PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Capo710 wrote: Hey guys I’m looking for recommendations for a good dr to gain some permanent girth in California. I’d love to go to Avanti but my partner can’t leave the country for a while so I’m looking at other options. Thank you

Contact Dr. Tsay (Orange County) , Dr. Luis Lee (Northern California), Dr. Victor Liu (Beverly Hills and Bay Area) , and Dr. Brandeis (Northern California, P-Long Protocol) to consider your options.

Avoid any Clinics that offer penile implants to augment your penis if you are NOT suffering from ED, as well as large volumes of silicone oil filler (i.e. not using micro-droplet technique consisting of volumes of 10 cc's/mL's or less), or really anyone not vetted by the PhalloBoards and/or its Community.

If it's your first-time, you may want to consider more temporary options, especially if you can't travel abroad; Hyaluronic Acid (HA) has a strong safety profile and is offered by the vast majority of (vetted & screened) PhalloBoards Sponsors. Many end up liking it and continue to pursue it, while others may prefer less lifetime maintenance and opt for Ellanse or PMMA. You won't know until you try.

Just be sure you have realistic goals in mind, sufficient funds to accommodate subsequent visits, and a sound state of mind and sound motivations moving forward.

Good luck.

Just keep following your post-op instructions, it's too early to say anything about it short of any complications (which from what you describe sounds like a normal part of the process). When it comes to dermal fillers, you're almost always inevitably (like 99% of the time) going to have a subsequent appointment to touch-up, revise, and/or add more girth anyways.

It's a process, a marathon even. Let your body do the work, the massaging is typically for the short-term to ensure the filler stays evenly spread (or conversely, to prevent filler from clumping and creating nodules). You'll likely feel some unevenness with your fingers, but that's because you know your penis better than anyone else. Don't allow that to alarm you, and try not to obsess over very small matters, especially if they are not complication-related (which with Hyaluronic Acid a.k.a. HA is uncommon).

Teosyal is more common Internationally if I'm not mistaken, do you mind if I ask where you got yours injected?

cwhite235 wrote: Hello everyone,

I've been considering getting fillers for a long time now, since maybe 2.0 or 3.0 forums, back when the big discussion was allografting vs fft - so I've been following these injectables for a long time.

My stats:
BPEL: 5.1" when I'm really turned on, but usually around 4.8-5"
EG: 3.8" head, ~4.25-4.5" mid to base
FL: 2" (but it retracts to almost nothing frequently)
FG: 3"

The main thing I'm worried about are the aesthetics because I turtle/retract so easily into almost nothing and my girth is really small when I'm flaccid, I'm worried about partners seeing it flaccid and looking weird/donut like I've seen described in some threads, and whether someone who's a true "grower" but also genuinely on the small size girth wise would be a good candidate for this?

I've seen a lot of discussion about the P-long protocol and gaining length with it, so I'm wondering if that would be a good route to take before I go with injectables. Ideally I'd like to gain about an inch of length, and be around 5-5.5" girth - is that possible? Would it look okay on someone my size?

I'm tired of having to buy smaller condoms and even just getting to a point where I can fill out a normal one would be great

If aesthetics are your concern and you're a big retractor like me, dermal grafts like Alloderm performed by the likes of @PhalloplasticSurgeon_DrLiu are still very much viable as they've come a long way since iterations of this procedure early in PhalloBoards' 2.0 era. Since it is custom tailored to fit your shaft, you'll likely face less aesthetic irregularity; the trade-off is that it is surgical so will have longer downtime.

I also think injectables can work but I'd start with small volumes, perhaps Hyaluronic Acid (HA) to see how much retracting you do with the presence of filler. As a fellow retractor, you can probably do 0.5"ish in circumference (via graft or filler) while surviving the donut effect but that's just a guestimate on my part.

