PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Skeptical One and members,

I am a doctor providing injectable penis augmentation with HA in Australia. So remember to take anything I say with the understanding that I will probably write to support what I do. But I will try and explain why i do it and why I don\'t think there is anything better available at the moment. When I find something better, then we will look to change.

I have been working in the area of cosmetic surgery for 17 years after originally training in ENT surgery. Yes this is a significant career change. I mostly did facial plastic surgery for 15 years but had occasional requests for phalloplasty. After seeing how the surgery was done I did not really want to take it up - I did not think I would want it myself. But there were a number of articles published in the medical literature using HA\'s that interested me.

I began injecting cosmetic fillers (Collagen and Hylaform) back in 2000. I have seen a number of permanent fillers come and go. I have seen some significant complications of permanent fillers. I have also seen complications of temporary fillers - but the complications were temporary as well.

For any cosmetic surgery safety is the most important thing. It is not like cancer surgery where scars or significant issues are accepted. This is why I have avoided the permanent fillers. I have also avoided stimulatory fillers (Newfil, Elanse, Radiesse). Stimulatory fillers may be fine - but the risks are somewhat increased and not acceptable when we were starting a new procedure.

The issues to overcome were making sure it was painless, did not risk obstructing the penile artery or urethra, being smooth and even and minimal down time.

We are happy that we can get the penis nice and numb. Without needles.

The injecting layer (essentially just below the skin, between the Dartos and Buck\'s fascia) is easy to get into and stay in using blunt cannula. By using blunt cannula and staying in the right layer there is no risk of blocking a vital structure.

Getting it even is usually not difficult. The advantage of a cosmetic doctor over a urologist for this procedure is that we are experienced and skilled in performing cosmetic injectables. We know how to get it nice and smooth. But even then there is the occasional penis with (circumfential) bands which can be difficult to even out completely.

Injectable phalloplasty is a walk-in/walk-out procedure. We ask guys to give it a rest for a few days - but guys love to come back and tell us how they put it to use that night. Preferably give him a rest.

One of the great advantages of HA\'s is that they are completely reversible with a medication called Hyalase which is an enzyme to dissolve HA. This is one reason why it is our main injectable filler anywhere - you can get rid of it if you need to. In the penis the great thing is that if, for any reason, you were not happy we could do a few small injections and get rid of it all in a few minutes.

Obviously the main problem with HA\'s is that they are not permanent. We use Voluma (part of the Juvederm range) made by Allergan. This is the world number 1 HA by the biggest company in the business with the most research to back it up. They(Allergan) are intrigued by its use in injectable phalloplasty but it is strictly off-label. That means the company has not researched it and had it approved for this use in Australia.

After reading all I could, trying to get in contact with the Korean doctors (but failing), we tried our first patient in 2014. With just 5 ml of a different HA (initially tried a different HA because HA\'s are really expensive in Australia and the other company was willing to let me have some at a discounted price for the trial). He was happy - as was his wife. We did another 5ml.

Then I honed the technique on number of friends (quite an unusual experience, handling your friends penis\'s - and sticking a needle into it). We gradually improved the early results and waited to see how it would last. The Korean\'s had 90% retention after 18 months with what I feel is an inferior HA. Even in the last 6 months we have made further refinements to technique to improve results.

To improve longevity we have switched to Voluma. I have it in my face and it has lasted over 2 years. Voluma has the best researched longevity of any HA. HA\'s always last longer when injected in large amounts. HA\'s should have good tissue integration when injected correctly. That is it should not be injected in 1 big blob. With correct technique there are lots of fine collagen bundles around and it will not move. There are places in the face, such as the tear trough, where HA\'s last much longer (routinely years). It is hoped the penis will be another of these locations where there is less local, natural hyaluronidase (the dissolving enzyme) so it will last a decent time.

So yes we do have clinics on the east and west coast of Australia. I believe we do more injectable phalloplasties than anyone else in the country - but we have really only been doing it a relatively short time. We focus on safety first.

Free fat transfer can give good results. But I have also seen infections, resorption, unevenness. PMMA/Megafil/Silicone/Articol etc are too great a risk. I am sure there are guys with great results they are very happy with. The question to ask yourself is \"If I get one of these minor/major problems how am I going to cope?\". Surgery with lengthening and dermal fat grafts can be successful, with the right surgeon. But is major surgery, very expensive (>$30K in Australia) and has protracted down time.

I am happy to answer questions - but remember again - I have a commercial interest in this. But that commercial interest requires happy patients.

