PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

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.

Patkor wrote: I’m m just looking at the fillers offered at the clinic.

Is there a difference between Voluma and let’s say Androfill Premium?

I’ve read a post somewhere that somebody had Androfill Premium and lost all gains within a few weeks. Is Voluma well known/branded or is there really no major differences?

Perhaps @Androfill can chime in. Not sure what post you are referring to but generally speaking, Hyaluronic Acid (HA) is a temporary filler, although it typically is known to last much longer than a few weeks. What should be noted is that there is variation in the rate at which our body breaks down these fillers, and it will vary patient to patient (some last 6 months, some 18 months, I've even heard of 24, albeit rare). What's worth noting is that you don't lose all of it per-se, and on average guys go in annually for top-offs.

For example, Say you gain an inch in girth. Over 18 months you lose half an inch. On your subsequent follow-up appointment, you need less volume to get back to that inch in initial gain. This is a theoretical example, as I've said before, the rate at product dissipation is seemingly variant.

I should also note that is the trade-off HA presents. Sure it is temporary but generally is long-lasting. The trade-off is that it has a strong safety profile, and if you aren't satisfied with your results, you aren't stuck with it forever. I should also note that HA has become increasingly popular on the PhalloBoards (whilst PMMA & Ellanse were forerunners), so this data is evolving daily, weekly, monthly, and yearly. There are multiple factors at play, from filler brand, injector, and even your own body's propensity to breakdown filler.

I spoke with Bloy and his staff over the phone and came away with the same general impression, considering whether to move forward with him. Can you elaborate on your experience and the first and second treatments, erection quality before HA and after, and what difference at all it made in the relationship with your partner(s)? Thank you in advance.

So many? I would say they've been the only reliable phalloplasty / penoplasty Practice in the UK for as long as I have Moderated the Forums. And yes, you can argue that since they are a Sponsor, I would have an incentive to say that, but I have also turned away Sponsors who I believe do poor (and/or unethical) work in the past, and am not desperate to retain Sponsors at the risk of jeopardizing the integrity of this site.

A few things worthy of note:

• Dr. Greta will be taking over Androfill UK's Injectable Penis Enlargement using Hyaluronic Acid (HA). She has been spoken of highly here before and she is quite ambitious in advancing this field, given her recent conference in Dubai to share her knowledge on Botox for the Penis and Erectile Dysfunction.
• Dr. Horn has relocated to a Brussels, Belgium Office (1 hour Flight or 2 Hour Train Ride from London) if it is Ellanse you prefer. Androfill will still be handling pre & post-op instructions & care.
• The Francis comment is a bit of a head-scratcher, he's been nothing but helpful & resourceful. If you look at @Androfill 's post history, you'll see that not only has he been willing to set the record straight, but that he genuinely has gone above & beyond for patients. Those who often have made complaints failed to furnish any photo evidence of poor work, and those who have had unsatisfactory results are often resurrected through Francis's guidance.

Frankly, not only does Androfill remain the best go-to Clinic for male enhancement in the U.K., but the rest are mediocre at best, with one being absolutely abhorrent (I won't name names, no need to fan flames).

With a new fresh face (Dr. Greta) on board, and a commitment for better Forum Engagement in the coming months, I firmly and confidently endorse Androfill, and this statement was done at my discretion and not paid for.

Hisr wrote: 1. There are 2 spots that are clearly slightly overfilled. This has resulted in soft, palpable "bumps" and are contributing to a slightly asymmetrical appearance.

Not unusual. I think the reality that subsequent (at minimum 1 extra) rounds are inevitable, like 99% of the time. This is something I need this site to better educate its readership on, and I'll carry that responsibility; I have a feeling some Doctors don't emphasize follow-ups so as to not appear upselling, but they need to keep expectations reasonable nonetheless. Penis enlargement via injectables is a marathon, not a sprint, and often times little aesthetic issues of this type are easily correctable via revision and/or the addition extra filler.

You mentioned palpable bumps (called "nodules" here) and asymmetry, both surprisingly typical and common (albeit usually not extreme in severity) after your first round/appointment.

Just make clear to your Practitioner those are the areas of concerns you'd like to have addressed. I should point out the "palpable bumps" will likely resolve on their own since your using Hyaluronic Acid, also known as "HA" (and isn't a permanent filler).

Hisr wrote: 2. There are 2 spots (separate from the above) that a have formed what seems to be hard masses. It feels as though it is a rigid object. No pain or redness, but slight discomfort if I pinch them. They are quite deep and not visible, but I can certainly feel them and it is not pleasant. Is this consistent with a congealed filler / nodule?

