PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

In my most recent communication with Dr. Shafer's Office, it appears they have reached their volunteer count and will not likely be taking on any new patients for this specific Hyaluronic Acid (HA) Study.

However, it isn't unusual for men to back out, cancel, or not follow-up with subsequent appointments necessary to validate the study's scientific merit. For this reason, I say it still doesn't hurt to reach out and see if a spot opens up and you are very serious about the commitment required. Just remember you must meet the criteria member Oslo mentioned: (1) Live in NYC; (2) No prior girth work done; (3) circumcised; and (4) must make all scheduled appointments.

Given the strict constraints of this opportunity, I ask only very serious and applicable candidates reach out (just in case there are openings again) to the email Oslo gave --> This email address is being protected from spambots. You need JavaScript enabled to view it.

I look forward to share the Study's Results once they are released, it will be a great leap forward for injectable phalloplasty.

JohnsonPHD wrote: I had work done by dr. Loria
With no luck with size improvement.
Only wounds and sores that turned into scars. Which lead into unevenness and indents. Effects I have from it are some loss of feeling in my head and seems to be cold at times for no reason. Also the texture of my head just feels differently odd kind of like plastic and it has a very shiny smooth shine look to it now that is just not normal. I highly do not recommend anyone going to dr. loria.

Sorry to hear about your ordeal. The trouble with Loria is that no one really knows what he's injecting you with, be it shaft or glans.

A failed hair restoration specialist (Loria) who now makes the big bucks duping guys into quackery medicine. Unfortunately he gives injectable phalloplasty a bad name, something that has come a long way and has become relatively successful for a lot of men. I'm so very glad I never even thought twice about extending him a Sponsorship opportunity here.

Thanks for sharing as difficult as it may be. I know many guys don't always come forward, heck you don't think myself and others (Moderators, Forum Veterans, Former Loria Patients) haven't gotten private messages or emails to discuss their ordeals? So again, I applaud your bravery in coming forward!

I will flat out say it, maybe in disagreement with some of the Sponsors here even - glans enhancement is probably best suited for those who are very undersized and/or have such a significant dwarfing of the glans from a thickened shaft where the aesthetics warrant some consideration. In other words, for most guys it may not be worth the extra cost.

If you OPT to do it regardless, I would strongly recommend asking for Hyaluronic Acid (HA) versus other fillers as it is the easiest to manage should things go wrong (because as you can see from user @JohnsonPHD , things can & do).

I will also say (which again, may not be popular among Sponsors and non-Sponsors alike) that glans enhancement via injectable filler may not last as you long as you'd hope and the gains are "modest" at best. In other words, the value propositition only makes it worthwhile for the candidates I mentioned before (i.e. the notably undersized or the overly-disproportioned), for everyone else, it's a toss-up ::shrug emoji if the forum had one::

Aviator1117 wrote: Thanks
I am in Toronto and looking for someone in Canada.

I know it's a bit of a flight but if you wish to remain in Canada, you can try Pollock Clinics in Vancouver - they are a total Men's Sexual Health Clinic, quite familiar with erectile dysfunction and use Hyaluronic Acid (HA) fillers. They are the only Canadian Clinic I've been able to adequately vet and would recommend.

LazBJackson wrote: Hi all, I am very nervous about my situation and reaching out here to seek advice and guidance from you all on the forum. I had HA fillers done almost 2 years ago now. The procedure was done by a recommended doctor from this forum and I had 8ml Voluma done. I am also uncut which may be what has caused the issues to arise. I immediately had swelling and bumps all over. I was told to wait so I waited roughly a month and half, but the issues persisted. Then I returned and he dissolved some of it but I still had issues. 4 months post procedure, I returned and the doctor attempted kenalog injections to no avail.

