PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

@Aviator1117 and Texas I got an implant one year ago and I am thinking about and researching PMMA or HA. I began using a penis pump about four months after the implant mainly for girth. I started off slow by to 10 minutes and then work my way up to about 25 minutes using a medium suction pressure. I get about 1 to 1 1/4 increase in girth when I use it. But that’s just temporary girth. The wife loves it and the pump makes a tremendous difference. I did seem to lose maybe 1/8 of an inch after the implant. My surgeon said it was fine to use the penis pump and that it wouldn’t bother any of the equipment that he put in, but don’t go crazy with any high pressure or excessive pumping minutes. But I like the feeling of the pumped penis which is why I am looking at the fillers so that it’s more permanent instead of just temporary with the pump.

Aviator1117 wrote: Have got three rounds of PMMA with Avantiderma. Recently got a penile implant for ED issues. The AMS LGX has few clinical studies showing length gain of up to 3cm at 18 months post-surgery with daily inflation of the implant.

My goal is to increase girth now that I have excellent rigidity.

Once healed my plan is to get fillers(HA) for shaft and glans.
Any recomendations/ideas.

Thanks

@Aviator1117
Did you lose any length from getting your implant ? Did you doc advice against any forms of PE after you are healed? EG: stretching, pumping, hanging. etc. ?

I have read that many times gusy lose some length when that have to get implants.

Aviator1117 wrote: Thanks
I am in Toronto and looking for someone in Canada.

I know it's a bit of a flight but if you wish to remain in Canada, you can try Pollock Clinics in Vancouver - they are a total Men's Sexual Health Clinic, quite familiar with erectile dysfunction and use Hyaluronic Acid (HA) fillers. They are the only Canadian Clinic I've been able to adequately vet and would recommend.

Aviator1117 wrote: Have got three rounds of PMMA with Avantiderma. Recently got a penile implant for ED issues. The AMS LGX has few clinical studies showing length gain of up to 3cm at 18 months post-surgery with daily inflation of the implant.

My goal is to increase girth now that I have excellent rigidity.

Once healed my plan is to get fillers(HA) for shaft and glans.
Any recomendations/ideas.

Thanks

Have you talked about whether or not you can get more PMMA with Avanti Derma? It sounds if you were a happy customer and they're willing to do it, why not?

Alternatively Dr. Carney in Atlanta for sure, he's a Reconstructive Urological Surgeon who's dealt with everything under the sun when it comes to the penis (devices, Peyronie's, buried penis, critical penile trauma from significant injuries, and so on).

And Dr. Hakky is a good choice too from what I've gathered about him.

Jeff - first of all - welcome to the club. All of us here have one way or the other been unhappy with ourselves or we wouldn’t be here.. :-/

I’m ~20 years older than you and about 25 years ago had ligament release and FFT surgery. It was still a fairly new procedure back then .

In hindsight I wish I’d have had the ligament release only and then have waited for better “materials” to become available for the girth improvement.

If symmetry and esthetics are number 1 concern for you I’d definitely go for alloderm (or surgimend but it’s not available now).
THEN I’d use fillers of some kind, your own fat or other fillers..

My problem is that they used too much fat and after so long you develop nodules and also the fat gets VERY spongy and VERY soft.

Read up Dr. Solomon’s Q&A here on why he doesn’t use fat in the penile shaft. He’s spot on!!
Simple answer - it doesn’t belong there..

If it’s a tiny amount to cover up unevenness or to make it softer (surgimend tends to stay somewhat hard for the first year or so) then it’s ok..
NOT to make the penis much bigger.. because at some point you’ll end up with a Jell-O shot rings over your shaft. That’s the exact consistency of the fat after 15+ years.. Ask me how I know..

So if I were you I’d start with alloderm surgery AND then look for ways to maybe top it off slightly - IF still needed (doubtful you’ll feel like you need it)..

However, I’m biased as I’m quite unhappy with the FFT.. others might totally disagree and I respect their opinions..

