PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

I would definitely look into these 3 (East Coast) Practitioners:

Dr. Shafer Double Board Certified Plastic Surgeon - New York City, NY

Dr. Carney Board Certified Urologist - Atlanta, GA

Dr. Sullivan Board Certified Dermatologist - Fort Lauderdale, FL


Those are all Directory Listings, but you can use the links inside to learn more. They offer Hyaluronic Acid (HA) among other fillers & procedures.

Good luck!

Heytretre wrote: SO Am I understanding this correctly:

HA (temporary, but based on your personal physiology how long until it dissipates) - .5 - 1in girth 1st round (Get more girth on first time)?

PMMA (perm also noted to be a lil firmer than HA) - You can only get about .25 - .5in of girth on the first round
I want to get to 6in EG

I’m looking at Dr Carney and put down deposit.
They seem to highly recommend getting HA first to cut down the chance of nodules.
Any advice is welcome, just weighing “going against doctor’s recommendation” and going straight to PMMA but then knowing I will probably have to go 2 rounds which would put me at 12k

I know a lot of this is based on physiology so my numbers below.

FL :4.0 ; FG :4.0; EG:5.0 ; BPEL:7.5

Sort of correct. Technically, you could conceivably get whatever your skin can tolerate/handle/manage in a single appointment (which can be quite a lot), but it would be a monstrosity and poor ethics on the part of the practitioner. I only say this to make clear that the decisions I'm seeing made by some of these Clinics reflect a more conservative approach (as the retired Dr. C once referred to as preferring enhancement over enlargement), and this is true with respect to Dr. Carney's use of Hyaluronic Acid (HA).

You see, since HA is already a naturally occurring substance in your body, it's the most tolerated amongst fillers, thus making the immune/inflammatory response much more subtle, and by extension, acclimating your unit to the presence of a foreign filler. It also creates a sort of "foundational layer" and lets them see how susceptible you are to nodules and other aesthetic irregularities (to take into consideration when injecting Bellafill in the future).

I'm not sure about @ou812 's comment regarding the cc/mL total with Dr. Carney but I will reach out to them this week to see if I can get a clear answer on that.

And to be frank, $12k to achieve the famous (or infamous) 6.0 EG in one's lifetime is actually freaking mind-blowing. Before this site, I would have considered the opportunity priceless, and would have considered $50k a reasonable sum to pay for something that can appear natural, permanent, and put me in a bracket where I'm likely the thickest man in a room of 100 random men (or at worst, in the top 3 among them). Honestly, in my opinion, achieving 5.5" EG (and especially 6.0" EG) is comparable, if not superior to owning a 6-Figure-Worth sports car when it comes to boosting one's confidence. but at a 10th of the price.

Which type of hyaluronic acid filler did you have?

We use the same fillers, Hyaluronic Acid or Bellafill that we use for girth enhancement and inject it into the dermis of the scrotum.

Thank you for the warm and enthusiastic introduction! I am excited to be recognized as a provider for girth enhancement, as well as scrotal and glans enhancements in the S. Florida area. Working out of Fort Lauderdale, I have witnessed firsthand the impact of non- FDA approved fillers and the negative outcomes associated with them. That is why I use only FDA approved filers, fillers approved for use in the face but being used off label for penis shaft, glans and scrotal enlargement. I feel this is a safer, and more effective methodology for enlargement, prioritizing the well-being and satisfaction of every patient.

At GetMoreGirth, where I am proud to be a part of a leading team, we are passionately devoted to boosting individuals' confidence and sexual satisfaction. Our penis enlargement procedures emphasize safety, effectiveness, and individualized attention, ensuring each client experiences optimal results and care.

My experience as a Board-Certified Dermatologist, and member of the American Academy of Dermatology, has allowed me to hone my skills and expertise in dermal filler technology. I offer a multitude of Hyaluronic Acid Brands (Volux, Voluma, Vollure, RHA-4, Lyft), as well as Bellafill, ensuring a comprehensive approach to meet every unique need and expectation. This variety ensures that each patient’s enhancement journey is personalized, safe, and effective.

For years, women have embraced the world of cosmetic enhancements, boldly transforming their appearances and uplifting their self-esteem. It is time men to embark on this empowering journey.