My issues have been that I have these grain like bumps (about 5-6) on my shaft. Furthermore, it seems like there is a fluid like lump on two parts of my shaft. I know I should have addressed this earlier but I was told to wait after the kenalog injections to see if the fluid would clear out as well and the bumps would go away. I was working long hours at that point and was having severe personal issues (my father and brother passed away), so I am now just looking to address these issues as I have more time on both a work and personal level. Is there anyone you guys would recommend I reach out to? Is it possible for me to still fix these issues or has that ship sailed? I am in my early 30s and this has caused a lot of concern and worry for my future, as well as a lot of insecurity. I am now more insecure then I was before about my girth. Please let me know what would be the best next steps to take! Thank you and I appreciate you all for taking the time to help me out.

A few things:
Firstly, sorry about your losses, I've lost my mom years ago but to lose both a parent & sibling, well I can't pretend to know what it would be like.

Now to the topic at hand: I'm rather optimistic and I will explain a few reasons why. Firstly, Hyaluronic Acid (HA) is arguably the most manageable dermal filler so that is already promising. You didn't mention hyaluronidase, is there a reason this was skipped or was attempted at least once? Hyaluronidase is an enzyme that helps break down HA.

Also, HA is temporary so as it continues to dissipate, I strongly suspect you'll see the reduction of your issues as well. Hyaluronidase can speed that process up as well.

One idea is that your skin is just a poor candidate for filler (some guys take filler better than others, not all dermis is created equal), and being uncut could have also exacerbated the issue. In this instance, it may just be a matter of continued treatment with a Physician. I'd recommend going back to your performing physician since he has your medical file but don't feel like you can't get a 2nd opinion. There are also some guys who have used DMSO to help soften areas with nodules however I would get clearance from your Doctor before applying this method since otherwise "self-medicating" topics are not permitted on the forum, I only mention it because men have reported some success with it.

An alternative could be some sort of foreign body reaction (e.g. granulomas). These are rare albeit real complications, these are why these procedures are elective to begin with. The good news here is that from the Doctors I've spoken to, immune reactions of this nature (1) aren't life threatening; (2) aren't going to impact the functionality of your penis; (3) are treatable; and (4) some have resolved completely on their own with little to no intervention. Now this is all assuming you are having that type of inflammatory response, this is a just an idea.


Lastly, if you are comfortable, attaching some photos may help provide better context.

Iman wrote: It seems that the PMMA seems to be pretty firm from the comments that I’ve read so far. But with the HA, does yours seem to be pretty firm and does your partner comment that it’s a little soft or squishy?

And so far, about how long has it been since you had your procedure? I’d appreciate any feedback that you can give.

The right brands/formulations of HA can feel like a natural firm, and remember, the penis has some natural give (which are why dildos are not as hard as vibrators). There have been reports of HA being soft for some, but on the flip side I've heard of PMMA penises being perhaps TOO firm in the flaccid.

Quite frankly what I've come to learn over the years is that Hyaluronic Acid (HA) come cross-linked, all having advantages for certain applications. In other words, some brands are better for the face while others are great for the penis.

I'll give you an example-- there was once (maybe still exists) a brand of HA called Macrolane sold in Europe. The manufacturer had no intention of its use in the penis, but Doctors used it off-label anyways because that's just how most fillers are used. Macrolane had a notoriously low viscosity, essentially turning your penis into a water balloon. Obviously, that isn't the desired end goal and quite frankly stained HA's reputation on the forums for a long time.

It wasn't until it was obvious that more robust formulations of HA could work perfectly fine in the penis, it was a matter of figuring out which ones worked best. This is a lot like PMMA percentages. A Doctor will not use 30% PMMA in the face, it'll be 10% or less. Knowing the formulation helps you determine where its best applied. Fortunately we live in an age where Clinics are finally figuring this all out.

Nowadays brands like Revanesse and Volux are seemingly the go-to HA for penis enlargement and have had positive receptions as of late.