By the way - I’m in the same situation you’re in.

I was about to schedule my surgimend procedure when I found out the product has been recalled and the material won’t be available until further notice (when the doctor inquired the manufacturer stated “unavailable indefinitely for now”.)

Have got three rounds of PMMA with Avantiderma. Recently got a penile implant for ED issues. The AMS LGX has few clinical studies showing length gain of up to 3cm at 18 months post-surgery with daily inflation of the implant.

My goal is to increase girth now that I have excellent rigidity.

Once healed my plan is to get fillers(HA) for shaft and glans.
Any recomendations/ideas.

Thanks

SO - all valid points. We’ll have to agree to disagree though.

My ex was in the health care profession so maybe I have a different perspective because when it comes to dicks (but also all female procedures) all of her friends were walking encyclopedias of latest and greatest in fillers, penile Peyronie's disease, penile enlargement surgeries, etc..
Many if not most of the doctors on this board publish their findings and their procedural ups and downs in medical journals.
When doctors, physician assistants, nurses, etc. go through their yearly or biannual training they review the latest and greatest in ALL medical fields.

So yes, I’ll say it again.. most women know, they just won’t talk about it with the men in their lives, they’ll share it with the girlfriends instead...

Whether they’ll notice it on an individual basis is a different story..
_____
Going back to the OP - sounds like when erect - no difference in look or feel.
When flaccid, look is normal.
Touch can feel somewhat different when (pinched) but otherwise feels normal.

That’s my understanding from skaface’s reply..
Would be nice to have a “chick magnet” like GSX got…

123abc wrote:

Skeptical_One wrote:
…You also have to keep in mind that injectable phalloplasty isn't mainstream, so the percentage of women who even know this is a thing is so far & few that they'll likely chalk it up to it being an "unusual penis," and probably won't dwell on it much more than that….

That’s changing VERY rapidly. Women are aware as there have been articles in men’s magazines and in women’s magazines about different ways men enlarge their penises.

A subject they find intriguing and liberating. They often feel objectified and somewhat “forced” to get bigger boobs, etc.. so many feel relieved and even joyful to see some men go through similar bouts of insecurity with their bodies.

Also, the vast majority of health care professionals are women. Just look at the many posts here where guys had different procedures done and then ended up going to their regular healthcare practitioner to have stitches removed, bandages re-wrapped and even to have fillers injected into their penises....
Often the nurses or practitioners at those clinics wouldn’t do it because they’re not familiar with the procedure.
However - women talk. Always have and always will!
“Vive la différence!”
So if a single person went to a clinic in a smaller XYZ town to have stiches removed after a penile surgery of some kind, I guaradamntee you that ALL of the nurse’s girlfriends have heard about that. Period!
I was married to someone who worked in health care profession and trust me - if one woman in your town has heard, read or seen anything that unusual - every woman in health care profession in that town knows it.
They aren’t supposed to be doing it BUT they’re ALL doing it!
I remember my ex whispering to her girlfriends over the phone about any and all different or “weird” things she’d seen, or done for her patients that day.
She’d whisper because she knew I didn’t like that type of gossiping..

Point being - if a woman says she hasn’t heard about penile enlargement procedures she’s been living under a rock.. …or she’s lying.

A few things -- I'm not discounting that women chatter and that women are comprising more and more of the Healthcare sector, but the fact remains that these procedures are NOT mainstream and are probably the least performed cosmetic procedures by volume in the U.S.

And if this is changing as rapidly as you suggest, why haven't we seen more of this reported on the forums where this topic is relevant & discussed? You're speculating that this is becoming common knowledge more rapidly, and I'm saying there is no hard evidence for it.

Furthermore, this topic in particular was referring to pinching the skin of a man with dermal filler injections. Whether a woman has knowledge or not of these kinds of procedures, there is simply no reason for them to be pinching your skin, it's very much out of the ordinary, and that was ultimately what I wanted to get across.

