PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Bellafill is offered by Youthology (Dr. Rupeka), Jiva Med Spa (Dr. Nanda), SWAG by Shafer Clinic (Dr. Shafer), and a handful of other Clinics & Doctors I trust, but this iteration of PMMA is not used by Avanti Derma -- they instead use Linnea Safe. There are significant differences between them to consider:

(1) Linnea Safe comes in 10% and 30% concentrations whereas Bellafill comes in 20%.
(2) Avanti Derma (as far as I know) doesn't assess how many syringes you'll need per-se, but rather, whatever volume is necessary to achieve your goals (within reason). The aforementioned Clinics above are more likely to be syringe-specific because Bellafill is a luxury filler state-side, and so each injection counts.
(3) Bellafill syringes are actually 0.8 mL's (cc's) and so 10 syringes are actually 8mL's of volume, which is on the lower end of volume injected, but can still yield tangible gains.
(4) The carriers (the substance the PMMA microspheres are suspended in) are very different, and as of this writing, I cannot say for certain how much of a role it plays when we're talking just 10 syringes and what to expect when pitting Linnea Safe -vs- Bellafill.

*Note- both brands of PMMA are viable and demonstrably efficacious dermal fillers for penile augmentation; additionally, they possess roughly the same microsphere range of sizes and seemingly yield similar results in terms of "looks & feel. In other words, there is nothing glaringly obvious or clear that one is superior to the other in terms of its application to the penis based on what current data we have. Sometimes the tie-breaker comes down to value, reputation/reviews, consultation, logistics, bedside manner, packaged deals, expertise, experience, ethical considerations, and your overall gut preference.*

That all said, I suspect if it's 0.3"-0.6" in gains you'd like along the shaft to have a uniform 5.5" (which I personally believe is the sweet spot circumference with respect to diminishing returns), 10 syringes may do the job, but anticipate at least one follow-up appointment for any minor revision and/or a few more syringes to set it all right. My recommendation would also be to stick to this practical & reasonable goal of a uniform 5.5" shaft, and once you get it retire into the sunset, especially with that length you already have.

(19.) Can you describe your experience with cosmetic medicine and the importance of injection technique?
My education began at the University of Notre Dame in South Bend, IN, where I double majored in Pre Professional Studies and Mathematics, then culminating with a Bachelor of Science, May 2004. I then moved to Puerto Rico and obtained my Medical Degree at the Ponce School of Medicine in June 2008 and underwent General Surgery training at various hospitals such as the University of Florida and University of Colorado. My affinity towards Aesthetics Medicine began about 10 years ago when I started my own aesthetics practice. For the last 10 years, I have become a well-known and respected aesthetic physician in the Sacramento area. I frequent educational seminars to stay up to date on new innovative treatments. It is important to see a provider who is well trained on the procedures you are looking for, in this case, male enhancement procedures. Having vital knowledge on how to execute these procedures effectively is very important. Here at Aesthetics, by Dr. Lee, we strive to offer the best experience possible!


(20.) What other male cosmetic procedures do you perform (e.g. testicular, pectoral/abdominal, chin/facial, etc)?
First and foremost, we do not offer surgically invasive procedures in our clinic; we specialize in non-surgical treatments. That said, for sexual enhancement treatments, we offer Bone Marrow Aspiration (BMA) Therapy, an enhanced version of the P-Shot, in which we use regenerative cells found in bone marrow instead of Platelet-Rich Plasma to promote tissue growth, strengthen erections, and help men with ED. We also offer Emsella, a device that uses electromagnetic energy to treat common intimate issues such as urinary incontinence and ED in men. All you need to do is sit on the chair fully clothed and relax as the device strengthens your pelvic floor muscles using electromagnetic energy. In some cases we can use Shockwave, which is a non-invasive device that uses low energy acoustic wave pulsations to trigger the body’s innate healing response. We can also use Botox in the testicle region to create a more relaxed appearance.

It is worth noting that we offer more than just sexual rejuvenation services for men. Our clients can also enhance their facial profile for a more masculine appearance using dermal fillers to define and sharpen the jawline and chin. As we age, we naturally lose volume in areas such as the cheeks, under the eyes, and lips. Men may find that fillers in these areas can create a more youthful appearance. Botox is another excellent option for smoothing out fine-lines on the face. Many of our male clients visit regularly for Botox and filler treatments. We also carry laser skin resurfacing, BBL Photofacial for pigmentation reduction, medical grade facials, and more! You can check out our website www.drluislee.com for a full list of our services.