Personally I think HA is a great starting point. Some guys end up liking it and will continue to stay with it. Some guys well end up liking it but will prefer to move on to more permanent options. And of course some will end up not liking it and opt for other alternatives (or none at all). There are absolutely guys who have gotten other procedures done (dermal grafts, PMMA, etc.) only to end up not liking it. At least with HA you reduce the likelihood of having to manage any long-term issues, be it dissatisfaction, complications, etc - no matter how uncommon they may be.

Or: No more PMMA possible because of Tight Skin? - Pumping as a remedy?

Hi there!

I feel a bit ashamed saying this:
I am already wondering about next round.
I would like to have 0.3 inches more girth.
Seems not too much.

But: Last (recent) round Dr M only managed to put 10ml in.
Because of fibrosis and ‚tight skin‘ especially at the left side middle it seems.
I guess the ‚tight skin‘ is the limiting factor.
I heard pumping can help stretching the skin out over time in the months before the procedure – and i never heard concrete stories about it. Did this work for anyone? Like ‚Dr M couldn’t put much in anymore last round, but then i pumped for 5 months and then did another round and she managed to put more in‘?
Comments welcome

Anyway, for now i have to see how the last round turns out in 2 weeks.

Down there are all relevant posts of different threads in my search for answers, but my conclusion before it:

Lot’s of gold here.
My plan so far:
- start pumping only 3 months after the procedure (stop 8 days before next procedure)
- pump only 5hg for 5min, 1 time a day, 2 weeks later go to 2x a day
- after some time (a month?) you should reach pumping size of just a little bit over your erect girth – so the skin is stretched a bit every time
- stop for a while if you notice any discoloration (?)

- How to use heat for pumping? Guess i should go to thundersplace and research this
(ricepad?)





Ok, forum search for ‚pump‘ looked at first 10 pages, and also looked at first 11 pages in search of ‚pump‘ just in the title:

phalloboards.info/forum/progress-reports...18-2023.html?start=0
6x5to6x7
If I had to do it again, I would have been more consistent with my pumping. I only got 15cc's due to tight skin. They said if I want another full round or even touch ups, then I need to wait 6-12 months and pump every day, twice a day, 5 minutes each session for a minimum of 30 days prior to the next procedure. That's the only way to get the skin to grow and be more elastic to accommodate more filler.

-> Jackpot! Gold-Information from 6x5to6x7. But his next round will be in 5 months soonest, so results will be only seen there.

Ok, 9 months of pumping.. i guess it's so much about the time length but how far the skin is able to expand with pumping..
"Dr. M said my skin is currently too tight, hence the reduced volumes per procedure. So, before round four, I need to pump and stretch for 6-9 months.

phalloboards.info/forum/progress-reports...?start=15#1308711771
6x5to6x7
I tried pumping at day 30. I pumped at 10 kPa for 5 minutes, saw no results and my dick turned purple. Scared me a bit. Sooooo, I waited another month and tried again last night. That was a much better experience. I did a light test again at first, saw no results but also saw no color change or sensitivity.

-> even more gold from 6x5to6x7. So after reading that i wanna wait 2 or 3 months before starting to pump.

Skeptical_One: Pre-pumping may help make your skin more compliant for the procedure but that's a BIG "may," and more speculative on my part

phalloboards.info/forum/progress-reports...?start=30#1308711295
NewMember: EG 6 inches. Pumped to 6.25 normally. I hit 6.5 this time, a new record. I pumped medium pressure for 5x 2 min intervals too. Guess I'll keep up the low pressure gradual routine until I can hit 6.75 or 7 (if even possible) before I consider Round 3.

phalloboards.info/forum/progress-reports...start=135#1308704600
greygrey
I still completely want a full round 4. My biggest limitation is how tight my skin is below my mid-shaft, so I’m going to do as much pumping as I can to loosen that area up before my next round.

