PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Glans procedures have a terrible track record, I'd never risk it.

Has anyone had problems with HA put in glans in last year or two. I'm doing one more procedure next year for enlargement. See where both Mata and Morganstern do HA in glans and I'll probably use one of them .

briceb wrote: There is nothing special about what Loria is doing, other than what he is charging. He is injecting silicone. That\'s it.

Seems like he\'s doing something differently. So far there hasn\'t been many complications from his procedure - or at least that\'s how things appear. He claims to have done 2000 procedures with zero incidences of infection. I don\'t for a minute believe those numbers but the rate of complications does seem to be low judging from how there hasn\'t been anyone posting about them on public PE forums. Whereas silicone injections in the past have always had very high complication rates.He speaks about the risk of migration if you don\'t keep a tight band wrapped around the base of the penis so it\'s clear that he uses some sort of viscous fluid since that\'s a non-issue with the use of a solid product like pmma.

Perhaps it\'s how he\'s injecting it? Apparently he uses a cannula to inject the product while previous practitioners have injected silicon via a needle. Maybe it is in fact a mixture of products, like silicone & pmma or hyaluronic acid? I wonder if this would cause the filler to be more dispersed and not clumped together which is seen as a major reason for the inflammatory reaction to silicone injections.

Then again negative reactions to silicone injections can take years and even decades to emerge. I certainly hope his clients don\'t end up having to deal with the same kind of horrific complications people have had in the past when it comes to large liquid silicone injections as seen here; www.ncbi.nlm.nih.gov/pmc/articles/PMC3519113/

Dr C or others here will be so kind as to correct me if I\'m wrong. But in general from what I\'ve gleaned informally since 2011 on the earlier Phallobards 1.0 and this current version 2.0 of Phalloboards, most guys return to Tijuana after a certain delay and don\'t show up with positive results from other procedures. If Dr C has administered in the past hyaluronic acid to those worried about the permanence of PMMA I would not doubt, given his thousands of procedures done. However, how many among these have travelled back to Mexico within a short time span? The likelihood is that they may have waited until it melted away before returning for a refill, corrections or a different procedure (PMMA or Silicon micropellets?).In any case it is likely that the durability of Hyaluronic Acid injections can best be determined by those who make many repeat procedures with this substance and do regular follow-up of their patients. If it is the occasional return visit that brings a conclusion, this can hardly be representative of the broad spectrum of responses to injections. Some may stimulate collagen. Others may melt away rapidly. Chemical substances both topical and systemic may intervene as well as varying responses to one\'s body to the injections. Suffice to say that HA is temporary and won\'t last that long. I\'ve benefitted from PMMA since 2011 and am a very happy camper (in a luxury sleeping bag if you please). However, I do at times get remarks that it can\'t be real, usually from seasoned professionals who have seen many many units in varying sizes and forms. This isn\'t easy to get past. I usually tell them I am the son of a very large father, the absolute truth, and that I have a brother much larger than me (before PMMA of course). This usually ends the conference but doesn\'t always solve the \"will it fit\" issue. Ask Mustang for the workaround lol.

If you\'re worried about getting too big, do HA. However, a couple of years ago, in his great wisdom and aesthetic perspective, Dr C determined I was too big and managed to thin me quite a bit. Wade said nobody could possibly swallow it and that there are limits! Anyhow it\'s just to say that PMMA can at least be partially reversible in its aesthetic configuration, if not in the elimination of matter from tissues.

So it can be established that HA will be temporary. This is the only benefit of this procedure as it won\'t make your unit harder and firmer, which is what women like. Not sure if men do, as I\'ve no experience with that. HA won\'t make it rigid whereas PMMa does. But if you\'re on the fence and wish to wait without giving up on extra size, HA is a no-brainer. Get that girth both for the self-confidence it is sure to give as well as for the likely higher attachment of your partner to your \'features\'.

Only, don\'t count on it lasting more than 6 months at full girth. Then it might gradually reduce until being totally reabsorbed between 18 months and 2 years time. This is what I\'ve learned about HA in facial implementation after talking to many plastic surgeons who routinely inject it. They however usually inject a bit less each time, as some collagen will be created as it melts to fill the void left. So it may over time help one increase natural tissue growth, but not dramatically or rapidly like PMMA.