A consultation would be needed to discuss the available options, health conditions and client goals to receive an official recommendation.


(21.) In a prior Q&A, you say that Radiesse is your filler of choice for those who are not doing the P-Long protocol; what are all the other options available should Dr. Lee find it suitable for a given patient (e.g. Hyaluronic Acid, Bellafill, Fat, etc)?
Radiesse is our preferred filler for penile enhancement. Unless a client specifically requests a different filler, Radiesse remains our primary treatment option. If a different filler is desired, this must be discussed during a consultation. While we carry a variety of fillers, most may not be suitable for this type of procedure. Alternative options will be determined after further discussion of the client's goals.

Radiesse is made from a synthetic version of calcium hydroxyapatite, a substance that is found in the bones naturally. Radiesse will stimulate the production of new collagen. The body will eventually absorb the Radiesse, but the natural collagen that it created will remain in place to deliver a long lasting result.


(22.) Does Aesthetics by Dr. Lee offer financing options for any of their male-oriented services, be it P-Long, Girth Injections, and possibly others?
Yes, we offer financing options through Cherry. If not approved, we also accept CareCredit. Both options may offer financing with no fees, provided your credit is in good standing. Cherry is easy to get approved for on the spot, and our staff can assist you with the process during your visit. While not required, you may also apply ahead of time by contacting our office at (916) 888-8988.

Mconklin1964 wrote: I was all in on PMMA until I read a post where a guy said that the procedure caused sperm damage, and that his doctor said it was from a "foreign substance" which he believes is PMMA.

Completely unsubstantiated. Also doesn't make a whole lot of sense if you factor how PMMA actually works to generate girth. I suppose if you had tons of it in you (we're talking hundreds and hundreds of milliliters all over the body injected deep intramuscularly, instead of the 20-80 mL's you typically find with the penis intradermally), it could conceivably trigger more of a systemic inflammation in some people (this is speculation by the way, I'm presenting a scenarios with excessive silicone oil, which PMMA ISN'T, and just playing devil's advocate for the sake of "what-if's"), but even then, there are probably 100 things on a list that would outrank it for a plausible cause in one's sperm reduction.

The advent (and sheer abundance) of endocrine disruptors, decreasing air quality, pesticides, broader acceptance of poor lifestyle habits, and pollutants that we've underestimated in terms of their harm, are all being scrutinized for this phenomena. Then of course you have natural causes too like aging and genetics. The idea that a doctor would attribute the presence of a negligible volume of dermal fillers in the shaft skin as grounds for sperm reduction is ludicrous without profoundly strong evidence. Even if by miracle a connection were made between PMMA and fertility, the aforementioned environmental, external, and natural factors (or a combination of) would still have more weight in terms of being the root cause(s).

I'm not even sure why I'm trying to play devil's advocate or what-ifs, -- point blank there is no sufficient grounds on why there would be a relationship between PMMA penile enhancement and virility / male fertility, especially in light of the fact that sperm reduction has been an observation across many populations that have virtually no link to PMMA itself + the fact that the PMMA is not injected into areas that impede sperm production or quality (PMMA are non-carcinogenic, bio-compatible inert microspheres encapsulated into place by your own body's collagen in the layers of your shaft skin, far from the sperm factories).

Totally understand the concern when reading one comment, you have good reason to ask questions, but rest assure that you'd want to do a separate research on the topic of sperm reduction in general, you may find yourself changing lifestyle & consumption habits well before putting off girth enhancement. If you should decide to opt against PMMA (or penis enlargement in general), do so based on your comfort level and your goals -- not based on one unsubstantiated claim in a pool of a 100k comments found online regarding penile fillers injections Good luck.

John1982

Congratulations on your journey into GE with HA fillers. Im sorry to hear about your foreskin issues. Yes, it is common for filler to "migrate" to the foreskin over some period of time (not usually right away). Fillers are placed into a certain "plane" underneath the penile skin and from there it can move in either direction. Without seeing your anatomy in person, another scenario is the the HA (a hydrophilic product) can "attract" or pull in water which can make the foreskin look edematous or confuse you with migration of filler. Edematous tissue is usually more fully/watery and if you press your finger into the edematous area and leave pressed for 30 seconds, can leave an indentation. Your doctor could also partially dissolve some of the filler that is around your foreskin.

