PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Skeptical_One wrote: I mean both can be used, but I usually seem them used in separate application (as opposed to mix) -- which was yours?

Was your Doctor a Sponsor here or someone you saw local?

Not all post-op protocols are created equal. This is not a standardized field and some arguable experimental despite its advancements. This is why I only trust the methodologies of Sponsors here, including their innovative techniques (example: Dr. Leonardo will use Hyaluronic Acid & Radiesse). So your best bet is to rely on whomever your Injector was in terms of their pre-op & post-op protocols.

Photos will of course help generate more feedback in general.

Hi Skeptical,

Really appreciate you taking the time to respond—you're a legend. Thanks also for maintaining this board; it’s been incredibly helpful. (Please DM me if possible—I tried to sign up for premium but my credit card failed six times.)

Unfortunately, the doctor I went to wasn’t a sponsor here. I initially looked into Dr. Tsay, but his office said he only treats circumcised patients. I ended up seeing Dr. Emer in Beverly Hills, which in hindsight I wouldn’t recommend. They quoted me $30,000, without even really telling me how many syringes and why whatsoever would justify it. They added all kinds of things. p shot, glance enhancement and 20 syringes which I found extremely excessive. I made clear right away this is too much and I don't ant all of this.

The whole process felt off. I was told the $500 I paid was for a consultation with the doctor. But once there, they had me undress and put on a robe without explanation. When I asked, the assistant said, “Yes, it’s still just a consult—but you have to be completely undressed.” I felt pressured, and I now regret going along with it. Looking back, I probably could have gotten the treatment done elsewhere at a more reasonable price—and possibly more professionally?

About the treatment itself:
Dr. Emer injected both HA (Juvederm Voluma) and Bellafill during the same session. I don’t know what came over me, but during the procedure I asked for 2 extra syringes. In total, I received 7 syringes of Juvederm Voluma and 7 of Bellafill. I deeply regret the Bellafill now. I wasn’t clearly informed that it’s a permanent filler. The doctor didn’t say it wasn’t—but he also didn’t stress that it was. As someone new to this, I really feel he should have made that clearer. Had I known, I would’ve opted for HA only.

It’s now been about 10 days since the procedure, and I’ve noticed three dents on my penis. Will these smooth out over time? I was surprised when the doctor said I should absolutely not massage the area. I’ve been doing daily shockwave therapy post-procedure, which seems to help a bit.

I’ve attached photos along with a picture of the syringe tray from the procedure. I would really appreciate feedback—does this look like a poor outcome? Could it have been done better?

Also, starting around day three, I began experiencing a dull ache in my testicles. It’s improved gradually, but I can still feel it. There’s no visible sign of migration, but I wonder if a nerve was affected or if filler somehow shifted? Super strange.. adds to the bitter taste about my experience in that regard. I did received two anti biotic and one anti inflammation suppressor which I took on a strict regiment.

Any input or shared experiences would be greatly appreciated. Thanks again to everyone here for the support. I have pictures of my penis attached. I am uncirumsised, I also added the full video of my treatment on here, he streamed it on YouTube. @Skeptical_One if you find a few minutes I would love to hear your feedback on it.

HAFilled wrote: Hi does anyone know (I’m sure it’s been discussed somewhere here) what differences there are between the HA fillers - I’m only interested in HA fillers.

Currently a clinic I’m looking at using offers

perfecta Subskin
Juvederm Voluma
Teosyal Ultra deep
Elanse (I believe this maybe the other type of filler that can be more complicated)

Does anyone know the differences and if the more premium HA filler is worth the price?

Many thanks!

There are an abundance of Hyaluronic Acid (HA) iterations, many of them are cross-linked for soft tissue filler of the face, while others may require a more robust cross-linking in higher volume injections.

As for the fillers you asked about:

Perfecta Subskin -- Haven't heard of it.

Juvederm Voluma -- one of the most Popular Brands.

Teosyal Ultra deep -- I believe this is a popular brand abroad (this Board is International but most topics pertain to American materials)

Ellanse -- this is not HA. It is considered a long-term temporary filler that works more like PMMA than HA.