Cheers,

HC

EmailedDr. C with several questions regarding HA. He states he does use Juvederm, will open the box in front of you, and provide the product control label.
Though he stated his experience with Juvederm (which I assume is Juvederm Voluma):

\"Hyaluronic acid is quite unpredictable both for the penis and the face. The manufacturer information is typically too optimistic; mine goes towards the other extreme.I haven't seen results that last more than one year, best case scenario.\"


According to North Valley Plastic Surgery\'s website (Clinic been doing HA in penis for 3 years):
How long will it last?The makers of Juv'derm ' claim that it can last up to a year. In many patients it can last a year but others it lasts several months less. VOLUMA is said to last at least two years. Everyone's body degrades dermal filler differently and we all have different skin, muscle, and tissues thickness.

Androfill\'s website:
\"' how long the filler will last: depending on the filler used, usually between 12 months and up to 18 months.\"

Dr. Oates has stated in this thread that absorption can be variable in some odd cases, but in general lasts years.



I emailed Dr. C to clarify if by Juvederm he is referring to Voluma, if so, it looks like half of these injectors HA are finding results lasting less than a year in most of their patients, whereas other injectors are claiming much longer results in their patients. Very disappointing news if Voluma lasting less than a year. I\'m curious as to the large discrepancy in product duration claimed between injectors. We need more long term HA patient reports to confirm experiences.

To go to Mexico from Europe is not expensive. I traveled to San Francisco a month ago for 360 euros round trip (paris-frankfurt-SF) via Lufthansa, and I am flying next week to Oakland via Amsterdam/Salt Lake City for 540 euros, flight booked 5 days before departure. If I were to inject anything in my penis I would probably prefer to go to Casavantes, years ago I have been in touch with Nemacova and she didn\'t make me feel comfortable enough to try. Prague is a lovely city though and I had a good dentist remove all my fillings for half the price. As for PMMA I am still unsure if it\'s the way to go. I could probably use more girth though. But hyaluronic acid seems really safer. I would probably do it if I could find a specialist in Europe, because flying far for that doesn\'t make sense

BW wrote:
Lucky you.Ellanse is very tempting for me but I think I\'d better to inject hyaluronic acid based filler first and then try the long lasting filler.I have seen a few negative reviews of Ellanse,not completely sure if I want to risk it. I am thinking about Voluma at the moment.

The only negative reviews I\'ve read on Ellanse pertain to immediate post application, which is normal with any filler. I have yet to come across one negative review of someone who\'s had a long-term problem, or a problem that arises weeks or months later, as you see with other fillers.

BW wrote:
Lucky you.Ellanse is very tempting for me but I think I\'d better to inject hyaluronic acid based filler first and then try the long lasting filler.I have seen a few negative reviews of Ellanse,not completely sure if I want to risk it. I am thinking about Voluma at the moment.

What negative reviews would these be? Ellanse seems pretty low risk, and is a bio-stimulatory filler.

Reklaw wrote: I\'ve got it in my face, I love it.

Lucky you.Ellanse is very tempting for me but I think I\'d better to inject hyaluronic acid based filler first and then try the long lasting filler.I have seen a few negative reviews of Ellanse,not completely sure if I want to risk it. I am thinking about Voluma at the moment.

Hello all. First post, after lots and lots of reading! I am 30 years old and have been interested in penile girth enhancement for quite some time now. About 6 months ago I had 8ml of Juvederm Voluma (Hyaluronic acid) injected in London. My measurements before were about 6.5 inches erect length approx 6.75 inches pressed to the pubic bone and about 4.75 inches in erect girth at the mid shaft and just under 4.5in below the glans. After the injection I gained about 1cm/0.4 inches in girth around the mid point. Since the injections a lot of that has disappeared and I now only have an increase of about 0.5cm around the middle section. The filler stopped below where my foreskin was which was ok as the gains really weren't that significant enough to make it look odd. I am however after something that will be much more permanent and more significant. I am willing to pay money for this but I can\'t face spending lots of money for short terms gains that are going to disappear in under a year. Ideally I would be happy with a girth of around 5.5-6 inches but the priority would be for a natural look and feel. I am not so worried about my length as that has never really bothered me. My girth i feel has always been an issue with me both in terms of pleasuring women but also feeling the tightness from sexual intercourse to get pleasure myself. I am seriously considering PMMA, at this stage most likely with Dr. N as I am from the UK and if i want to do this slow and steady then this can only realistically happen with the short flight times to Prague. I have tried to read up on this but there is less information around regarding this particular issue. I am uncircumcised and although when erect the skin is tighter along the shaft there is still some excess skin towards the head of the penis. I have a section of foreskin which is quite tight about an inch or so under the glans The HA I had injected didn\'t go beyond this point, mainly i think because the Dr didnt place any there but also because the skin was quite tight here and it was difficult to massage it up into this section.

