PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Skeptical_One wrote: Hello, and I'm thankful for your Progress Report -- I went ahead and moved it to the appropriate category

The Forum Community has been asking for more European options since not everyone lives in the U.K. -- I wanted to know if you could share more about your Doctor & his Procedure; things like:

(1) The Doctor's name and your overall satisfaction with him.

(2) Brand of Hyaluronic Acid (HA) used.

(3) Why you chose this Clinic (example: you live nearby)?

(4) Would you recommend the PhalloBoards reach out & vet this Clinic for potentially bring them on and have a public face here?

Thanks in advance.

Sure thing. I just got the procedure done at Clínica Sanza in Barcelona with Dr Jordi Rodríguez. He used 10ml of Starfiller.

I just got back home and as of right now I am pleasently surprised of how nice it looks and how big of a difference it is. My penis looks substantially thicker. At least soft. I haven’t seen it erect yet.

There is barely any bruising at all. Only one small spot. Maybe that will show up later?

He said I have a lot of skin so that I could go a lot bigger if I wanted to. He said up to 100ml. I obviously won’t but if I’m happy I’d consider another 10ml. Let’s see how this looks in a week.

Here are some pictures from right after the procedure.

MayB wrote: I am considering pmma. But I am new to this and have a lot of reading to do before I do anything. I'm in the LA area.
I heard of dr emer from youtube. Anyone seen him? Is there anyone better in the area?

I have been considering getting either the PMMA filler or maybe a fat injection. But I am worried about what the results would be like later. I have seen people on different forums show pictures from a week or a month later. But what about MANY years later? Lets say you get a PMMA injection in your shaft and it goes well. What would it be like 10 years later?

Has anyone here gotten their glands / head done with HA? I have seen some videos of this getting done and I wonder what the specific side effects are with doing HA on the head if anyone has experience with that inparticular.

Also, what about fat injection? Which one is the safer option? I would not want to end up with a "lumpy" or misshapen penis. Do you all think pmma is the best option?

And lastly, lets say you get the PMMA filler and something does go wrong. Is it fixable later with surgery? Meaning can they undo it? I am hearing about "nodules" that can form. Can they fix that? If so how is it fixed? And if the pmma doesn't take, can it be fixed or are you screwed?

I already have a fairly large penis. 8 length and 5.9 girth. I would like to get my girth to around 6.5-6.8
and have the head enlarged a bit. How possible is this goal for you people with actual experience?

I say this respectfully, but you have the coveted 8" x 6", anything you do from here on out is like putting modifications on a sports car that voids its warranty.

That said, if you absolutely must (I'm not here to judge those for their own goals, instead simply reminding people to be mindful and to set reasonable goals), I would stick with something non-permanent just in case it doesn't go as planned. Hyaluronic Acid (HA) comes to mind and you could easily achieve your 6.5-6.8 goals with that size.

if you're in the L.A. area, I strongly recommend visiting Dr. Tsay in Orange County. He's very talented, has a great online review presence, and is easy to get a hold of and quite personable. He offers other options as well, for me given your situation, that would be the no-brainer option.

Hyperbol wrote: This is a very audacious statement. First of all, to my knowledge only relatively recently has Rejuvall been using Bellafill. Are they saying they found this information out throughout their own administration of Bellafill?

They were using Ellanse when it was being trialed, which more-or-less works the same way as PMMA in terms of neocollagenesis -- and they've always had access to Bellafill, just preferring Fat and Hyaluronic Acid (HA), just like how all Clinics have their own preferences.

Furthermore, they have dealt with repairs & revisions from providers of PMMA (not necessarily Avanti Derma, just in general), so are quite privy to this area of enhancement.

More importantly however, is that Rejuvall works with an esteemed Reconstructive Urological Surgeon, Dr. Carney, giving him considerable purview & authority in this area. So to use the word "audacious" is audacious in it of itself. It's akin to me calling my auto mechanic audacious for telling me what's wrong with my car because of some YouTube videos I watched. I know you probably didn't mean to come off this way, but I believe we owe it to Rejuvall (who has taken time out of their day to kindly provide multiple responses) to engage in constructive discourse. I ask we give them that.

Skeptical_One wrote: Between travel, family, and covid, I haven't got a chance to catch up with all the threads -- massive unit, congrats.