Skeptical_One wrote:
…You also have to keep in mind that injectable phalloplasty isn't mainstream, so the percentage of women who even know this is a thing is so far & few that they'll likely chalk it up to it being an "unusual penis," and probably won't dwell on it much more than that….

That’s changing VERY rapidly. Women are aware as there have been articles in men’s magazines and in women’s magazines about different ways men enlarge their penises.

A subject they find intriguing and liberating. They often feel objectified and somewhat “forced” to get bigger boobs, etc.. so many feel relieved and even joyful to see some men go through similar bouts of insecurity with their bodies.

Also, the vast majority of health care professionals are women. Just look at the many posts here where guys had different procedures done and then ended up going to their regular healthcare practitioner to have stitches removed, bandages re-wrapped and even to have fillers injected into their penises....
Often the nurses or practitioners at those clinics wouldn’t do it because they’re not familiar with the procedure.
However - women talk. Always have and always will!
“Vive la différence!”
So if a single person went to a clinic in a smaller XYZ town to have stiches removed after a penile surgery of some kind, I guaradamntee you that ALL of the nurse’s girlfriends have heard about that. Period!
I was married to someone who worked in health care profession and trust me - if one woman in your town has heard, read or seen anything that unusual - every woman in health care profession in that town knows it.
They aren’t supposed to be doing it BUT they’re ALL doing it!
I remember my ex whispering to her girlfriends over the phone about any and all different or “weird” things she’d seen, or done for her patients that day.
She’d whisper because she knew I didn’t like that type of gossiping..

Point being - if a woman says she hasn’t heard about penile enlargement procedures she’s been living under a rock.. …or she’s lying.

MoMoney wrote:

Skeptical_One wrote:

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Skep I actually very much appreciate you diving further into HA. Its actually been a very difficult decision - trying HA first or jumping right into the longer-term options. I will trust you that HA can produce good / non-squishy results if you choose a quality doc/filler.

My continued concerns with HA are the following:
<>I will likely need 2 procedure just to get .5in. The doctor that I want to use is a 7 hour drive from me. Because he is a Urofill guy he only uses 6cc's max first round, as they believe too much too soon increases risk of migration and squishiness.
<>HA seems to be susceptible to quicker degradation due to the use of a dick pump and consistent high physical intensity lifestyles, both of which apply to me. While I can chuck out $6-10k to reach .5+ with temp filler, if it lasts less than 1 year its just not worth it to me
<>IIRC Avanti Derma prefers people not to have had HA prior to Ellanse or PMMA. Because I have an 3 piece inflatable implant, I am already on the list of non-preferred patients as per their website. I'm not sure if they would deny me if I have too many checks against me.

I will be scheduling a virtual consult with AD soon to ask some specifics regarding my situation.

If there are people who have had longer term success with HA (12+ months before needing a top off) and use a dick pump and are extremely physically active, then I would consider. Unfortunately a lot of these speculations are based on a few forum observations and some conversations with guy/gals who have get facial fillers are report shorter durations during high activity. But I also have no idea what fillers they used, quality of doc, ect. Again, a ton of speculation here, but a significant amount of time and $$ on the table.

I wasn't trying to dissuade you from Ellanse, simply trying to balance the narrative around HA - you bring up valid concerns on your end and like I've iterated previously, it appears you have set your sights on Avanti Derma and I think you'll be satisfied with your decision.

Keep us up to date with your virtual consultation with AD, didn't realize they offered that (assumed either phone or in-person). Let me know how it goes, I can perhaps convince them to make it more abundantly clear they offer this service, very useful for many who can't fly to Mexico on a whim.

Skeptical_One wrote:

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

Skep I actually very much appreciate you diving further into HA. Its actually been a very difficult decision - trying HA first or jumping right into the longer-term options. I will trust you that HA can produce good / non-squishy results if you choose a quality doc/filler.