I know Dr. N is used to dealing with uncut guys and I have seen some good results from uncut guys on here. I don\'t know however if this tight area of foreskin is unique to me or wether it is common with these other guys that have had PMMA whilst being uncut? Most of the foreskin seems stretchy and could accomodate extra size. there is however one pink band around the bottom of it though that feels a lot tighter. If anyone on here has had this experience and can explain how their foreskin reacted to the treatment and wether it was possible to get product up to the base of the glans that would be extremely helpful. I can retract my foreksin back and forth over the head fine. The pictures below show the area that I am talking about. You can also see some residual HA filler left in. Especially in the shot where i am stretching my penis. I have pictures of my post op gains from the HA on androfills website (patient at the following link if anyone is interested in that too

www.androfill.com/penis-enlargement-before-and-after/They claim I am above 8 inches erect which is not true as I am really only about 6.5inches a little more when pushed to the bone. I think this was there attempt to make the amount of filler seem like it went more distance. Kinda cheeky really. Anyway we get distracted.
Please have a look at the photos below and if anyone can offer any advise on the foreskin issue as I am really keen to book in my first round of PMMA.Also would it be wise for me to wait until the HA filler dissapears?

Thanks crew! It feels good to get my first post up on here.

Hi. I\'ve had 4 rounds of PMMA and 1 round of silicone including glans enhancement with Dr C. All of this has been done over the last 5 years.

I\'m considering getting Hyaluronic Acid filler in my glans with a company called Moorgate Aesthetics in London UK as my shaft is a lot bigger than my glans. Not so obvious when erect but very obvious when flaccid.

Does anyone have any experience of Moorgate Aesthetics? OR HA filler in the glans generally?

It costs '300 per ml and they say probably 4ml for first round. So it\'s pretty expensive for a temporary solution.

Any thoughts or recommendations from people who\'ve done this or considered it?

I haven\'t heard of that one, juvederm keeps popping up.
Anyway, a friend of a friend knows a dermatologist. He told him to tell me that I should avoid permanent or semi permanent filler.
He said if there was a problem with hyaluronic acid then it can be removed instantly without too much trouble. However, he said more permanent fillers can be a nightmare to get out if things go wrong.
When I asked Moorgate about increasing glans size . Dr Horn told me that hyaluronic acid filler was indeed best. He did say fat transfer doesn\'t work well in the glans.
Anyway, I am leaving the glans alone for now but I might get it done later on if all goes well.

Hi there!


So... the pmma beads are surrounded by collagen the body produces, and the result is a fatter penis.
Of course people had the idea of \'helping the body make that collagen faster\'.

I am into researching right now because am thinking about getting PMMA (journal: phalloboards.websitetoolbox.com/post/pla...68135?pid=1294881059 ),
so i am already thinking about aftercare (thread \'perfect aftercare for pmma\' here: phalloboards.websitetoolbox.com/post/the...82459?pid=1294875130 )


So, collagen.
(spoiler alert: probably forget step 1 and 2, step 3 is only important one)

Step 1 was googling \'how to raise collagen\'
And basically everything is about the skin, women worry about that

In the skin more collagen is good,
and for collagen:
Smoking is bad, Sugar is bad ( www.cosmopolitan.co.uk/beauty-hair/tips/...s-to-boost-collagen/ )
Drinking enough water is good

blog.candylipz.com/best-ways-to-boost-co...uction-in-your-body/

Through nutrition, what helps:
1. Bone Broth
(how to make: )

2.
Vitamin ASweet Potatoes, Carrots, Iceberg Lettuce, Cod Liver Oil, Liver, Whole MilkVitamin CPapayas, Bell Peppers, Oranges (Citrus Fruits), KiwiVitamin ESun Flower Seeds, Almonds, Peanuts, AvocadoFatsOmega-3 Fatty AcidSulfur Rich FoodsCabbage, Cucumber, Celery, Turnips, Kale, Broccoli, Daikon, Radishes, Watercress, Mustard Greens, Swiss Chard, and AsparagusSuperfoodsAloe Vera Juice, Tofu
Also Garlic, Berries, omega 3

