PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

tactical64 wrote: Of note I have had 2 other sex partners that are new to me in the last 2 weeks or so, both like what they got quite a bit. Wife and I are splitting, getting this procedure allowed me to have the confidence to bust up a bad situation. Also interestingly I have no more desire to watch porn. Also since i cut back on drinking so much, I lost 25 lbs in this timeframe too.

Now that's the kind of stuff I love to hear/read. Don't get me wrong, I'm sorry about the divorce, but I'd like to commend what appears to be a very healthy and resounding rebound that involves positive behavioral changes. while remaining motivated to find new avenues to happiness. Even if you were the decision maker (or if it was mutual) regarding the separation (don't feel pressured to share details if you wish keep it private), it's still an emotional and psychological challenge to endure the process and to see it through, so kudos for doing all the right things at a critical juncture in your life.

And your unit looks solid, I haven't seen as many FFT reports as of late so its great to see you're contributing a substantive Progress Report, very much appreciated!

FFT's were always a viable option, but I think it was a mix of Doctors in the past doing poor jobs combined with the more recent dermal filler hype. As an option for girth, it's been around possibly the longest of all procedures still in practice, and is up there with Hyaluronic Acid (HA) in its safety profile.

As you can see, if you are going to get fat adequately placed to ensure aesthetics in a dynamic organ such as the penis, you need the likes of a master Reconstructive Urological Surgeon by the name of Dr. Carney being behind the wheel. The last picture in your most recent update especially looks natural.

Chip2th wrote: Wow thank you for such a great reply to my post. Very much appreciated.
I have another question if you don’’t mind.

The doctor I’ve been chatting with is concerned if more than 10-12 cc of HA are used the result can be considered too spongey feeling. I’m going with Volux, supposed to be slightly more firm.
However I’ve read quite a few posts in this forum by now and I haven’t really noticed any body complaining about it being too soft or spongey and some of these guys are getting quite a bit of HA often 30 ml or higher.
Is this sponginess something a woman would notice or just me since I’m so used to the previous feeling.
Is this notiion of it being too spongey overblown ?
Does spreading let’s say 20 to 40 ml over multiple sessions make a difference or is it just total voilume ultimately.

Thank you

Depends on the brand of Hyaluronic Acid (HA) he's using. HA is a naturally occurring substance in our body that medical device manufacturers have cross-linked to behave more like dermal fillers. Some iterations are used for the face, hence their softness, but newer iterations have taken into account HA's versatility in many areas of the body, proving to be both more natural feeling and longer-lasting.

Do you mind sharing with us the Doctor you've chosen? I believe Volux should be fine, the bigger issue is a lack of consensus among injectors in the field on which is best for penile application -- an ongoing area of discovery & trial. That said, HA possesses the best safety profile among all fillers, so don't think for a second you're a guinea pig in this regard.

HA as in Hyaluronic Acid (used as a dermal filler injectable for girth enhancement).

EinMax wrote: Thank you for all of your words and your wisdom from doing this for years. A service to many!

It's a bummer that fat transfer doesn't last forever/needs 'topped off'. I have plenty of fat so I'm not concerned about running out. But I find the idea of going to Korea every other year/etc to be 'topped off' to be very disheartening. Would you say that this statement from Proud Urology's website regarding permanence is...misleading?

"3S Glans augmentation (or enlargement) is done by MegaFill® injection. It is a similar material as dermal graft but in liquid form, so the enlargement is done by injecting. 10-20% will be absorbed and the remaining 80-90% will stay permanent. The glans will be increased proportionally to your girth and length. For better shape on your first surgery, we would recommend you to add 10cc to 20cc of MegaFill.It is a surgical method that enlarges the glans penis using autologous fat and PRF growth factors."

Of course, I'll be asking all these questions to the patient coordinator ad nauseam.

Honestly, I'm not entirely sure about the misleading part. Dr. Carney and Dr. Morganstern seem to have long-term retention rates and I wonder how much of it has to do with the layer being injected, and volume being injected. You see, in the past many Doctors would over-fill, and the body needs time to heal and vascularize the area to ensure cells survive, but often times they don't due to excess volume of filler in an area that normally doesn't deposit fat -- thus some fat loss. My recommendation is the "brick-laying approach" in which you lay a foundation first, and build on it incrementally over time (sure, this is costlier, but would give some plausibility to long-term retention of fat in the penis). I also think the inclusion of PRP may prove beneficial for this type of procedure (it won't provide gains, but may expedite the healing and tissue integration process).