If no pain or redness, likely a clumping of filler and collagen. Doesn't sound alarming.

Look to my first answer, this situation will also be addressed in your follow-up visit.

Hisr wrote: 3. An overall "squishy" feeling - not a huge concern and still quite firm with an erection.

"Squishy" is subjective, remember that while erections are firm, they are never rock-hard to the touch. Compare a dildo to a vibrator to see what I mean, there should always be some "give" to the skin. You'll also find that over time some (minor amounts of) elastin and collagen will come along with future top-offs, and will likely feel more natural with time as it integrates with your shaft's skin.

Also note that you've augmented your penis by way of aesthetic medicine, so there will always be a degree of difference from your original penis. Female "boob and butt" jobs have really evolved in quality, but if they were just as underground/unknown as penis enlargement, you wouldn't be the wiser when seeing augmented female parts, even if there were minor aesthetic anomalies.

Fortunately, these minor aesthetic irregularities in men are not only correctable, and seldom (if) ever noticed by partners from those who have shared their experiences here over the decade.

Good luck!

felipebr wrote: I had Ellanse M placed two years ago, but for some time now, I have observed several nodules and scar tissue, and the mass is completely disorganized in the body of my penis, becoming palpable to the touch. This is bothering me a lot. They told me to be patient, that it will be absorbed. Could someone help me with this? Will it really be absorbed? I am in very bad situation, and feeling sad about it.

I'll be quite frank -- it doesn't look bad. I know it's easy for me to say, but these are cosmetic procedures and they will have variations in results, much like you see in female enhancement.

What is often overlooked is how good we have it. I really don't want to downplay your being upset with the situation, you have every right to be. However, so many newcomers may be completely unaware how far this field has come, and how many pioneers before them had to endure the real sh*tty outcomes before we started getting acceptable results.

Men used to come on and ask about infections, implant protrusions, impotence and/or nerve damage, severely shortened length, tissue necrosis, among others, stemming from penis enlargement procedures. Nodules on the other hand are merely aesthetic nuisances. I had to point this out not just to remind you that your situation is not all that bad, but to those who may be reading this as well.

You did come here for advice, so I'd say take their advice, and if it does not resolve in 3 months or so, ask to see if it can be "revised." This can be done by breaking up some clumping of the nodules (depending on how fibrotic it is), the use of Kenalog injections, or even the application of Ellanse (or Hyaluronic Acid) to even out the small valleys between the nodules.

As Coastalcock put it best: "don't sweat it"

They are focusing primarily on Hyaluronic Acid (HA) as it presents the best safety profile among fillers, and they have a new Injector (which I'm waiting to hear back from Francis this week on whether they are full-time or not) that I was originally familiar with from another Clinic (and who did great work).

Honestly, having adequate length (which you do) allows for a better aesthetic end result because you have more surface area for filler. You can easily achieve 5" girth if you follow their guidelines post-op.

Good luck and keep us posted!

Aaronnthompson33 wrote: Yeah I asked him and he said it's a micro droplet formula blah blah blah so im passing on him

Ironically (and to be frank), I'm not entirely opposed to the micro-droplet technique, since that is what the filler was intended to do (as said so by the manufacturer). In theory, it would make a great "small area" spot correct for minor indents and minor asymmetries by adding tiny bits superficially.

However, this micro-droplet technique will not give you any substantive girth, and the cost wouldn't be worth your time unless all you were seeking was aesthetic correction. And even in light of this, Hyaluronic Acid (HA) still proves to be better in this regard. So suffice it to say, silicone still sucks in the penis.

Castro wrote: So. Just joined up after a few months on considering penis filler and pretty set on booking a procedure. Androfill 15 ml is what I’ve been considering but open to anyone’s advice on this .

Androfill has been in the industry for a long time, and easily the most reputable Clinic in the U.K. -- they've found that Hyaluronic Acid (HA) in low-to-modest volumes done incrementally overtime proves to yield the best aesthetic results. This is actually not the first time a Clinic has come to the same approach, PhalloFILL in the U.S. employs a similar methodology.

The idea is to acclimate your penis to the mild inflammatory response of HA and build upon it akin to a bricklayer building a wall; this means subsequent rounds will be needed to both correct aesthetic irregularities AND additional girth. HA isn't permanent so annual top-offs may be necessary depending on your body's propensity to breakdown filler, but the trade-off is its strong safety profile.

Francis of Androfill can answer a lot of questions if you reach out to them, he's quite knowledgeable.