PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Yolomacswagin wrote:

Odouble wrote: Hi! I would listen to these guys. They always give/gave solid advice. I remember how freaked out I was day 3 when the swelling was going down and my nutsack was the size of a grapefruit, or worse - that maybe some of the PMMA made it's way down there. For some strange reason, it never registered to me that part of the package included temporarily enhancing it. One guy even tried to console me and put it in perspective - it's crazy how much we think about our dick around the clock, especially after we've taken the plunge.
Then, I thought that the gain was too much for my wife to bear (even though when I did the math, it was only a 14% boost). All that being said, us guys tend to think about our member and procedure around the clock the first couple of weeks. And it's a rollercoaster of emotions. Be assured that it will work out for you in the end. The most positive thing I read on your account is that you removed the highly dangerous silicone oil, which I'm sure could be considered a life-saving choice.
On the female, as far I interpret it, it wasn't a direct comment, but more like an observation. If it was ill-intentioned, I agree that that's another story. Sometimes it pays to be honest - I say that with the best intentions because I didn't tell my wife I was getting PMMA, and when I told after I did it, it was like I had betrayed her trust and it took her months to let me back in.
I hope you make the right decision with her. Who knows, maybe she won't think it's a big deal. And she got what she wanted (a cock closer to her ex's size). If I were you, I would write down the pros and cons on what makes the most sense for you to share/keep.
On aftercare, I know @Coastalcock shared some pretty detailed visits after getting 3 (?) HA injection sessions. Try searching that and see if there's any instructions for aftercare from HA. Otherwise, I know the Aftercare thread Texas put together was a total lifesaver for me.
Do your best to get your mind off your dick, do read up on aftercare instructions, write out the pros/cons of telling this girl, and if it makes sense to, and just take it day by day.

Thank you man for the kind words and reassurance. I actually just took off the wrap and posted the photos. Happy to hear feedback. I’m trying to relax now even though my penis looks horrendous. Hopefully it’s mostly just swelling and I will go back to a reasonable increase

At this point I’m definitely not able to sneak this past her and will either need to delay sex for a couple weeks and prevent her from seeing my Johnson or come clean. And I’m not sure I’m committed enough to her to do that. I’m she didn’t mean it negatively about my size but it still stung and I’d be mortified if she found out I got HA fillers because she made me insecure.

Also just a point of clarification I didn’t get all the silicone oil removed, just the ones that caused nodules. One was even mobile so I knew I had to get rid of it. But speaking to skeptical, and 3 urologists, they recommended not removing it and just removing the nodules.

Complete removal may not be necessary, and if 3 separate Urologists say as much, it is likely legitimate that you can just hope to make due with what you have. You still seem pretty fresh post-op and so it's hard to pass any judgment until you're fully healed. Due to having both silicone oil and Hyaluronic Acid (HA), which you don't see too many pictures of quite frankly, it'll be a step-by-step evaluation in my opinion on whether or not anything needs to be done in the future. In the meantime, focus on healing & recovery.

As for your partner, I would not disclose this enhancement to her if she isn't a serious/long-term partner. You will certainly see some reduction in size after swelling dissipates, so chances are you will only seem unusually but not crazily thicker than before, and if necessary, tell her you were pumping. Just my 2cents.

This is a question frequently arises in consultations: Can patients who have had a satisfying experience with HA fillers transition to polymethyl methacrylate (PMMA) for a more enduring result?
The most common scenario is : a patient tries HA and is happy with the results and now they seek a more permanent option with PMMA. Is this transition feasible? The short answer is yes.
Some doctors suggest it is problematic and want you to dissolve all your HA before proceeding with PMMA. Their concerns are as follows:
1. Risk of Complications:
They argue that the presence of HA might interfere with the PMMA integration process, potentially leading to unevenness, granulomas (inflammatory reactions), or even more severe complications due to the unpredictable interactions between the two substances.
Response:
There is no inherent reaction between HA and PMMA that would preclude their sequential use. It is important to remember that hyaluronic acid is a naturally occurring in the skin's dermal matrix. When PMMA fillers are injected into the dermal or subdermal layers where natural HA resides, they typically do not provoke adverse reactions. This is because PMMA microspheres are designed to be biocompatible and, when used correctly, should not interact negatively with HA or other dermal constituents. Injecting PMMA in areas previously treated with HA-based fillers should theoretically be as safe as injecting it into the untreated dermis, which already contains HA. The key is the technique used during the procedure:
2. Unpredictable Outcomes:
The concern is that the temporary HA filler could alter how the PMMA settles, potentially leading to asymmetry or dissatisfaction with the aesthetic outcome.
Response:
The injector must employ precision when injecting PMMA to ensure the microspheres are evenly distributed and to avoid the formation of granulomas or nodules just as they would when injecting into a penis with no HA. PMMA should be carefully injected to avoid disrupting the uniformity created by the HA fillers
4. Gradual Transition:
Some practitioners advocate for a gradual transition from HA to PMMA, allowing the HA to partially metabolize naturally over time. This approach can provide a smoother transition and reduce the risk of complications associated with immediate layering.
Response:
I fully agree with this. If you are at a size, you are happy with why not just slowly replace your HA with PMMA over time. It allows you to have more precise placement of the PMMA.