A lot of Doctors of the past may have also been injecting it into the wrong layers of the dermis, and this DOES matter. Our body has networks and pathways (lymphatics, capillaries, etc.) to break down things that aren't typically supposed to be there, which is why for example Hyaluronic Acid (HA) hardly lasts in the penis glans (head of your dick).

Furthermore, you can get topped-off in the States by any number of Practitioners, but they need to inject it in the same "site" as Proud Urology did. For that reason I'd opt for Megafill over Fat Transfer if you were to travel to South Korea. It's effectively a dermal graft (kind of like Alloderm or Surgimend in the U.S.) manufactured in filler form.

You can check with them. I’m sure they offer additional fillers into the package. If i’m not wrong, they have hyaluronic acid, PMMA etc. so they can fill you up or add into your glans.

I am only on Day 4 Post Surgery. I would say staying in Seoul for 4 days to a week would be ideal because you get attention quickly. With regards to the 10 days, thats mostly what i observe from other cases when i did the research.

EinMax wrote: Simple. I live close enough to Ohio, and Rupeka sounds like one of the very best for the PMMA route.

What brought South Korea to my attention is their premature ejaculation treatment, and seemingly less active healing protocol (I am lazy, after all). Someone on this forums did suggest 2 weeks of staying local to the clinic for daily checkups, which would be an issue for me.

I did see the before/after's at Proud Urology, with a BUNCH of Koreans with far more retraction than myself, and came away very impressed. The suspensory ligament cut I'd probably skip...but I believe someone mentioned being able to use their fatpad lipo for their fat graft, with less chance of rejection. I'm a big fan of putting that fatpad to use.

Side note, not phalloplasty specific: from what I've read there seems to be a risk of removing fat cells from the body and NOT re-injecting them someplace else. Why? Because your weight re-distributes itself among your existing fat cells. Which means your visceral fat (the fat cells around vital organs) gets larger to compensate for the overall loss.

Ah, surprisingly never expected to have a Sponsor from Ohio, but especially didn't expect to have two sign on in the same year (the other being Jiva Med Spa / Dr. Nanda), so you have options. That's something I like providing for my readership so they can shop around, determine which Clinic is a "better fit" based on communications, photos of their work, etc.

Proud is a one-stop-shop of a Practice, with a team of 3 Urologists who specialize in different areas of Urology & Sexual Medicine. They do great work and have an overall great reputation. My only recommendation in that instance is to use Vacation time to travel to Seoul, you'll want to be there at least a week (complications often show up shortly after post-op, or late onset, which can be treated in the States) just for peace of mind (these are elective procedures and aren't without risk; that said, complications are generally kept to a minimum when dealing with established practitioners in this very specialized field).

As far as your side note is concerned, I'm not sure I understand your question correctly. I do know that Dr. Carney (Rejuvall) for example, prefers harvesting a certain type of fat (I can't recall exactly which off the top of my head), and if you are someone very fit and/or has very low body fat, may not even qualify for his Fat Injection procedures. But fat transfer to the penis has been the longest running male phalloplasty procedure as far as I know, and the only reason it isn't more popular is because of the advent & dominance of dermal fillers on the scene.

FFT Pros: of all fillers, it's safest in terms of its use as a filler since it is 100% bio-compatible seeing's how it came from your body to begin with, but takes 2nd place on my list for best safety profile (Hyaluronic Acid being #1). This is because of the harvesting process adds one extra significant step, and my philosophy with cosmetic work is any additional incision, injection, or major step to completing a procedure means one more window of opportunity for a complication to arise, no matter how rare. That said, FFT is generally regarded as relatively safe when compared to other options. Another positive is that it's typically going to be the least expensive, or on the lower end of the price spectrum when compared to other male phalloplasty procedures.

FFT Cons: You may find you need to top-off the fat periodically, so that means you'll need to always have just enough of the kind of fat the Doctor requires on you every appointment (which isn't necessarily a lot, since you just need enough to fatten the penis, not something much more voluminous like a butt). I want to stress that I'm not saying you need to be fat to get work done, but you can't have a runner/athlete's body either. Most average builds likely possess enough fat for these kinds of procedures. Another con is that periodic top-offs means long-term maintenance costs. Fortunately these are just "top-offs", and much like Hyaluronic Acid (HA), the moment you see some notable loss, you can go in and use much less volume than before because you only need to re-obtain your original enhanced size, which in turn may imply a reduced cost (Doctors who perform FFT would incentivize making follow-up rounders cheaper).