As a dermatologist with a special focus on male aesthetic enhancements, I wholeheartedly advocate for men to explore the world of cosmetic procedures, specifically girth, scrotal, and glans enhancements. The pursuit of self-confidence and satisfaction is universal, every individual deserves the opportunity to feel their absolute best.

The experience of helping men enhance their size is not only fun but also incredibly rewarding. It brings me happy to see the positive impact these procedures have on their confidence, self-esteem, and overall quality of life. Indeed, it stands as perhaps the most enjoyable and fulfilling aspect of my work in the field of cosmetic procedures.

Feel free to reach out for any inquiries or additional information. Thank you again for your warm welcome.

Dr. Sullivan

I'm excited to introduce our first-ever Florida area Provider for girth enhancement, as well as scrotal and glans enhancements. Dr. Tory Sullivan is a well-reviewed Dermatologist operating out of Fort Lauderdale who has spent the past few years repairing the poor work of other Floridian practitioners, so he has taken it upon himself to employ his own methodology for a safer, more effective means of enlargement.

Skin-Care Specialists/Dermatologists, Urologists, and Plastic Surgeons make for the best phalloplasticians, and his work with Dermal Fillers (keyword *dermal, as in "dermis," meaning skin) makes him exceptionally qualified in this regard.

Dr. Sullivan offers a multitude of Hyaluronic Acid Brands as well as Bellafill (Long-term temporary and Permanent fillers respectively).

For more information on his GetMoreGirth Clinic, follow these links:
GetMoreGirth Website

Directory Listing (Here you can find some of his Videos, but you'll need a YouTube Login to view)

Designated Forum Category





Please allow him to introduce himself before submitting any replies to this topic, thanks

Ok so I had my surgery scheduled for early Oct, but unfortunately will need to push it back to early December.
I want to be able to give the proper amount of focus and time to hanging/stretching immediately following the surgery and I will unfortunately be traveling during the month of November.

I've looked into the best Collagen Peptides Powder, L-Lysine supplement, Biotin supplement, and a topical cream that has retinol, collagen, and hyaluronic acid to help boost collagen recovery/building post surgery.
Goal is to start a regimen alongside hanging and pulling/stretching to achieve the most I can get out of recovery.

Wondering if hanging 1 lb from day one after the procedure is doable.

@Texas
@SouthBay612
just pinging on the two previous questions

Thanks again!

KillerBee wrote: Its because im happy with the result i gained. I did one session 5 years ago and my results are solid. I believe linnea safe is permanent and thats why i want to do another session. Im not even sure if i can do another derma filler/PMMA since i did linnea safe in the first place? I didnt want something that breaksdown and lose the results i gained. Traveling to latin America is a hectic trip for me

Bigger Penis vs Hectic Trip, you decide.

An inconvenience of a flight & scheduling can be a nuisance (I'm personally not a fan of long-distance travel), so you have to ask yourself how important or desirable would it be to get an extra 0.25-0.5" (or more) in circumference, and trust me even incremental gains are huge (circumference does more to increase overall phallic volume than length).

Also, you CAN add other filler types (especially Fat or Hyaluronic Acid a.k.a. "HA"), but that would be at the discretion of the Doctor or Clinic.

Girthman wrote: Yes I do see your point of view here . But however I just can't see the value for money for the consumers at those prices especially long term. But as for the company Androfill you've mentioned I've not seen many positive outcomes recently with them on here.

There are no long-term options for uncircumcised men that I can personally recommend other than surgical graft surgeries (which are considerably more expensive than injectable phalloplasty). As I've stated previously, that isn't to say injectable phalloplasty aren't viable options, but if I'm going to be very honest & transparent, I would much prefer adult circumcision if I choose the route of injectables.

As for Androfill's reviews, I'll have to dispute your assertion. North America accounts for 85%+ of my traffic. This would make the UK alone at best 10% on its best month (5%-7% on average perhaps?). Given how the ratio of people who post -vs- those who don't post yet end up getting procedures after learning about them here, is woefully disproportionate. This makes the sample size of any recent reviews highly skewed.

Have you actually read some of those recent Androfill Progress Reports? Some of them chose not to reveal photos or reply when asked for additional details, and those who did weren't always Dr. Horn patients (a lot of Androfill affiliates use Androfill for branding as a benefit, but not necessarily Androfill themselves; heck, even Upsize Clinic - California and Pollock Clinics - Canada are reputable affiliates). Androfill also had the guts to respond to many of the allegations, substantiating their claims with screenshots and their willingness to resolve outstanding issues -- providing phone numbers and real-time communication in fact.