Based on what you mentioned, your kind of... circumcised in a way... because you mentioned your foreskin sits behind the glans. If you did decide to go with a circumcision you would probably have a similar feel afterwards. The doctor performing the circumcision would need to know ahead of time about your HA fillers for sure. I have had a patient receive a circumcision after HA fillers and he was totally pleased with the outcome.

Hope this helps.
Dr. T
Ageless MD

Agent5. You are absolutely correct about how turtling can sometimes cause problems with HA or products settling in the right areas.

However there are some.... (albeit not gargantuan amount) of literature supporting bolulinum toxins (Botox type products) that help with turtling by decreasing patients frequency and magnitude of retractions.
Botulinum toxin a (Botox) for relieving penile retraction.
J Sex Med. 2009 Oct; 6(10):2788-94.
The success rate in this article was around 70%.
If fillers are then added the combination can be quite satisfying, although not permament like you mentioned.

Hope this helps.
Dr. T
Ageless MD

atxguy wrote: Thank you for the words of encouragement.
Luckily, he cannot say that he did not tell me it can be reversed. I have my chart notes at least as many as I can get from him. There were several follow up appointments that have no progress notes at all.
Luckily, in one of them, he documented that if it did not improve, then he would consider injecting with Kenalog. So he can’t deny that he told me. It’s there in black-and-white.
Also, when I requested my records, which took multiple times, he sent me someone else’s consent form. So I have another person‘s name/consent form. One would think when dealing with someone who’s really unhappy that whatever they sent would be 100% accurate. I work in the healthcare field and deal with PHI all the time and if I had to send confidential records out in a situation like this, I would’ve had another colleague check each document to make sure it was accurate. So that will be updated on the medical board report as well
What a mess. Hopefully I’ll be able to get into the surgeons tomorrow because as soon as I unwrap it, it starts bleeding again and I’ve already been to the ER once for that. It’s manageable now but it’s painful and distressing.

Holy! Someone else's consent form (never mind the delays in getting the paperwork period) -- talk about what I would assume is a major HIPAA violation.

I might of forgiven a Doctor if everything else was stellar (bedside manner, results & satisfaction, and timeliness in providing medical records), and would have informed the Doctor personally (because this was likely an Administrative error) so that he or she can ensure it doesn't occur again. Then you have a guy who was affiliated with Loria using silicone products (proprietary fillers that are not FDA approved as far as I know) who stalled on a timely release of your Medical Records, and still has the belligerence of committing a HIPAA violation?! In this instance, an Administrative Error is very much on him, because should know the sensitivity of your situation and should be extra considerate when handling your case file.

You know, all that schooling to become a Surgeon just to get swindled by the likes of Loria and can't even operate a Medical Practice at the most basic levels of competency. This is a common thread with Loria-related quacks.

Do you know if any of the Doctors working on you outside of Dellinger have any experience or familiarity with your situation (i.e. penile dermal fillers, nodules, and even possibly granulomas)? And if so, how much really? And if not, have you considered potentially seeking out alternatives who may provide you a better prognosis by putting you on the best path for recovery & resolution?

How does a newly girth enhanced penis feel?

It depends on who performed the procedure and their technique. I’ve had a few patients come to me after having been augmented superficially with HA filler. It felt squishy and appeared like a large blister on the dorsum of the penis.

I’ve used HA, HA + PRP, Radiesse, and Radiesse + HA injected deep below the superficial fascia. The texture is more solid and not squishy. Some of my clients have had the variety of choices but tend to favor the Radiesse + HA blend. It feels dense and heavy like their own flesh. On occasion, there may be a firm palpable nodule that develops. It can soften over time without intervention or may be spot dissolved. Generally, my augmentation patients report improved sensitivity since their penis fits tighter in a mouth, vagina, anus, or hand.



How long can you wait before resuming intimacy or strenuous activity?

For the best results, I recommend 2 weeks of abstinence from masturbation, sex, and lower body cardio. I want the filler to settle into place during the time frame without too much repetitive forces acting on the product. Against my advice some patients have tested it out after only 1 week without issue, others developed contour irregularities.