That said, I'm always a "go with your gut" as far as consultations & fact-finding are concerned. In other words, you seem to favor Dr. Rupeka, so I would make it a matter to reach out to them first to learn more. You may find you are content with your experience with Youthology and book an appointment. If you feel compelled to shop around, Dr. Nanda (Ohio) and Proud Urology (their Patient Coordinator James speaks very good English) can be your subsequent consultations. I'm confident you'll find a winning candidate between those 3 options alone, and the good news is, they are all winning options.

Chip2th wrote: I'm getting stated gathering info to make a decision.

I saw on Dr Shafers in NY website Volux is listed as an HA filler.

It's the most expensive and they claim its the firmest and longest lasting HA filler.

I am I going to notice a big difference compared to Voluma for example?

Which doctors and HA filler do you all recommend? Cost is not a primary concern for me.

Does anybody happen to know how much it costs to have the HA dissolved if needed?

The consensus seems to be HA is the safest and also good because its reversible.

What should I know about PMMA ? I see its permanent. What are the other negatives?

How does the feel of HA vs PMMA compare. I'm really concerned how my penis is going to feel after getting the filler.

Do you still maintain all the same amount of feeling, sensitivity.

I see avanti derma gets a lot of love on this board. Is it primarily price driven because they are in Mexico? I see they have been around a while, I noticed they did not have the HA Volux though. Would they get some special order?

Here is some more info about me that maybe could help you guys better point me in the right direction.
43 yrs old
6ft
175lbs
I am in excellent shape, eat very well, do all the healthy stuff, the fish oil, vitmamins etc, lots of exercise
I take growth hormone ( for anti aging) which i speculate will really help with healing, results, etc. Maybe even more so with PMMA for collagen production.
My penis is very healthy, rock hard erection never fails.
Excellent blood flow, vascular, grower doubles in size from flaccid to erect.

I guess I'd be happy with 5.5 girth, but I notice a lot of guys looking to be in the 6" plus range.
I'm guessing 6" plus is when you can be considered big??

How many many ML's do you guys think I need to get to 5.5" girth ? How many sessions?

Many thanks

My stats:

7.5 BPEL
Neck 4.25"
Mid shaft 4.5"
Base 5"

Dr. Shafer's Clinic is on 5th Avenue, let's just say in order to cover that kind of overhead, you have to be World Class levels of Plastic Surgeon. He's mentioned in a number of major Publications and Blogs and is the only Doctor I know of that is conducting a full-blown study on Hyaluronic Acid (HA) as well as possible mini-documentary in the near future. Despite the stereotype of the big shot Plastic Surgeon, my discussions with himself, his Staff, and his former patients, I get the impression he's quite likeable and goes the extra mile to make it as smooth a process as possible.

As for PMMA, Dr. Shafer offers Bellafill (the American iteration of PMMA) if you prefer. That said, I'd recommend starting with Hyaluronic Acid (HA) first. HA comes in a variety of versions depending on its application. You see, HA is a naturally occurring substance in your body, and what medical manufacturers have done is cross-link them to behave like dermal fillers, and thus create volume in the dermis. In the past, most iterations of HA were used mostly for the face in small volumes, thus their relative softness. Now that HA has been demonstrably effective in many other areas of the body, these same companies are creating more robust, longer lasting versions of HA which can yield quality results.

As for dissolving HA, my recommendation is to get low volumes injected first for a modest gain in girth, especially if cost is not an issue as you mentioned in your post. This way you can tell whether or not you like it, which will allow you to add more if it's a success, or have it dissolved if you aren't totally satisfied (the enzyme called Hyaluronidase is likely most effective in the earlier stages, but I'd give it at least 3 months minimum before passing judgment). Sometimes not all of the HA will dissolve, but not to worry, since it is temporary, you'll likely have to wait out a short time after Hyaluronidase to see your penis return to its normal look. HA is a temporary filler, but the rate at which your body will break down this filler varies wildly person-to-person it seems (I've seen men detect reduction in size as early as 6 months and even anomalies as long as 2 years, and for this reason many companies assert 12-18 months to be on the safe side). It's kind of like how some people heal faster than others, grow hair or fingernails quicker than others, and so on -- despite similar physiologies, many processes that aren't essential to our vitals seem to vary person-to-person.

