PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

uncuthero wrote: did the doctor tell you that this is a permanent thing in the glands i never heard of putting bellafill in the glans I taught every provider said that was a no go

There is no standardized glans enhancement procedure, although most will opt for Hyaluronic Acid (HA) given its relatively strong safety profile and the relatively complicated part of the penis when it comes to dermal fillers. That being said, any number of other solutions are available for glans, but to what extent they are successful is hard to say (just too little reporting to draw anything conclusive).

I'm sorry to hear about your dissatisfaction with the work performed. While I have every reason to believe your commentary, I will ask you to provide some photos of your work. It's become tiresome to see posts that complain about the aesthetic results of their procedure while withholding images to put their complaints into context.

Again, I'm not dismissing your ordeal or invalidating your claims, I simply ask you provide some Before & After's - I believe it would be fair to all parties: Dr. Horn/Androfill, yourself, and our readership.

As for complaints regarding bedside manner and such, I'll forward them to Androfill for review. It's imperative I share with them this kind of feedback so that they can improve their approach with patients in the future.

As for your penis, you have had Hyaluronic Acid (HA) injected and I have every reason to believe the aesthetics can be corrected. Francis of Androfill has been very good at settling issues in the past, and I believe if you share with him your photos like you plan to share with us, you can & will see a light at the end of this tunnel.

Vinny81 wrote: Any update here? Any other reviews? Anyone know the difference between Urofill and PhalloFill?

PhalloFILL is a vetted Clinic (Dallas location) with a good number of positive reviews. They work with Urologists all over the country and provide Hyaluronic Acid (HA) as their go-to product, which arguably has the strongest safety profile among fillers.

They are also a Sponsor of this site, which means they have a public face on a Forum of past, current, and future patients, ensuring a higher standard of care and accountability. Opting for a Sponsor not only supports this site & its mission, but the would-be patient has the advantage of transparency and professionalism of a Clinic who knows your a member of this community.

I'm not knocking Urofill, but they haven't been screened & vetted, nor do they have a presence on the only site dedicated to the topic of elective medical male enhancement. I know it's easy for me to say, but why would you see anyone other than the Experts represented on a site you gathered your information & research from?

Ultimately I just hope you make an informed decision. If you do opt for Urofill, do share with us your experience. I would ask them what kind of fillers they use (silicone oil is a big no-no). Otherwise Bill and the team at PhalloFILL have been great with the readership here. Those are my 2cents

Thanks for this. I am well aware this is so rare that it's not a realistic fear for 99% of people trying the filler. It's my unique body that had issues with it and others certainly shouldn't expect encapsulation nodules, let alone lymphangitis.

My gut strongly says it's a 'traffic jam.' I'll see what the hyaluronase does next week. And yes, it will eventually sort... Even if it takes a year or so. I had one—albeit smaller—when I used to do PE techniques and it took around a year.

Appreciate your thoughtful response, take care

I'm sorry to hear about this! To be frank, this is from all accounts a relatively rare complication. Readers will have to remember two key factors here: (1) Hyaluronic Acid (HA) is naturally occurring, it just so happens to be formulated & cross-linked for use as dermal filler, but I say this to implicate its relatively strong safety profile, and (2) while it may or may not be underreported, this is the first I've ever heard of it.

A few matters of note: Upon initial research of this matter it appears that the condition is benign, and that it can clear up with time.
Here are two articles that suggest as much --> https://www.actasdermo.org/es-nonvenereal-sclerosing-lymphangitis-penis-importance-articulo-S157821901830177X

https://www.realself.com/question/swansea-gb-scar-tissue-sclerosing-lymphangitis-after-penis-filler-injections

More interestingly, it can occur completely independent of penis enlargement (aging, pathogens, etc) --> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5624052/


Ultimately, what I'm gathering is that you may be able to come away from this back to normal if you limit (or even prohibit) any strenuous use of your penis like masturbation or sex for a given amount of time. This may just be a matter of your lymphatics taking longer than usual to breakdown filler and it's having a "traffic jam". I'm not trying to diminish the pain-in-the-ass it may be, but that it doesn't appear to be a long-term chronic ailment of sorts, nor does it appear like it will impact the form or function of your penis long-term either.

In fairness, this is information I've gathered on my initial readings on the matter, and I'm no expert in this area. As I admitted before, this is the first I've heard of the condition. I would stay in touch with your performing surgeon and do your own reading in the meantime. Patience is key here, and we're here if ya need us.

I have posted before about being amongst the truly rare to have had my body reject Hyaluronic Acid filler. Five months were great, but by then my body defensively encapsulated it in delayed onset nodules. After battling them for a while, my surgeon dissolved the left side, quickly clearing it up. We left the right side, as we were sort of experimenting and observing as well how fast my body would naturally deal with it.