One patient was so proud of his new bulge he wore his tight fitting cycling shorts and went for a 50km ride. Most of his filler settled to the right side of his penis. I refilled his left side. It looked great but he didn’t budget for this unplanned procedure. 2 weeks after filling, he was able to cycle without product displacement.

Against my advice one patient had unprotected vaginal intercourse after 3 days. He developed an infection because bacteria had seeded into the injection sites since they had not closed fully. I had to dissolve and drain an abscess, but he recovered after completing a course of antibiotics.

Patients are allowed to work out after 3 days. Strenuous activity prior to 3 days may lead to increased swelling. After 3 days exercise should be limited to upper body workouts. Lower extremity work outs should not be too repetitive during this time frame.

I tell my patients this could be the hardest 2 weeks of their life. Everyone is so eager to put their augmented penis to use but restraint and discipline leads to better outcomes.



Can you gain length from girth injections?

Length increase after girth enhancement is more apparent in those who suffer from retractions and have been pretreated with GROTOX® (penile Botox). Flaccid length can improve as there is more weight allowing the penis to hang especially if the glans is augmented with filler.



Any risk of Filler Migration?

Yes, especially if one does not adhere to the 2 weeks of abstinence from masturbation, intercourse, or lower body cardio. Please refer to my discussion from the earlier question.

The product is ideally placed deep sandwiched between the superficial and deep fascia. Since I use a cannula to administer the product, there is a chance that the product may backtrack to the superficial layer through the tunnel created by the cannula. There is also a chance the cannula tip may end up a little superficial since it is a blind technique. Although I aim deep, I cannot guarantee every single drop of filler is going to be placed and maintained in its ideal location. In the event of superficial placement or backtracking into the superficial layer, the product may appear as a hard lump/nodule that can be spot dissolved with hyaluronidase. This goes for the Radiesse-HA blend as well.

After 2 weeks of abstinence from masturbation, intercourse, or lower body cardio, large scale filler migration is not as likely. There could be contour irregularities that develop from the breakdown of product over time or spot filler migration. These can be treated with either a spot dissolve or filler top up.



Granulomas: What are they, what are the risks, and how are they treated?

A granuloma is a small, localized cluster of immune cells that forms in response to inflammation or infection. They are essentially white blood cells that "wall off" substances that the body does not recognize as itself like bacteria or foreign objects. Granulomas are formed to protect the rest of the body from the foreign substances.

Certain fillers are more prone to granuloma formation like PLLA (Sculptra) and although rare, HA Vycross products (Voluma). PLLA relies on an inflammatory response to stimulate collagen production. PLLA are irregularly shaped spikey complexes that trigger immune cells.

Radiesse, on the other hand, are smooth microspheres that fly under the immune response radar. That’s why I enjoy using Radiesse for collagen and elastin production. Radiesse can form nodules, hard lumps, that tend to be self-limiting. This means that over time they can soften and become irrelevant. They can also be dispersed by normal saline and massage. The Radiesse-HA hybrid can be dissolved by Hyaluronidase.

Granulomas tend to be persistent scars. One treatment recommendation requires injection of a cocktail of 2 steroids and 5-FU, an antineoplastic agent. Steroids can break down collagen fibers, reduce inflammation, and weaken the immune response. 5-FU inhibits the proliferation of fibroblasts, the main cell mediators of scar formation. If injection therapy fails, granulomas must be excised leaving the patient with incisional scars.

Product choice, injection depth (deeper is better), and an aseptic/sterile technique (reduce bacterial load) are key factors in reducing the chances of Granuloma formation.



-Dr. Leonardo

Not only avoid silicone oil injections, but avoid any Doctor who promotes they have been trained or approved by a guy (Loria) who specialized in Hair Restoration (despite balding) and Nutrition (despite being overweight) before he switched over into penis enlargement after having the brilliant idea of pumping guys full of a substance already well known for decades to be a poor penile filler at a time where viable and efficacious fillers actually exist.

Not your fault for not knowing Loria is a quack, but the real people who ought to be interrogated are those who spent countless years in Medical School, only to be duped by Medicine's version of the proverbial "sleazy used car salesman" archetype (*quick note - no offense to anyone in car sales of any kind, I'm just using age old analogies to better understand my position; in fact I have close friends & relatives who work in car sales ).