JackSnow wrote: Thanks for the response, inflammation and any rashes/discolouration have subsided now and i have settled in to a roughly 0.5" gain in girth with no major deformities or issues. The HA is still sightly more soft than i would like but hopefully as you said it may take a few more weeks to integrate properly. I will post updated photos with a tape measure as i plan to do a secondary round in a few weeks and will post the before/after images for the forum. May choose voluma this time though if i am able to mix HA fillers but ill discuss that with the doctor.

The penis should always have some "give" -- simply go to an adult novelty store and compare a dildo to a vibrator. You'll see that the dildo is never pole rigid, but rather, voluminous. Obviously, one wouldn't want it too soft in terms of how palpable/tangible it is, but there will be some collagen & elastin triggered (albeit not to the extent of Ellanse or PMMA) by its mere presence in an area that normally doesn't have high volumes of cross-linked Hyaluronic Acid (HA) -- that should help with the integration I spoke of before.

Ellanse (which Androfill offers) is an option as well which you could consider down the road, but I'd personally stick with the HA for at least 6-12months before passing judgment; you'll find that despite requiring annual (12-18 month) top-offs, it won't require nearly the same volume as your initial round(s) and further integration will ensue. Ellanse has its appeal in that it is effectively semi-permanent (it's allegedly long-term temporary but no one knows when you can anticipate actual loss in the penis as of 2024), but doesn't possess the safety profile, reversibility, or size & aesthetic management that HA offers. I would only consider the Ellanse route if you were simply not satisfied with Androfill's choice of HA (every brand and version of HA aren't created equal), but I suspect with enough time you'll likely see that it's sufficiently adequate.

To be frank, a 0.5" gain in circumference and the absence of rashes & discoloration with no deformities or asymmetry is a huge win! Men really don't know (unless they've been doing penis enlargement a.k.a. PE exercises for years) how significant even a 0.25 inch gain is in girth, and 0.5 inches can potentially jump condom brackets. If you were to do the math on a cylindrical object, changing its circumference by an inch yields significantly more volume than increasing its length by an inch.

You should be able to mix HA fillers but ultimately that's at the discretion of your Performing Physician. That also assumes whichever HA you choose to opt for is available in the U.K. (some iterations are not necessarily available in every jurisdiction around the world; cheaper Canadian HA is not available to Americans for example).

srogers wrote: I would say 0.5"-0.6:" after the initial 10 ML. I think you need to be ready for 2 round minimum. From my research,. it seems likely you will need at least some aesthetic correction if not wanting more size. Depends on your starting length since a larger starting size will require more product to achieve the same absolute increase.

When it comes to injectable fillers of any type, consider a second (subsequent) round inevitable. If not just to achieve your size goals, but minor revisions if & when necessary. Fortunately for you it seems like it will be mostly a girth thing if you choose to follow-up. Be mindful though, you are pretty thick already, keep your goals practical that way you can ensure an aesthetic end-result. Plus it's nice knowing you can top-off when necessary to maintain the sweet spot between aesthetics & size (not something necessarily afforded to you by permanent options, one of the benefits of Hyaluronic Acid a.k.a. HA).

I am sorry to hear about your ordeal. For those who have followed this forum long enough know my opinions about Loria (I refuse to call him "Dr.") as well as his deceptive "proprietary filler." If you hear those words, run for the hills! I actually took at a look at Dr. Malik to see if he'd be a viable Sponsor to reach out to, but once I learned he was injecting this crap, it was a no-go for me. I'll say it for the newcomers, but avoid silicone oil injections for penis enlargement, especially in high volumes!

Granted, it is true that infections are an associated risk with most medical procedures that involve any breaking of the skin (like injections and incisions) where pathogens can enter your system, albeit very low when proper measures are taken, especially in non-surgical procedures. It is indeed a risk nonetheless, remember that these are elective procedures; once in a blue moon things can and do go wrong. It's a small gamble, even smaller if you deal with reputable, experienced, and mindful practitioners (Loria isn't someone I'd describe in that vain). Furthermore, some Practitioners will provide you a dosing of antibiotics post-op as a preventative measure, even if the procedure is an outpatient non-surgical dermal injection.

