PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

This is the damage I experienced from the ring. The picture that shows the brown ring are about a day after I adjusted how I was wearing the ring. The picture that doesn’t have the brown ring is approximately 10 days later after the skin had slough off and I’ve been treating it with antibiotic cream.

I will be posting geared for people in the future to read. Meaning I will be doing my updates by editing this post so that they don’t have to dig through a long thread unless they feel like it. When I make an update edit, I will also reply to the thread to bump it. I will be attaching pictures in other posts to keeps things separate, give me a few minutes to post.

Goals
I’m looking to gain 3/4” girth. I am VERY much interested in maintaining a nice aesthetic appearance with proper proportions as much as I want girth. I picked PhalloFILL precisely because they go slow, and also use the silicon sleeve. I picked HA because it can be revised and has a safer profile. There’s a PhalloFILL in my home state but I drove to Dallas to have Mr. Moore do the procedure because he seems to really care and be interested in aesthetics as much as girth.

Starting Measurements
8” bone pressed
7” non bone pressed
about 4 3/4” girth, maybe a hair less.

Before pictures




First Visit
My first visit was Nov 13 (I’m posting this from the future).

Mr. Moore gave me 8 units, 9.6cc. He applied the silicon dressing tube and also informed me that they had started to use a lanyard style cock ring (loosely) to prevent the filler from escaping the shaft. The next day the swelling had gone down remarkable quick. I bruised lightly. I had a complication from the ring, and the gains were less than I expected. Mr. Moore is very nice. I was very pleased with my visit to his clinic. I have a couple of negative things to go over but all in all I’m happy to be working with Mr. Moore.

COMPLICATION
The cock ring was uncomfortable, but I thought it was just the sticky sleeve chaffing the base of my shaft. But, after a day and a half it started looking like there was tissue damage above and below the ring. So, I removed it, and over the course of a day the skin where it was turned into a purple brown ring around the base of my penis. After 4 to 5 days that dark skin sloughed off and scabbed over. It’s still slowly healing. I’ve still been using the cock ring but I’ve put it on TOP of the silicon tube instead of below, and slightly higher than the damaged tissue so as to not make that worse. It seems to be effective without damaging tissue this way. I want to be very clear, that this isn’t as big of a problem as it probably sounds like. It was pretty minor. Also I have not yet communicated this feedback with Mr. Moore, so to be fair it’s possible that I wasn’t following his instructions properly. It isn’t urgent so I don’t see why I should bother him with it now. I plan on letting him know at the next session.. I’m not upset, and I’m counting this as the minor cost of being on the bleeding-edge of a relatively new cosmetic procedure.

Complication pictures

SMALL GAINS:
I expected there to be about a 1/4” of girth gain, but there’s nearly been zero gains. Visually it looks like there’s been changes to me, but. It’s not borne out by the tape measure. My girth is still roughly 4 3/4”, but I possible gained about 1/16th to 1/8th of an inch. I was very worried about negative aesthetic changes, so despite the lackluster gains I’m still very happy because my penis still looks nice. @Agent5 tells me that this isn’t too out of the ordinary so I’m considering this underwhelming result to be a ‘foundation’ that something great will be built on.
(Edit: in all honesty I’m a pretty bummed out, I had a bit of a breakdown when I saw the results, but I’m trying to stay positive. I’m genuinely optimistic about round 2)

First round + 12 days pics




Photo Index

Before
First Round Complication
First round + 12 days

Aaronnthompson33 wrote: I love my thicker size but I'm wanting to continue to grow every year till I get to 6" girth. But I'm at the point now that the wife and I have decided to do it only once a year to " maintain" and keep in budget. So my idea is if I can limit dissolving as much as possible I'll eventually get to my 6" girth

Three things come to mind off the top of my head regarding Hyaluronic Acid (HA) and how to slow down or minimize its dissipation over time:

(1) Hydration. I know that sounds almost too simple, but the volume/girth gained is through water retention (HA is known to hold up to 1,000 times its weight in water), and having an optimal water intake can be incredibly beneficial here. So I would imagine consuming more than average at the very least (example, if you typically drink 4 cups a day, perhaps increase it to 6 or 8 even). Obviously if you do any kind of work that causes dehydration, this is even more reason to monitor and adjust your intake accordingly.