phalloboards.info/forum/progress-reports...date.html#1308704276
Hyperbol
I’m convinced there’s something going on immediately after treatment where it doesn’t matter what you do but your gains are pretty much set in forecast. In theory, that amount of carrier gel in rd 2 should have produced an immediate result greater than rd1 because the lift from the gel has nothing to do with collagen. That’s one of Sinclair’s selling points is that the gel gives instant lift and the collagen replaces it over the course of 3-4 months putting you at the same gain you started with. However, I noticed night two after my procedure that my erect girth was less than night two on my first trip. Even though I was less swollen I was only measuring 6.35. So I was measuring about a .7 inch gain, what I wanted to end up with after healing, while still being swollen a day after the procedure. I knew at that point I wasn't going to come close to the expected gain. It’s my belief that your dick can only hold so much. The collagen also needs rooms to grow but again, where was the gel after rd2? In rd3 I started oozing product out of entry points when I didn’t ooze product in the first two rounds. I’m going to try and start pumping in an attempt to loosen skin.

How to pump?

phalloboards.info/forum/progress-reports...haft.html#1308711325
Yoshinator:
Big secret is to pump under light pressure. No more than 5hg to 7hg and even 7 should be done for a short time before returning to 5. You can pump longer that way. Pumping under too high a pressure can causing bruising and discoloration even if for a small amount of time, it could be seconds. Wait a few weeks for the discoloration to go away before starting again and try the low pressure for longer and see how it works out for you.

6x5to6x7:
I decided to try my old regime which is dialed into my digital pump. It's 2 rounds of 20 minutes at 5 minute intervals of 20 kPa with 1 min breaks in between. It's quasi-aggressive, but the only way I actually move the needle on size for a night of fun with the wife.

phalloboards.info/forum/progress-reports...erma.html#1308710995
All_there_is
I had not pumped for the week before my procedure as per Ian. Then waited 6 weeks. Bought a new automatic pump. The first setting was 10. That was way to strong. Hence the very bad reaction. I waited another 2 weeks post that negative side effect. Then I took my old hand pump and did it on very low pressure. No more than 5. I had no reaction whatsoever. It was too much pressure and after a long hiatus from pumping.

Ian told me the same thing not to pump for at least 30 days. I waited a bit longer to the 6 week mark. Then over pumped and he told me to wait another 2 weeks before I tried it again. It is like most other aspects of this penis enlargement journey we are all on here…. Slow and steady. Not a race but a marathon as they say.

I sent an e mail to Ian of Avanti Derma yesterday. He replied back that in terms of pumping it should be done at lower pressure. He said to make your penis slightly bigger than when erect naturally. Do not pump for more than 10 minutes. You can do this once per day. Their philosophy regarding pumping is twofold: one circulation and two if you are planning more pmma injections it helps to stretch the skin. He was very clear that the pumping needs to be only strong enough to stretch the skin…. NOT to damage the implant, your veins or the skin itself.

phalloboards.info/forum/manual-pe-exerci...?start=15#1308701289
phrogfixer
Can pumping allow you to stretch a bit more to add an extra CC or two for maximum gains? What I do know is that I've been pumping for a year now and my skin is stretched a bit. I'm circumcised and that extra skin is now looking like I'm also getting a bit of a hood covering my head. I think a lot of pumping over a few months could give you room to add a bit more PMMA or filler of choosing. Is like to know if anybody pumped for a while before going to get an implant. Is like to know if he felt he was able to get more CCs added as a result of stretching.

phalloboards.info/forum/progress-reports...enis.html#1308700004
Brother69
Then, around the 4th day, I had a date with my girlfriend and I used my penis pump before hand. Then I pumped up again the next morning and then again about a day later. I also used cock rings several times during these days which might have been like day 4 thru day 8 after my 3rd round.