Regarding Avanti Derma, their popularity stems from a multitude of factors, including (but not limited to) being the first Clinic deemed a success in an industry that goes back 3 decades, full of botcheries and nauseating complications. They were really the only name in the game as far as the use of PMMA (or any dermal filler really) in the penis while being the first to demonstrate the efficacy of this methodology to the North Western Hemisphere (I specify this because its origins came from Avanti's founder Dr. Casavantes being trained in Brazil where penile bioplasty was seemingly invented, as well as Dr. Casavantes' relationship with Professor Lemperle, the world's leading expert on PMMA at the time). Dr. Morales now performs the procedures, but she was trained by the now retired Dr. Casavantes and she seems to have been able to uphold the standard of quality after Dr. C's departure. Of course, value likely also plays a role, Medical Tourism is huge around the world. I went to Mexico for a teeth cleaning + two wisdom teeth extraction + medication + free taxi to and from the border all for $300. In some U.S. cities, that could have easily been $3,000! When it comes to medical cosmetic/aesthetic work, there are many really top notch Surgeons, Dentists, Hair Restorationists all over the world, including Mexico, Brazil, Spain, Turkey, and some others.

Regarding how they feel (PMMA vs HA vs Other Options), I have a simple rule of thumb: just don't go overboard. With your length, you're an ideal candidate, you can easily acquire 5.5"+ without sacrificing natural aesthetics. It's usually when you begin getting a lot of filler that it can become more palpable (this is true for all fillers). That said, the vast majority of partners won't notice, only you will since you are accustomed to your own penis. Since penises come in different shapes, sizes, veiny/non-veiny, colorations, glans proportions, curvatures, among other things, most people won't be bothered to question it, especially since male enhancement of this type is still relatively low-key (i.e. not mainstream). The nice thing with HA is, that if you feel it becomes too palpable to closer you reach 6", you'll know it will eventually dissipate back to 5.5" and you can go in to touch up any minor unevenness from the filler breakdown.

Sensitivity, form, and function of your phallus will not be affected by filler injections. These fillers go into layers of your dermis and are not injected into any of your erectile or urethral tissues, thus posing no risk to erectile or urinary function. However, some men have reported very subtle changes in sensitivity, both "more" and "less" sensitive post-op, but I've never seen any account that had any significant change in this regard either way. More sensitivity makes sense to me since you'll have more surface area than you had previously; the even less common reports of subtle loss in sensitivity I chalk up to early stages of collagen growth, because I can't think up of any physiological reason why this would occur, and suspect most these guys who have stated as much likely regained full sensitivity many months later (unfortunately, a lot of guys will update their Progress Reports less and less frequently with the passing of time because they've got what they wanted, happy, and want to move on and not dwell on size anymore because in their minds, the weight is off their shoulders; that said, anyone reading this, I implore you to at least do yearly updates if you choose to Progress Report, after your initial first few months of posting).

HA's Pros: arguably the best safety profile for a filler; somewhat reversible, and whatever isn't completely dissolved will dissipate in short time; newer iterations of HA are having positive reception/reviews in the penis.
HA's Cons: requirement of maintenance, and somewhat unpredictable what that timetable might be for a person. I will say however, this is a minor "con" since if you choose to top-off once a year, you'll only need much smaller volumes to sustain your size goal, and at lower volumes it should be lower in cost in theory; the other only con I can think of is a lack of consensus on the best brand of HA for penile application. Given Dr. Shafer's many years doing this procedure, I would take his recommendation, he has too solid of a reputation to push you in one direction just because "he got a deal buying a certain brand of HA in bulk." Besides, he's conducting an ongoing HA study, which would make him even more privy to the qualities of each brand of HA filler.

PMMA's Pros: its permanence means once you've completed the number of appointments required to get your final end result/goal, you are set for life. This is a good value proposition. The microspheres are bio-compatible and biologically inert, non-carcinogenic, and has been used in a variety of medical applications outside of just dermal fillers for many decades.
PMMA's Cons: albeit rare, complications may be more challenging to treat (not impossible, but may require multiple appointments involving one or more therapies to resolve the issue). The most known (again, still rare) complication is a foreign born granuloma (which can happen with any filler by the way) which can end up creating a larger than usual lump that will require a few sessions of corticosteroid injections and possibly anti-inflammatory medication to treat. Fortunately, FBG's do not effect the functionality of your penis, the granuloma itself is a localized area of inflammation due to the presence of a foreign body in the shaft skin, and to be frank isn't something I'd consider alarming, but absolutely necessary to treat. In the 13 and a half-ish years the PhalloBoards has been around, I can probably count on one hand the number of irrefutably diagnosed granuloma's being reported. Sure, there are a lot of people who don't post (the vast majority of traffic don't are mostly visitors who are researching with no interest in discussion, which is fine), so it could be a bit higher than I'm lead to believe, but I also know the sample size I'm provided is unparalleled in terms of overall reporting, so I'm sticking to my belief that (major) complication stemming from PMMA in the penis are very rare.