(2) The second one is a bit uncommon but very much a reality (in fact, one member here reported experiencing it) -- avoid excessive heat, but more importantly UV (tanning beds or tanning in general). Yes, your swim trunks do block some UV, but not all of it! This kind of UV exposure is known to cause a rapid break down of HA. If maintaining your size is paramount to you, I would avoid tanning altogether, using artificial tans (i.e. sprays), or finding a very strong UV-protectant swim trunk (if the beach happens to be a part of your annual vacations).

(3) Lastly, while the jury is still out on the extent of its benefits (although in theory, at the very least it can't hurt, and at best can improve your HA's longevity), but PRP (platelet rich plasma) injections in conjunction with your HA shots might help. Depending on your Clinic/Doctor, you may be able to package a deal with both so that annual maintenance (despite its slightly elevated overall cost) still remains manageable.

The first two pieces of advice are very much factual while the third is a bit more anecdotal. I can't see the harm in employing all three if possible. I should also note that you ought to get the blessings and green light to follow these recommendations from your performing Clinic/Physician -- I'm the Patient Representative here, ensuring my Readership gets the best information available on the subject matter(s), but I'm not a Medical Professional and all final therapies, procedures, or treatments need to be cleared by your Doctor first.

Other more general advice is having a healthy diet and stress management, things that can help maintain the vitality of HA (as well as other benefits associated with aging, etc).

It’s so important to ask exactly what type of hyaluronic acid (HA) filler they’re using. This allows you to research the product, understand its properties, and decide if it’s right for you. It is unlikely an HA fillers were specifically developed for penile enhancement—the market is too small for a filler to be exclusively tailored for this use. However, many high-quality fillers, like Voluma and Volux, are versatile and work exceptionally well for girth enhancement due to their firmness, longevity, and safety profile.
Regarding HGH—this will not increase penis size. HGH has other potential uses, but enlarging the penis isn’t one of them. Don’t waste your budget on something without proven efficacy for your goals. Focus on the main course high-quality fillers rather than unproven “appetizers” like HGH.

I was scheduled to get 40 ml of hyaluronic acid through this clinic.
www.urodoc.co/penis-augmentation-surgery.htm

The doctor is now trying to sell me on two other options.

The first is another filler called megafill, which he says will stimulate collagen production. He claims that the result will be permanent as the filler is replaced by new tissue. I have heard of something similar using PMMA, but from the sources I have seen, the result is semi-permanent at best, and you may retain 30 percent.

Something else he suggested to me was growth hormone therapy, with weekly, self-administered injections for 6 months. I've never seen any evidence for this or heard of
any other doctor offering it. I wonder if anyone has any information relating to this or if any doctors could comment.

I understand that they may give a sales pitch. He also says that Korean hyaluronic acid, developed specifically for penis enlargement is better and that it will last a few years. Again, it could be an exaggeration. I just know that the HA injections will work, and I was thinking I would have to have another round of injections done as it degrades, although I was hoping that not more than 50 percent would dissolve after two years. But I'm also considering getting the megafill instead. Can anyone verify any of his claims?

I’m excited for you that you’re moving forward with a procedure that I think you’ll really love. In line with some of the other comments in the post, I agreed that 40 all at once seems like quite a bit and that the estimate for how much gain you’ll get with 40 seems like an underestimate. Attached is a link that might help. I think it’s very important that you speak to the doctor you’re considering having the procedure with and learn exactly what hyaluronic acid brand filler he’s using. I’d be very leery of somebody who’s reluctant to give you that information. Hope this helps and best of Luck.
getmoregirth.com/procedures/
@Sullivan
Dr. S

jamesgandolfini wrote: I'm planning to have 40 done in one sitting. Also, the doctor claims that their hyaluronic acid has been further improved, and that it lasts much longer, with a semi-permanent result which will partially degrade over the course of a few years.

Don’t do that . You want to layer it . 10 at a time at the most. Each layer induces a bit of collagen and then you stack subsequent layers on top. Less is more in the beginning

I'm planning to have 40 done in one sitting. Also, the doctor claims that their hyaluronic acid has been further improved, and that it lasts much longer, with a semi-permanent result which will partially degrade over the course of a few years.