I mean both can be used, but I usually seem them used in separate application (as opposed to mix) -- which was yours?

Was your Doctor a Sponsor here or someone you saw local?

Not all post-op protocols are created equal. This is not a standardized field and some arguable experimental despite its advancements. This is why I only trust the methodologies of Sponsors here, including their innovative techniques (example: Dr. Leonardo will use Hyaluronic Acid & Radiesse). So your best bet is to rely on whomever your Injector was in terms of their pre-op & post-op protocols.

Photos will of course help generate more feedback in general.

california92 wrote:

riggsrodds wrote: @SO

I didn’t end up going with Modern Aesthica since they weren’t as forthcoming. I had to really pry on the material used. Found out it’s the same as Dr Loria and this Dr was trained by Dr Loria. Bellafill PMMA makes me nervous but a silicone mix, worries me even more.

I ended up going with Dr Emer, Juvaderm HA / 20% PMMA Bellafill. In hindsight I wish I had gone HA only but I am hopeful since I already did it. Dr Emer seemed skilled but was very expensive and not accessible and all communication is through assistants. If it wasn’t for this board, I think I would have had a worse outcome.

Hey Riggsrod,

I stumbled across your post couple years ago. I just got done with 7 Bellafill and 7 Juvederm Voluma with Dr. Emer. Can you share with me how everything for you? Also an update on today’s health and look of your penis? I have mixed feelings about Dr.Emer he seems skilled but his pricing was outrageous and he’s not accessible as you mentioned. I’m mindfucking the mixture I did and I’m worried he will loose over time symmetry because of the mix… would love to connect with you and see what you say. Thanks brother hope you are doing well.

This is a recurring thing with Dr. Emer, a lack of accessibility and exorbitant costs -- his Marketing team does (a seemingly) effective job of painting him as a celebrity doc, but if I were in Southern California looking for a highly reviewed Practitioner of Hyaluronic Acid (HA), I'd go with Dr. Tsay: someone who is easy to get a hold of and is well within market value for the region -- I should note this isn't a knock on Dr. Emer's actual work or efficacy, but reports by others sharing similar experiences.

Further more if you have a lengthy penis it will take alot of megafill to give you more girth. It's the same concept as ellanse and hyaluronic acid ( but probably better in terms of feeling and esthetics than hyaluronic) not sure about ellanse but I don't think you get nodules with megafill I sure didn't on either occasion meaning my first or second round.

And I am pretty sure many practitioners copied the Koreans Idea about doing fillers in the first place. The south Koreans were definitely one of the pioneers of this concept, although it's hard to prove because no one would ever own up to that. Notice how I said "one of" to avoid angering or insulting anyone in the forums. It's not my intention to ever do that.

Can't speak on behalf of Dr. Shepherd as only Dallas PhalloFILL is Sponsored here, but she likely get the requisite training and recommended version of Hyaluronic Acid (HA), as well as pre-op & post-op instruction. So if I had to go with her versus "the field" in Connecticut, she'd be a no-brainer.

There is also Dr. Shafer in NYC if you don't mind a brief travel, a Double Board Certified Plastic Surgeon who does phenomenal work with HA girth enhancement.

As for PhalloFILL specials, see this response here --> https://phalloboards.info/forum/phallofillclinics/10154353-hi-guys-we-are-looking-forward-to-interacting-with-you.html#1308721904

Regarding Dr Carney I saw him about 2 years ago for a consultation and he did NOT have much interest in removing the fat injections I had previously received from another doctor. He instead wanted to mix HA with the fat. He may not be the Doctor for this particular situation.

Thanks for sharing your experience—this is actually a great opportunity to clarify how Dr. Carney approaches these kinds of complex cases.

Dr. Carney is well-known for his expertise in correcting complications from silicone, fat, and other filler injections, but it’s important to understand that he doesn’t approach these procedures with a one-size-fits-all mentality. His primary goal is to recommend the safest and most effective plan based on each patient’s anatomy, goals, and health profile—not necessarily the procedure the patient originally had in mind.