To be honest, if you can afford to and have a quality local provider, the Hyaluronic Acid (HA) top-offs post-PMMA can keep you at your desired aesthetics and size at a stable pace.

Hope the travel was smooth!

It's getting pretty large yes. That preference aside, I'm thrilled with how smooth it is and the aesthetics overall. I love the filler and staggering it with PRP shots into the filler layer.

It's comforting seeing other providers have no issues with adding HA to guys with PMMA or even planning on that approach. At this point it's just minor tweaks, which with HA isn't as scary as PMMA for introducing more aesthetic issues vs leaving it. As long as I remain within half an inch of where I'm at in either direction I'll be happy. The last add was to make more of it the same size and balance out the right side. So I'm not overall larger but more of it is that size and it is that size closer to the glans.

Going to continue a bit further with that and the glans. Any updates in future with be more focused on the glans work we're doing. At this point I feel more guys have questions and curiosities about that. I'm also getting one of his other treatments next time and I'll share how that turns out once it takes full effect.

Between travel, family, and covid, I haven't got a chance to catch up with all the threads -- massive unit, congrats.

To be honest, if you can afford to and have a quality local provider, the Hyaluronic Acid (HA) top-offs post-PMMA can keep you at your desired aesthetics and size at a stable pace.

@Acctantw thanks for sharing your images! For this you've received Lifetime Premium Membership. All the Hyaluronic Acid (HA) reports, the better we can aggregate responsiveness (to filler), reviews, and results. Cheers!

Jmgonzo wrote: I wanted to know if it's okay to get circumcised after having HA filler without having it dissolved? I'd like to try a small amount of HA first before I make a decision to chop my foreskin off.

This is best discussed with a Clinic that will perform your circumcision, a PLUS if they have or do inject Hyaluronic Acid (HA). Most discussions here are usually about circumcisions before a procedure, so I'm afraid info about this specific circumstance may be far & few.

However, that said, a couple of Clinics already employ this method (small volumes of HA first) to see how your unit may acclimate/respond to the filler, and worst case scenario, you can reverse some-or-all of the filler with hyaluronidase -and/or- wait for the filler to completely dissolve on its own before considering adult circumcision.

Hello, and I'm thankful for your Progress Report -- I went ahead and moved it to the appropriate category

The Forum Community has been asking for more European options since not everyone lives in the U.K. -- I wanted to know if you could share more about your Doctor & his Procedure; things like:

(1) The Doctor's name and your overall satisfaction with him.

(2) Brand of Hyaluronic Acid (HA) used.

(3) Why you chose this Clinic (example: you live nearby)?

(4) Would you recommend the PhalloBoards reach out & vet this Clinic for potentially bring them on and have a public face here?

Thanks in advance.

jacob8696 wrote: How can we best understand the differences between Volux and Phallofill/Androfill in terms of how long the product lasts?

Is there a way to evaluate the various products available including PMMA to help newbies like me decide on what product is nest and with whom?

Perito seems to think the Urofill technique and product is best way to do girth enhancement. Unsure if that is true and what people have experienced.

PhalloFILL and Androfill are two separate brands.

Evaluating the products are hard to do in the conventional sense, like going into a Clinic and examining something tangible that "mimics" the appearance & feel of desired of said-products. Your best bet is weigh their known pros & cons in addition to patient testimony. PMMA and Ellanse are quite similar, however Hyaluronic Acid (HA) has its different iterations/versions (not to mention older generations which aren't the best point of reference), and that's been a large part of the PhalloBoards Community effort in hopes that more HA patients report their results/satisfaction.

I can't speak for Perito but of course he's going to argue "his method is best," but in reality it is not (although I'm not suggesting it's bad). There is much more to weigh than just "product alone."

I think Dr. Sullivan did a great job explaining his brand preferences, I would say that's a great starting point.

TurkeyJerky wrote: Dr. Horn refused to give me Elansé on my first try out. So they sold me Teosyal Ultra Deep, which actually ended up costing me more, and it was completely reabsorbed 3 months in. Androfil now, no longer provide Elansé in the UK, only in Belgium, so I'd advise people to use a different provider, if they want their initial requests accepted, if you choose to mitigate the risks. I'm going to save up some money, and make the trip to Tijuana and get the PMMA. I've heard good things about them, and hopefully they'll be less autistic in their social ability, and be less "suspended from the GMC Register" type vibes. If I have to fly to a different country, might as well make it worth my while, and considerably better value for money.