I've thinking of getting Hyaluronic acid injections done here at this clinic in South Korea.

www.urodoc.co/hyaluronic-acid-penis-enlargement.htm

In terms of cost it's very good but the results they promise are limited. Using the guide they provide, you can calculate the improvement you will see. In my case, the volume will only be increased by 40 ml. But Somehow, most other doctors, and many of the posts ove seen discussing results claim to have gained upwards of an inch in girth. So, how much can I realistically gain? What results have you seen?

There is an abundance of pre-op preparation topics throughout the forum, but not all of them necessarily apply to Hyaluronic Acid (HA), and therefore may not be optimal in your instance. That said, doing some SEARCH functions or browsing the Forum(s) may have you stumble upon relevant topics that can point you in the right direction.

For starters, anything that can inhibit recovery, like smoking or alcohol, ought to be cut out now and through recovery. You have to ask yourself what's more important, a fatter hog or life's simple vices that can wait 4-6 weeks? In addition, hydration, collagen-boosting nutrition (or supplements), and an overall healthy diet is a always going to be a plus.

Hopefully other users who have had HA (whether via PhalloFILL or others) can chime in.

Hopefully I can get the Dallas @PhalloFILL location to chime in on pre-op supplements, preparation, etc.

I'm positive they will have you filled in on post-op protocols with all the necessary information before you leave their Clinic.

This is true, @Dickwhitman79 knows his Hyaluronic Acid (HA) procedures about as well as anyone and is a credible source on the matter.

Dickwhitman79 wrote: Who was the doctor? How many CC’s? Pics would be helpful . What brand of HA?

It’s unlikely to firm up. If anything HA tends to be the most firm when first injected. It’s possible it was injected too superficially and not deep enough. Reply with those questions answered and pics and you’ll get much better guidance.

Not to disagree with @Skeptical_One but in my experience HA only gets softer over time .

Very true @Dickwhitman79 , your input is extremely crucial here -- I just want to be sure I emphasize that I used the word "can" with respect to HA becoming firmer, not that it will. Your results will vary, and I have seen & read men with satisfactory firmness and those who felt otherwise.

I imagine the volume injected, Injector technique/experience, brand of filler, number of appointments/top-offs, among other factors play a role here, making it impossible that any one specific treatment protocol is a "one-size-fits-all."

Through anecdotal experiences and information online, one thing I know for certain is that all erect penises have some "give," when pressed or squeezed, and are never literally rock hard. In other words, the change in texture, contour, and feel may be for some an adjustment to a new size. Again, this isn't representative of all experiences, which is why I emphasized the need to give it a minimum of 6 weeks before knowing for sure whether it was an adjustment-period or a dissatisfaction.

All things considered, Hyaluronic Acid (HA) has the strongest safety profile among filler options and is reversible (through treatment or just the simple passing of time), and thus becomes a strong trade-off, especially for those newly acquainted with injectable phalloplasty. Some find that they like the HA (especially in low-to-modest volumes where you aren't looking for obscene gains, although those sometimes work, albeit uncommon) and can tolerate the annual maintenance, whereas others opt for alternative options, or even a discontinuation of gains altogether. Like I said before, giving it a reasonable passage of time and some test driving will be the true judge of the matter in you case.

HAFilled wrote: Hey I had HA filler 7 days ago. Results impressive no bumps at all but will keep massaging and advised no 28 days.

I have some concerns and questions.

I think the DR but too much in - the filler feels too squishy and thick even when erect - will this firm up at all? Also if it does not can you have the filler partially dissolved so it perhaps takes away 20% and will it be uniform? There is really too much filler especially the bottom 1/3rd so it makes master ayion and I fear sex too soft and the filler clumps up when I pull my foreskin down - I suspect I will need viagra to guarantee a very hard erection to thin it out as much as possible?

I guess over time the filler will slowly dissolve but I’d be interested if it can be thinned out but not completely removed around the base?

Many thanks

I'd give it some time. Even though Hyaluronic Acid (HA) does not induce the amount of collagen you'd get with PMMA or Ellanse, its very presence will stimulate some collagen & elastin, which can help firm it up some overtime. Also, perhaps the "overfilling" could contribute to it, as well as the fact that you are fresh off a procedure and could have residual tenderness/swelling (even if minimal). In other words, I'd wait it out at least 6 weeks before making any moves or decisions.