So i guess eating daily bone broth would be a good way
Meaty bones (knee, shoulder, feet, knuckle bones, feet) (i don\'t know where to buy this, i need to got to a real buther i guess),
(optional i guess 20min in the oven hot), then 24-72h slowcook in water
On the other hand sounds like a lot of work


Step 2 was googling Supplements
I want to go that route, i don\'t want to change my whole lifestyle, i just want to pop the pills and be ok with it

So i looked at examine.com, *the* source for scientific summaries of supplements, and typed in collagen

examine.com/supplements/glucosamine/
Glucosamine:
\"Studies show that supplementing glucosamine sulfate will reduce the rate of collagen (joint tissue) degradation and symptoms of osteoarthritis\"
It reduces collagen degradation, i don\'t know if this helps anything, cause in the penis it would just be about building up.

examine.com/supplements/methylsulfonylmethane/
Methylsulfonylmethane:
\"is a small sulfur containing molecule related to DSMO which is used for its antioxidative and antiinflammatory properties. It holds potential for joint health (not significantly different than glucosamine sulfate).\"
\"Methylsulfonylmethane might just simply be a way to negate a sulfur deficiency, and secondary to the improvements in collagen synthesis and oxidant defense (glutathione enzymes) it exerts benefits.\"

examine.com/supplements/type-ii-collagen/
Collagen
\"Collagen supplements are taken in one of two different forms, either in the form of hydrolyzed collagen or in the form of an undenatured type II collagen; both forms have different dosing strategies and while their benefits may share some similarities can be considered two different supplements.Hydrolyzed collagen is taken in doses of around 10g a day for skin health and some benefits to joints, and can be taken with meals. It should not be taken in higher doses as a protein supplement (for muscle gain and fat loss) due to having less efficacy than other protein sources and a lacklustre amino acid profile.Undenatured collagen is taken at a lower dose of approximately 40mg once daily for the treatment of osteoarthritis and rheumatoid arthritis when there is an autoimmune component to it, and while it doesn\'t need to be taken at any particular time of the day it may be ideal to take it on an empty stomach before breakfast.\"Otheres: Hyaluronic Acid, Vitamin C, L-Lysine, L-Proline
collagencomplete.com/increase-collagen-production/




Hm.
I guess one could go cracy over this.

How long is this collagen-building phase? Starting from the pmma procedure and ending.. after 6 months? Read once that after 6 months the gains should have been stabilized.

phalloboards.websitetoolbox.com/post/col...87519?pid=1272992772 04/07/12
Miracle8x7:
According to the site on Metacril, collagen deposition begins in the 2nd week and persists up to 8 weeks. Everyone will respond differently.




Step 3 was reading all the threads here that have \'collagen\' in the title

phalloboards.websitetoolbox.com/post/pmm...67088?pid=1270932341 11/07/11
Dr Lemperle:
\"Unfortunately, there is no way to increase collagen production - as there is no way to speed up wound healing by stimulating certain fibroblast. The problem with loosing volume of the injected PMMA is the following: Directly after injection, e.g. within the first few days, all cellulose carrier will be absorbed and the body brings in fibrin first, which covers all PMMA. The total injected volume fades to about half ! During the second week to about 3 months, macrophages, giant cells, and fibroblasts invade the PMMA and form a granulation tissue - which has a greater volume then the lasting volume after about 6 months, when most macrophages left, the swelling disappears, and the left over macrophages and fibroblast form a lasting and remaining volume... after 6 month.\"

My comment:
Ooook - i can imagine that collagen is no limiting factor and collagen supplements don\'t help the process - like they also don\'t help heal wounds faster. In this logic the supplements and stuff would only help if your body wants to produce more collagen than you are able to produce. But we are not starving kids in africa, we are well-fed westerners, so this doesn\'t happen at all i guess.
I am not 100% sure on the whole thing and will go with some supplements just to be sure i guess.

phalloboards.websitetoolbox.com/post/inc...99209?pid=1273104621 04/17/12eqstudent:
Not sure what you are trying to accomplish but it is important to remember that collagen synthesis around a PMMA implant is part of the foreign body reaction. That local region is already soaked in IGF-1 and other anabolic molecules. It is likey neither possible nor even beneficial to try to increase collagen synthesis in a FBR/wound healing environment.