While it is technically possible for even a reputable, highly skilled Doctor to have a patient acquire an infection from a procedure, it's something so uncommon that I can't recall the last time any Sponsor here has had a case so bad that it required this level of treatment. In addition to this observation, Loria is notorious for having complaints of all types, and with his proprietary filler, who's to say that it hasn't been tainted during the compounding/manufacturing process? While I can't know or say for certain, the very fact that he just won't offer Hyaluronic Acid (HA) or Bellafill (PMMA) tells me there is something fishy about this filler of his. I don't know of any other cosmetic practitioner who uses THEIR OWN mystery injection cocktails; if they choose to mix two or more fillers, they'll simply tell you what it is they are injecting and you can decide against any one of them. The same can't be said for Loria's filler.

How much of this was just bad luck (that small percentage of patients that will end up with an infection after a simple, non-surgical outpatient procedure) -OR- how much of this was due to poor product quality (e.g. tainted) and/or negligence or incompetence on the part of the Clinic's sterilization protocols, DOES NOT MATTER with respect to Loria and his cronies, because if it wasn't an infection, it'd probably end up being some other ridiculous issue.

Hang in there man, per our discussion in private messages, take my suggestions seeking out Doctors who have dealt with Loria complications -- those who haven't, simply don't know what they are dealing with and may actually exacerbate the situation unintentionally (you'd be surprised to learn how often I hear about people telling me that their ER Surgeon, Urologist, or Family Practitioner had no clue what they had done to their penis). Penis enlargement is still very niche & experimental technically-speaking and therefore specialists are vital in acquiring the best care.

Do you mind if I ask what Loria or Malik said with respect to your situation, or if they offered to help? Were they at all at least trying to offer help, whether to you or your treating physician?

I would give Hyaluronic Acid (HA) some time to integrate. Despite it not being a conventional collagen filler like PMMA or Ellanse, it still stimulates some collagen and elastin by virtue of having been injected inside of you, inducing a mild inflammatory response. In time it will better mimic your shaft, both flaccid and erect. I wouldn't pass judgment until a minimum of 6 weeks post-op. Also, it carries with it the best safety profile among manufactured dermal fillers, making it at the very least a good test filler, and for many, a sustainable filler (since you won't have to inject nearly as much in subsequent rounds to retain size/gains). Food for thought

Dr_Sullivan wrote: Voluma stands out in the HA (Hyaluronic Acid) filler market in the U.S. for its durability, with results lasting at least 2 years. This longevity is a significant advantage over many other HA fillers, which often have a duration of about half that time. The enduring effect of Voluma makes it an attractive choice for those seeking longer-lasting enhancements without frequent touch-ups.

Voluma provides a very natural sensation feel. This natural feel is essential for individuals looking for enhancements. If your poing to do HA as opposed to PMMA hands down I would pick Voluma.

getmoregirth.com/voluma/

Dr. Sullivan

Thank you very much, Dr. Sullivan. I greatly appreciate your feedback. If I can ask, Could you recommend any other brands that specialize in non-permanent fillers?

I've come across Androfill and noticed it has received positive reviews online. From a layperson's perspective, a filler specifically designed for penile enhancement seems more suitable. This was my initial concern with more general brands like Juvéderm Voluma, which are used for various treatments (such as lips, cheeks, jaw, etc.).

Voluma stands out in the HA (Hyaluronic Acid) filler market in the U.S. for its durability, with results lasting at least 2 years. This longevity is a significant advantage over many other HA fillers, which often have a duration of about half that time. The enduring effect of Voluma makes it an attractive choice for those seeking longer-lasting enhancements without frequent touch-ups.