Aaronnthompson33 wrote: I have done 15cc of voluma xc and it's supposed to last 2 years. I'm wondering from more experienced HA guys I'd doing 5 syringes a year will not only keep up with the dissolve rate but also get ahead of it so I can continue to grow my dick. Big reason is budget. I've do what I can do to get the size I wanted but now I need to keep to a yearly budget lol. Thanks

Up to* 2 years I think is a more practical way of looking at it, since it's been observed that everyone varies differently at the rate in which their body reabsorbs or breaks down filler. That said, the whole idea with Hyaluronic Acid (HA) is annual maintenance, in that you'll want to inject at least 5cc's (or more depending on your goals) to either retain your size or to slowly build upon it. Budget is a factor, but the trade off is reversibility and overall safety profile. I hope that helps.

No, he doesn’t supply a weight to help keep you stretched. Post op instructions are below.

“Swelling, bruising, and/or tenderness in the groin area is to be expected following treatment but will be very minor. Most patients return to their regular activities in approximately one to two days. Rarer side effects include bumps, lumps, or skin irregularities at the injection site(s). We recommend avoiding heavy lifting, intense workouts, and sexual intercourse for seven days. While most patients see immediate results, the outcome of the procedure will continue to get even better over the course of about 18-25 months.

Massage, massage, massage. We advise that you try to massage the product and work it into the tissue as much as possible for the following 7-10 days after the procedure. This should be done in both a flaccid and erect state. This is going to be the most important in the 72 hours post-procedure, but can be done as long as needed in order to achieve a more even result.
Discomfort and/or swelling may extend into the groin area. We advise that you do not engage in strenuous activity, sexual or otherwise, that may worsen any swelling or bruising. If you have significant bruising following your injections, please use caution while massaging the area or when using any penis pumps, extenders, or other devices.

Most of the time, any unevenness caused by a lump or bump from the PMMA/bovine collagen gel matrix settling is a TEMPORARY complication. Your body is slowly metabolizing the bovine collagen gel matrix. This metabolism takes up to 16 weeks or maybe longer in some instances. If this occurs, you may place a warm compress over the area to make the product more malleable and enable you to massage it as needed.
Dr. Rupeka can inject any lumps or bumps with a solution that can help metabolize them quicker. Although this is available, most patients will monitor the unevenness and use moist warm compresses and massage. It is important to remember that any initial unevenness (in the first 3-4 months) is usually caused by the temporary bovine collagen gel matrix.

Excessive heat exposure (sauna, hot tubs, etc) should be avoided in the first 2 weeks after treatment.

You need to have patience with the PMMA used for this procedure. PMMA is more structured than a hyaluronic acid gel and will potentially be uneven initially. Products like this are sometimes unpredictable and can settle disproportionately. Most unevenness should be monitored and treated as above. Any ongoing unevenness can be treated with a dissolvent or evened out on a subsequent phalloplasty procedure.”

What he stressed to me in the office was massaging multiple times a day. He recommended at least 3 times a day and said doing it in a hot shower works well. He said 5 times a day would be better but most people have jobs that don’t allow that.

Even though he doesn’t provide a stretcher device, he told me keeping it stretched helps, but doing frequent massaging in both flaccid and erect states matters most. I popped a cialis the day after which has kept it hanging and really helped getting in many massages in both states for me (he didn’t tell me to do this though).

The massaging he recommended was rolling the penis back and forth between your hands. Starting at the base and working out to the tip. The motion is like trying to start a fire by rolling a stick between your hands you just don’t need to go that fast… The pressure you need to use was more than I was expecting though. He demonstrated it to me when I asked in the office.

The bovine carrier is what can be negatively affected by the high heat of a hot tub which is why he says to avoid them.

Three days post op and my swelling has faded some but I can tell there is still some there. Bruising is visually better today than yesterday. I’m basically 5-7/8” erect girth all along the shaft this morning. Flaccid girth I right over 5” all along the shaft.

The wife is already VERY into the size difference already. We both can’t wait to give it a go when the it’s time.