Of course Androfill has had less than satisfactory results, ALL CLINICS HAVE, much like how every restaurant is capable of over-cooking your steak. What makes great Clinics stand out are low frequencies of aesthetic irregularity, and more importantly, their desire to rectify those irregularities in the best way(s) possible. Some of those Androfill reports have been resolved, I just wish the authors of those posts would update the site accordingly. Some guys just move on, and this is demonstrated if you review every progress report ever made (the older the post, the less frequent the updates). On the same token, I know of a couple Androfill patients who are still not completely happy with their situation either. The same can be said with other Sponsors found on this forum, so it comes as no surprise to me, and nothing that would warrant the raising of an eyebrow.

Androfill has been a long-time Sponsor and trust me, had they revealed themselves to be unethical and/or possessed high rates of dissatisfaction, I would have moved on from our partnership. Trust me when I say I wouldn't lose sleep or any significant loss in PhalloBoards' revenue in parting ways. I have turned down multiple Sponsorship opportunities in the past that would have tripled-or-quadrupled the revenue Androfill brings in, so trust me when I say this has nothing to do with with the bottom line. I stay with them because I know first hand the efforts Francis and Androfill have gone through to rectify unsatisfactory results. More times than not, most guys are quite happy. And to dispel any notions of shilling, here are some non-Sponsors in the U.K. you can consult: Moorgate, Dr. Wakil, and UK Andrology.

Phalloboards Member Damo85 even makes an interesting observation in how little public information and/or reviews there are with respect to phallo-practitioners in the United Kingdom. Among the handful of these practitioners, Androfill is the only one making advancements, expanding their brand, and leading the field as innovators of male phalloplasty in Europe -- period.

Androfill are so ahead of the game in-fact, they've employed the Hyaluronic Acid (HA) First methodology, which is now also being employed by Rejuvall (world renowned Urologists). The idea that not all penises are skin-compliant, circumcised-vs-uncircumcised, etc. So the idea is to inject a small volume of HA first to see how your shaft's dermis adapts and "takes" dermal filler before advancing on to fat, PMMA, or Ellanse. Androfill will also turn away patients who are deemed obsessive or unrealistic in their expectations, a hard policy enacted by at least a third of my Sponsors. Kudos to them!

Speaking of HA, this spongey/soft stigma is outdated and border-line urban legend. Older iterations of Hyaluronic Acid were manufactured with facial application in mind, which require smaller volumes and greater softness. Newer iterations of HA (each brand has different cross-linked formulas) are becoming better suited for areas with larger surface area, and HA satisfaction reports have definitely gone up. This reminds me of Macrolane -- this was an HA that was notoriously lower in viscosity (likely due to the way it was cross-linked) and was originally intended for breast augmentation. It was used by a few European Doctors in the penis, and not surprisingly, had poor results/reviews. Since then, HA manufacturers have made more robust iterations of HA which have proven to be more natural in the penis. Sure, HA is temporary, but the rate at which is dissipates varies person to person. Besides, when you do begin to lose some size, you can go in and get topped off at a fraction of the price because you'll only need a fraction of the volume to top-off your gains. The trade-off is that you have arguably the best dermal filler with respect to safety profile, it's reversible to some extent, and not permanent if you end up not being satisfied with your results in the end. Complications and aesthetic irregularities are easier to manage.

As you've stated, if you can't see the value for the money as a consumer for these prices long-term, well your best bet is to continue shopping, or to wait it out until prices improve over time. Until then, you're dealing with a medical discipline that is neither standardized or mainstream. Niche, elective, specialized, and luxury are words that come to mind. I mean, what's stopping you from flying to Avanti Derma in Mexico or Shafer Clinic in New York? If you can't take my word on Androfill why not invest into traveling if it means something as game-changing as girth enhancement?

As I stated in my previous response, I'm all about providing the readership competitive pricing, hence the options in price, procedure-types, and region/locale. But I'll also reiterate what I said in my last message, if cost/budget is your #1 criteria, this type of elective procedure should not be worth consideration unless you are seriously dealing with under-average endowment.