Voluma provides a very natural sensation feel. This natural feel is essential for individuals looking for enhancements. If your poing to do HA as opposed to PMMA hands down I would pick Voluma.

getmoregirth.com/voluma/

Dr. Sullivan

Hello to everyone.

I'm at a crossroads in deciding between two HA (Hyaluronic Acid) fillers for penile girth enhancement and would greatly appreciate your insights.

CHOICE:
On one hand, I've got Juvederm Voluma, which comes highly recommended by a well-respected clinic in London. On the other, UroFill has been proposed by a well-known urologist in Rome.
Given the prestige of both the two medical institutions, I'm finding it quite challenging to lean decisively towards one. Both options seem viable, but I'm curious about real-world experiences from this knowledgeable community.

QUESTIONS:

• Have any of you undergone girth enhancement using either UroFill or Juvederm Voluma?
• Could you share your thoughts on the effectiveness, feel, durability, and overall satisfaction with the results if you had one of these two brands?
• Are there some a priori criteria to evaluate the fillers in general?

SOME DETAILS:
This would be my first HA filler injection so I am looking for something non permanent.

Thanks for your time and help!

Dr. Shafer's work has noticeably refined overtime to the extent that I'm giving him full scores on injection technique at this stage. If you are in the market of Hyaluronic Acid (HA) and especially in the East Coast/New England area, Dr. Shafer can really provide aesthetic results while simultaneously providing gains. Most of his recent work I've seen (on the forums and behind the scenes) has shown me he's easily the best injector north of Georgia and east of Ohio, and irrespective of geographics, one of the best period.

The PhalloBoards has had the good fortune to have a prestigious Double Board Certified Plastic Surgeon working off 5th Avenue New York City (Manhattan) provide its readership with one of the very few Plastic Surgeons in the world with the volume & expertise as it pertains to penis enlargement.

Skeptical_One wrote:

Yolomacswagin wrote:

Odouble wrote: Hi! I would listen to these guys. They always give/gave solid advice. I remember how freaked out I was day 3 when the swelling was going down and my nutsack was the size of a grapefruit, or worse - that maybe some of the PMMA made it's way down there. For some strange reason, it never registered to me that part of the package included temporarily enhancing it. One guy even tried to console me and put it in perspective - it's crazy how much we think about our dick around the clock, especially after we've taken the plunge.
Then, I thought that the gain was too much for my wife to bear (even though when I did the math, it was only a 14% boost). All that being said, us guys tend to think about our member and procedure around the clock the first couple of weeks. And it's a rollercoaster of emotions. Be assured that it will work out for you in the end. The most positive thing I read on your account is that you removed the highly dangerous silicone oil, which I'm sure could be considered a life-saving choice.
On the female, as far I interpret it, it wasn't a direct comment, but more like an observation. If it was ill-intentioned, I agree that that's another story. Sometimes it pays to be honest - I say that with the best intentions because I didn't tell my wife I was getting PMMA, and when I told after I did it, it was like I had betrayed her trust and it took her months to let me back in.
I hope you make the right decision with her. Who knows, maybe she won't think it's a big deal. And she got what she wanted (a cock closer to her ex's size). If I were you, I would write down the pros and cons on what makes the most sense for you to share/keep.
On aftercare, I know @Coastalcock shared some pretty detailed visits after getting 3 (?) HA injection sessions. Try searching that and see if there's any instructions for aftercare from HA. Otherwise, I know the Aftercare thread Texas put together was a total lifesaver for me.
Do your best to get your mind off your dick, do read up on aftercare instructions, write out the pros/cons of telling this girl, and if it makes sense to, and just take it day by day.

Thank you man for the kind words and reassurance. I actually just took off the wrap and posted the photos. Happy to hear feedback. I’m trying to relax now even though my penis looks horrendous. Hopefully it’s mostly just swelling and I will go back to a reasonable increase

At this point I’m definitely not able to sneak this past her and will either need to delay sex for a couple weeks and prevent her from seeing my Johnson or come clean. And I’m not sure I’m committed enough to her to do that. I’m she didn’t mean it negatively about my size but it still stung and I’d be mortified if she found out I got HA fillers because she made me insecure.