I would appreciate if you don't use deragatory descriptions of Sponsors here, like "autistic in their social ability." Androfill has a long-standing policy about using Hyaluronic Acid (HA) first to see how your penis acclimates to filler product (and to better early detect areas that may become problematic with Ellanse). Given that more Europeans are uncircumcised, and uncut penises are known to pose more problems with fillers, this is a reasonable decision on their part.

Many other reputable Clinics have their own policies, including HA-First policy. Heck, Avanti Derma may still require waivers for uncircumcised penises, so if you go into this uncut, just know you'll be dealing with a higher propensity for aesthetic irregularity.

Again, any vulgarity (or any other forum rule violation) will result in a forum ban, as this is your warning. Please be mindful of your posts moving forward, thanks.

This topic was imbedded within a conversation but thought it deserved its own post.

Most people think that hyaluronic acid (HA) fillers last only 6-12 months but there are facial ultrasound (US) studies that confirm HA filler actually lasts much longer, sometimes even 2-3 years after depending upon where it is injected. Often it is still occupying space but not doing its job quite as well as freshly injected. It may be subject to degradation, swelling, and migration.

There are facial studies that demonstrate the collagen formed from Radiesse is present in 40% of patients at 2yrs. This means it has dissipated in 60% of patients. As time goes on a small percentage of the 40% will continue to 2.5yrs and beyond.

I've had 3 patients return 32mos after penis filler with my Radiesse-HA blend. All 3 were still girthier than their baseline measurements. 2 of these patients were aware they were still bigger. 1 of the 3 thought it had all dissipated, however, his comparison measurements showed quite the contrary. Most guys over time will forget how they started and think it’s all gone because everyday is a new baseline. It’s important to keep photographs with measurements to be objective.

Not everyone will have this longevity. Filler is subject to mechanical breakdown from masturbation and intercourse. If it’s in more demand, naturally it will dissipate faster. Chances are you will top off before all the product has been fully absorbed. If budget is not an issue, guys will typically repeat anywhere from 4-12 months. “It’s rather addictive” is often heard at my office.

I've attached a few photo comparisons. Generally speaking for my before and after photos, If you see steri-strips (thin adhesive strips) on the penis, it is immediately after. If there are no steri-strips, then it is at least 2 weeks after procedure but dates have also been provided in a few of these samples.

Contact my office for more information:

info @leonardomedicine .com or 1-647-223-4436

Providers are most comfortable with using Hyaluronic Acid (HA) filler for their augmentation procedure. It’s forgiving in that mistakes and adverse events can be reversed. Aesthetic injectors are introduced to HA fillers then with more experience advance to semi-permanent or even permanent (I do not use permanent products).

My initial choice of penile filler was Radiesse, calcium hydroxylapatite (Ca-Ha). I like that Ca-Ha is biocompatible, typically avoids an immune response (therefore, less prone to granuloma formation), and forms Collagen Type 1 & 3 along with Elastin. It is essentially a synthetic material that eventually becomes you such that it behaves and feels like flesh. HA is hydrophilic. It draws and retains water such that it may feel bulky but spongy depending on product choice and placement. One intimidating aspect of Ca-Ha is that it may lead to nodule formation, development of a firm ball or lump. Most of the time these are self-limiting and require no action. They will eventually go away on their own at their own time whether it is weeks to months.

Ca-Ha is highly viscoelastic and stands head and shoulders above any HA product on the market. This means that it is stiff and excellent for contouring bony structures like the cheeks, chin, and mandible. For areas of the body with thin skin (lips and the under eye), it is contraindicated. This makes Ca-Ha a strange choice for the penis as the skin here can be thin as well. However, when Ca-Ha is blended down with Normal Saline, the product becomes softer and less bulky but it is still capable of creating Collagen 1 &3 and Elastin. If diluted too much, it no longer provides filling capabilities but it acts more like a skin conditioner.