You can find cheaper volumes of filler from Clinics in the U.K. who are willing to perform girth enhancement because they can, since after all, many fillers are used off-label, but good luck with that. I can't begin to tell you how many "no-name" Clinics put out terrible results that guys don't post here (but rather relay via PM or Email) because they don't want to create animosity with their performing physician(s). No experience, no expertise, and complete opportunists most of the time. Don't cut corners and don't be cheap with your one & only penis. The alternative is to fly to the U.S., but if you consider travel & lodging for at least 3-4 days, you aren't seeing much of a difference in overall value.

As someone (me) who first wondered if a (relatively) safe & effective means of girth enhancement could ever exist nearly two decades ago, even if occasionally imperfect (yet correctable overtime), would be both priceless and impossible, you'll see why I can get a little peeved over complaints about pricing given where we are today. The game-changing, confidence-boosting power of penis enlargement rivals (if not outweighs) the effect, appeal, and acquisition of a sports-luxury car costing 10x a penis enlargement's procedure's value... put that in perspective.

almond123 wrote: Thank you for the detailed explanation! @Skeptical_One
As I live in Europe, you maybe heard about good clinics that use this procedure here?
I got HA injection a year ago and was thinking to proceed with Ellanse, but also taking in consideration of other options at this point

Who performed your Hyaluronic Acid (HA) Injections? The only HA & Ellanse providers in Europe that I can vouch for is Androfill in the U.K.

Due to a higher prevalence of uncircumcised men in Europe, Androfill is a bit familiar with how to deal with these patients. I should note however, they do strongly recommend an adult circumcision (be sure to consult with them on which type to get) in order to get optimal results.

And for guys who might be wondering why some Clinics either push for (or even require) circumcision -- they look at it from a cosmetic or surgical perspective: If you are going in to get an elective procedure to make your penis more desirable, and the performing physician believes you'll get the most naturally aesthetic result by combining girth injections post-circumcision, then this is what they will push because in the end, they want happy customers. If you believe getting circumcision will make you unhappy, then maybe it's worth asking what's more important, your foreskin or a fatter dick.

Of course you could go the route of remaining uncut accepting the higher risk for aesthetic irregularity, but if you choose to go this route be sure to be mindful that low volumes of HA will be superior to Ellanse in this regard (they say Ellanse is temporary, but it's lasting much longer than the manufacture's projection of 2-4 years, and would be much more challenging to repair or remove if aesthetics were undesirable).

ajarren2299 wrote: Awesome response man you are a beast thank you and thanks for your contributions I’ve seen, I am specifically referring to linnea safe I am about 7 days after procedure and it looks like I’m holding 3/4 of inch and wondering how much more I will lose. Also I saw someone mention that if you only retained little less than half” on first round the second round may yield better? Obviously case by case basis just wondering if that is true in several cases

There is no way I can tell. A lot of the immediate gains aren't just from the carrier of the filler, but the swelling. While the bulk of your swelling is likely gone now at 7 days, there is no telling if a tiny bit of swelling persists, which can skew measurements this early on (especially when we are talking fractions of an inch here).

And like you said, it is case by case. While there are a lot of similarities in the recovery & growth stage, they are not all identical. Some have gained on the high end of the spectrum, some have gained little toward the bottom of the spectrum - but you will see absolutely see modest gains after your first appointment regardless. A lot of variables and factors at play to say anything with certainty 7 days out post-op. In the end just go with Avanti Derma's projection of a 1/2 to 3/4 inch projection and don't think much of it till you hit the 6 week mark.

Avanti Derma typically projects a 1/2 inch to 3/4 inch gain and so you aren't likely to go any lower than 1/2 inch. This is still pretty substantial when you compare any two cylindrical objects where one is a half-inch larger in circumference than the other. You may very well dip some size post-swelling and continue to see some growth through neocollagenesis, so it is plausible your 3/4 inch size may hold in the end.

That all said, I strongly recommend taking two mental approaches in the next 5 weeks:
(1) Keep gain expectations low. In other words expect to be ever so slightly under or over a 1/2 inch increase in circumference. This way there is no disappointment, you got what you expected, and a huge bonus if you got more.
(2) Take your last measurements soon after you read this post, both flaccid & erect if possible. Then literally wait out the full 6 weeks (5 remaining) before you take your next measurement. People who measure obsessively often find themselves needlessly creating head-games for themselves, like going going through a roller coaster of excitement and disappointment. What they fail to realize by doing this (i.e. constant measuring) is that they completely ignore the fact that they've successfully gained a permanent & significant increase in girth -- AND that it can be added onto in future appointments.