In many cases, full removal of fat injections is extremely invasive and may require degloving the penis, which carries significant risk. Even for someone as experienced as Dr. Carney, it can be difficult to remove all of the previously injected fat, especially when it has migrated or hardened over time. That’s why he often considers whether blending or contouring with a biocompatible material like hyaluronic acid (HA) might offer better results with fewer risks.

When he recommended combining HA with your existing fat, it likely wasn’t because he wasn’t interested in helping—it was probably because he believed that would give you the best possible aesthetic and functional outcome without subjecting you to unnecessary trauma or surgery.

We understand that each case is unique, and we encourage anyone considering revision work to come in with an open mind. Dr. Carney will always prioritize your long-term health and the integrity of the tissue over short-term fixes or aggressive procedures that could do more harm than good.

If you have any lingering concerns, we’d be happy to speak with you directly and revisit your options.

I am also very eager. My doc suggested to inject a silicon shot in my glans with it to grow a litttle bit and be bigger which would ultimately give you a bit more length. I think that was around 3.5K USD.

I didn’t do it yet. He said he doesn’t recommend HA in the glans. Anybody experience?

Silicone is not approved by the FDA for use in soft tissue enhancement and in fact has several warnings from the FDA and other leading medical institutions. This article explains why it's so dangerous: https://www.rejuvall.com/pharmaceutical-grade-silicone-penile-injections/

The only SAFE option for glans enhancement that is currently available is hyaluronic acid.

Unfortunately, it does not last very long because the life of the glans is so violent but until more medical advances are made, it is the only safe and legal option.

Stay away from silicone for any kind of enhancement, especially the glans (the silicone almost always migrates into the urethra and causes stricture). Silicone is cheap and will look and feel amazing until a few months or even years down the road once it hardens and migrates and begins to cause constant infection and inflammation. We get at least one new case in our office every week where someone had silicone injected but are now experiencing severe complications and come to us for repair/reversal. These complications include granuloma, severe pain and swelling, resistant infection, disfigurement, necrosis (tissue death), and organ failure (kidneys, liver), not to mention the psychological toll and sometimes the breakdown of close relationships as a result.

More specifically, Clinics that promote Proprietary Fillers that either [1] choose not to disclose (or are vague about) the compounds of the filler and/or [2] explicitly contain silicone oil. These are often unregulated by the FDA and have been associated with a growing number of complication reports from both patients and Physicians (who treat the complications).

A great excerpt by @Rejuvall (A Urology Practice first & foremost) should be read on for those who may have seen this advertised before -->

The Dangerous Rebrand of Silicone Injections as Pharmaceutical-Grade Filler

It should be noted that all means to increase your penis size (fillers in this particular case) are not without risk. Not only aesthetic irregularities, but infections and granulomas can occur, even if rarely. The whole point is to weed out what works & what doesn't work, and this Discussion Community plays a big part in that. From my 20-or-so years following the Online PE Scene (before the creation of PhalloBoards in 2010), it has become plainly & demonstrably obvious in 2025 that there are indeed fillers that perform with the necessary efficacy for girth enhancement like Hyaluronic Acid (HA), PMMA, Radiesse, Ellanse, and Fat. During that same time, it's clear as day that high volumes of silicone oil (mixed or not) demonstrate not only a higher rate of complication, but the severities associated if & when complications occur.

You don't have to take my word for it... there is an abundance of content both here and elsewhere making these claims irrefutable, with photo evidence & Physician remarks and all.

@Rnair
Hi Dr. The easiest and more efficient way to achieve girth enlargement is to use HA or hyaluronic acid fillers. Duration is 1-several years and can be achieved over a few sessions, depending on your goals for girth. It does increase your flaccid length which is a nice perk! HA is safe and reversible. Hope this helps. I am located in the southern California area.

Dr. TJ Tsay
Ageless MD

As a reminder to the Community, Revanesse Versa is actually a preferred brand by a few of the Sponsors here and is regarded as one of the most robust for its use in girth enhancement application -- so if permanency is something you feel risk-averse to, this brand of Hyaluronic Acid (HA) is optimal for serious gains.