5. Time Interval: It's sometimes advised to allow sometime between the HA filler dissipation and the PMMA injections. This gap can help the practitioner assess the natural anatomy of the penis without the influence of the HA filler.
Response:
This not necessary if the original HA filler was well placed and has been well integrated into the tissue. This might be desired however if the original HA was poorly placed.

Why Not Dissolve the Existing HA?
Dissolving HA is not cheap, hyaluronidase is expensive, and a significant amount is needed for full reversal. Why incur this expense if it is not needed. Also why reverse the gains that you have already paid for? Dissolving the existing HA just seems like an unnecessary expense.

Conclusion
From a biochemical standpoint, there's no reason to expect that PMMA cannot be safely injected into areas where HA fillers have been previously placed.
Through my clinical experience, I have found that both hyaluronic acid (HA) and polymethylmethacrylate (PMMA) fillers can be safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the preferences and objectives of my patients.

getmoregirth.com/blog/

Announcement:

WE have promotion on SCROTAL ENHANCEMENT!!!!
“NEW” Scrotal enhancement with Hyaluronic Acid, introductory price of $2,500 for 10cc (5 per side)

also.. price of ELLANSE, duration is 5 years, price and duration is great compared versus other prices and other products!!!

PMMA UTMOST, package for permanent!!!

QUESTIONS? please send Ian your message

I second Avanti Derma's take on Ellanse. Many recipients of the filler are reporting much longer retention than originally projected by the manufacturer, which is actually great news for penis enlargement patients. Of course, Hyaluronic Acid (HA) is a good starting point and it isn't unusual for some Clinics trial HA first to see how well your penis acclimates to fillers in general. You may also find you like HA and stick with it, especially given its healthy safety profile if you come across a version/brand with better overall retention.

Truthfully I'm not sure what brand of HA Moorgate uses, and depending on the nature of its cross-linking & quality, may not be the most ideal iteration of HA for penis enlargement (pure speculation on my part if you've seen such a dramatic loss in a month's time @Kara101349 ). Typically you don't start looking at topping off any reductions until about a year (give-or-take a few months) post-op, so either you're a rare outlier (someone who breaks down foreign bodies rapidly on the extreme end), or the quality of the HA isn't ideal for penile application. This is open speculation on my part because I have no knowledge of what brand of HA is being employed, how/where it's being sourced, etc.

Fat transfer is an option as well, but I cannot vouch for the efficacy or quality of Moorgate's FFT work, I've only heard/seen their dermal filler results.

If you wish to remain in Europe, Androfill of U.K. or Dr. Horn's own Independent Clinic in Brussels, Belgium can provide HA, and Ellanse is available in the U.K. (I am awaiting on word about Ellanse's availability in Belgium). The only other options for Ellanse that are trustworthy are the aforementioned Avanti Derma in North America, as well as a Clinic or two in Australia, but I haven't been in touch with the Aussies in a bit so don't know the current status there.

bigboy1234 wrote: I am actually based in The Netherlands so Belgium is not that far away. But I searched in Europe since I think the prices in the Netherlands are to high (of course depends on quality) and found Hamburg which can put in a lot of filler for a good price but I had no idea how good they are

I will check out the Brussels office
thanks

No problem. Dr. Horn has an independent Office in Brussels (he otherwise is affiliated with Androfill in the U.K.) and does an array of Plastic Surgery, and is well versed/experienced in the injection of Hyaluronic Acid (HA) and Ellanse into the penis for enlargement. Although I'm not sure of the legal status of Ellanse in Belgium at present time (it is available in the UK regardless), but HA is a good starting point regardless.

I am new here so please change the location if necessary

I am looking into penis girth enlargement using hyaluronic acid filler. I want about 20 ml injected

My current erect size is 7 to 7,5 long and 5,5 inch girth. I want my girth to be 6 inch to 6,5 inch.

I am looking for prices and found Hanseaticum in Hamburg able to inject 20 ml genefill HA for almost 2200 Euro and 30 ml for almost 2500 euro. And they inject that in one session.

