PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Urofill is not a filler, it's a network of clinics. I believe they use HA but what brand(s) I don't know. There are some clinics that concoct their own fillers or buy in bulk from China which you should avoid. You're better off getting HA made by a pharma company, with lot numbers and packages opened in front of you.

Den-SG wrote: I had my HA fillers done in Bangkok and did ask the Dr during the procedure as I was watching him inject and mold the filler. He said, he does not fill the underside because the urethra is very close to the surface of the skin and erring on side of safety he avoids filling in that area. There could be complications on urine flow if not well carried out.

But I think everyone’s anatomy is slightly different and penile size and shape variation is huge. Doctors will need to make that judgement based on their experience.

This is one of my points. I hear folks say this is the view some doctors have. My question is, where is the medical evidence. Where is the data? When has this ever actually happened? To my knowledge and many years of research I have read zero cases of filler on the underside of the penis causing any issues with the urethra or urine flow. Perhaps it’s because the medical establishment simply and holistically took a conservative view and very few have actually had it done. So the numbers simply haven’t been available.

Excluding silicone bros, if you have had filler injected on the underside of your penis, please sound off here and let us know your results. I know of three, including myself. I’m sure there are hundreds more.

Data Point: I have had Bellafill injected in the underside of my penis by Dr_Rupeka and have had amazing results with zero negative effects. Anyone else?

Hello to everyone.

I'm at a crossroads in deciding between two HA (Hyaluronic Acid) fillers for penile girth enhancement and would greatly appreciate your insights.

CHOICE:
On one hand, I've got Juvederm Voluma, which comes highly recommended by a well-respected clinic in London. On the other, UroFill has been proposed by a well-known urologist in Rome.
Given the prestige of both the two medical institutions, I'm finding it quite challenging to lean decisively towards one. Both options seem viable, but I'm curious about real-world experiences from this knowledgeable community.

QUESTIONS:

• Have any of you undergone girth enhancement using either UroFill or Juvederm Voluma?
• Could you share your thoughts on the effectiveness, feel, durability, and overall satisfaction with the results if you had one of these two brands?
• Are there some a priori criteria to evaluate the fillers in general?

SOME DETAILS:
This would be my first HA filler injection so I am looking for something non permanent.

Thanks for your time and help!

I had my HA fillers done in Bangkok and did ask the Dr during the procedure as I was watching him inject and mold the filler. He said, he does not fill the underside because the urethra is very close to the surface of the skin and erring on side of safety he avoids filling in that area. There could be complications on urine flow if not well carried out.

But I think everyone’s anatomy is slightly different and penile size and shape variation is huge. Doctors will need to make that judgement based on their experience.

I would recommend heading to Bangkok for this. It’s just 3 hours away by plane and hotels are abundant for any type of budgets. Clinics and medical facilities are very good and doctors all speak English.

I’m from Singapore and travel there a few times a year for work and leisure. I’ve been going there for many years so I’m pretty familiar with Thailand.

Last year, I learnt about fillers for penile enhancement and had it done on the next visit. I had HA fillers on my last day there and the next day was on my flight home. It was pain free and fortunately for me almost no swelling and everything was normal. 3 months later I went for a top up and similarly I was on a flight home the next day. Recovery was quick and everything went well. I guess almost too good to be true having penile confidence issues all my life, in 40 minutes I had a new penis and new found confidence.

There are many clinics offering the procedure but I chose HE Clinic as they are the pioneers in offering these services and I heard good reviews. You can google them. Another option is Masterpiece Hospital - Mens health division. They are hugely popular with the locals.

Myself I chose Thailand over Korea due to proximity, cost and familiarity.
Good luck and send me a message if you have questions.