*Note- these are elective procedures and aren't without risk of complication(s). That said, having a qualified, skilled, and experience practitioner using medical grade products ensures that complication rates stay relatively low; This forum has over a decade of progress reporting and complications stemming from patients who have been to any of the Doctors who have Sponsored this site are uncommon and typically get resolved over time. Most major complications you may hear about come from Doctors & Clinics that I have turned away Sponsorship opportunities to, as they presented a well established history of severe and/or frequent reports of complications & botcheries (e.g. large volumes of silicone oil, rigid silicone implants, or any procedure that is both very experimental & extremely invasive).

I'd go with your gut, Dr. Shafer is a Sponsor here for full transparency, but I wouldn't have brought him on board if I thought he didn't put out good work. As I've said before, he's also highly esteemed and you don't work on 5th Avenue Manhattan without being a stud in his field of Medicine. His Patient Coordinator Luc is a really nice guy to chat with and their Staff are peak professionalism. I hope this information helps. Good luck!

Happy New Years to the PhalloBoards Community!

I'm excited to announce the opening of a new European Clinic that is not within the United Kingdom, providing many of you who would otherwise rely on planes the possibility to now visit Dr. Gary Horn by bus or train in Brussels, Belgium. It has always been my mission to find qualified practitioners that bring expertise, value, and especially in this case --> logistics & travel considerations.

Dr. Horn is a Board Certified Plastic Surgeon and also an Androfill Affiliate, but his Brussels Clinic is independent of Androfill. The opening of this new Office is a signal that Dr. Horn is very much focused on expanding his area of expertise in this field of male enhancement, and also an indication of his plans to continue innovating and refining his methodologies to ensure Patient satisfaction.

His list of services include: Surgical penoplasty (length & girth), Scrotal Surgery, Adult Circumcision, Non-Surgical Penoplasty for the Shaft and Glans (Fillers used Hyaluronic Acid and Ellanse); Premature Ejaculation Correction.

What is worthy of note is the offering of Ellanse (not available everywhere, including the U.S.), which is what I like to consider "PMMA-Lite." Ellanse produces collagen much the same way PMMA does, but the microspheres are eventually broken down over time and not inside you permanently, thus technically making it a temporary filler. However, since your body can generate different kinds of collagen, the type of collagen produced by the inflammatory response to the PCL microspheres appears to be a more robust and longer-lasting kind. As a matter of fact, I have yet to see anyone report significant or complete loss of size, and Ellanse Progress Reports started popping up as early as 2017. In other words, Ellanse could prove to be a semi-permanent (i.e. very long-term) filler without the permanence of foreign bodies. The now retired Dr. Casavantes makes a similar case found here.

Dr. Horn has also been featured in a British Documentary following patients undergoing the process of penis enlargement. I'll share the link assuming the video isn't pay-gated.

With his two places of operation (U.K. and Belgium), I believe he sees the new year (and the remainder of this decade) as an opportunity to really get more involved in the nuances of this specialization, engage our Community, and to reassert his expertise as a Surgeon who has been performing male enhancement for just about as long as anyone who performs it regularly (I learned about him about nearly 10 years ago). Also, he's the only Doctor in the U.K. who is seemingly credible, ethical, precautionary, and insightful in my time knowing him. Other British Clinics always seem to have issues of disorganization, questionable ethics, and revolving doors (i.e. doctors replaced frequently). I do want to note I'm not suggesting ALL other Clinics in the U.K. exhibit these traits, it just happens to be commonplace for some unexplainable reason. I've seen Clinics literally close shop, and others taken down due violations (i.e. licensure, malpractice, and so on). Dr. Horn has remained a successful Practitioner of Penoplasty (male phalloplasty as said in British English) and has some of the highest (and possibly the highest, but that would be difficult to prove) volume of patients in the U.K. and to some extent all of Europe.