I speak from experience. I learned that constantly dwelling on gains and numbers during a stage (the time between I'm fully healed and the end of 6 weeks post-op) where there is nothing I or the Doctor can do was just wasted time & mental energy. Actually, there are some things you can do to improve your results -- if you have any bad habits (especially smoking), quit them at least for the next 6 weeks or so. Up your nutrition intake, and while I'm not sure if there is any merit to collagen supplements with respect to girth enhancement, it wouldn't hurt to add them (be sure to find reputable suppliers). Avoid intense UV exposure (tanning beds or nudist beaches) as I've recently learned they can adversely impact Hyaluronic Acid (HA), and while I don't know if the true is same for PMMA, why risk it? At least if you are going to expend time, money, and mental energy, the aforementioned suggestions are a win-win, because either you maximize your gains, and if you don't, you at least made some healthy choices regardless.

If your penis is healing just fine and no new symptoms/side-effects come around, you're now just in a waiting game. Do yourself a favor and take a break from the forum, don't worry about measuring till the 6 week marker (unless you intend on Progress Reporting, which is always appreciated, but not ideal if you find you are the type who may obsess over minuscule or incremental up & down changes in size).

Good luck.

almond123 wrote: What’s the best option in this case?

Probably Dermal Graft Surgery (like Alloderm or Surgimend, although last I heard Surgimend has been recalled and no timetable yet on its availability; that said, Alloderm is equally serviceable in this regard). This involves de-gloving the penis and wrapping a dermal graft matrix (kind of like a tissue scaffold) around the shaft. Assuming you don't stack too many "sheets" of these grafts, your penis will eventually integrate the new tissue with vascularization so that it can survive long-term (if not permanently) as an implant. Unlike silicone implants, this material is actual cadaver and so it will behave more like a penis than something rigid. Also far less likely to have aesthetic irregularities common with fillers (e.g. nodules, ridges, and asymmetry) because these grafts are tailored/cut to accommodate your shape & size.

Dr. Liu of the Bay Area and LA is a Plastic Surgeon who offers this procedure and has a few recent patient reports on the forums.

Dr. Solomon of LA is also a Plastic Surgeon who offers this procedure. Note*- he also has a Philadelphia (East Coast) location but he is in the process of relocating, so you'll have to contact them directly for up-to-date information.

---

As for fillers, this may be controversial for some with sensitivities to circumcision practices, but I simply don't think permanent fillers are ideal for uncircumcised men. The only permanent filler I'd recommend (period) is PMMA, and I personally wouldn't recommend it for the uncut demographic.

Is it possible to undergo a successful procedure with both excellent natural aesthetics as well as big gains as an uncircumcised man? Yes, but the frequency (odds) of incurring aesthetic irregularities goes up dramatically. The three longest running Sponsor Clinics on this site (which indicates a sufficient sample size of patients) have confirmed this reality. Two of those three Sponsors strongly recommend circumcision prior to filler injections (or otherwise require you to sign a waiver), with the remaining 3rd Clinic refusing to perform work on uncut men period.

There are Sponsors (and Non-Sponsors) who will perform this procedure for uncircumcised men, but in the U.S., varying stats suggest as much as 80%+ of the male population are circumcised. This implies that Clinics that do less penis volume (whether because they are new on the scene, or because it's just one of many procedures they offer) are less likely to take into consideration the potential aesthetic irregularities presented by men with foreskin.

There is even a term called the "accordion effect" in which the filler can create that sort of description.

If you want to get a filler as an uncircumcised man, my recommendation would be to either:

• Get an adult Circumcision ( Pollock Clinics are Reputable for Adult Circumcisions ). Be sure to ask the Doctor/Clinic who will be injecting you what they recommend in terms of the type of circumcision (high, low, loose, tight).
• Assume the risks ahead and look into small volume injections, which you can build slowly over time. This can be costly over time, but at least you can reduce the risk of aesthetic irregularities associated with fillers & uncircumcised men

And while I know you stated permanent in your topic title, you could also look into Hyaluronic Acid (HA). Due to HA's temporary nature (18-24 months per some estimates) which requires top-offs periodically, it may be a great way to see how your penile dermis (skin) takes and accommodates dermal fillers in general. HA is not only temporary but reversible to some extent (especially if it is in low volume and the dissolving of HA is done relatively soon after the procedure). You may even end up liking HA and sticking to it to avoid the pitfalls of being stuck with a permanent, yet undesirable outcome.

