PhalloBoards - An Online Community to Discuss Penile Girth Enhancement
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| 15 Feb 2024 23:18 | |
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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). | |
| 15 Feb 2024 06:49 | |
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Yes many have gone to Dr. Carney to have the silicone removed, I know this through both firsthand and secondhand information. The issue is that most of those guys are almost certainly not logging in daily (most guys who have to deal with these matters usually rather not dwell on the subject post-removal), and you'd have to be lucky that both a former Carney-silicone-removal-patient happened to log in (or will log in the near future) AND come across this post. Your best bet would be to reach out to Dr. Carney's office and ask if they have any former patients who have willingly provided their contact info in the event others needed to reach out for support/guidance. Also, this is why Dr. Carney is so strongly recommended in this situation: (1) Most Urologists aren't necessarily versed in male phalloplasty (the field remains experimental, in other words, there is no Urological Textbook on how to properly enlarge the penis); (2) Dr. Carney is both a Reconstructive Urological Surgeon AND "phalloplastician" (as in, he's well versed in most medical penis enlargement methodologies); and (3) he's done these specific removals a number of times to make him as qualified as any to perform the procedure, so that should be some reassurance moving forward. The Loria operation needs to be shut down. I just don't understand why he doesn't employ Hyaluronic Acid (HA), PMMA (Bellafill), Radiesse, Renuva, or Fat Transfer as his filler-of-choice; all those have been demonstrably efficacious, but for some unexplainable reason he (Loria) would prefer his silicone oil proprietary cocktail mix injections. I have some ideas as to why he still takes this asinine route, but I'd much prefer waiting to see what else comes down the pipeline first. Best of luck. | |
| 07 Feb 2024 11:16 | |
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An excerpt from Proud Urology's website translated into English; Megaderm is a lot like their American counterparts (Alloderm and Surgimend), basically sheets of donated tissue/cadaver that is used to augment the penis. Megafill is taking that same product but converting it into an injectable filler. Each have their pros & cons, but both very effective for augmenting girth. MegaDerm® is made by processing the donated human skin is derived from human skin which is processed using a AlloClean® technology.The Alloclean® process inactivates or removes cell debris, antigens and potential viruses while maintaining the structural integrity inherent in the pre-processed collagen. MegaDerm® is used not only in skin transplantation but also in soft-tissue reconstruction. AlloClean® : Allograft tissue engineeringAs a unique technology of L&C BIO that processes the raw materials of safe human tissues selected through a pre-screening and testing process, its chemical and sterilization processes are devised to meet the features of each tissue so that it can effectively and safely remove unnecessary substances (foreign matter, microorganisms). Based on the AlloClean process, we have been safely processing human tissue grafts for tissue reconstruction and the survival and treatment of patients afflicted with various diseases.More detailed information: http://www.lncbio.co.kr/eng/tissue.php MegaFill® is produced after pulverizing MegaDerm®, and is composed of the same extracellular matrix components (collagen, elastin, proteins, and proteoglycans) as that of MegaDerm®— Liquid material of MegaDerm. It is consisted with fat of humans thigh and buttocks. MegaFill is a product of the organ donor programs. It is a micronized format for tissue transplants. The smaller micronized particles of MegaFill reduces nodule size resulting in improved evenness and symmetry (Almost 0% deformation outcome). MegaFill is a specific allodermic brand of product, therefore; the procedure works so well. But other brands of similar products produce inferior and unacceptable results. Despite the good features of allogenic material in the past, the micronized format of all brands (except MegaFill) got unsatisfactory results — VERY unlike the allograft sheets being used worldwide which are comprised of the exact same type of allogenic dermal tissue.The manufacturers of MegaFill created a superior product and it is now the only brand of this type of product we use. Proud Urology Clinic does not use any other products which are consistent with Hyaluronic Acid. | |
| 06 Feb 2024 17:33 | |
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I wouldn't recommend permanent or semi-permanent glans enhancement. Is it plausible someone could obtain a satisfactory outcome? Possibly, but from what I've gathered in the past, you can only increase the glans so much before it becomes aesthetically unpleasing (the glans behaves differently than the shaft skin's acquisition of filler), making it only worthwhile for the smallest or most disproportioned of glans, and even then, I'd only recommend Hyaluronic Acid (HA) in this regard. Ellanse, despite claims of being a temporary filler, seems to have quite the half-life as no one has indicated any significant size loss that I can recall (and if it has been mentioned, it must have been mentioned once). So in effect, it would be similar to getting PMMA in the glans, which again, I personally couldn't recommend. If you do go this route, it HAS to be an experienced injector. | |