Obviously I want a huge girth but not really much more then I think 6,5 inches because I am afraid that I won't fit into many women

Has anybody experience with Hanseaticum in Hamburg? Prices are good, filler brand is good so if I have the money I am like make me grow. But I don't know the clinic so any help is appreciated

Yes. We use Revanesse Versa+ hyaluronic acid. They are 1.2 ml syringes rather than the standard 1.0 ml so you get 20% more dermal filler. It also has the best g prime, flexibility, and best safety record with the FDA.

All the best,
William

Are your girth injections done with hyaluronic acid?

Could Ellansé™ be the most advanced product for nonsurgical phalloplasty that we have now? (read this!!!!)

Key Advantages

1. Longevity (duration)

• The PCL implant lasts much longer than the hyaluronic acid implant. The microspheres of PCL enter phase II of degradation until the forth year after injection.

• The PCL implant is absorbed exceptionally slowly, and unlike PMMA, which persists for life, the former eventually disappears, allowing the tissues to return to their basal conditions; the advantage is that the patient is freed from the implant in the later stages of his life when his priorities change.

2. Consistency



• The hyaluronic acid gel retains water and it can be soft and spongy, mainly when used in high volume. We have reports of patients who left finger marks after handling the penis firmly.

• PCL and PMMA implants owe their volume to new collagen formation, so their consistency is natural and much firmer than hyaluronic acid.

In our practice, we have found that the effect of Ellansé™ on the penis lasts much longer than the 18-24 months that researchers have reported in patients who received it on the face. At Avanti Derma, we have Ellansé™ non-surgical phalloplasty patients who have had the implant for almost a decade, and its absorption has not been sufficient to justify a touch-up or an additional session.

So, the big question now is: could Ellansé™ be the most advanced product for nonsurgical phalloplasty that we have now?

Those readers interested in more knowledge of Ellansé™ will find intermediate/high-level technical information in the following attachment. Ellansé™ Monography

If you have any further questions or comments, please do not hesitate to contact Dr. Luis Casavantes (This email address is being protected from spambots. You need JavaScript enabled to view it.).

or message us on this thread!!!! we will answer you!

I'm confused. Isn't everyone's erect length much longer than their unstretched flaccid length? Unless he meant you are a big-time grower (like I am) where the contrast in size between limp & hard is so dramatic, I'm still not sure why that would disqualify you from circumcision. You should reach out to their office and ask for a more medical explanation on why this would pose a problem, especially given the potential obstacles created by getting dermal filler enhancement on an uncircumcised penis.

And I'll note as I've done many times before, being uncut (a.k.a. uncircumcised) doesn't necessarily disqualify you as a candidate for girth enhancement, but it does mean you are at higher odds of aesthetic irregularity than cut (a.k.a. circumcised men). I'm very confidence in this assertion because some of the highest volume penile injectors have all stated this as a matter of fact and not speculation. Sure, as an uncut guy you can end up with a satisfactory result, but if I were in the shoes of an uncut guy, I'd weigh which was more important: foreskin, or the trade-off for girth.

I know for some guys, getting circumcised is controversial and I'm in no way saying you MUST get this done, only that you ought to accept you are not going to be an ideal candidate for filler injections, and your most optimal alternative route would be to go for Hyaluronic Acid (HA) due to its reversible & temporary nature, and to do so in small volumes, building girth up incrementally.

Through my clinical experience, I have found that both hyaluronic acid (HA) and PMMA fillerpolymethylmethacrylate (PMMA) fillers can be expertly and safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the diverse preferences and objectives of my patients.

Hyaluronic acid fillers are particularly valued for their temporary and reversible attributes, presenting a less risky proposition for individuals exploring penile girth enhancement without a long-term commitment. These fillers deliver instantaneous results in girth expansion and are generally well-accepted by the body, exhibiting a minimal likelihood of adverse reactions. One of the standout benefits of VolumaHA fillers is their adjustability, allowing for fine-tuning to achieve the desired aesthetic and tactile outcomes.

In contrast, PMMA fillers are recognized for their enduring results and are chosen by those who desire a more permanent augmentation. The robustness of PMMA is attributed to its microscopic spheres that maintain their position beneath the skin's surface, thus offering a sustained enhancement in penile circumference. However, given the non-reversible nature of PMMA fillers, it is imperative to engage in a comprehensive consultation to ensure that patients have a clear understanding of the long-term commitment and are well-informed of the potential risks and implications.

While each type of filler has distinct characteristics that might make one more suitable than the other depending on individual circumstances, there are no intrinsic contraindications to using them in a sequential manner. This flexibility allows for a customized treatment plan that can evolve over time to align with the changing desires or satisfaction levels of the patient.

Chip2th wrote: What is P Long ?