Miracle8x7:
Unless of course your liver doesn\'t receive adequate amounts of HGH to convert to insulin growth factor to do the job as proficiently as it did when you were younger. Aging is in part the body\'s inability to repair itself at the same rate it incurs damage. Anyone over the age of 30 will likely benefit from HGH whether bioidentical HGH or natural HGH via use of secretagogues and will note a marked difference in collagen deposition even as a foreign body reaction. HGH is in part also why children don\'t scar as badly as adults do, why they heal faster, have nicer skin, hair, nails, etc. IGF-1, (a protein) repairs damage. Without youthful levels of HGH, you\'re not producing enough IGF-1. It is INDEED possible to increase collagen deposition in a foreign body reaction and likely BENEFICIAL in our case (though clearly only in older individuals or individuals whose systems are somehow compromised).

eqstudent:
As far as biomaterial encapsulation and wound healing: PDGF, TGF-alpha and beta along with bFGF and IL6 are much more important than the IGF1 pathways that are mediated by HGH. I did my Masters Thesis in this field. If you get a cut, splinter, external infection from a parasite, or implantation of PMMA beads the foreign body reaction (FBR) response springs into effect without any involvement of the HGH pathways. The HGH pathways are not even triggered!

The HGH pathways are systemic, the FBR are local. Just because you have a PMMA beads in your dick does not require increased collagen production in your entire body, you just need those beads encapsulated.

Mustang2020:
So is there any way to improve collagen build up around PMMA in the penis, if one is over 40 years old? or is Vitamin C of 1000 mg daily is a good alternative?

Eqstudent:
Collagen encapsulation of the PMMA beads is part of the immune response pathways not the normal growth/tissue remodel mechanisms so immune boosters may be a more logical place to look. There may be downside to any such approach; it may turn the FBR response into a FBG response. There have been papers which show that immune enhancement therapy have triggered granulomas in patients with PMMA implants!In the end if one is healthy without any deficiencies I suspect there is no way to tell the system 'deposit more collagen around the beads'. You are going to get what your genetics dictates. I would think good nutrition, high intensity exercise and 1.5 to 2 g protein per Kg body weight will help. Anabolic steroids may also help.Check out this wound healing paper.

Miracle8x7:
Both JustABitMore and swampman are taking recombinant HGH and there results have been superior to the average patient. Whether localized or systemic, the healthier you are, the better you heal. No one is going to argue with that. HGH was demonstrated in clinical trials to greatly improve wound healing. I DO believe collagen deposition volume is primarily based on genetic predisposition and current state of health.

eqstudent:
From the paper on woundhealing: \"A 50% increase in wound collagen as well as a doubling of tensile strength was noted at 3 weeks with oxandrolone. Histology also revealed more densely packed collagen with more fibroblasts and mononuclear cells.\" -> this is a steroid

eqstudent:I have gotten PMs and chats on this topic so I want to clarify a couple of key points in 1 place.There is a misconception that has been created on this site that there is a collagen deposition event that occurs a week or so after implantation of PMMA. This has led members to look for external ways to increase collagen production hoping to get a bigger size increase from the procedure.The reality is far more complex than the CW on this site. The FBR starts within hours of implantation of the PMMA beads and lasts for the lifetime that those beads are in your body. Over that time collagen along with other ECM elements will be deposited and destroyed over and over again. The collagen that is deposited will not be the same 6 months later and so on.Medical device companies have been searching for decades to change this process with almost no success.I am not suggesting or recommending that anyone take anabolic steroids in an effort to get a bigger size increase from their PMMA procedure. There is absolutely no evidence that anabolic steroids or any other external factor would increase the size gains from a PMMA procedure.
--
My comment:
Ok, this is a great discussion.What i believe now:
The only thing that helps wound healing is Human Growth Hormone and Steroids -> and if this helps anything for final growth of penis is also unlikely.
--

phalloboards.websitetoolbox.com/post/col...24552?pid=1269636445
08/04/11
Zmann: As far as stimulating collagen growth Equipoise is supposed to stimulate collagen production by around 300%