He does not need an introduction as he has had branding through Androfill, but I still believe we should still welcome him cordially as a new chapter and a new beginning, one in which he can engage the Community and share his invaluable insights, while continuing to provide World Class Medical Services.

https://drgaryhorn.com

drgaryhorn.com
Contact Form (Website)


Board Certified Plastic Surgeon


Services of Interest to PhalloBoard Members:
Surgical penoplasty (length & girth), Scrotal Surgery, Adult Circumcision, Non Surgical Penoplasty for the Shaft (Fillers used Hyaluronic Acid and Ellanse) and Glans; Premature Ejaculation Correction.


Main Office Location
Louise Medical Centre
Avenue Louise, 284
5th floor
1050 Brussels, Belgium


Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Patient Appointments: (+44) 1603919025

I can't answer to your question specifically. I do want to say that I have always pumped. I am uncircumcised. I had a hyaluronic acid injection done. Pumping afterwards would stretch the skin a lot. not a good result because it's permanent. I assume you are cumrcumcised. and you pump with PMMA. it would add volume and water retention in the skin and between the skin and shaft. You would definitely get stretch marks, bruises, and extra skin after some time. i don't know what it would do to collagen production. my two cents on the topic.

Thank you for the help!

Boop1234 wrote: Hello all, I have been checking out the forums for a while, and decided to take the plunge today and received both 10ml of Restylane Defyne and a P shot. I had this done by DR Bloy, in Fort Myers Florida at Contemporary Mens Clinic.

Now, I just had this done today, but I have SIGNIFICANT dark bruising and some occasional pain. Is this normal? The P shot it self was VERY painful, as it was injected in a few different places, and I only had a topical numbing gel applied, and whatever numbing agents are in the fillers themselves. The did the P shot in maybe 3-4 different areas, each hurt like a MFer.

My initial gain has been almost exactly 1 inch in girth, which I am happy with. I was told that the filler will absorb water and could expand more over the next few weeks, is that true? Can I expect some of these beginning gains to go down over the next few days, or do they some what stick around as the HA absorbs water?

They really ought to use something like lidocaine straight up when doing multiple phallic injections, and not rely on the laughable amount of lidocaine found in the filler itself typically more sensible for facial application, that's my opinion at least. In the past I had a borderline phobia of needles, so my determination to get a thicker cock was sufficient enough to overcome the fear of dermal injections (sort of). You see, my Practitioner was known to numb patients first (much like how they numb you up before wisdom tooth extraction, etc), so the only pain you felt were the first initial lidocaine pricks. From that point on it was smooth sailing.

Like Dickwhitman79 said, chances are some of that size is swelling, but don't let it disappoint you if you see a bit of size loss in the coming weeks, penis enlargement often requires subsequent rounds to achieve whatever goal you have in mind.

The dark bruising is normal. I've notice people just bruise differently; I've seen some that barely look "blush pink" and others that looked dark purple; it'll dissipate within a week's time. I would only worry if the swelling, bruising, and/or pain persist or worsen beyond a week's time based on the many experiences I've read here. That said, always good to stay in touch with your Doctor if you have any concerns.

If it isn't too much of a logistical/distance matter, Dermatologist @Dr_Sullivan in Fort Lauderdale for future injections is worth a consideration as well: (Website , Directory Listing , and YouTube). However, if you are happy with your current Clinician, that's great too.

Good luck and happy healing!

Androfill employs a similar method, especially since they see more uncircumcised men (uncut guys tend to see a high rate of cosmetic irregularities).

The idea is that Hyaluronic Acid (HA) has a more subtle inflammatory response relative to other dermal fillers (likely because your body already produces it naturally, and isn't nearly as "foreign of a body" compared to things like Ellanse or PMMA which use microspheres to induce collagen growth -- making it an ideal foundational layer. And since it's a foundational layer (and not a total enlargement), any unsatisfactory results won't be permanent (and to some extent, can be reversible).

Additionally, the way your shaft skin accommodates the HA will help provide the Doctor a better understanding of how to apply the PMMA or Fat in subsequent rounds (i.e. roadmap).

Rejuvall has brought on a Patient Coordinator & Educator who will be more active in 2024 and will also help fill in any blanks.

Hello @ajay1861
As suggested by @justn8 , leave it alone for a few days and wait for the associated edema to disappear. I would say one week.
Too much manipulation can prolong the recovery time.
After that, reassess, and since you had HA injected, you don't need to go for a circumcision. Instead, have your physician inject hyaluronidase to dissolve the product.
Should you decide to go for a microsphere-based filler after that, then consider a circumcision at least three months before the girth enhancement procedure.
DrC @ Avanti Derma

Just following up? I'm interested to see if anyone has any ideas on what the treatment for accordion effect is?