This is a question frequently arises in consultations: Can patients who have had a satisfying experience with HA fillers transition to polymethyl methacrylate (PMMA) for a more enduring result?
The most common scenario is : a patient tries HA and is happy with the results and now they seek a more permanent option with PMMA. Is this transition feasible? The short answer is yes.
Some doctors suggest it is problematic and want you to dissolve all your HA before proceeding with PMMA. Their concerns are as follows:
1. Risk of Complications:
They argue that the presence of HA might interfere with the PMMA integration process, potentially leading to unevenness, granulomas (inflammatory reactions), or even more severe complications due to the unpredictable interactions between the two substances.
Response:
There is no inherent reaction between HA and PMMA that would preclude their sequential use. It is important to remember that hyaluronic acid is a naturally occurring in the skin's dermal matrix. When PMMA fillers are injected into the dermal or subdermal layers where natural HA resides, they typically do not provoke adverse reactions. This is because PMMA microspheres are designed to be biocompatible and, when used correctly, should not interact negatively with HA or other dermal constituents. Injecting PMMA in areas previously treated with HA-based fillers should theoretically be as safe as injecting it into the untreated dermis, which already contains HA. The key is the technique used during the procedure:
2. Unpredictable Outcomes:
The concern is that the temporary HA filler could alter how the PMMA settles, potentially leading to asymmetry or dissatisfaction with the aesthetic outcome.
Response:
The injector must employ precision when injecting PMMA to ensure the microspheres are evenly distributed and to avoid the formation of granulomas or nodules just as they would when injecting into a penis with no HA. PMMA should be carefully injected to avoid disrupting the uniformity created by the HA fillers
4. Gradual Transition:
Some practitioners advocate for a gradual transition from HA to PMMA, allowing the HA to partially metabolize naturally over time. This approach can provide a smoother transition and reduce the risk of complications associated with immediate layering.
Response:
I fully agree with this. If you are at a size, you are happy with why not just slowly replace your HA with PMMA over time. It allows you to have more precise placement of the PMMA.

5. Time Interval: It's sometimes advised to allow sometime between the HA filler dissipation and the PMMA injections. This gap can help the practitioner assess the natural anatomy of the penis without the influence of the HA filler.
Response:
This not necessary if the original HA filler was well placed and has been well integrated into the tissue. This might be desired however if the original HA was poorly placed.

Why Not Dissolve the Existing HA?
Dissolving HA is not cheap, hyaluronidase is expensive, and a significant amount is needed for full reversal. Why incur this expense if it is not needed. Also why reverse the gains that you have already paid for? Dissolving the existing HA just seems like an unnecessary expense.

Conclusion
From a biochemical standpoint, there's no reason to expect that PMMA cannot be safely injected into areas where HA fillers have been previously placed.
Through my clinical experience, I have found that both hyaluronic acid (HA) and polymethylmethacrylate (PMMA) fillers can be safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the preferences and objectives of my patients.

getmoregirth.com/blog/

I second Avanti Derma's take on Ellanse. Many recipients of the filler are reporting much longer retention than originally projected by the manufacturer, which is actually great news for penis enlargement patients. Of course, Hyaluronic Acid (HA) is a good starting point and it isn't unusual for some Clinics trial HA first to see how well your penis acclimates to fillers in general. You may also find you like HA and stick with it, especially given its healthy safety profile if you come across a version/brand with better overall retention.

Truthfully I'm not sure what brand of HA Moorgate uses, and depending on the nature of its cross-linking & quality, may not be the most ideal iteration of HA for penis enlargement (pure speculation on my part if you've seen such a dramatic loss in a month's time @Kara101349 ). Typically you don't start looking at topping off any reductions until about a year (give-or-take a few months) post-op, so either you're a rare outlier (someone who breaks down foreign bodies rapidly on the extreme end), or the quality of the HA isn't ideal for penile application. This is open speculation on my part because I have no knowledge of what brand of HA is being employed, how/where it's being sourced, etc.

Fat transfer is an option as well, but I cannot vouch for the efficacy or quality of Moorgate's FFT work, I've only heard/seen their dermal filler results.