My theory is that IF* Loria's magical formula provided a profit margin that made it significantly more lucrative than any other filler type, some Docs, no matter how "educated," might fall for the thirst-trap known as "money talks." Shame on them, physicians need to remember they are Medical Doctors first (i.e. the welfare of the patient), while business is secondary.

Sorry I couldn't provide more direct & constructive advice, but fortunately Rejuvall was here to chime in and is considerably more qualified in providing insightful advice & opinions -- I just took this opportunity to PSA for the many newcomers who aren't privy to the last decade+ of dermal filler growth & popularity.

PhalloFILL wrote: A few things come to mind here. The first and most important with the size is you cannot measure yet and assume this is your final result. Remember PhalloFILL is the only procedure that uses a post care compression garment. COMPRESSION. The dermal filler is compressed and the water can be completely pressed out of the dermal filler. It could take up to 2 weeks for the dermal filler to be hydrated after you remove the compression sleeve. You certainly can’t get an accurate measurement while you are actually in the process of wearing the sleeve. The reason you “look better” but don’t seem to have any size gains is because the dermal filler molecule is in your penis as it should be…. Creating scaffolding, making it look better… but it’s dehydrated reducing perceived size gains. Also the sleeve dehydrates your other tissues in your penis temporarily so you can actually be smaller than prior when measuring while in the process of wearing the sleeve. For now measurements are not reliable. Don’t let that bother you for now. Just give it time.

As far as the crusty ring. It’s very possible more likely that you are allergic to this product. It is not a medical grade silicone. Medical grade silicone cannot hold the pressure needed for a ring like this. So for you it seems best to keep it on top of the sleeve so that it isn’t touching your skin. What you described sounds like a reaction to the skin. It won’t happen for most people. I haveused it on about 45 patients now and this is the first skin reaction I’ve been made aware of.

And as far as comparing the RH4 to Versa. Every provider is going to tell you they chose the best dermal filler for you.

Here are the facts about the two dermal fillers in comparison:

1. Revanesse Versa has 25mg/ml of HA compared to 23 mg/ml of HA IN RH4. So you definitely get more HA which will yield more volume, no question. See attachment showing concentration of HA per ml.

2. Safety data from the FDA show that Revanesse Versa has a better safety profile. I’m attaching a safety study from FDA data. This shows the adverse events of interest pulled from the last 595 reported total adverse events from data collected by the FDA. I have an entire post about this. SkepticalOne can post the link where I explain it better. But RH4 has more adverse events of interest which happen to be granulomas, hyper sensitivity, and inflammatory nodules. This is important to me as a provider.

3. G prime: I see conversations on here about the g prime but I don’t think it’s always understood completely in the situation of penile girth enhancement versus free floating in the face which it is intended to be used. G prime basically tells about the firmness and elasticity of a product. And I believe penile girth enhancement patients forget that this is irrelevant when the penis is erect and they assume a firmer filler with a higher g prime will produce a firmer erection. This is not the case. Remember our actual erections are from blood. We get a firm, rigid erection from the pressure of the
blood on the outer layers of fascia. Specially the dartos fascia which is the outermost layer of fascia. Because of the pressure on this fascia, and the fact that properly administered dermal filler is behind the dartos fascia, ANY filler with ANY g prime is going to be just as rigid and firm behind the dartos fascia when it’s under the pressure of an erection. Remember this is assuming it’s injected correctly. If it’s outside the dartos fascia between dartos and skin, it’s going to be a gelatinous lumpy mess no matter what. It’s never going to be firm in an erection in this situation. That being said…. The g prime for RH4 is higher. It’s 328 in RH4 compared to 126 in Revanesse Versa. An observation of a thicker product will only be noticed in the flaccid penis when it isn’t under pressure. I just don’t think the g prime is important in our application. This is not the same for the face. It’s very important in facial aesthetics.

Hope this helps,

William

That was really interesting to read. Seems Mr Moore perhaps didn't communicate clearly or fully the post-op process and what and when to expect results, as you have.

Hopefully I'm not one of those RHA4 statistics you cite!