I really implore anyone who has had work with Loria (or any Loria affiliate) using their silicone junk to also post about it here --> LPSG Loria Megathread -- a handful of shills there continue to post their glowing results every time someone comes along looking for help, drowning out all the obvious red flags. You could be instrumental in preventing another fellow PE brother down this unfortunate route by sharing your experience(s).

And a many thanks to all those providing names of alternative options for treatment. Dr. Carney may appear to be a "male enhancement" Doc because of his popularity here, but he's first & foremost a Reconstructive Urologist and possesses the skillset & knowledge required for a plethora of other (non-elective) procedures for men in need, hence his tight scheduling. Finding other alternatives can be very useful for guys who may not have the luxury of time.

I wish this Loria nonsense would stop. He has access to Bellafill, Radiesse,, and Hyaluronic Acid (HA), all of which have proven considerable better efficacy -- but insists on his own proprietary silicone bullsh*t, because my guess would be that he probably gets a fatter profit margin (I can't prove it, but why else opt for the inferior option??).

If someone has any of the Dr. Katzen videos involving silicone removal, feel free to share it here.

Skeptical_One wrote:

dm1900 wrote: I haven't been able to find a similar topic but I was wanting feedback from the folks that have had HA filler on what their erections are like after the procedure. Are your erections just as hard as before? Are they harder or are they softer? Is there any kind of squishiness that you've encountered? Any an all experiences with the state of your erections are welcome.

I'd peruse through the Progress Report Section, I notice that Providers are using specific and/or newer iterations of Hyaluronic Acid (HA) which are a bit more robust and better suited for penile application -- that is to say, not all versions of HA are equal. Some are better for the face and some better for other bodily applications. You'll find much older reports having mixed reviews with much newer ones being more consistently positive from my observations. You can also use the SEARCH function above as well.

Those who have gotten HA in the past 2-3 years (especially through a PhalloBoards Sponsor) are probably going to have the most up-to-date feedback on the "palpable and tangible" nature of erections when employing the latest iterations of HA in conjunction with the most advanced & refined approaches.

Yeah, I tried using the search function and didn't really find much unfortunately. I'll continue to look around the boards just in case. Thanks.

dm1900 wrote: I haven't been able to find a similar topic but I was wanting feedback from the folks that have had HA filler on what their erections are like after the procedure. Are your erections just as hard as before? Are they harder or are they softer? Is there any kind of squishiness that you've encountered? Any an all experiences with the state of your erections are welcome.

I'd peruse through the Progress Report Section, I notice that Providers are using specific and/or newer iterations of Hyaluronic Acid (HA) which are a bit more robust and better suited for penile application -- that is to say, not all versions of HA are equal. Some are better for the face and some better for other bodily applications. You'll find much older reports having mixed reviews with much newer ones being more consistently positive from my observations. You can also use the SEARCH function above as well.

Those who have gotten HA in the past 2-3 years (especially through a PhalloBoards Sponsor) are probably going to have the most up-to-date feedback on the "palpable and tangible" nature of erections when employing the latest iterations of HA in conjunction with the most advanced & refined approaches.

SteveInquires wrote: Hello, I'm two weeks from 15ml hyaluronic acid filler via cannula in three injection sites. The filler appears mostly settled, some inconsistencies in firmness but I'm happy with the outcome, however it's still quite sore if it gets jabbed or rubbed in the wrong area, it's not a general soreness, I think it's around where the cannulas would've gone (I didn't watch the procedure being done), I've contacted my doctor who says it's no cause for concern if it's not getting worse, but would like to hear from others if a sore penis two weeks after the procedure is normal.

Thanks.

If it's not getting worse and the pain is mostly around the entry point (where the cannula was inserted), I'm inclined to take your Doctor's word for it (with rare exceptions, always go with your Injector/Practitioner's opinion, especially if they are an experienced Provider in this field).

Residual mild discomfort can persist for some people for upwards of 2-3 weeks depending on how their own body heals.

Again, assuming the area itself doesn't get swollen, red, infected, or exhibit an increase in pain when being touched, it doesn't strike me as alarming. I suppose if you get to 4 weeks out and there hasn't been a noticeable decrease in this mild discomfort, you can revisit it with your Doctor, but all things considered from what you've told us, it doesn't seem unusual to me personally.