By the way I went with HA / Volux got 13 ML looks like .9 inch increase but it’s only been 2 weeks not sure what the final result will be.
You think I’m settled in with the result at this point ?
So far I’m overall satisfied with the result and feeling during sex.
I think eventually I might just go with PMMA because it’s permanent and I won’t have to deal with top ups and logistics of avoiding sex for 2 weeks each time I get HA added.
Is PMMA a lot firmer as well? Biggest risk with. PMMA?
Any suggestions for getting top ups and a good recuse to avoid sex fir 2 weeks without being suspicious? I’ll need to go back and get my base filled in and probably a little more added in just can resist the temptation to add more.
I wet from 4.5 mid shaft to now 5.3 maybe 5.4 if I have a peak rager.
The doctor left a about a half inch gap between the filler and my gland I’m not thrilled with that aspect of it. They said that section is more prone having lumps.
Thoughts ?

More on P-Long

You will likely need subsequent rounds of PMMA to achieve whatever final girth you want, which will also have sexual abstinence of one to two weeks. Waiting two weeks is annually seems like a pretty small inconvenience, but to each their own. You can easily just say you strained your groin/back on a hike and were told to give it a week or two to heal before any strenuous activities that use those muscles, i.e. sex.

PMMA is relatively safe when injected by an experienced practitioner using approved, medical-grade product. However, due to its permanence, it is not easily/readily reversible or removable so if complications to arise (which are rare), and they can be tougher to manage. The advantage of course is that once you are done with all the rounds you need to achieve your goals (including aesthetic revision work), you're set for life. Hyaluronic Acid (HA) on the other hand is temporary (you're looking at an annual top-off for most people), but possesses arguably the highest safety profile in that: (1) it's naturally occurring in your body so it is seen far less as a foreign object thus likely being a less inflammatory substance; (2) much easier to reverse/remove, especially if done early; and (3) is offered by virtually every practitioner so that any urgent touch-ups or treatments to unforeseen (and exceedingly rare) complications can be done locally if necessary.

They both have their Pros & Cons, and if you are happy with what you already have, I'd recommend sticking to it.

There is no such thing as the absolute best, many of the best Doctors are innovators in an otherwise experimental field. If you search the Physician Directory I linked above, you'll find that they are very capable in their methodologies. What you need to assess is logistics at this point if "money isn't an issue." Good luck.

PMMA is the the safest permanent non-surgical option, Alloderm (Surgimend is under recall at the moment) is the safest surgical method (under an experienced Surgeon), and the P-Long protocol is the safest means that don't involve injections (other than monthly PRP) or scalpels. Permanency in it of itself isn't necessarily superior to temporary fillers like Hyaluronic Acid (HA) as it is more recognizable to the body than foreign objects like PMMA, Ellanse, or Radiesse micro-spheres. Food for thought, but they are all viable options as iterated in my prior post.

Viable options still in discussion, in a nutshell:


Non-Surgical (Injectable Dermal Fillers):

• Hyaluronic Acid (HA)
• PMMA
• Ellanse (not available in the U.S.)
• Radiesse
• Renuva

Surgical:

• Fat Injections (FFT)
• Dermal Grafts (e.g. Alloderm, Surgimend)
• Ligamentolysis (lengthening surgery)

Protocols (neither surgery or filler injections; primarily relies on a prescribed enlargement routine and possible supplementation over a period of time:

• P-Long
• A soon-to-be-announced Rejuvall Protocol

Also worthy of note* -- rigid silicone implants for the purposes of augmentation are still just as bad as they were in 2011, and large volumes of silicone oil as dermal filler injections are arguably just as bad -- avoid both!

Check out the Phallo-Guide for a refresher, then hit up the Physician Directory to see which vetted & screened Practitioners are in your area who may provide the kind of services you are looking for.

And of course, there is a lot to catch up on, so find an hour(or more) every week and brush up on the last couple years of discussion and progress reporting. Good luck!

Skeptical_One wrote: Hyaluronic Acid (HA) and silicone are on the literal opposite ends of the spectrum; HA has arguably the best safety profile among dermal fillers whereas silicone oil has arguably the worst. I wouldn't write off HA in the hands of a quality injector (the Dallas PhalloFILL location has put out a lot of great work and satisfied patients --> click the Review Tab in addition to comments made around this forum about their Team).

Indeed, I think my wording may have been off? HA i absolutely will touch, and have (and have some bits still remaining in my junk still from a long while back). If I were down for more HA I'd be at Dr Clavell's office tomorrow, cash in hand.
What i will absolutely NOT touch (in large part thanks to reading here) is silicone, and if a doctor offers it he doesn't know dicks, and as such, I'll write them off entirely.

I just don't want to do HA any more - nothing against the outcome, but I'm ready for PMMA.It's just a whole ordeal getting scheduling sorted to get to TJ or Ohio or Florida, whereas a 4 hour drive is no biggie.