A few things come to mind here. The first and most important with the size is you cannot measure yet and assume this is your final result. Remember PhalloFILL is the only procedure that uses a post care compression garment. COMPRESSION. The dermal filler is compressed and the water can be completely pressed out of the dermal filler. It could take up to 2 weeks for the dermal filler to be hydrated after you remove the compression sleeve. You certainly can’t get an accurate measurement while you are actually in the process of wearing the sleeve. The reason you “look better” but don’t seem to have any size gains is because the dermal filler molecule is in your penis as it should be…. Creating scaffolding, making it look better… but it’s dehydrated reducing perceived size gains. Also the sleeve dehydrates your other tissues in your penis temporarily so you can actually be smaller than prior when measuring while in the process of wearing the sleeve. For now measurements are not reliable. Don’t let that bother you for now. Just give it time.

As far as the crusty ring. It’s very possible more likely that you are allergic to this product. It is not a medical grade silicone. Medical grade silicone cannot hold the pressure needed for a ring like this. So for you it seems best to keep it on top of the sleeve so that it isn’t touching your skin. What you described sounds like a reaction to the skin. It won’t happen for most people. I haveused it on about 45 patients now and this is the first skin reaction I’ve been made aware of.

And as far as comparing the RH4 to Versa. Every provider is going to tell you they chose the best dermal filler for you.

Here are the facts about the two dermal fillers in comparison:

1. Revanesse Versa has 25mg/ml of HA compared to 23 mg/ml of HA IN RH4. So you definitely get more HA which will yield more volume, no question. See attachment showing concentration of HA per ml.

2. Safety data from the FDA show that Revanesse Versa has a better safety profile. I’m attaching a safety study from FDA data. This shows the adverse events of interest pulled from the last 595 reported total adverse events from data collected by the FDA. I have an entire post about this. SkepticalOne can post the link where I explain it better. But RH4 has more adverse events of interest which happen to be granulomas, hyper sensitivity, and inflammatory nodules. This is important to me as a provider.

3. G prime: I see conversations on here about the g prime but I don’t think it’s always understood completely in the situation of penile girth enhancement versus free floating in the face which it is intended to be used. G prime basically tells about the firmness and elasticity of a product. And I believe penile girth enhancement patients forget that this is irrelevant when the penis is erect and they assume a firmer filler with a higher g prime will produce a firmer erection. This is not the case. Remember our actual erections are from blood. We get a firm, rigid erection from the pressure of the
blood on the outer layers of fascia. Specially the dartos fascia which is the outermost layer of fascia. Because of the pressure on this fascia, and the fact that properly administered dermal filler is behind the dartos fascia, ANY filler with ANY g prime is going to be just as rigid and firm behind the dartos fascia when it’s under the pressure of an erection. Remember this is assuming it’s injected correctly. If it’s outside the dartos fascia between dartos and skin, it’s going to be a gelatinous lumpy mess no matter what. It’s never going to be firm in an erection in this situation. That being said…. The g prime for RH4 is higher. It’s 328 in RH4 compared to 126 in Revanesse Versa. An observation of a thicker product will only be noticed in the flaccid penis when it isn’t under pressure. I just don’t think the g prime is important in our application. This is not the same for the face. It’s very important in facial aesthetics.

Hope this helps,

William


[Administrative Edit: Premium Membership subscriptions are not required to view Sponsorship attachments, but occasionally these files are uploaded inadvertently through the paywall feature. All Sponsor content posted on the Forums do not require Premium Membership to view, and if you come across a post of old (or recent) that is unavailable despite being posted by a Sponsor, please Private Message (PM) me, or email me at This email address is being protected from spambots. You need JavaScript enabled to view it. with the topic's URL (some slip through the cracks once in a blue moon) so that I can ensure it is viewable by all visitors, thanks.

The attachments posted by Mr. Moore should now be viewable below]:







.

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.

we got a new article from Dr. Casavantes!

ARTICLE: Penile fillers are on the rise. But is enhancing one's manhood like this safe?

www.salon.com/2024/10/26/penile-fillers-...hood-like-this-safe/

The “catch” with fillers, like with any cosmetic procedure, is that there will always be some minor imperfections. Bumps, or areas that aren’t perfectly filled, or subtle differences in appearance when the skin is moved are all things that can happen. I have some patients where there is really really almost Zero flaws but it is best to plan on some.