The Effects of Penile Girth Enhancement using Injectable Hyaluronic Acid Gel, a FillerTae Il Kwak MD1, MiMi Oh MD1, Je Jong Kim MD2 and Du Geon Moon MD2,
The Journal of Sexual Medicine Volume 8, Issue 12,  3407–3413, December 2011

Use of Macrolane VRF 30 in Emicircumferential Penis Enlargement
Giuseppe Sito, MD,Sergio Marlino, MD,Adriano Santorelli, MD
Aesthetic Surgery Journal February 2013 vol. 33 no. 2 258-264

Human glans penis augmentation using injectable
hyaluronic acid gel
JJ Kim1, TI Kwak1, BG Jeon1, J Cheon1 and DG Moon1
International Journal of Impotence Research (2003) 15, 439 - 443

Here is a list of the ones I\'ve been using.
www.amazon.com/gp/product/B016XUS50C?psc...m/matrixyl-3000.html
The last one I mixed in with the last one from amazon. It\'s to me mixed at no more than 10% of the serum volume.
I\'ve actually used it on my wife\'s face and my mom who hasn\'t seen her in a couple months said she could know the difference.
The lotioncrafter site also sells hyaluronic acid powder that can be mixed with a face serum. I ordered some to try and see how it goes.
I also got a shipment of matrixyl peptide powder vials that we sell. I\'m going to try and mix it in with the serum to make it stronger as the level that
your skin absorbs isn\'t as great as injections.

17cc of 30% this time. Plus 2cc of micro drops. I told them I wanted one last full treatment.

Major swelling this last 4th round. In fact Wade said I bled more than any other patient they\'ve had. I forgot to stop my fish oil and asprin the night before
going in. So I know that contributed greatly.
The only issue I had was the esl 40 was painful after an hour or so wearing it. So being in SD for 5 days afterward it stayed cramped up in my shorts and jeans.
got a little crease on the left side and a slight bulge on the right side. Must have manipulated it 60-65 times in the 11 days since the procedure. Ever 2 hours or so. This round it was really difficult to manipulate the product.
Now for this round I\'ve done something way different. I\'m into peptides allot, sell them too. Matrixyl is a peptide that helps promote collagen production, same with hyaluronic acid.
So I found three skin care serums that have matrixyl in them, two with hyaluronic acid and one with vitamin c in serum.
I started 2 1/2 weeks before my appt and rubbing it in every night before bed.
After the procedure I waited for 48 hours for the holes to seal up. (this time the holes healed up immediately, previous ones it took 4-5 days to fully heal up)

So far so good. I\'m in the collagen building phase, but with the acid and matrixyl serums I never really did lose size even from the day after procedure. I did lose about maybe 20% of the swelling, but the core size never really diminished.
I want to wait until two more weeks go by to see how definitive my results of using the serums have worked. Rounds 2 & 3 we\'re my least gains, round one was my best. But if my gains from this hold and stay it will be my best as well.
Last measurement was 6.2-6.4\" girth depending on temp, mood, swelling, and I was 5.6-5.7 before going in.
One bad side effect is my stretcher I can\'t really fit in it. The strap going around right behind the glans is really super narrow. And the base is about 1/8 to slightly more smaller than my girth so I basically have to force it on. Not ideal. I have been using the esl at night to help with turtling.
The lump on the right side I can actually still manipulate after 11 days. But an hour or two and it\'s back again.

Now for me, the appearance of my dick isn\'t the most cause of concern for me. As long as my wife likes it, that\'s what matters.
This was the first time I didn\'t wait five days to have sex, my wife is smoking hot and after 48 hours I couldn\'t wait. It was great. Wasn\'t that bad
as I thought it would be so soon after.
After a week and allot of the swelling going down she loves it. I do too. I did lose about 3/4\" in length but I\'m hoping to stretch that back out over the summer.

I did discuss prp with wade and they are still on a wait and see what the results are as they get more and more data from those treatments. Right now looks promising. I know christian at Dr. C\'s had it done and it lasted for about six months for him. Slightly gain in length but mostly all girth.

Heading to Dr. C for my last round my 4th round.

Second session didn\'t give me what I thought it was, got more on the third round so hopefully this round will give me just a little more boost in girth I\'m looking for.

First we\'re stopping off in Denver to see the Avs outdoor games, then onto San Diego for my procedure.
The all next week in San Diego for rest and relaxation.
I\'ll have some pics while there and progress reports. I\'ve been using some peptide serums mainly ones with Matrixyl peptide in them and a couple with hyaluronic acid and vitamin C.

I started them about eight weeks after the last round but they seem to be helping out allot. I\'ll post the regimen and what products they are. Matrixyl is a peptide that can be injectable in specific locations for collagen stimulation. I didn\'t get those from my lab in time but I\"ll have them in a couple weeks so I can test them out and see if they help collagen production.
Just thought I\'d post some specifics and hopefully talk to you on the other side. majk

Also these guys order these materials and products right off line in bulk then turn around and charge thousands for a little gain. I\'ll will be ordering some hyaluronic acid/HA either tonight or tomorrow and start slowly with my glads. I will post a progress report day by day.