Well at this point, i'm about 2 weeks or more out past the 3rd round and I think the Pumping and use of Cock Rings so soon after my injections may have caused some of the PMMA to migrate and pool at one side of the base of my penis where the flesh is usually sucked up in to the cylinder to make it air tight when pumping. There is a very noticeable lump of product there that I am trying to press back flat whenever I can. Also, I think the vacuum may have caused some of the PMMA to pull back along the incompletely healed injection tunnels towards my glans as I can feel some hard spikes there that weren't there before.

phalloboards.info/forum/manual-pe-exerci...swag.html#1308710855
Dr_Shafer
Many patients ask about pumping before and after the SWAG procedure. Pumping can be good prior to the procedure, but we recommend stopping at least one week prior to your injections. After the injections, we recommend waiting at least 6-8 weeks before pumping and to keep the device on low settings. High negative pressure vacuum pumping has the potential to distort the filler and cause excess swelling.

phalloboards.info/forum/general-discussi...?start=30#1308709809
Androfill:
Please don't use a Bathmate or any other pumps for at least 4 weeks after HA and 12 weeks after Ellanse. This will likely cause the filler to migrate.
Even after 4 weeks, HA can shift with excessive pumping.

phalloboards.info/forum/general-phallopl...pmma.html#1303531601
indiano123
I had this crazy idea, and I decided to try it out. I used colt stay hard cream as lube, and then I pumped for 15 mins. Once I\'m done I put on 3 silicone cock rings to trap the blood.

Brock
I wouldn\'t do it- because I did, and the result *seemingly* was the PMMA getting pulled from base to midshaft due to pressure.
When I pumped after round one, it was right after in the healing phase. From what I saw, I did move the product from the pressure- maybe I pumped too hard.
If I was a gambling man, I would say after 6 mo or so, when all the blood vessels can be seen created through the implant you would be ok for pumping. Someone who is a hard core pumper with multiple rounds would have a better idea. I threw my pump away after 2 weeks.


phalloboards.info/forum/general-discussi...t-ha.html#1308709568
Agent5: this is about hyaluronic acid, which is different
Wanted to give an update. I would no longer recommend pumping after HA. One of the reasons given for why we get longer life of the product than other injection sites is the lack of lymphatic fluid in the penis versus say the face. Pumping greatly increases the amount of fluid moving through the tissue and I feel accelerates product loss.

phalloboards.info/forum/progress-reports...w-up.html#1308707785
Sokdu123
I can't emphasize enough the use of the heating pad wrapped around the tube. The heat really makes a difference!

phalloboards.info/forum/manual-pe-exerci...?start=15#1308703280
Texas
just some randoms:
I prefer air pumps to water . for many reasons. control pressure more.
leluvs are the best for the money. but the stickers will come off. etched cylinders are more expensive.
use lube in air pumps. and heat.
be sure to build up to your time GO SLOW.
sizing you pump could be challenging , read a lot.

Brazenkane:
This is BY FAR the best pump and easiest to use.
zenhanger.com/products/zen-pump-electronic-automatic-penis-pump
It has a digital readout. the base is VERY comfortable and you can forget any accidental scrotal incidentents because the base (pat. pending - so they say) is this very comfy gel thing. There's also a clock on the digi readout which is very handy
Most important it's EFFECTIVE AND MOST COMFY pump I've ever used

New1inch:
I recommend leluv since you can adjust pressure and it comes with the ruler on it to track your progress
With the leluv tube and hand pump I can control exactly the pressure I need.

Noxcuse:
You need to shave or at least trim really well. Use a lube also to help it seal. Don't get too much on your scrotum or you will have a better risk of it getting sucked inside.

phalloboards.info/forum/general-discussi...king.html#1308704667
Voltz
I went down the pumping rabbit hole from 2013- 2017. I without a doubt lost sensation due to it along with EQ. It wasn't until I found Thunders place and researched injuries that I realized I was doing things wrong. Never the less I feel I lost approx 30% - 40% of sensation.
Too much pressure and incorrect technique. Didn't know how pertinent it was to take a break and heal after experiencing certain negative effects of pumping. I also pumped a minimum of 6 X's a week which doesn't give your Johnson enough time to recover even if you're using the correct technique / pressure

Interesting, definitely a great opportunity, especially if it's at no cost. i wonder if it's still strictly Hyaluronic Acid (HA) or are they going to offer Bellafill (PMMA) as well. I'll see if I can reach out and find out.