phalloboards.websitetoolbox.com/post/ste...79981?pid=1274714772
08/21/12
Irishfan: Some roids will be bad for collagen. But
Deca, Equipoise, Anavar, and Primobolan will ALL increase skeletal muscle while at the same time dramatically increase collagen syn and bone mass and density, leaving you with a substantially reduced chance of becoming injured than if you choose to use AAS like sus, cyp, or enth.
Equipoise @ 3 mg/kg will increase procollagen III by approximately 340% -- slightly better than deca.
Deca @ 3 mg/kg a week(about 270 mg/wk for a 200 lb male) will increase procollagen III levels by 270% by week 2. Procollagen III is a primary indicator used to determine the rate of collagen syn.
Primobolan, @ 5 mg/kg, will increase collagen synthesis by roughly 180% -- less than deca and equipoise but still substantial.
Oxandrolone has over a hundred studies documenting its effectiveness at treating patients needing rapid increases in collagen syn to enhance healing.
GH is probably the most remarkable drug at increasing collagen synthesis. It increases collagen syn in a dose dependant manner -- the more you use, the more you will increase collagen syn. It has also demonstrated this ability in short and long term studies. From what I\'ve read, hGH at 6 iu/day increased the collagen deposition rate by around 250% in damaged collagen structures.

Miracle8x7:
Increasing collagen synthesis through anabolic/androgenic AAS\'s will not increase your gains from PMMA. Gains are a result of the body\'s natural immune response to a foreign body. This has already been covered.
Steroids are not going to increase your gains! They will likely be the same regardless of steroids.

phalloboards.websitetoolbox.com/post/pep...83348?pid=1273880038
Trying:
Product Name: Matrixl: In clinical studies, Matrixyl was shown to: - Increase overall collagen synthesis by up to 117% - Increase collagen IV synthesis by up to 327% - Increase hyaluronic acid synthesis by up to 267%

phalloboards.websitetoolbox.com/post/col...76573?pid=1287687065
06/19/15
coolhandluke:
Collagen supplements don\'t work in this hobby, do you want expensive urine, buy some vitamin C, its out of your system with under an hour. As long on your maintain good hygiene, restful sleep, your HGH levels should be optimal, keep stress levels down with moderate exercise, and do not smoke. The whole collagen debate is more of a uncontrolled reaction your body takes in response to this foreign material being injected inside you. Its not some miracle phenomenon where you can build collagen like you build muscle mass, you\'re gravely mistaken if thats your goal. Human physiology (biology) doesn\'t behave like that. And those 12 o\'clock 5 minute info commercials trying to sell women collagen anti wrinkle cream, is all pseudo science, if something worked, legitimately worked, Dr. Casavantes would have been prescribing it to all his past present and future pmma patients. I was an ignorant patient like yourself at some point, but I put this conversation to rest after I took some upper division physiology/immunology coursework and there isn\'t an advanced science that could give you a collagen growth edge, there might be some in vitro studies, but like i said, any suggestions any person makes to you are guesses on what pills to take. Talk to the Doctor about this question, and he\'ll agree with me.

--
My comment:
I guess i will not use supplements because of the underlined explanations of step 3.

Dream wrote: Hi there

I am thinking about having penis operation done to make penis fatter, I mean more girth.
So, that's why my first step was finding the best forum on this topic.
After finding one other dubious forum, I found this one here and I am very happy.

'Summary of this forum' is of course not accurate, it's just 'my attempt' at it, basically my journey making sense of this all. Starting as a newb.
Because I will do it anyway I will post my summaries and thoughts of what I find out.
With newbie-eyes so to speak. And I am always superhappy appreciative people commenting on any parts they want.
Perhaps my attempts and others chiming in will make this also useful for others at some point. I try to make it nice and readable.

I will of course keep reading stuff. I have the lose plan of making a decision in the next about 5 months.