If you wish to remain in Europe, Androfill of U.K. or Dr. Horn's own Independent Clinic in Brussels, Belgium can provide HA, and Ellanse is available in the U.K. (I am awaiting on word about Ellanse's availability in Belgium). The only other options for Ellanse that are trustworthy are the aforementioned Avanti Derma in North America, as well as a Clinic or two in Australia, but I haven't been in touch with the Aussies in a bit so don't know the current status there.

While I was actively working on non-surgical phalloplasty, I saw a handful of patients who had inflatable penile prostheses and still wanted more volume with fillers.
It is a timely and nerve-wracking process where you need to feel with the tip of your micro-cannula and avoid endangering the integrity of the implant at all costs.
I succeeded in every case, but I don't think many doctors will take the risk, especially if they don't have scanning technology.
Based on our eBrochure, you belong to a group of high-risk patients we do not take, not because PMMA poses any risk by itself, but for the procedure that requires needles for the anesthesia or cannulas for the implant.
I do not recommend it in your case. It will be tremendously discouraging to damage the implant and need to replace it.

@Dr. C

Through my clinical experience, I have found that both hyaluronic acid (HA) and PMMA fillerpolymethylmethacrylate (PMMA) fillers can be expertly and safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the diverse preferences and objectives of my patients.

Hyaluronic acid fillers are particularly valued for their temporary and reversible attributes, presenting a less risky proposition for individuals exploring penile girth enhancement without a long-term commitment. These fillers deliver instantaneous results in girth expansion and are generally well-accepted by the body, exhibiting a minimal likelihood of adverse reactions. One of the standout benefits of VolumaHA fillers is their adjustability, allowing for fine-tuning to achieve the desired aesthetic and tactile outcomes.

In contrast, PMMA fillers are recognized for their enduring results and are chosen by those who desire a more permanent augmentation. The robustness of PMMA is attributed to its microscopic spheres that maintain their position beneath the skin's surface, thus offering a sustained enhancement in penile circumference. However, given the non-reversible nature of PMMA fillers, it is imperative to engage in a comprehensive consultation to ensure that patients have a clear understanding of the long-term commitment and are well-informed of the potential risks and implications.

While each type of filler has distinct characteristics that might make one more suitable than the other depending on individual circumstances, there are no intrinsic contraindications to using them in a sequential manner. This flexibility allows for a customized treatment plan that can evolve over time to align with the changing desires or satisfaction levels of the patient.

To be honest your results look pretty good all things considered (where you started and where you are today). Could you better provide a picture of the nodule for us to better see?

It sees like your penile shaft may be the type that doesn't acclimate to the presence as fillers given that you've dealt with aesthetic irregularities at two reputable Clinics. And no this is not a blame game, just pointing out that some skins are more resilient than others in this process.

But again, from your last pictures you are most definitely thick and I'm not even sure I see any noticeable asymmetry.

The following are P-Long's Official FAQ:


Is P-Long safe?
Yes. 0% of P-Long Study participants experienced negative side-effects or complications after receiving treatment. T0 learn more about the P-Long Study, click here.



How much length can I expect?
Patients can expect to increase the length of their manhood by almost a full inch.



How much girth can I expect?
P-Long patients can expect to increase the girth of their manhood by up to half an inch.



How long do the results last?
Unlike temporary fillers that only last between 1-2 years, P-Long results are expected to last long.

After you have braces, your teeth do not go back to the way they were. We believe that as long as a man is having rigid night time erections, that his erectile length and girth will maintain. It may be a good idea for men to continue to take AFFIRM after completing the P-Long protocol. Studies show that boosting Nitric Oxide naturally improves erectile health and that there are other significant health benefits including improved athletic performance, cognition, blood pressure and immune system function. And there are no known negative side effects.



Does the P-Long Protocol work on men with ED?
We do not know. The Protocol was designed for healthy men with normal erectile function. Men with ED usually do not generate the penile blood pressure to maximally stretch their manhood.