Just remember folks, permanent options (be it PMMA or Dermal Grafts) are not readily reversible, and can be rather invasive should the need arise (albeit very uncommon). Temporary options are definitely more easy to manage when it comes to both aesthetics & complications, but the trade-off is that you'll have to occasionally visit the Clinic to top it off (like visiting the gas station to make sure your tire air pressures are optimal).

Hope that helps!

Aaron254 wrote: Nah, definitely understandable on the clinics side of things. That’s why i was saying i wish there was more input from clients of Nanda’s to support his work like truckerguy provided for Youthology. The flaccids give an idea but you can’t beat that erect confirmation.

Also, yes i watched the video and looked at the pics but the flaccids honestly left a lot to be desired in my opinion. Some of em look better than others as is expected but it doesn’t seem as if the 10 syringes go as far as I may have previously expected coming from witnessing truckerguy and a few others results. I have to imagine when erect it’s even less as it’ll be stretched. Maybe I’m mistaken or have too high expectations but although $4500 is considerably reasonable, at that price point I’d hope for close to .5 inches of added girth.

You’re the delegator here and have seen plenty before and afters, does that seem unreasonable based on your level of expertise and experience? I know size plays a factor in how much girth can be added per syringe or trip but at an average (not technically “average” size of maybe 6-6.5 inches, does that sound unreasonable or overzealous in terms of expectations?

To be honest I think the flaccid results are pretty stellar with Dr. Nanda, even the first photo shows a dramatic increase with 10 syringes. I'd be surprised if he didn't have somewhere between 0.4-0.6" (erect) gain in his 10 syringe photo. Also, some of the other photos were more of the grow-er types, so the enhancement may be more prominent in the erect state.

A 0.5" gain in circumference is HUGE. Depending on your starting size, you could easily jump a condom bracket or two. The price is definitely reasonable given Bellafill's notoriety for being pricey in general. And when you consider the reality that you won't have to pump and clamp and stretch your penis for 3 years in hopes of ever gaining any circumference, here you're presented with a permanent, natural looking & feeling increase in girth, painlessly in under an hour... that's confidence-boosting, for some men even life-changing, if not priceless.

What's important to note are that gains can vary person-to-person. This is because the processes of collagen deposition, elastin formation, and fibrosis all depend on each individual's unique physiology. This is why Clinics often will provide you a range of what to expect based on volume injected, rather than any set guarantee.

I'll use a hypothetical example: a Clinic like Avanti Derma typically tells you to expect 0.5"-0.75" after your first appointment based on the averages of past patients. Let's say you have three men of nearly identical penis shape & size, using identical volumes of PMMA. Then let's say the following results are: 0.44" ; 0.62" ; and 0.79". As you can see, the first result is ever so slightly under the range, but not significant enough for them to be expected to reimburse you, the second gain is flat right in the middle, and the third was better than expected. Other than you being significantly under their projected range (like a 0.2" gain ought to come with a complimentary re-do), those hypothetical results wouldn't be abnormal.

I should point out the 0.5"-0.75" range that Avanti Derma predicts isn't based on "10 Bellafill Syringes." They use Linnea Safe and typically measure per milliliter, so please don't use this comparison with Dr. Rupeka or Dr. Nanda, it would be apples & oranges for the purposes of predicting gains. I used this example to illustrate that your expectations of a 0.5" gain is as much to do with your own immune response as it is the volume injected (dictated by a range determined from an average of previous patient results).

Also, there are reasons to believe other factors may be at play that have a direct or indirect impact on your gains: age, smoking, diet, among others things. It was very recent that I came to learn UV can expedite the degradation of Hyaluronic Acid (HA), so using tanning beds would be a routine you'd have to suspend if you went that route. I know some guys take collagen supplements, to what extent they help lacks enough sample size or scientific rigor to know for sure. Even PRP is offered by some Doctors who make a valid point of saying "at best, its healing and growth factors can maximize your results - and at worst, does nothing and doesn't possess any complication risk, so why not give it a shot?"

