday. Basically just the same as doing HA. No waiting to see the result.

11 Jun 2016 12:33
DR C - Ellanse pricing as of 6/15/16 (subject to change)- From Wade - The cost for 12cc of Ellanse is $4200. 350 per CC. I am looking on going down when it cools off a little bit, late Sept, Oct.

I\'ll keep y\'all posted of course.



11 Jun 2016 12:33

Dr Oates wrote:
We will trial our first Ellanse patient in 2 weeks. I saw one of my Voluma patients from last year recently. He wanted more, not that he needed it replaced from degradation - he was very happy it was all still there.

11 Jun 2016 12:33

aleksk wrote: So the Mexican doctor I referred to stopped using Ellanse because of the high cost: he says Ellanse was never available for sale in Mexico after the initial promotional period and he couldn\'t continue to offer it at a reasonable price.

He uses now Belotero. He offers quantities starting from 8cc for 30,000. He injects 8-12 cc per session. This is a very good price. It\'s so good it\'s exciting and it gives me hope that there are option out there even for people like me who are not rich. I\'m starting to see it as an option already. Finally I found someone who offers high quality product at a reasonable price. I am sure there are many others - we just have to do the effort to find them. He guarantees the integrity of the product (told me would open in front of you). He also says if I visit him he can show me many before and afters.

Anyone who has had Belotero on this board or anyone else you know? Belotero has all the advantages of any other HA filler -- you can dissolve it and if you have any issues they are over in 48 hours and you can move on with your life. If you are happy you got a safe girth enhancement for a good price. They also say it lasts long.

Anyone geographically close to this doctor who can see him for an appointment and see before and afters? I checked the return flight from LA is quite cheap.




I had my lig cut surgery with this doctor in Guadalajara... And I do not recommend him at all my penis didn\'t grow any inch and I have a lot of fibrosis...the ligament didn\'t release at all and shrink back again... I\'m going with dr C next week to fix this. In my opinion this doctor is not well experienced in penis surgery and his lack of experience make me a bad result.
11 Jun 2016 12:33
I wish Australia was closer.. Thanks Doc. Please keep us posted. Would love to hear your take on the aesthetic differences between Voluma and Ellanse when you get started on trials. Also, great to hear the Voluma is holding steady after 12 months! Any thought to a PRP treatment prior to a filler? Maybe gives you a little more room to work with, plus the healing properties of PRP may help in recovery?
11 Jun 2016 12:33

brock wrote: Done a lot of reading- thanks everyone. Dr. Oates has been very helpful and I think unbiased- so thanks Doc. The other popular Doc on this forum and a little closer to home is Dr. C. After going to his site- I found this Ellanse compound he is now offering and is the subject of this thread.
To me- someone who is a little gun shy of permanent irreversible PMMA in my piece - this may be a good 3 year test to see how i like the new girth before plunging into more permanence?
Or even a touch up even ever 2 years sounds reasonable.
Do you guys think Ellanse, the 3 and soon to be 4 yr versions will be the \'next big thing\'?
I\'m really (REALLY) considering reaching out to Doc C about this, maybe a PRP before hand to give him a little extra room to work with?
I would love to know how many people have used this filler specifically since its release and overall satisfaction level. My goal is .75 inches of width gain top to bottom - really concerned about aesthetics and would pay the extra $$ to go back instead of trying to do it all in one shot.


We will trial our first Ellanse patient in 2 weeks. I saw one of my Voluma patients from last year recently. He wanted more, not that he needed it replaced from degradation - he was very happy it was all still there.
11 Jun 2016 12:33

Herbert West wrote: Dr Oates, what do you know about \"Xiaflex\" and cortisone shot? Can it really soften scar tissue or even all connective tissue such as tunica albuginea?

they can both certainly soften scar - but I would not expect the Tunica.
11 Jun 2016 12:33
Done a lot of reading- thanks everyone. Dr. Oates has been very helpful and I think unbiased- so thanks Doc. The other popular Doc on this forum and a little closer to home is Dr. C. After going to his site- I found this Ellanse compound he is now offering and is the subject of this thread.
To me- someone who is a little gun shy of permanent irreversible PMMA in my piece - this may be a good 3 year test to see how i like the new girth before plunging into more permanence?
Or even a touch up even ever 2 years sounds reasonable.
Do you guys think Ellanse, the 3 and soon to be 4 yr versions will be the \'next big thing\'?
I\'m really (REALLY) considering reaching out to Doc C about this, maybe a PRP before hand to give him a little extra room to work with?
I would love to know how many people have used this filler specifically since its release and overall satisfaction level. My goal is .75 inches of width gain top to bottom - really concerned about aesthetics and would pay the extra $$ to go back instead of trying to do it all in one shot.
11 Jun 2016 12:33
Dr Oates, what do you know about \"Xiaflex\" and cortisone shot? Can it really soften scar tissue or even all connective tissue such as tunica albuginea?
11 Jun 2016 12:33

aleksk wrote:
I\'d also like to know that.

@Dr Oates: thanks for your thoughts about Ellanse. It would have been good to document that case with the auto-immune response, as I couldn\'t find anything like that in the literature (and I read Spanish and German aside from English). It would be useful to publish something like that and motivate the manufacturers to see why it happens and improve the product. I think fillers like Ellanse should become the gold standard due to its safety, longevity and bio-stimulating properties. If only it was dissolvable it would be perfect.

I understand Voluma may be the best in your experience, but one of the main things that attracted me to think about Ellanse is the fact that it doesn\'t absorb gradually like HA. I know you are saying Voluma last more than 1 year, but from the first month every month your penis becomes smaller as it absorbs. Not the case with Ellanse which is there until it\'s gone! Imagine you start dating someone you really like and on a month-to-month basis your penis becomes smaller. What on earth will your partner think 6 or 8 months down in the relationship? What happened to your penis?

I have a high opinion of you because I know the industry you work in very well in Australia. You are one of the very few innovative enough to explore and experiment. I hope you continue to experiment with fillers and not take Voluma as a given. It\'s too expensive for the majority of people.



With HA fillers they talk about \"Isovolumic degradation\" - being it maintains its size by absorbing more water. It is not that you notice it shrinking every month. I have it in my face and it lasted over 2.5 yrs - I did not notice it going untill the last few months and thought I could do with a top up.

Ellanse particles gradually breakdown too and the collagen stimulated by it seems to disappear too. I would not be surprised if there was some permanent increase - like there seems to be with HA\'s too.

I contacted the company about the reaction we got with Ellanse. They were of limited help. I guess I should write it up - but there have been plenty of articles on granuloma with injectables. I am planning a few studies of things - such as injectable phalloplasty (and a snoring laser treatment). It all takes time.
11 Jun 2016 12:33

hoddle10 wrote: @Dr Oates, Is Silikon1000 available in Australia?

Nope - not here
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