Any how, now that 95% of the filler has cleared and most of the lumps are gone, I have noticed that I have developed quite a bad schlerosing lymphangitis. The classic raised white, string of pearls is present in the centre, dorsal base, as well as many smaller protrusions all amongst some of the higher lymph channels. My surgeon has let me know this makes sense to some degree, as the filler clears through the lymphatic system as it eventually dissolves into simple sugars.

Mine however, seems to have 'gummed up' my system.

Has anyone else had this happen? I must say, spending $10k on 5 months of results and then 1.5 years of various conditions that require hiding my unit or explaining why these aren't STIs has been a great challenge on my mental health. Alas, I'm not here to complain, life is life — just curious if anyone else has had lymphatic issues or a 'log jam' of the filler leaving.

I'll be seeing my surgeon again next week and we'll try more hyaluronase, which my strong hope travels through the lymph channels and just clears out whatever is gummed up. I just wanted my penis back!

Thanks friends.

Agent5 wrote: With more widespread use of fillers for gains in shaft girth have we found anything that’s working well to increase the size of the glans to go along with it?

I’ve seen some clinics offer HA filler for the glans but others recommend strongly against it because of the tissue difference and the very short time it’s expected to last a because of that.

I’ve used a pump in the past which produces a very plump glans, but have come to the conclusion that using a pump with HA filler is the fastest way to lose it. Since that is no longer an option. I’m curious what other solutions are out there.

The glans remains the most challenging area of the penis to augment. Hyaluronic Acid (HA) is the preferred choice in my opinion.
Issues range from:
(1) The anatomical challenge of injecting a worthwhile amount of filler in such a thin layer.
(2) The anatomical propensity of your body breaking down filler in this area quicker than anywhere else on the shaft.
(3) Gains are seldom significant, however, if you have very small glans and wish to mitigate the pig-in-the-blanket effect, this may be worth consideration.

Perhaps @Dr_JChang can chime in on the technical challenges posed by the glans and any current developments on enhancing this area through filler or other means?

Hello friends, I'm completely new to this world about penis. I have a doubt: is it possible to get an inch with hyaluronic acid (in erection)? I have a 12 cm penis (length). In some places I saw that it is possible up to 3 cm, in others up to 1.9 cm. I would like to know your opinion, who understand more than me. Thanks!

phalloguy100 wrote: I am looking for providers near Detroit, Michigan who do exosomes. I want to try the "P-Long" protocol, but since exosomes are 100x more powerful than P-Shot / PRP, it seems better to do six monthly treatments of exosomes rather than p-shots.

The closest providers in the directory here are over 3 hours away in Ohio.

I am also interested in a provider for HA fillers. Any suggestions?

Thanks!

As for P-Long, they are signing up new Providers around the country, you can try and reach out to them to see if there are any local Clinics by clicking here. I must note that these providers are not Sponsors but they have been trained & vetted by Dr. Brandeis, who is a Sponsor.

The only Clinic I know of that may offer exosomes in addition to Hyaluronic Acid (HA) in Detroit would be a PhalloFILL affiliate known as Harb Urology. Just with like the P-Long Protocol, these affiliates are not Sponsors but they have been trained & vetted by the Dallas PhalloFILL location, who are Sponsors.

The importance of the Sponsor/non-Sponsor distinction is that I (the Owner & Administrator of this site) haven't personally screened non-Sponsors and thus can only vouch for active Sponsors. This doesn't disqualify a non-Sponsor, but it simply means you'll have to do additional research & consulting that may (or may not) be available on the forums.

Good luck and let us know if & when you pursue any sort of treatment or enlargement protocol.

I appreciate your take but I'm going to have to respectfully disagree.

Again, take into consideration that despite all the companies you call who claim they fix one another, none of them choose to opt for silicone oil injections (with the exception of a handful of dunces who were "trained" by Loria). Think of it this way: those who do Hyaluronic Acid (HA) don't care for PMMA, and those who do PMMA don't care for HA, and those who do Surgimend don't care for fillers at all... but they ALL unanimously agree that silicone is bad news. The vast majority of qualified injectors will not do large volume silicone in the penis, many of them Urologists, Dermatologists, and Plastic Surgeons. Dr. Loria claims to be a cosmetic surgeon, he is not.

And yes, other practices do use Silikon1000 for other procedures, namely in very small volumes via micro-droplet technique (which the Manufacturer insists on), typically in superficial areas like the face. It's a completely different ballpark when doing body contour and penis enlargement via high volume injections.

Secondly, decades plural? That implies at minimum 20 years. Yea... no. Dr. Loria only started doing penis enlargement after his failed Hair Restoration & Nutrition practice wasn't picking up much steam, slightly less than 10 years ago (not even a full, singular decade). He has shills on his payroll, and this can be confirmed if they actually make anyone believe it was decades plural.