I do not know if Dr. Nanda (or Dr. Rupeka for that matter) provide an estimated range for 10 syringes, but I would certainly ask if I were you. Again, they aren't likely to guarantee how much change there will be in circumference, but they can give you a high confidence of what range to expect.

Also, and very much worth noting, if you don't achieve 0.5" (but close to it), you'll simply need less mL's/cc's on a follow-up visit, meaning even less cost than before. Besides, follow-up visits with PMMA are almost always inevitable due to the nature of collagen deposition and the manifestation of (usually) minor aesthetic irregularities (that are easily correctable).

To be frank, both Dr. Rupeka and Dr. Nanda are relatively new on the PhalloBoards (but not necessarily new to male enhancement). As you can see, despite both of them having many patients, very few reports have surfaced. Want to know why? Because most men rather not share their experiences (unfortunately), which explains why 90%+ of my traffic never post once. They come, do their research, book an appointment, and go on with their lives. If you are wondering why you see a lot of Avanti Derma or Rejuvall posts, it's because they've been around for years, which allowed more time to produce the available (voluntary) content that is here today. In all likelihood, in 2 to 4 year's time there will be more Dr. Nanda and Dr. Rupeka patient reports, but as of now we're at the mercy of those who choose to pay it forward back to the community.

I've actually began contemplating on whether or not I should encourage Sponsors to provide additional incentives for members to post reviews or even ratings (at minimum). The reason I haven't in the past is that I didn't want to encourage or tempt shilling, which was a major problem in the early 2010's for the PhalloBoards, and one of the greatest Cardinal Sins on a site that is very "consumer report" heavy. For those who don't know the term "shilling", it's when a company or business creates fake reviews to boost clout or popularity. It's a very deceptive practice in my opinion and has actually lead to the banning of Clinics acquiring Sponsorship in the past.

I don't think there is anything wrong with a Doctor providing incentive (in any ethical form) so long as the patient reports honestly and his experiences are authentic, which includes sharing any negatives or disappointments. I may test the waters with this, because it would be nice to have more Progress Reports from the newest batch of Sponsors (in light of the fact that I know they've had PhalloBoard patients).

I ask this sincerely @Aaron254 (and not meant to be contentious), but if you were to get work done with say, Dr. Nanda for example, would you honestly post erect photos, including updates weeks & months out? Try and be honest, I know it's easy to say anything anonymously online, but think about it in all seriousness. If yes, then you're a statistical outlier, an exception to the rule really.

On Dr. Nanda's photo gallery, those are 7 patients right there, and none of them bothered posting their report (yet at least). Last I called in Dr. Rupeka's Office to see how things were, they said penile enhancement has really been picking up, but why aren't many of them posting? I bet some of them are reading this very post right now, and not that I mean to make them feel bad, but if they got satisfactory work done, they ought to share!

That's just the reality of it, most guys aren't comfortable producing Progress Reports (anonymity, privacy, stigma, embarrassment, shyness, or a straight up lack of interest or time), and it takes time and patience to see the proliferation of that kind of content. That's why we should appreciate all the guys who do progress report, as they are the most authentic sources of information for these procedures.

I also don't want to stray too far from the original topic (different products used in different rounds), but I did want to provide some perspective on your insistence on erect photos and why discrepancies exist between flaccid and erect content at present time. Feel free to respond to the question I tagged you in, but otherwise let's steer this thread back to the topic's original intent, thanks

I'm in talks with a new Sponsor who is quite familiar with Sculptra, as well as using it in a very innovative way, quite interesting to be honest. I would much prefer they elaborate if they come on board. If not, I'll see what information I can get with respect to Sculptra (made of polylactic acid instead of hyaluronic acid) and Girth Enhancement.

Holt wrote: Hi guys so I’ve lost 80% of my gains! I’m absolutely gutted I noticed today after work and I’ve just had an erection and you can’t even feel the filler at all! What other options have I got?! It looked so good with 10ml filler in after the first 2 weeks! I wasted £2700 on this I’m devastated. Has using the sun beds done this?