Also just a point of clarification I didn’t get all the silicone oil removed, just the ones that caused nodules. One was even mobile so I knew I had to get rid of it. But speaking to skeptical, and 3 urologists, they recommended not removing it and just removing the nodules.

Complete removal may not be necessary, and if 3 separate Urologists say as much, it is likely legitimate that you can just hope to make due with what you have. You still seem pretty fresh post-op and so it's hard to pass any judgment until you're fully healed. Due to having both silicone oil and Hyaluronic Acid (HA), which you don't see too many pictures of quite frankly, it'll be a step-by-step evaluation in my opinion on whether or not anything needs to be done in the future. In the meantime, focus on healing & recovery.

As for your partner, I would not disclose this enhancement to her if she isn't a serious/long-term partner. You will certainly see some reduction in size after swelling dissipates, so chances are you will only seem unusually but not crazily thicker than before, and if necessary, tell her you were pumping. Just my 2cents.

In your experience how long does swelling last from HA injections? Heller said 3 weeks, online it says it goes a way in a few days to a week so im not sure who's right.

And yeah point taken on my partner. A part of me wants to have sex with her with my new rod but I fear it will most certainly out me. maybe I can say I was pumping but i fear it will still show i was insecure about my size. although it might be better that than telling her I got fillers.

Yolomacswagin wrote:

Odouble wrote: Hi! I would listen to these guys. They always give/gave solid advice. I remember how freaked out I was day 3 when the swelling was going down and my nutsack was the size of a grapefruit, or worse - that maybe some of the PMMA made it's way down there. For some strange reason, it never registered to me that part of the package included temporarily enhancing it. One guy even tried to console me and put it in perspective - it's crazy how much we think about our dick around the clock, especially after we've taken the plunge.
Then, I thought that the gain was too much for my wife to bear (even though when I did the math, it was only a 14% boost). All that being said, us guys tend to think about our member and procedure around the clock the first couple of weeks. And it's a rollercoaster of emotions. Be assured that it will work out for you in the end. The most positive thing I read on your account is that you removed the highly dangerous silicone oil, which I'm sure could be considered a life-saving choice.
On the female, as far I interpret it, it wasn't a direct comment, but more like an observation. If it was ill-intentioned, I agree that that's another story. Sometimes it pays to be honest - I say that with the best intentions because I didn't tell my wife I was getting PMMA, and when I told after I did it, it was like I had betrayed her trust and it took her months to let me back in.
I hope you make the right decision with her. Who knows, maybe she won't think it's a big deal. And she got what she wanted (a cock closer to her ex's size). If I were you, I would write down the pros and cons on what makes the most sense for you to share/keep.
On aftercare, I know @Coastalcock shared some pretty detailed visits after getting 3 (?) HA injection sessions. Try searching that and see if there's any instructions for aftercare from HA. Otherwise, I know the Aftercare thread Texas put together was a total lifesaver for me.
Do your best to get your mind off your dick, do read up on aftercare instructions, write out the pros/cons of telling this girl, and if it makes sense to, and just take it day by day.

Thank you man for the kind words and reassurance. I actually just took off the wrap and posted the photos. Happy to hear feedback. I’m trying to relax now even though my penis looks horrendous. Hopefully it’s mostly just swelling and I will go back to a reasonable increase

At this point I’m definitely not able to sneak this past her and will either need to delay sex for a couple weeks and prevent her from seeing my Johnson or come clean. And I’m not sure I’m committed enough to her to do that. I’m she didn’t mean it negatively about my size but it still stung and I’d be mortified if she found out I got HA fillers because she made me insecure.