Just like with breast implants or liposuction, there are always trade-offs. In the case of penile fillers, the results are typically very natural, and partners won’t notice any difference. However, it’s important to go into this understanding that no procedure is 100% perfect—there might be tiny irregularities, like the way the skin moves or how it looks when cold, that you’ll have to accept. Over all guys love it but its not for everyone.

It’s crucial to be realistic—while most men are thrilled with their results, no cosmetic procedure is without its trade-offs. @Sullivan

I should add to your original post that the "scar tissue," claim by the Dermatologist, especially with respect to Hyaluronic Acid (HA), seems a bit over-zealous at best. I think what they may have been trying to imply is the presence of fibrosis, which is definitely something more common with fillers that induce neocollagenesis (e.g. PMMA, Ellanse, Radiesse) -- and even in light of this, dermal fillers (especially HA) haven't presented any pervasive problem in regards to sensation that this Dermatologist seems to allege -- I should note that I'm not suggesting this Doctor is lying or is speaking ignorantly, but that even one instance of said-complications could warrant this kind of attitude from a physician, especially those who don't specialize in male enhancement to begin with.

Approaching 15 years of dermal filler reporting in the penile shaft on the PhalloBoards, sensation-loss is seemingly a non-issue in discussions over that same timespan. I hope I'm not dismissing any legitimate concerns. Those who are reading this (especially the many unspoken whom I continue to implore to post) who believe otherwise, your wisdom would be most appreciated. Otherwise I'm pretty confident in my assertions here.

Also, if I may recommend, if it is HA you'd like to revert, I would perhaps let the HA break down on its own than forcing the Hyaluronidase process if possible, assuming your concern is fibrosis -- any notable introduction of a needle or cannula in and out of your dermal layers can technically introduce "scarring," even if negligible. Also, depending on the volume & timespan that HA has resided in your shaft may also determine how effective the Hyaluronidase enzyme is -- I've been told on numerous occasions it doesn't necessarily eliminate 100% of the HA, but typically most. So if you can wait it out, this might be best (if possible).

Those who you have tagged may have a very different insight than my own, and I'm not a professional healthcare or medical expert -- instead I'm best seen as more-or-less a "patient representative" with ample knowledge in this area due to my role here. So please defer to the Docs, Sponsors, and your own Practitioners when it comes to making any ultimate decisions.

I am about to have my first penile fillers procedure with PMMA. I am currently 7”BPEL X 5” EG. I would like to have a few procedures and get to 6-6.5” girth.

A somewhat lengthy background of how I got here:
It took me a long time to find someone in Arizona that will do it. For about 6 months it’s been something I’ve really wanted to do. At age 39, dick size has become sort of a newer post-divorce, post online dating, mid-life crisis type of insecurity. It’s really been an uncharacteristic, huge distraction, and source of anxiety. A couple years ago my ex told me some things to hurt me which I shrugged off mostly, but then I made the mistake a while back of asking my girlfriend some questions that I hated the answers too and then just obsessing over the subject. I would love to be able to travel to Dr. Rupeka or something, but I am stuck here in AZ on criminal probation for up to 2 more years. I did weekly counseling and even ketamine therapy to sort of try and hold off to see if I could alleviate my insecurity and my hyper-focus on the subject. It didn’t change my mind but I am now excited to take the plunge and get started.

The place I found is a Med-Spa and doesn’t like, or isn’t comfortable doing very many CC’s. The doctor doctor wants to start with 5ccs. I am trying to get her to give me 8ccs of Bellafill which I guesstimate might give me a .4” girth increase. She has only done this procedure with bellafill about 25 times. She gives a P-shot included with the price of the 5ccs. Cost is about $3800 for the 5cc’s of bellafill and the P-shot if I recall correctly.

Her only aftercare instruction is to pump 2x/day for 10 mins. I asked her about a wrapping routine for aftercare and she had nothing for me. She said no sex for just a couple days .I know there are kind of some red flags here, but I’m ready to take the risk. I’m ready to accept some risk and know this place isn’t ideal, but would like some tips to minimize cosmetic issues and filler migration.

What sort of wrapping and general aftercare would you guys recommend?

How long would you advise refraining from sex? Couple weeks?

What are your thoughts on pumping immediately after PMMA? Any thoughts on cock rings post procedure?

I also have an important job interview 2 days after my scheduled procedure. Will I be able to walk around and hide the discomfort?

Thanks if you read all that and thanks for any advice.