| 05 Feb 2024 19:31 | |
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Honestly a pretty good visual erect result thus far post-op, especially this far out. Like the comparisons from your original photos are night & day, and in a very good way, congrats. I think if you can top-off semi-annually or annually, you should be able to stay above the 5inch mark rather easily. Especially if they are doing 5 units per round (conservative approaches are aimed at providing an aesthetic end-result), they are likely to fill any proverbial gaps while keeping you 5"+ afloat. That's usually the premise of low volume injections, to build a foundation and brick-lay over time (and while it doesn't induce collagen growth to the extent of more permanent fillers, Hyaluronic Acid still stimulates some fibers, collagen, elastin, and other building blocks for dermal volume). | |
| 27 Jan 2024 15:25 | |
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Ah, well being familiar with his methodologies, I'm presuming he might be okay 2-weeks post with Hyaluronic Acid (HA) since his initial round is very low volume; the idea is to induce a mild inflammatory response to acclimate/prepare your penis for a filler that generates more physiological processes (e.g. neocollagenesis/collagen synthesis, angiogenesis), while also identifying potential problem areas (aesthetically) in anticipation of your subsequent round (which would presumably be higher volumes of Ellanse). Dr. Horn has been doing these for quite some time and the approach has been endorsed by Rejuvall in the States as well (not sure if they got the idea from Androfill or if they too realized the benefits of an initial introduction of HA to your penis in low volumes before subsequent PMMA fillers). I'm not sure this newer methodology is necessary per-se, but I can see its benefits, especially from the practitioner's point-of-view (i.e. maximizing the chances of a smooth result). | |
| 24 Jan 2024 20:52 | |
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| 24 Jan 2024 16:10 | |
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I am growing to prefer this approach, and I know Rejuvall (a reputable Clinic in the U.S.) is also implementing this measure. Dr. Horn (of Androfill) is maybe the highest volume injector of both Hyaluronic Acid (HA) and Ellanse in the penis in Europe that I'm aware of, or most certainly top 3. He has the requisite expertise in this area of male enhancement. By introducing low volumes of HA first, a few critical things can be ascertained:
To be frank, you may not get much in the way of girth (but you will likely see some tangible gain) -- this methodology is designed to ensure that when you do bulk up, it will be done so with the best results and natural aesthetics possible. Think of this first appointment as a preliminary round to "check the foundations before renovating." The more I learn about this approach (both through Androfill and Rejuvall), the more I endorse it; the biggest complaints with dermal fillers have always been aesthetics (e.g. asymmetry, nodules, etc.), and this approach aims at reducing, if not eliminating, those issues. If you are uncircumcised and are choosing NOT to get circumcised, this approach is even more sensible (this is because uncut men experience higher rates of aesthetic irregularities when undergoing injectable dermal fillers in the penis). | |
| 20 Jan 2024 12:50 | |
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As Dr. Sullivan pointed out, there is no FDA approved penis enlargement filler (or method) per-se. These dermal fillers (Hyaluronic Acid, PMMA, Ellanse, Radiesse, and Renuva) are used off-label into a layer of the penile shaft skin to create volume (simplest way of putting it). These fillers however, have been FDA approved for other specific reasons, none of which indicate girth enhancement, hence the off-label use (which is legal). I should note that Ellanse is still not FDA approved in the U.S. and is only available abroad. In my personal opinion, Hyaluronic Acid (HA) is arguably the safest filler given that it already exists naturally in the body -- medical device manufacturers have cross-linked them to behave as dermal fillers to increase the volume of the skin. They are temporary in nature and somewhat reversible too with the use of a special enzyme to breakdown the filler if necessary. The trade-off with temporary fillers is that you will have to periodically top them off, and the rate at which HA breaks down/reabsorbs varies person to person. A safe bet is once a year, and you'll often times not need nearly as much volume to get back to your size-goal because not all of the HA will have diminished by then. I call this a trade-off because while you wish to seek out the safest option, you'll have to accept that maintenance comes along with it. A counter example would be something permanent like PMMA (Bellafill in the U.S.). Due to its permanence, it can be very difficult and invasive to remove all of the PMMA in the event you have an undesirable result or complication. The trade-off here is that while it isn't as manageable as HA in terms of reversal/complications, you won't have to top it off periodically once you've achieved your final size goal. I should note that Bellafill is FDA approved and by and large is a safe filler too, relatively speaking. So as you can see, some people prefer the peace of mind of HA in the event that they have undesirable results or complications because they are easier to manage, or would like to trial girth enhancement due to HA's temporary nature. On the flip side, permanent options like PMMA or dermal graft surgery offer a sort of "one & done" solution (with some potential subsequent touch-up appointments) which is a life-long convenience but can come with unforeseen challenges, despite complications being uncommon. You have to assess your own risk threshold, size goals, and what trade-offs are more compelling. | |