It appears you asked this question twice, so I went ahead and deleted the other topic out of redundancy. I will copy and paste the message you wrote in a separate topic below:

Topic Title: 12ml filler at Androfill - lost all my gains within 4 weeks
Hi guys, I’m absolutely gutted. So I had 12ml of volux at Androfill UK I picked 12ml filler which should have got me 0.5/0.6 Girth increase. The recovery was fine I moulded it perfect and I loved the look of my new Dick. I am in a long distance relationship I haven’t even seen my girl yet I am due to see her in 8 days time and I was so excited for the sex. Today after work I noticed wtf my Flaccid Dick looks like my old one and all day I’ve been feeling so bad. I got in from work and managed to get a hard on and yeah I’ve lost everything. My Dick looks and feels exactly the same. You can’t even feel the filler no more. What did I do wrong? I went on the sun beds like 4 times but surely that would not dissolve it? I feel heartbroken, after spending £2700 on something that I didn’t even get to use. Do I have any other options other than PMMA? -- @Holt



My response to that thread is as follows:

You are very much an outlier statistically. Our body's reabsorption/break-down of fillers vary person-to-person, with reports of guys retaining most of their HA for as much as 2 years (obviously less common) and as little as 6 months. However, 4 weeks is the quickest I've ever heard of full dissipation.

I have no idea if the sunbeds could have played a role but concentrated ultra-violet may have played a role, hard to say (although with how extreme your losses have been, it's a plausible hypothesis). Either way, I would reach out to Androfill (namely Francis) and tell him your situation. Also explain the sunbeds, as Hyaluronic Acid (HA) being a temporary may very well be less robust under certain conditions.

I will say however this does not appear to be the fault of Volux, Androfill, or even you. This seems to be either the unfortunate matter of your body have an incredibly high propensity to breakdown filler (which may make you better suited for Ellanse) and/or exposure to intense UV, which I can't blame Androfill for not including this as a warning because there is no telling if other men who have lost filler quickly made mention of their sunbed use, and to be frank, don't often hear men make indoor tanning a regular thing.

As a matter of fact, halfway through this post I decided to do a little digging. It turns out 70% of indoor tanning boutiques cater to Caucasian women, which means the remaining 30% account can account for a blend of men and women of different pigmentation. Granted, this is just one statistic found on Google, but other sites suggests that in the U.S. (not too different from the U.K. I'd imagine in this regard) see a prevalence of 1% to 2% of the overall male population as having ever indoor tanned. This means the prevalence of male indoor tanning is so infrequent that I don't know if I can fault Androfill for not having issued the warning, especially since the role of informed consent includes sharing with you potential complications; the use of a sunbed that may* degrade HA quicker than usual wouldn't apply. Heck, to think of it, I wonder if any Clinic on this site mentions avoiding UV in any of their materials given to their patients pre-op & post-op, it's just so exceedingly uncommon (that it's the first time I've read about it here where guys get HA all the time).

Even more telling is this (while I can't say for certain the claims below are accurate, it's worth mentioning the site itself deals with Skin Cancer, so I have reason to believe there may be some legitimacy to it), see below -->

From www.advancedlaserandskincancercenter.com/
Scientific research has indicated that UV exposure via sunlight and tanning beds degrades hyaluronic acid (as well as collagen). Therefore, safety precautions should be taken to protect the long-term results of dermal filler treatment during the summer months.

After having reading this, I am now heavily leaning toward the UV hypothesis, especially since the above claim includes dermal fillers by name. You see, 4 weeks is just insanely quick, like record-setting quick. You could very well be one of those who breakdown filler faster and HAPPENED to have UV only expedite the process, that's also a possibility. Again, this does not seem like the fault of any party or product, but possibly an unfortunate dance with fate, unknowingly exposing a dermal filler compound to intense and focused UV.

If it turns out the UV played a significant role and confirmed with high confidence, then I'm going to issue a PSA to the forum and a newsletter to all my Sponsors to begin including this information as it pertains to HA injections.

My strongest suggestion is to reach out to Francis, explain the losses, explain the sunbed and that there may be reason to believe UV can impact the HA filler and see what comes of it. There may be reason to believe HA will work for you so long as you discontinue sunbed use, or he may suggest Ellanse would be the better way to go while limiting sunbed use if this is something you'd like to continue doing down the road.

Trust me, they don't want patients spending thousands to see it gone in 4 weeks. I implore you to reach out to Francis next week given that it is the weekend now.