The PhalloBoards forum was shilled on numerous occasions with fake accounts all with IP addresses from his Boca Raton location, all of them first-time posters acting like they seem interested in this new Dr. Loria guy. When the shill was pressed for photos, they provided pictures that already existed on the web and had nothing to do with a procedure. Once they were outed, I got very obscene messages that I rather not repeat. Furthermore, around the same time, someone impersonated me with a Skeptical One username on the old PEGym forum, and I have an itching suspicion on who would have been behind it. If Dr. Loria were involved, it would be quite an embarrassing way for a medical professional to conduct himself, no?

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Moderator Alumni Hoddle10 once wrote on the 2.0 forums:
On his website, Dr Loria says:

"This highly specialized procedure may be presented at the American Academy of Facial & Plastic Surgeons, American Academy of Phalloplasty Surgeons, American Academy of Urological Surgeons, and the American Academy of Cosmetic Surgeons in 2013."
penisenlargementus.com/

Hoddle10 goes on to say:
There are a few problems with this idea though. Sadly "The American Academy of Facial and Plastic Surgeons" doesn't actually exist. More bad news is that the "American Academy of Phalloplasty Surgeons" disbanded some years ago, so despite their website still being up, he wont be able to present to them either! The "American Academy of Urological Surgeons" is also going to prove a problem, as regrettably they don't exist either. However, the good news is that American Academy of Cosmetic Surgeons does exist. Again though, as far as Dr Lorias presentation goes there is going to be a problem - he's not a member!


Obviously the site has gone through some changes over the years, but it's nice to see a time capsule retain some of the questionable practices and sales pitches used by this Clinic.

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Dr. Loria is performing the LEEP procedure and from what I can tell, it is a medical device without FDA approval. Isn't this illegal? It is.

Dr. Loria had a patient who was in the ICU with sepsis and he refused to giving the ICU physicians information on what was injected inside his patient. What's he have to hide? Imagine if this patient died, it would have sent phalloplasty back to the stone age because of one quack. This account can be found (and confirmed with photo evidence) on the LPSG Dr. Loria thread. Sickening to be honest.

Lastly, sure, some (not all) complications that can arise from silicone could theoretically occur with other fillers; however, if & when complications arise with silicone, they are known to be more severe. It also has a higher propensity to migrate, hence why Dr. Loria requires patients to wear a band at the base of their penis for a month (or however long he does it now). For example, men might get 60-80cc's MAXIMUM of Ellanse (or PMMA) over the course of many appointments over a lifetime, whereas you can get 60-80cc's of silicone in ONE-GO! This means it's plausible to have in excess of 150cc+ of migration-prone oil in your dick for the course of your lifetime!

For me, it's just that I know men who have confided in me regarding the severity of the experiences with silicone, even at smaller volumes. I simply haven't had that same kind of interaction with people and HA, PMMA, and so on. I've been monitoring men get fillers injected into them on the only website devoted to this specific topic of discussion, for a decade-and-a-half and I can say with certainty that the frequency & severity of filler complications correlated with silicone the most.

I appreciate you sharing your experiences, but I will remind you that any instance where I see an advocacy or promotion (even if that isn't the intention) of this Doctor or methodology, I'm going to speak up for the sake my readership. There are plenty of more viable options including HA, PMMA, Ellanse, Radiesse, Renuva, Fat, and Dermal Grafts for girth enhancement, why chance it with the least popular option (i.e. silicone) out there?

Furthermore, I have no trust in Dr. Loria's ethics, or the expertise of anyone willing to learn his methodologies. Their office reached out to me for Sponsorship and I declined what would have been a modest amount of revenue if we had decided to agree on terms. If I'm willing to let all these other Doctors and techniques compete against each other on my platform, why not let him join? It ought to tell you that I value the integrity of this site and respect the community that has built it.

That all said, I want to reiterate that this isn't necessarily a cause for alarm for those who already have it, but it definitely warrants taking my advice (that comes from a place of experience & sincerity) on avoiding any further high volume injections, and focus on touch-up/revision instead, especially if you're in the 6-7" girth range.

We can resume the original topic now.

Yes, this is something I often advocated, especially on the 2.0 forums. This incremental brick-laying as I called it was first promoted by Doctors who were doing FFT (fat injections). The reason why most FFTs failed was due to overfilling. Not only would some of the fat fail to get an adequate blood supply, but the sheer volume would lead to inevitable aesthetic irregularity. So it was thought that by laying a foundation first, and building upon it with frequent + smaller injections, you'd get a more long-lasting and aesthetic result.

This wisdom can be carried over to any filler really: Hyaluronic Acid (HA), Ellanse, PMMA, and so on. I have no doubt (and this has been reflected by Doctors to me personally) that taking the approach of smaller volumes injected over multiple rounds proves to be the best method for a natural, quality end-result.