Different procedures / methods of penis enlargement operations

For length:
Lig-Cutting:
Doctor cuts the ligaments of penis in operation. Then especially your flaccid length is improved. Skin sinks a bit, so skin goes 'down', so more of your shaft will be with hair. Erect length is not instantly but they give you traditional hangers that you shall use for like 1 year. After operation you are not longer, even perhaps you are a bit shorter, then you have to stretch for 6-12 months.
Then ~1-1.5 inches longer penis shall/can happen in this year.
Critics say nobody knows if the ligament cut is even helpful or the hanger does all the work (the ligaments being not the defining factor when one does not grow). Also the scar is an issue, it was mostly above the pubic area and there are different types of how the doctor can cut (which result in different scars).
Also the penis probably goes a bit downward in the erection angle after the operation.
eg
phalloboards.websitetoolbox.com/post/wha...-it-hopeless-8125032

I also read that the satisfaction rate for this procedure is only 35%.


For Girth more methods:

Dermal Grafts:

i.imgur.com/ctdgoPe.png
First there is an operation where they take stuff out of your own body,
eg between leg and buttocks. There will be small scar.
Then this stuff from body is used to basically staple it on the tunica and glans and base of penis.
Then the skin is put on again.

Alloderm or Belladerm:
Same as Dermal Graft, but penis is not made fatter with 'stuff out of his own body' like Dermal Graft, but body-like material -> 'Alloderm' and 'Belladerm' are tissue replacements like this.

Critics here say after 10 years it gets stiffer and stiffer and you have to take it out. Also costs around 10 000 dollars.
And it's a bigger operation with something like 8 weeks no sex or sports after it.
Read at least one report where he didn't sleep the whole first night because of the pain.

Alloderm: www.drelist.com/wp-content/uploads/2013/08/alloderm-c7-4.jpg

i.imgur.com/KebpTdO.png
(not good result)

[[[Androfill: (Hyaluronic Acid fillers)

A temporary filler, holds like for 1 year, then gets absorbed
Somewhere I read the absorption is not healthy.

www.androfill.com/before-and-after-penis-enlargement/
This is a peculiar case ' this guy went from 5.1 inches of girth to 7.1 ' flaccid?!
And he wanted the first quarter of the penis at the base not-treated, so it's not so big
He went for a specific penis shape
Very interesting

[[[- Macrolane:
is very cheap Hyaluronic Acid filler
Konino: 'As has already been said , its a very cheap HA proruct and it has many problems one of the main reasons that no doctor used it anymore and its out of used...'


- Fat injections:
Fat gets injects into the penis. This is a method that is very old, something like 20 years.
Right after it, there is a big effect, much girthier penis. But then it gets absorbed and there is less and less girth.
Some doctors say they have a super-special technique that this doesn't happen. About 4000 dollars.
Also: fat moves around in penis over time (just because it gets erect and non-erect over and over again) and stuff like this can happen:

i.imgur.com/252x7EY.png

[[[Silicone implant:
Hard Implant is implanted into the penis. Lots of people reported bad stuff happening with their penis here on this forum and everybody says 'never do this'.

i.imgur.com/md7K79o.png


PMMA:
The current popular method now it seems.
Non-surgical operation but 'just' injections.
You do eg 3 sessions, eg 2 months pause in between.
About 3500eur for 3 sessions.

Non surgical injection of material (Polymethylmethacrylate is a permanent filler consisting of microspheres suspended within a collagen matrix: 15 or 30cc of Meta<>Crill, Biosfera or Linnea Safe)

.5 to 1.25 inches (1,3 to 3,1cm) of erect circumference girth (and a bit of flaccid length gain)
'Full girth gains are realized after your body's collagen completely surrounds the implanted PMMA filler. Typically this collagen process is complete within 2 to 3 months time.'

'PMMA (e.g. NewPlastic or Metacrill) is different your body will form new collagen and connective tissues around each of these small microspheres (beads) and it will be highly vascularized around these beads (so you will have good protection against infection not like the silicon wich will be not vascularized and the whole silicon will be encapsulated i.e. risk of infection is high) .'

People often seem to experience nodules, little hard stuff (too much pmaa concentrates in one place and gets hard), you can get it removed by little operation from the doc who did the PMAA (?).

Also it seems there is nearly always some irregularities, the pmaa not being exactly symmetrical and stuff. So in the next session the doctor tries to rebalance it again. And you should stop if you have a good result.
Some say it's just a sure bet that you will lose aesthetics to gain girth this way.