Thanks for the update @Oslo you've been contributing for a long time!

Thank you for your honesty assessment of what is going on with your case, I think myself and Many of the readers here are thankful for the post. I have a Coloplast implant and I am looking at getting the hyaluronic acid filler on top of my implant. Can you tell me what happened to the implant and the Bellafield After you pump to an erection, do you see any difference when you have to deflate it and squeeze the penis to get it back flaccid does it seem to shift or do anything to the filler that you have?

Martin wrote: Hi,

I am new and thinking about getting some HA filler. Could i get HA for a cheaper price in countries in Asia? Has anyone looked into this?

Might as well take a vacation to Malyasia for the money I would save by getting it there...

Anyone know what the cheapest high quality country/clinics to get HA would be?

I know this is an older thread but we've had some updates & new Sponsors since, so I figured I'd chime in where there have not been responses.

Check in with Proud Urology in South Korea, they may or may not have Hyaluronic Acid (HA), but they do offer dermal fillers nonetheless.

I'm sorry to hear about your ordeal, but if you could help provide some context with photos? Your last photos looked fine, and I'd like to see what or why it is they chose not to intervene in your particular case. You speak of reactions and deformities, and to be frank if you've already been comfortable sharing your photos before, you'll be required to furnish them now if you choose to make these types of claims. This is fair to both Androfill and the readership. I'm not dismissing your situation one-bit, but it isn't fair to any party to withhold the most crucial bits of info. I hope you have my understanding here.

From the sound of what you described, this may be situation where Dr. Horn and Francis disagreed with Dr. Kimilu's approach, hence why they gave you a full refund (which I think is fair since they are affiliated, but were not your performing Clinic).

What I mean by disagreeable approach is that Dr. Horn typically:
(1) Requires the injection of Hyaluronic Acid (HA) first in low volumes. This tests how compliant your skin is in general with dermal fillers if I'm not mistaken.[/b]
(2) Then Ellanse itself is injected in small volumes (and it sounds like Dr. Kimilu may have exceeded that).
(3) That bullet-points (1) & (2) should have been observed given your uncircumcised penis (I'm assuming this to be the case since you mentioned foreskin).

I should note the above list is based on my speculation and the assumption that you've shared all sides of the story. If Dr. Kimilu chooses to forego his relationship with you, we'll see if we can find an alternative solution for your situation. Again, your photos will provide much needed context. And this is also a great time to remind all of our uncut brothers that dermal filler injections have a higher susceptibility of aesthetic irregularity when compared to circumcised men, a reality & risk you'll simply have to assume.

On a side note, please use paragraph breaks in the future, it can be difficult digesting a wall of text for many readers, thanks.

Jess81 wrote: I was curious because some claim permanent and other doctors say that’s false.
I would assume with all the lawyers in the US that questionable practices wouldn’t last long.

There are in-fact permanent dermal fillers out there, namely silicone oil and PMMA. The former (silicone) I highly recommend against, whereas the latter (PMMA) has shown a strong efficacy through a decade+ of patient reporting on these forums.

Many Doctors only perform Temporary Fillers like Hyaluronic Acid (HA) because of their strong safety profile and reversibility (to some extent); they may not have been provided enough context when you asked them, or they simply are not aware of all the viable options available today.

Also, some Doctors simply don't like the idea of permanency and I understand why -- if something goes wrong with permanent fillers (even if the serious complication rate is low with fillers like PMMA), permanent fillers are harder to manage or reverse. That said, many are happy with their results having used permanent fillers like PMMA, you just have to weigh your own risk threshold. If you are adamant of permanency go PMMA -or- the surgical graft route (i.e. Alloderm, Surgimend).

Jess81 wrote: Many men’s clinics on TikTok are claiming permanent enhancement using collagen stimulating fillers. There’s also a few men’s clinics here in Denver that claim the same.
Is this true? Or is their definition of “permanent” flawed?