| 20 Jan 2024 09:52 | |
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Yes, pretty much spot on in terms of your understanding of fillers. I believe a 0.6 inch gain in circumference is a pretty fair expectation from one round, and a likely follow-up round to touch-up natural aesthetics (and add any additional girth if you wish, but always stick to practical goals). Hyaluronic Acid (HA) will breakdown overtime, however total degradation/dissipation can take upwards to 24 months. Typically, it's usually within 12 months you see some loss, and you'll find the need to top-off (with much less volume than originally injected) to maintain your size goals. Fortunately, HA has a strong safety profile (it's a naturally occurring substance in your body modified by medical device manufacturers to behave as a dermal filler to create volume). There are also permanent options like PMMA, Megafill, and Dermal Grafts. There is definitely added weight, and for some can improve the appearance of flaccid length since the implanted material can prohibit full retraction. Erect length on the other the hand is not impacted by the presence of filler or implant. As a side note, overfilling can create a disproportion between glans and shaft, so you will want stick the goals you stated above, which I believe can be done without sacrificing much in terms of natural aesthetics. Proud Urology offers virtually every option on the market, and only a 3-4 hour flight from Hong Kong (they are located in Seoul, South Korea). Very reputable Urological practice, more can be learned by selecting the links found in their Directory Listing link I provided. James, the Patient Coordinator @Proud_Urology is fluent in English and quite helpful if you needed to coordinate travel arrangements. Given your locality, Proud Urology is likely the best option, or at the very least, worth the initial consideration. Logistics are just as important as value, expertise, and results. The vast majority of patients (irrespective of Clinic or Doctor) will likely need at least one follow-up session if you go the route of dermal fillers -- being within a reasonable flying distance makes them all the more appealing in my opinion. Androfill is a great International Brand but I can only vouch for their United Kingdom operations. Those outside their U.K. Borders are effectively affiliates, and while having been trained under Androfill in some capacity, can't be vouched for from where I stand, that would be more-or-less a research process on your part. I would avoid no-namers for the sake of price or convenience. This is your one and only dick, and you ought to be sure whoever is performing their work are Clinics/Doctors who are advancing the field as leaders in the industry and well respected, both among patients and professional peers. Other than HA, Fat Transfer is regarded by many as a safe alternative since it harvests your own body's tissue (adipose cells), thus a more a subtle inflammatory and immunological response. That said, HA may still win out as the safest because Fat Transfer still requires additional surgical steps (i.e. harvesting fat from the body prior to penis enlargement). HA is somewhat reversible. If done early and when not much volume is used, you can get most of it neutralized via Hyaluronidase, an enzyme that acts like an "anecdote" to HA -- however, at larger volumes and/or longer durations, some collagen and elastin may result in the presence of this HA (albeit nothing close to the amounts created by permanent & semi-permanent fillers like PMMA and Ellanse), and may prove to be difficult to eradicate 100% of the HA. The good news is that HA will eventually breakdown at one point or another. | |
| 17 Jan 2024 18:43 | |
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It has been discussed here. A multitude of times in-fact, but you may not have come across it if you were looking for topics containing Hyaluronic Acid (HA) in it as it related to glans. The reality is that while HA proves to be the safest means to augment the glans, two consistent observations have been made:
Due to the anatomy of the glans, it is best only temporary fillers are employed. That isn't to say options like PMMA aren't manageable, but I personally wouldn't want something permanent in an area so delicate and thin until I saw compelling evidence of its efficacy in addition to compelling gains. I personally believe Glans enhancement is most worthwhile for those who have notably undersized glans, or those who have experienced significant dwarfing effects (disproportion of glans due to a very thickened penis via filler). The only other methods I've seen to help with glans size is:
Glans enhancement can work, but its cost-benefit ratio works best for those who are notably undersized or disproportioned and/or are individuals where cost isn't an issue so all you get is benefits (even if minimal in gains). While many of the Sponsors here may offer Glans enhancement, they may not be thrilled about my personal assessment of it. That said, I haven't outright dismissed the method either because it does in fact work technically speaking. However, it behooves me to state the reality of what you're going to get most of the time in this regard (Glans enhancement) to my readership. | |
| 13 Jan 2024 21:16 | |
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Double Board Certified Plastic Surgeon Dr. Shafer is in New York City (5th Ave Manhattan) who offers both Hyaluronic Acid (HA) and Bellafill. He's even conducting a study on HA and is well versed in injection technique. I don't know the extent of his additional services like Shockwave or Trimix, but I am certain he can provide PRP. You'd have to reach out with the link I provided above and inquire. | |
| 12 Jan 2024 17:43 | |
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I may be mistaken too! Just was hoping for clarification. And it's also why I'm asking about the mentality behind his decision to go there. Hopefully he had the harmless variety of product swap if indeed it seems to be gone. | |
| 12 Jan 2024 16:10 | |
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I must have totally misread his comment the first time. If he was implying that most or all of his product is gone, than it almost certainly wasn't silicone oil (doubt that much could migrate in the short-term), and your guess as to saline water or cheap, imported Hyaluronic Acid (HA) may be far more plausible. Makes you wonder which is worse? Well silicone oil is of course, but at least in that sense you would have at least had girth, but a total bait and switch? Oof, Dan never ceases to amaze (or depending on who you ask, disappoint). | |
| 10 Jan 2024 03:35 | |
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### Comprehensive Penile Growth Protocol: 1. **Steady Hormonal Optimization:** - TRT + GH + DHT - **Frequency:** Weekly injections for hormonal balance. **Rationale:** Hormonal optimization serves as a foundation for penile growth by ensuring consistent levels of testosterone, growth hormone, and dihydrotestosterone. These hormones play crucial roles in tissue development and maintenance. 2. **Less Frequent Collagen Enhancement Infusions:** - Dermal Filler (PMMA) every 3 months + Collagen Peptides bi-monthly **Rationale:** Collagen enhancement supports tissue structure and resilience. The less frequent administration aims to avoid overstimulation while providing ongoing support for penile integrity. 3. **Balanced Mechanical Stimulation:** - Biomechanical Stimulation (Stretching, Pumping) + Monthly Shockwave Therapy - **Frequency:** Daily biomechanical stimulation with monthly shockwave therapy. **Rationale:** Mechanical stimulation promotes blood flow, tissue flexibility, and potential cell growth. Shockwave therapy enhances the effects by promoting angiogenesis and tissue regeneration. 4. **Optimized Testicle Growth and Sperm Production Treatment:** - Clomiphene + HCG - **Frequency:** As prescribed by healthcare professionals. **Rationale:** Enhancing testicular growth and sperm production is introduced at this stage to support reproductive health. Clomiphene and HCG are chosen for their roles in stimulating the testes. 5. **Essential Nutritional Support:** - Vitamin C + Zinc + Omega-3 Fatty Acids + Hyaluronic Acid (Ingestible) - **Frequency:** Daily supplements. **Rationale:** Proper nutrition supports overall health, collagen synthesis, and hormonal balance. Hyaluronic acid contributes to tissue hydration and health. 6. **Structured Biomechanical Stimulation:** - Daily Stretching and Pumping with Weekly Rest Days - **Stretching Duration:** 10-15 minutes per session - **Pumping Pressure:** Gradual increase up to 5 PSI - **Pumping Time:** 10-15 minutes per session **Rationale:** The structured approach aims to avoid overexertion while maintaining consistent mechanical stimuli. Rest days allow tissue recovery and growth. 7. **Minimal Hormonal Boosts:** - PT-141 + IGF-1 (if applicable) - **Frequency:** Intermittent injections. **Rationale:** Minimal hormonal boosts are introduced intermittently to enhance the overall growth environment without constant exposure. 8. **Regular Assessments and Adjustments:** - Bi-Monthly Assessments **Rationale:** Regular assessments under professional supervision are crucial for monitoring progress, adjusting the protocol as needed, and addressing any potential issues promptly. ### Important Considerations: - **Individualized Approach:** The protocol's effectiveness varies among individuals, and adjustments may be necessary based on personal response and health conditions. - **Professional Oversight:** Consultation with qualified healthcare professionals is essential throughout the protocol to ensure safety, efficacy, and individualized care. - **Safety First:** Prioritize safety and well-being over rapid progress, and be attentive to any signs of discomfort or adverse reactions. This comprehensive protocol aims to address various aspects of penile growth, from hormonal balance to mechanical stimulation and nutritional support. It should be approached cautiously, with professional guidance and individualized consideration. | |