Also just a point of clarification I didn’t get all the silicone oil removed, just the ones that caused nodules. One was even mobile so I knew I had to get rid of it. But speaking to skeptical, and 3 urologists, they recommended not removing it and just removing the nodules.

Complete removal may not be necessary, and if 3 separate Urologists say as much, it is likely legitimate that you can just hope to make due with what you have. You still seem pretty fresh post-op and so it's hard to pass any judgment until you're fully healed. Due to having both silicone oil and Hyaluronic Acid (HA), which you don't see too many pictures of quite frankly, it'll be a step-by-step evaluation in my opinion on whether or not anything needs to be done in the future. In the meantime, focus on healing & recovery.

As for your partner, I would not disclose this enhancement to her if she isn't a serious/long-term partner. You will certainly see some reduction in size after swelling dissipates, so chances are you will only seem unusually but not crazily thicker than before, and if necessary, tell her you were pumping. Just my 2cents.

This is a question frequently arises in consultations: Can patients who have had a satisfying experience with HA fillers transition to polymethyl methacrylate (PMMA) for a more enduring result?
The most common scenario is : a patient tries HA and is happy with the results and now they seek a more permanent option with PMMA. Is this transition feasible? The short answer is yes.
Some doctors suggest it is problematic and want you to dissolve all your HA before proceeding with PMMA. Their concerns are as follows:
1. Risk of Complications:
They argue that the presence of HA might interfere with the PMMA integration process, potentially leading to unevenness, granulomas (inflammatory reactions), or even more severe complications due to the unpredictable interactions between the two substances.
Response:
There is no inherent reaction between HA and PMMA that would preclude their sequential use. It is important to remember that hyaluronic acid is a naturally occurring in the skin's dermal matrix. When PMMA fillers are injected into the dermal or subdermal layers where natural HA resides, they typically do not provoke adverse reactions. This is because PMMA microspheres are designed to be biocompatible and, when used correctly, should not interact negatively with HA or other dermal constituents. Injecting PMMA in areas previously treated with HA-based fillers should theoretically be as safe as injecting it into the untreated dermis, which already contains HA. The key is the technique used during the procedure:
2. Unpredictable Outcomes:
The concern is that the temporary HA filler could alter how the PMMA settles, potentially leading to asymmetry or dissatisfaction with the aesthetic outcome.
Response:
The injector must employ precision when injecting PMMA to ensure the microspheres are evenly distributed and to avoid the formation of granulomas or nodules just as they would when injecting into a penis with no HA. PMMA should be carefully injected to avoid disrupting the uniformity created by the HA fillers
4. Gradual Transition:
Some practitioners advocate for a gradual transition from HA to PMMA, allowing the HA to partially metabolize naturally over time. This approach can provide a smoother transition and reduce the risk of complications associated with immediate layering.
Response:
I fully agree with this. If you are at a size, you are happy with why not just slowly replace your HA with PMMA over time. It allows you to have more precise placement of the PMMA.

5. Time Interval: It's sometimes advised to allow sometime between the HA filler dissipation and the PMMA injections. This gap can help the practitioner assess the natural anatomy of the penis without the influence of the HA filler.
Response:
This not necessary if the original HA filler was well placed and has been well integrated into the tissue. This might be desired however if the original HA was poorly placed.

Why Not Dissolve the Existing HA?
Dissolving HA is not cheap, hyaluronidase is expensive, and a significant amount is needed for full reversal. Why incur this expense if it is not needed. Also why reverse the gains that you have already paid for? Dissolving the existing HA just seems like an unnecessary expense.

Conclusion
From a biochemical standpoint, there's no reason to expect that PMMA cannot be safely injected into areas where HA fillers have been previously placed.
Through my clinical experience, I have found that both hyaluronic acid (HA) and polymethylmethacrylate (PMMA) fillers can be safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the preferences and objectives of my patients.

getmoregirth.com/blog/

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QUESTIONS? please send Ian your message