This is often the language I see associated with silicone injectors -- stay FAR AWAY!

Silicone oil is permanent and can even yield aesthetic results, but this is all very deceptive because silicone is also prone to migration and has a higher severity of complication if & when things go wrong. I've actively turned down prospective Sponsors who primarily inject silicone due to ethical concerns.

Of course you can always call and ask, but if they are dodgy with responses, simply hang up and move on. With so many viable options available for injectable phalloplasty (Hyaluronic Acid, PMMA, Ellanse, Radiesse, Renuva, and Fat Transfer), why even risk it?

Stay safe out there, start with PhalloBoards/Community-vetted Practitioners and peruse the Physician Directory, and don't settle for questionable practices with your one & only manhood!

Skeptical_One wrote: ….

From Dr. Liu:
By 4-6 weeks, vasculature should already be established in the Alloderm, and this will continue to grow. The Alloderm is slowly replaced by the body's own collagen and becomes "part of the body" and rejection will no longer be a concern.


Bellafill is a good permanent filler for glans enlargement. One has to be careful not to have nodules formation by making sure the injection is just subdermal and deep intradermal and not into the corpus spongiosum. Careful massages must be done starting right after injection and continue to do so until the surface of the glans becomes smooth and not bumpy. Bellafill is considered to be a permanent filler, although some reduction can occur over the years and sometimes it is necessary to do touch-up injections. Hyaluronic acid, however, is temporary and completely disappears in less than 1 1/2 to 2 years.

Thanks!

I’d imagine the timeframe might be much longer for surgimend as opposed to alloderm since surgimend is typically thicker (and doesn’t come from human tissue).
However, I don’t really know, it’s just my guess..

I know some have already chimed in but I got an answer directly from the Doctor verbatim, so it is worth sharing (Dr. Liu's response in Green text):

itgoesthud wrote: I guess the next interesting question as far as timelines; we know it could take 6+ months for collagen stimulation to slow down or stop, but how long until vascularization is finished? adequate? I'm curious how long it takes for the graft to have all of the vasculature that it's going to have. My guess is that's going to play a large part in how much collagen you get AND the likelihood the implant is accepted permanently.

By 4-6 weeks, vasculature should already be established in the Alloderm, and this will continue to grow. The Alloderm is slowly replaced by the body's own collagen and becomes "part of the body" and rejection will no longer be a concern.

itgoesthud wrote: Have any of these docs spoken on this? Wondering how long until you're essentially "in the clear" and rejection or loss of the graft is no longer a concern. Especially reading about the guy who had a graft the "old way" some years ago and the second graft ended up rejected.

Be really interesting as well to see what the medium and long term results are of the PMMA injections Dr Liu is doing into the glans.

Bellafill is a good permanent filler for glans enlargement. One has to be careful not to have nodules formation by making sure the injection is just subdermal and deep intradermal and not into the corpus spongiosum. Careful massages must be done starting right after injection and continue to do so until the surface of the glans becomes smooth and not bumpy. Bellafill is considered to be a permanent filler, although some reduction can occur over the years and sometimes it is necessary to do touch-up injections. Hyaluronic acid, however, is temporary and completely disappears in less than 1 1/2 to 2 years.

ryebread77 wrote: I don't have starting and current measurements. To follow-up, the nodules have gone done but I got a shot of kenolog and it seems to have shifted some of the PMMA to the surface (see attached image). Went back to Dr. Carney and he suggested another shot or the little bit can be removed surgically.

What should I do?

He also said I might be prone to nodules thus suggesting the next round to be HA, is that a good idea? Not really at the results yet I expected.

That's a relatively manageable nodule, I suspect whatever he recommends is your best bet, prioritizing least invasive options first.

The Hyaluronic Acid (HA) idea is actually pretty good because if you happen to be more prone to nodules, you'll have a much easier filler to manage and it will really determine whether or not you are nodule-prone in general.