@007 - thank you ! i am pretty pleased with the effect myself for the moment, although i realise its temporary and its not perfect but overall, quite pleased, its definitely thicker than before, i would say about 0.75 inch.

as you pump, over time, like weeks and months, the gain you get during the session is more and the effect therefore lasts longer. you are right at the very beginning now so take it slow and see how you go.
i dont have one of those plastic rings round the base of my pump tube, its just the edge of the tube. i bet its more comforaable with the plastic ring !. make sure you push it right down onto the base of your cock though.
you can also use a cock ring of some description (i prefer the adjustable strap type ones, but a simple rubber or silicone ring is fine too) and stick it on right after you pump to keep your cock engorged. but anyway, if you keep going at it gradually you will definitely grow thicker while pumping and it should last about 6 to 8 hours very well and likely still have some effect the next day. well, thats my experience.

@indiano - i am pretty sure there are plenty of doctors in NYC who will inject hyaluronic acid to your penis ! i think that Heller does, i was looking at his website and he has a whole menu of options so it might be worth contacting him, email and ask at least, for sure he does a non-surgical option but it might not be juvederm although given he does a range of procedures he may well do it. i definitely wouldnt fly all the way to London for it, not worth it at all, you would be better going to Dr C in Mexico and asking for his PCL filler which is kind of similar - temporary, injectible, irregularities and complications are uncommon - its just another facila filler but not Hyaluronic acid based. in fact if i could get that injected here in London, i would.

@hunkdory i am really interested to see which fillers Dr Heller uses, as he refers to \'microspheres\' and collagen on his website. that sounds to me either like a CaHA type thing - radiesse for example - or possibly artefill, both of which are different to what i had which was just hyaluronic acid.
if you get a chance, ask him about Ellanse !

@007 - to be honest, if i were you and money is not going spare, i would invest in a pump and have a bit of fun with that for some months and see if that does it for you. i was very happy pumping for about a year and a half but then i got bored of clanking around the flat for hours with this plastic tube on my cock and my jogging pants round my knees. lol. but true.
results from pumping are way in excess of what i imagine is possible with hyaluronic acid, and frankly most results i have seen. BUT results are of course temporary - lasts good for about 6 hours if you use a tight rubber cockring, will still see the effect 24 hours later, mostly back to normal 48 hours later.
AND you really really must read up on it before jumping in. but my experience, i started with a cheapo pump set i bought on amazon, then once i decided i was up for doing it more, i bought a better \'tube\' and pump with a pressure gauge - v important cos you can really fuck up your cock if you go to too high pressure. but believe me you KNOW when the pressure is too high as it hurts like hell !

regarding the doctor - he absolutely did a good job and knew what he was doing. i think you are right, its not the most interesting work but hey, it certainly pays well ! perhaps i was a little hard on him last night, feeling underwhelmed with result i hoped, expected, to get.
i imagine he was thinking \'oh god, here we go with another guy wanting a massive cock when there is absolutely nothing wrong with what he has\' but anyway. whatever, a genuine smile and bit of friendliness would have been nice. BUT I HAVE AN UPDATE (NEXT MESSAGE)

@hunkydory - i guess you are right, just i really expected an inch minimum. but the body is what it is and results are not an exact science. however, important point, it looks very natural shape and size [EDIT - in fact its very lumpy and must be smoothed out with massage - just realised tonight when i got hard],
as long as your expectations are modest and you have the money to spare, bearing in mind it is a temporary procedure, we are talking 12 months here, it may be a good option.
i cant imagine there being any danger of bad results - it is temporary so mis-shapes, infections or serious fuck ups with something this simple and used hundreds of thousands of times in peoples faces, its no going to cause any permanent problems. but you got to be happy with what you get size wise and willing to work over it a bit

any clinic that claims HA is in some way permanent kind of undermines their credibility IMO. any facial plastic surgeon, and there are thousands, will tell you there isn\'t a permanent effect (realbody.com has innumerable surgeons and customers comments who have had facial fillers) and the face is less \'mobile\' than the penis, by which i mean you dont hammer your HA filled cheeks or wrinkles like you do your penis when its \'in use\'

if you know what i mean.

not to say that different HA based fillers dont have different lifespans, they vary massively, but nothing reliably much over 18 months at best. aside from Ellanse E which supposedly lasts up to 4 years and \'stimulates collagen production\', although i reserve judgement on that until i see some proper research not marketing blurb from a manufacturer trying to flog me their product !

Hi Arctic, it\'s slightly misleading that link, so that puts me off them.

They mean 3-5cm longer when soft.

The HA in my dick weighs it down when soft so it hangs low, but no diff when erect. Im going to ask the poland doc what HA filler exactly he uses and maybe ill go there if its the smooth stuff . But id rather have it in US, UK or Korea

BOBUSA,

007jw cut and paste from this site:
www.tourmedica.co.uk/treatment-in-poland...d-penis-enhancement/

007 the HA doesnt make yr dick actually longer hard, only when floppy, it just hangs lower. not sure what is your source

@New1inch. Are you a moderator? If not why comment at all if you have nothing positive to say about the topic? I knew this topic was in the wrong forum but I\'m pretty sure that the moderators did also and decided to leave it be. I mean thanks for the awareness but is it that serious to make a mistake on posting about our dicks in the wrong forum.

This is in the wrong section by the way.. Should have been posted in the Generl section. This is manual PE only, suprised no one mentioned this already.