Can I just use the traction device and pump without the injections?
Probably not. The What is the range of results?
For length, after six months men grew as much as 1.5 inches and as little as 0.5 inches in length and as much as 0.75 inches and as little as 0.25 inches in girth. growth factors from 1.5 billion platelets injection into the penis once a month for six months will accelerate the changes seen with the traction and suction devices. Our best guess is that it doubles or triples the effectiveness of the protocol. Besides, if the PRP injection is done properly, it should be minimally uncomfortable.



What is the range of results?
For length, after six months men grew as much as 1.5 inches and as little as 0.5 inches in length and as much as 0.75 inches and as little as 0.25 inches in girth.



What do you mean when you say that "function improved"?
Since all men in the study by definition had normal erectile function, we could not objectively test for an improvement. Instead we asked our subjects whether their erections were the same, better, much better, worse or much worse. Without exception, our subjects claimed that their erections were better.



Can I just use the traction device and pump without the injections?
Probably not. The growth factors from 1.5 billion platelets injection into the penis once a month for six months will accelerate the changes seen with the traction and suction devices. Our best guess is that it doubles or triples the effectiveness of the protocol. Besides, if the PRP injection is done properly, it should be minimally uncomfortable.



Can I try P-Long again after 6-months and get more results?
Absolutely! There was a linear growth curve in our P-Long study. Our expectation (although we currently do not have the data) is that men will continue to grow as long as they continue to get PRP injections, pump, stretch and take AFFIRM.



Will the P-Long protocol work on men with Peyronie’s disease?
We did not test the protocol on men with PD. However, based on previous studies with the equipment that we use, it is possible that there will be some benefit.



What are the dangers of P-Long?
None at this time. Traction and suction, if performed according to the instructions provided, are safe. PRP is a reinjection of your own platelets that have been processed outside of your body for about 15 minutes. There are no reported significant side effects.

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3 Rounds (2019) I already had with Avanti Derma - Pmma

Now I had my Session 4 - yesterday. This ll be my Journey-Documentary.

C A S E: Empty Area
In all 3 sessions a pretty large area remained pmma-empty (or significant less pmma / squishy)

Potential reason: I had a history of FFT (2018). So maybe this could be the reason the filler could not settle there properly.
Arguments against this Hypothesis: a) There are tons of good reviews of people who got FFT and after that a good Pmma result. b) The even bigger argument: There are also Clinics who do FFT & PMMA togheter for example with BellaFill - intention: To reduce the total costs. phalloboards.info/forum/general-discussi...pmma.html#1308715311



BUT - To be fair: Casavantes tells us already - People with history of FFT are not the ideal candidate. Otherwise on the website it‘s written a bit different.
„(…)Autologous fat transfer typically results in irregularities but develops a light degree of fibrosis that facilitates soft tissue fillers’ implants. These patients are good candidates for phalloplasty.“



Why I come back ‚so late‘ with my issue ?

In the years meantime I was not „unbusy“. I was loose-cut before and I wanted to become the ideal candidate. Patience & Effort: 3 Operation I had — To get the shaft-skin tight like I have it now.
Penile Webbing surgery (has also subtle effect on your shaft skin) + distal (low) tight-cut. This effort was in the years: •2020 / •2021 / •2023 (!)

@Tight cut Advantages:
A. You make it your doctor so much easier to install the implant with a tight cut. Also it‘s the recommendation of Dr. Casavantes.

B. Settle-Time of the Filler (the first days) Especially in my case (empty area) I want to reduce migration significantly with that tight cut. So the product stays where it has been injected.

C. Usage: Filler gets nice compressed while erection.




Why Avanti Derma again?

S E R V I C E
In all this years there popped up a lot of alternatives & new Pmma Options.
Why I decided to go to Avanti Derma again: The Service.

To give an example: ..(As I said -in all my 3 sessions this area remained empty/squishy).. Service: When In Session 3 -as part of the aftercare appointments- Dr. Casavantes saw that this area again could not hold any pmma. He suggested proactive (!) that I can come the next day again (costless!) so that they fill more in this particular area.

Beside that they really check everyday on you …. Especially Ian. ( Give Ian a tip… he deserves it! )

Please do not understand that other offices have bad services: I can only tell my experience.