My continued concerns with HA are the following:
<>I will likely need 2 procedure just to get .5in. The doctor that I want to use is a 7 hour drive from me. Because he is a Urofill guy he only uses 6cc's max first round, as they believe too much too soon increases risk of migration and squishiness.
<>HA seems to be susceptible to quicker degradation due to the use of a dick pump and consistent high physical intensity lifestyles, both of which apply to me. While I can chuck out $6-10k to reach .5+ with temp filler, if it lasts less than 1 year its just not worth it to me
<>IIRC Avanti Derma prefers people not to have had HA prior to Ellanse or PMMA. Because I have an 3 piece inflatable implant, I am already on the list of non-preferred patients as per their website. I'm not sure if they would deny me if I have too many checks against me.

I will be scheduling a virtual consult with AD soon to ask some specifics regarding my situation.

If there are people who have had longer term success with HA (12+ months before needing a top off) and use a dick pump and are extremely physically active, then I would consider. Unfortunately a lot of these speculations are based on a few forum observations and some conversations with guy/gals who have get facial fillers are report shorter durations during high activity. But I also have no idea what fillers they used, quality of doc, ect. Again, a ton of speculation here, but a significant amount of time and $$ on the table.

MoMoney wrote: I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Well it seems like you have your decision figured out and I believe your goals are very attainable. You ought to be able to get 0.5" in one round almost certainly, and a follow-up round tend to be inevitable for touch-up (which will be minimal with the kind of volume you'll have injected). Heck, if you have a significant other who doesn't mind, you may even find any minor imperfections as tolerable and may not even need a 2nd round, that'd be for you to decide.

On a side note, I do want to dispel the HA squishy narrative (I'm not knocking your comments btw). I suppose you could argue that PMMA/Ellanse are firmer, but with the right brand of HA and an injector who knows where & how much to inject, I've been seeing an increasing number of men report satisfactory results. Sure, there are also reports of less-than-stellar results, but Revanesse HA and Voluma HA seem to be quite adequate for augmentation. You have to remember that penises have a natural "give" to the skin, you wouldn't want anything too firm especially when flaccid, that's sort of the problem with things like the Penuma implant. HA also tends to be better for aesthetic results because you aren't rely solely on collagen production for girth, which is why nodules and ridges are far more common with PMMA & Ellanse. I'm not advocating for one filler over another, I just find increasing reports of happy customers as indicative that this alleged squishiness is overblown or exaggerated, and largely brand & injector related (not all HA's are cross-linked the same way). However, this is an Ellanse topic so I digress.

Back at the topic -- I would definitely bring the significant other if they are supportive of your decision. It'd be nice for someone to hold the head of your penis stretched out while you massage the base and shaft, hah! Just be sure to resist the temptation of sexual contact, I wouldn't risk ANYTHING while the entry points are not FULLY healed. This procedure is smooth sailing so long as you avoid infection, especially when it's relatively easy to avoid.

Tijuana may have a reputation but I'd argue Oakland, Chicago, and Memphis feel less safe. It's just a matter of getting to where you need to go and back. I've been there a few times and each time was a breeze and I never felt unsafe. Transportation service is provided by the Clinic, and they have Uber should you feel a little adventurous. I've had some great food while there, you can probably look up Yelp (or some travel guide) for restaurant locations and Uber there and back to the Hotel. The Grand Hotel is the most convenient (it's adjacent to Avanti Derma's office and a literal walk + elevator + hop + skip away), and they also have a Marriott which I've heard nice things about (but may require a cab/Uber to get to the Clinic).

If you stay long enough, you could even venture into San Diego which is literally minutes away (although make sure to go at the right time of day because border lines can be quite long).

I'm basically settled on getting ~2 rounds of Ellanse with Aventi Derma. Reasons are varied, mostly because of apparent semi-permanency and hardness. I'm also implanted with a 3 piece inflatable penile implant, and my surgeons strong advise against PMMA for my specific case (in general I think PMMA has a lot of good things going for it) because the acrylic spheres could potential get into surgical sites in the future when I inevitably get a revision for the implant done. HA just seems like too much of a gamble of squishy, but I understand the point of try-before-you-commit. I just dont feel like messing around with a kinda-maybe option right now. Anyways, Ellanse seems like the right combination of hard/natural, longevity, and application to my specific situation.