The only downside I see is logistics (and this wouldn't apply to everyone). If you have the flexibility to do 3 syringes every month versus 10 syringes in one-go, awesome. I can see how some guys may not have that luxury. The upside is what I just explained previously above.

Skeptical_One wrote: Were you given an option to choose between Hyaluronic Acid (HA) or was this their professional judgment to change it up, having done these procedures over the years? That's been more-or-less the most pressing discussion topic of HA in recent years --> which brand is best cross-linked/formulated for penile application(?).

And also will be interested in following your P-Long protocol. I know the biggest challenge to assessing its legitimacy is that the patient has to commit 100% to the protocol (or damn near it) to validate the claims made by the protocol itself, so I'm wishing you the best of luck to really follow through.

I asked directly for Volux hoping the greater rigidity would be an improvement, and that it would benefit from depositing on the collagen layer formed through the previous rounds of Voluma.

Re: P-Long, agrees, compliance is a real issue. I’m honestly less interested in being subject n in an open trial than I am in results, so while I plan to adhere to the protocol as closely as possible, I also plan to introduce ultrasound into my lengthening regimen.

thunders.place/penis-enlargement/using-t...utic-heat-in-pe.html

I’m torn on whether to pump or not. I’d like to take full (potential) advantage of the PRP shots, but I don’t particularly want to break up the structure of the HA.

That said, if I do decide to pump, I would do length restricted pumping, wherein I’d insert a wet rag(s) into the end of the vacuum tube to limit extension and instead focus on expansion.

Were you given an option to choose between Hyaluronic Acid (HA) or was this their professional judgment to change it up, having done these procedures over the years? That's been more-or-less the most pressing discussion topic of HA in recent years --> which brand is best cross-linked/formulated for penile application(?).

And also will be interested in following your P-Long protocol. I know the biggest challenge to assessing its legitimacy is that the patient has to commit 100% to the protocol (or damn near it) to validate the claims made by the protocol itself, so I'm wishing you the best of luck to really follow through.

You can easily attain a modest amount of girth (0.5"+ in circumference is quite significant) through Hyaluronic Acid (HA) and it's among the safest fillers available on the market.

There are two Midwest practitioners who offer PMMA (Bellafill) for the penis, but they also offer HA according to their websites-- it'd be worth reaching out and asking if they'll do HA in the shaft (I can't see why not):
Jiva Med Spa (10% Special for PhalloBoards Members)

Youthology Med Spa (Ohio)

If you don't mind traveling just a bit for a practitioner that specializes solely in HA, you can also check out:
Upsize Clinic (California)

Shafer Clinic (NYC)

EricPig wrote: I agree. 8 is a lot and I don’t want to overdo it. I wonder who on here is 7.5 or above. Love to get their thoughts on this

It isn't just entering 8inches that increases the risk for potential issues, but its the injection of silicone oil that I've been warning against for many years -- at that volume you're really putting your skin under a lot stress AND I have to imagine the risk of migration goes up (especially with a filler like silicone).

I don't want to alarm you, but I know first hand of an old forum veteran who went MEGA overboard with silicone and now he's experiencing health problems. Granted, he's likely bigger than 8inches but suffice it to say there is no reason to push your luck. I know of other cases where skin grafts were involved because of complications stemming from silicone oil. Sure, all fillers aren't without risk, but some are considerably more acceptable than others. You just don't really hear about this kind of nonsense with Hyaluronic Acid (HA), Radiesse, PMMA, Ellanse, and Fat -- certainly not to the same extent.

Most guys are lucky to acquire 5.75"-6.0" of circumference after all, which is why I would strongly recommend focusing on any minor touchups and moving on while you still have a (presumably) healthy penis.

And to all others who may be reading this, let me reiterate for those who aren't entirely sure (since it is my responsibility) --> there are currently 11 Sponsors that use filler injections, all of which have access to the same silicone filler Dr. Loria uses. Many of these are career injectors and/or innovators in the field of male enhancement. However, all of them refuse to use it, if not outright condemn its application in the penis in high volume. That doesn't include numerous non-Sponsors who feel & practice the same way.

And I'll iterate one more fact --> certain Doctors (who won't be named) will almost always tell me via monthly phone-calls about "the new Loria patient they had to see and fix" as if it were routine. It stands out because it outnumbers any other filler by a wide margin. Again, no intention of alarming anyone who's already undergone the procedure, it's already water under the bridge. It's my responsibility to PSA certain topics when they come across my proverbial desk.

Anyways, without getting too off topic, as I stated before, my sincere and very stern recommendation would be to address any minor touchups (if necessary) and to retire from penis enlargement altogether. You're easily the biggest most people will ever come across in person in their lifetimes as far as girth is concerned, why push your luck? Take whatever victories you get in life! Food for thought.