L I N N E A S A F E
Also: Especially in my case - I want that the carrier-substance gets absorbed fast - That the filler settles fast and stays where it has been injected. …And there is some evidence that the bovine-carrier with BellaFill takes longer to absorb / the filler has longer time migration-potential. So I think LinneaSafe is the better product when it comes to Penile Enhancement.


Why I tried it now again when in all that 3 Sessions the area remained empty?

Like I said it‘s not always about the office. Sometimes it‘s also about how qualified you are as a candidate. Now: With my (really amazing) tight cut „on point“ - the setting ll be significantly changed (old members here can confirm that) - especially regarding to my issue „filler migration“ - I can support that the filler stays there where it has been injected - in my empty area.
Also with a tight cut - for your doc it’s more legitim to (potentially) install more of the product cause your skin-mobility is significantly restricted.


( Explaining „squishy/empty“ : While Erection - When you touch the area - your thumb sinks - through the skin - on your original shaft. Contrast to my other areas: They feel like very hard rubber while erection. While flaccid this contrast between the areas is already noticeable - but it gets even much more obvious while erection. )

evolution10wrx wrote: And what procedure are the most used and recommended for penis thickening?

If all of you can send links info will be great.

I sort of answered that in my previous answer, you have to weigh your options, risk thresholds, trade-offs, budget & logistics, and so on.

I would check out the The Phallo-Guide (check out the Medical Expert Opinions link as well).

And out of courtesy to Dr. Sullivan to be gracious enough to take time out of his weekend to provide a response, you can review his site for more information regarding fillers and penis enlargement.

evolution10wrx wrote: better written, I want to increase the thickness of the penis in the healthiest and most FDA approved way.

As Dr. Sullivan pointed out, there is no FDA approved penis enlargement filler (or method) per-se. These dermal fillers (Hyaluronic Acid, PMMA, Ellanse, Radiesse, and Renuva) are used off-label into a layer of the penile shaft skin to create volume (simplest way of putting it). These fillers however, have been FDA approved for other specific reasons, none of which indicate girth enhancement, hence the off-label use (which is legal). I should note that Ellanse is still not FDA approved in the U.S. and is only available abroad.

In my personal opinion, Hyaluronic Acid (HA) is arguably the safest filler given that it already exists naturally in the body -- medical device manufacturers have cross-linked them to behave as dermal fillers to increase the volume of the skin. They are temporary in nature and somewhat reversible too with the use of a special enzyme to breakdown the filler if necessary. The trade-off with temporary fillers is that you will have to periodically top them off, and the rate at which HA breaks down/reabsorbs varies person to person. A safe bet is once a year, and you'll often times not need nearly as much volume to get back to your size-goal because not all of the HA will have diminished by then. I call this a trade-off because while you wish to seek out the safest option, you'll have to accept that maintenance comes along with it.

A counter example would be something permanent like PMMA (Bellafill in the U.S.). Due to its permanence, it can be very difficult and invasive to remove all of the PMMA in the event you have an undesirable result or complication. The trade-off here is that while it isn't as manageable as HA in terms of reversal/complications, you won't have to top it off periodically once you've achieved your final size goal. I should note that Bellafill is FDA approved and by and large is a safe filler too, relatively speaking.

So as you can see, some people prefer the peace of mind of HA in the event that they have undesirable results or complications because they are easier to manage, or would like to trial girth enhancement due to HA's temporary nature. On the flip side, permanent options like PMMA or dermal graft surgery offer a sort of "one & done" solution (with some potential subsequent touch-up appointments) which is a life-long convenience but can come with unforeseen challenges, despite complications being uncommon. You have to assess your own risk threshold, size goals, and what trade-offs are more compelling.

It's important to understand that there are no fillers approved by the FDA specifically for use in the penis. Many of us, myself included, are utilizing FDA-approved fillers in ways that are not explicitly labeled for this purpose. The off-label use of medications and devices is a widespread practice in medicine. However, recognizing this distinction is important.