To those who had Ellanse done, especially at Aventi Derma, can you recommend a hotel, either state-side or in Tijuana, that had a kitchen and was quiet?

How many days recommend to stay in town to have them check on post op outcome?

Anyone know of progress of Ellanse being brought back to the US?

How many days for Ellanse to "settle", or mostly "settle". If I need to travel back to the US after 7 days of post-op care in Tijuana, am I ok to have grower dick stuffed in my pants (assuming I do some continued massaging multiple times throughout the day)?

Goal is just to add ~.5inc, so i can hopefully get this done in just 1 to 2 trips. I'm not concerned about the aesthetics within reason, so if I get .5 inch in 1 trip but have some irregularities then I would be completely happy with that. Ideally I wouldnt go back for 5+ years, which seems like a realistic expectation. Could bring the SO with me, have a nice vacation for a few days, then do some dick TLC with Aventi and call it a win win.

Its been a fun journey learning about all of these fillers. Ultimately, hardness and duration appeal to me the most, so I went through the evolution of HA-Renuva-Ellanse.

Anything else I should know please chime in.

Ok thats good to know and I'm happy they are not requied. I would probably skip temp fillers if they required antibiotics each round. I personally dont think regular exposure to those is healthy, but thats just my opinion.

My inflatable penile implant surgeon, who is top 3 for my type of implant in the US, is also one of the Urofill docs. I will likely try this with him. Renuva with Dr TJ Tsay is also on my radar. My implant doc also offers Renuva, but he doesnt think Renuva alone without fat transfer will do anything in the long term. Need to figure out what the right answer is here, but HA/Urofill seems like a great first start.

HorndogJim wrote: It’s interesting, I believe some benefits still there.

The thing about getting two procedures at once is it’s tricky to know which one caused what.

At present I would say my dick still feels a little more engorged most of the time. It’s kind of like a 30% semi in the corpora, so it’s just a little fluffed out. It also typically hangs a little lower, maybe 5mm more length which is nice but not hugely dramatic compared to a bunch of fillers. But o the plus side it’s totally natural looking, it really is entirely your own dick.

My perception is that the significant improvements to boners diminished around the one month mark, which under some PRP protocols is when you’d go for a top up of PRP. The Botox should last 3-6 months, which is why I think the boners were from the PRP, the ongoing chub and longer hang is from the Botox. Worth noting it can still retract fully eg running a half marathon, it was retracted fully, which is how it always was, but typically it hangs a little more than before. I also just notice a bit more of a bulge through pants than I used to have.

It’ll be interesting to see if the hang stays after the Botox wears off - has the pumping and hang stretched the ligament and this is permanent, or will it wear off and the tone will revert to baseline?

I’m thinking I would do the PRP again, but I’m on the fence about the Botox at the moment. I did see a rat study where Botox / scrotox led to worsening sperm quality, although the dose versus body weight was something like 30x greater so hopefully no impact there.

For about three weeks it kind of totally fixed any erection issues, and frankly that has gone now. So it’s kind of expensive if it really is a short time period only.

I did try PRP, and it seemed to have had some effect for a few weeks maybe? It is interesting that it is being used and studied in so many different areas, but a doctor who works closely with researchers who study the use of PRP, told me that he believes the potential benefits to be abysmal.

As for Botox, I have muscle spasms due to a condition, and I had huge amounts of Botox injected in my neck, shoulders, upper back, lower back, and even temporalis and masseter muscles. It is incredibly effective for this, and it is what Botox was originally developed for.

I just cannot fathom how Botox could be used for penile enhancement. In my mind, it is something that you inject, and then all the muscles go numb.