As early as 2019, I tried various dilutions with exclusively Ca-Ha. I had very good results. The only problem at the time was that Ca-Ha tends to swell and often the bulk immediately after procedure did not amount to the same retained volume making a second stage common and to be expected. Jani van Loghem, MD, one of the world leading experts in Radiesse, saw my work and was impressed with this off label cutting edge indication. He invited me to author the penile augmentation chapter of his forthcoming text book devoted specifically to Ca-Ha, “Calcium Hydroxylapatite Soft Tissue Fillers: Expert Treatment Techniques.” The book was released in the Fall of 2020.

During the pandemic, I was invited twice to appear on his Live Webinars, Calcium Hydroxylapatite Expert Innovations. There were two other key figures that appeared on his webinar, Drs. Nabil Fakih and Jonathan Kadouch. They presented their work on blending Ca-Ha with HA filler for facial aesthetics. They demonstrated the safety of the perfect marriage of fillers. The hybrid took on the best characteristics of each component. The hybrid was bulky because of the HA component. It had increased longevity due to the development of collagen and elastin. The skin quality also improved. Adverse events were few, basically bruising, swelling, and self-limiting nodules (0.6%) . Their work was published later in the year.

Shortly after their presentation, on Jan 22, 2021 I reached out to Dr. Fakih regarding penile augmentation using a hybrid filler. He had no experience with penile augmentation but was very interested in my technique and the outcome. 3 days later, I performed possibly the world’s first Radiesse-HA Hybrid Penile Augmentation. My technique and formulation have changed and is constantly being perfected. I have had over 4 yrs experience with the hybrid blend. It has a high satisfaction rate. Complications are uncommon and easily managed as the hybrid is dissolvable to an extent. If you are concerned or intimidated by others who have had poor outcomes with Radiesse, this does not apply to my practice. I’d encourage you to contact my office for more information:

info @leonardomedicine .com or 1-647-223-4436

Attached are some of the conversations exchanged between Dr. Fakih and myself.

Very doable - you have a symmetric shaft and healthy erection thus making the distribution easy for the Injector and post-op care for you.

I'd advise seeking out a skilled Hyaluronic Acid (HA) injector, start with the Sponsors who have been vetted on this site (let me know if you need regional suggestions).

Post-op care varies slightly for every Practitioner, but your best bet is to follow the Doctor's orders after the procedure. That said, using weights to keep the penis stretched down seems like overkill and not entirely necessary (unless your Practitioner says otherwise).

Stretching (mildly) for some can be beneficial pre-op, but also not a necessity.

There's no wrong answer; yes, Hyaluronic Acid (HA) requires annual maintenance, but the trade-off is its strong safety profile & relative reversibility, and it is a very viable option.

PMMA is the best permanent non-surgical option (as opposed to the best permanent surgical option like Alloderm performed by Dr. Victor Liu) for those who prefer not having to seek out any further appointments once their last one is performed. The trade-off of having convenience (and long-term costs) comes at the expense of a filler that isn't readily reversible.

Some guys are happy and stick with the HA, others eventually switch over to PMMA after test-driving dermal fillers in general, and some go straight to PMMA -- none of these 3 routes are wrong.

I should get a list of Doctors and their policies on HA & PMMA. We've discussed Avanti Derma and Rejuvall, I'll be curious to see HA performers like Dr. Tsay and PMMA performers like Jiva Med Spa (Dr. Nanda) feel on the subject matter... stay tuned.

I focused on nutrition two weeks before my procedure and even now after. I carry a gallon jug of water and try to drink it throughout the day. I cut out Caffeinated coffee during that two week period and even now and replace the coffee with beef bone broth, I happen to be drinking that now before bed, but I drink that throughout the day as well. I take youth theory collagen plus biotin tablets, Two vitamin C capsules a day, men’s multi health, vitamins, bulk supplements, hyaluronic acid, creatine, L arginine HCI, bovine, collagen, peptides, beef, bone, broth, protein, or from bulk supplements. You could check those out on Amazon. Can’t forget sardines I eat a can of sardines a day, along with green beef, vegetables, and raised eggs, I fry them and make sure I get the membrane from the eggs because that’s where the collagen is. My nutrition revolves around collagen supplements and foods that help synthesize collagen. I have been on TRT, but I haven’t had a dosage within the last 30 days. I 30 minutes a day and stay in shape as well, but haven’t been overdoing it since my procedure.