The health risk is regarded here mostly low, and probably lowest health risk of permanent stuff (temporary fillers that are temporary could be even less health risk).
There was minor speculation that pmaa can get into the lymph-stream or something and add tiny cancer risk (I have no idea, this requires deep reading)
phalloboards.websitetoolbox.com/post?id=5365403

- 'The fact that small PMMA particles can migrate has already been answered, see post phalloboards.websitetoolbox.com/post/sho...334286&postcount=110
The fact that particles moving into the lymphatic or venous system can cause very serious issues or death has been established. See the de Castro paper and the articles about the Argentine beauty queen who died from pulmonary embolism in her lungs following injection of PMMA in her butt.'

The big thread about pmaa complications: phalloboards.websitetoolbox.com/post/inf...95825?pid=1290517832

One scientific journal entry about pmaa: -> it's great, recommended
avantiderma.com/wp-content/uploads/2016/...-sexual-medicine.pdf

Summary of the scientific article:
Author did 752 operations with Metacrill 2007-2016, 203 (27%)of the patients returned the questionaires
Average Satisfaction rate from 1-10 was 8,7.
83% were satisfied, 12% were not so satisfied, 5% wer dissatisfied
Average girth increased by 3,5cm. (erect and non-erect)

Erections were enhanced in 15%, stay same in 83%, decreased in 1,5%
Sensitivity was higher in 15%, stay same in 83%, decreased in 2%

50% of the time there were irregularities, 50% of the time penis surface was smooth
in 0.4% Nodules had to be surgically removed.

Inject in different spots, later instructing patient to massage the next 72 hours, 24 hours after procedure doctor also looks at it again.
First penis is fatter because water-based carrier, then smaller when this gets metabolized in body, then fatter again in the next 3 months it gets fatter again because body-material forms around the pmaa parts

100% got the first session
33% got the second
16% got the third
6% fourth
3% fifth

10% pmma was used more in neck segments, 30% pmma more midshaft and base
5-140 mL, average 40mL

More irregularities with uncircumcised patients.
[side note: Lig Cutting for length had 35% satisfaction rate]
'More half the patients (52%) reported minimum to severe
irregularities such as single nodules, multiple nodules,
hard ridges at the circumcision scar or at the base, micro-nodules
at the entry points, indentations, or voids.
Sterile exudate through the entry points is a common occur-
rence that resolves in approximately 24 hours. Two patients
(0.3%) presented exudate that lasted longer than 72 hours but
resolved with no further complications.'

'Removal of PMMA Penile Implants
Total surgical removal of a PMMA implant might require
aggressive degloving of the penis, which is associated with painful
recovery and permanent irregularities. Removal should be the last
option, and meticulous smoothening of irregularities with cross-
linked hyaluronic acid, Silikon 1000, silicone micro-droplets,
or PMMA is more advisable.'

Materials:
'Metacrill is approved in Brazil, Mexico, and Europe, and
ArteFill (Bellafill since 2015; Suneva Medical, Santa Barbara,
CA, USA) is approved by the U.S. Food and Drug Adminis-
tration in the United States and South Korea, but the latter
product is too expensive when considering an average volume of
PMMA 40 mL per patient. The same is true for Artecoll (Artes
Medical, San Diego, CA, USA), which is approved in Europe by
the Conformit' Europ'enne and in China by the Chinese Food
and Drug Administration; PMMA microspheres in these prod-
ucts are suspended in rather expensive bovine collagen. There-
fore, for larger volumes, we rely on the two affordable PMMA
products (Metacrill and Linnea Safe [formerly New Plastic;
BioMedical, Sao Paulo, Brazil]) approved by ANVISA, the
Brazilian Health Ministry'

Pmma is used as 'wrinkle filler' since 1989

- Priapus-Shot
Some kind of injection,
supposed to give better erections, and perhaps also a bit of size
1800 dollars
Talked about in the 'advanced phalloplasty'
phalloboards.websitetoolbox.com/post/any...ot-6523774?&trail=15

---

No new Penis Enlargement Operation Materials or stuff seem to be on the horizon at the moment.
(The next one probably growing a whole penis from your tissue somehow bigger in a lab, then cutting yours off and putting the new one on, I guess this will be earliest in 30 years)

Threads I found extra good: (perhaps I add more later)
- many results in summary form
phalloboards.websitetoolbox.com/post/pat...ry-5399960?&trail=15

Wow - that\'s a great post!

Where did you read that HA reabsorbtion isn\'t healthy? That scares me ? Maybe I won\'t go through with it