TOPIC: UPDATE: Use of Macrolane VRF 30 in Emicircumferential Penis Enlargement

here a link of the published study: academic.oup.com/asj/article/33/2/258/2801330
It would be interesting to see our doctor's opinions on this.

If the Doctors want to chime in they should, but I can already tell you Macrolane's (HA) use had been reported in the past, often considered a less-superior HA formulation for purposes of penis enlargement. In other words, one reason HA got the "squishy" reputation was due to Macrolane reports, whereas more commonly used brands by our Sponsors tend to be firmer and more practical for Girth enhancement.

This article and the accompanying video was what got me started. I saw that and though this could be done a whole lot better. I just went to the lead authors website and they seem to still do fat transfer but dont seem to mention Macrolane or even HA. Macrolane was removed from sale due to the issues it caused with lumps and bumps (I believe). There is a Korean HA that comes as a 10ml.
Any specific questions on the article?

Dr_Oates wrote: This article and the accompanying video was what got me started. I saw that and though this could be done a whole lot better. I just went to the lead authors website and they seem to still do fat transfer but dont seem to mention Macrolane or even HA. Macrolane was removed from sale due to the issues it caused with lumps and bumps (I believe). There is a Korean HA that comes as a 10ml.
Any specific questions on the article?

No I was just wondering why the use of Macrolane, but only after I realized that the study is form 2013 and the product has been removed form sale after.
The authors don't advertise penis enanchment on their website, in Italy very few doctors make this procedure available and clearly visible on their websites, even if they offer it, kinda grey market approach for some reasons. It woul dbe great to have an internation group of doctors who could share their own observations and experience and gather them into a protocol and a published study, I think now we should have a solid base of patients worldwide
Unfortunately there are very few studies on the use of HA for penis Girth agumentation

tiritera wrote:

Dr_Oates wrote: This article and the accompanying video was what got me started. I saw that and though this could be done a whole lot better. I just went to the lead authors website and they seem to still do fat transfer but dont seem to mention Macrolane or even HA. Macrolane was removed from sale due to the issues it caused with lumps and bumps (I believe). There is a Korean HA that comes as a 10ml.
Any specific questions on the article?

No I was just wondering why the use of Macrolane, but only after I realized that the study is form 2013 and the product has been removed form sale after.
The authors don't advertise penis enanchment on their website, in Italy very few doctors make this procedure available and clearly visible on their websites, even if they offer it, kinda grey market approach for some reasons. It woul dbe great to have an internation group of doctors who could share their own observations and experience and gather them into a protocol and a published study, I think now we should have a solid base of patients worldwide
Unfortunately there are very few studies on the use of HA for penis Girth agumentation

Working on it...

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Working on it...[/quote]

So good to hear!

Update: I got in touch with a quite known Plastic Surgeon in Italy asking information about his PE procedure with HA and he replied that he uses Hyacorp Type 1 for penis augmentation.
As far as I know Hyacorp is the subsitute of Macrolane, so I'm not sure it is the rigth product to use, and I'm worried it could have similar problems of Macrolane, but of course I cannot debate with the doctor about his choice, and I don't know this HA caratherisics.
Is there anybody out there that is aware of somebody else using this kind of HA for PE? Of course @Dr_oates opinion would be greatly appreciated.

Also the doctor says that he uses a 18c cannula and place the filler between the skin and the dartos, while I know that the correct placement would be betwween dartos and buck's fascia.

tiritera wrote: Update: I got in touch with a quite known Plastic Surgeon in Italy asking information about his PE procedure with HA and he replied that he uses Hyacorp Type 1 for penis augmentation.
As far as I know Hyacorp is the subsitute of Macrolane, so I'm not sure it is the rigth product to use, and I'm worried it could have similar problems of Macrolane, but of course I cannot debate with the doctor about his choice, and I don't know this HA caratherisics.
Is there anybody out there that is aware of somebody else using this kind of HA for PE? Of course @Dr_oates opinion would be greatly appreciated.

Also the doctor says that he uses a 18c cannula and place the filler between the skin and the dartos, while I know that the correct placement would be betwween dartos and buck's fascia.

Hi everyone - sorry not been on the forum for a while. I dont think it would be possible to get a 18G cannula between skin and Dartos /superficial fascia so assume he means between deep and superficial fascia. I dont know what Hyacorp Type 1 10ml HA is like. I can see you would need a 18G cannula to be able to push out from a 10 ml syringe - the mechanical advantage is much greater with a 1 ml syringe than a 10 ml syringe so with the 1ml syringe you can use a much smaller cannula. I would be happy yo try it. It may not have the same particle size that Macrolanne had.

Thank you @Dr_Oates for your contribution. My concern comes from their site: HYAcorp MLF1 is intended to be used as a means of restoring lost volume and contouring body surfaces. The depth of the injection can vary depending on the treatment site, the subcutaneous application and the supraperiostal application.
Buttocks
Calves
Correction of concave deformities
The use of HYAcorp MLF1 for breast and genital augmentation is contraindicated.

As far as I know ALL body fillers should be contraindicated for Penis augmentation, in fact the most common HA used for this purpose are Voluma and Teosytal, born for face procedures, that's why this particular doctor choice sounds strange to me.
In the recent past I got in touch with an other italian plastic surgeon who instead went on a totally different path, using Belotero Intense, claiming that in his experience the smaller particles of this HA were less prone to cause aestethic issues in the penis area.
I understand that each doctor prefer to use a product they know better, but also that they probably still don't have that much experience or knowledge about this particular procedure, nor they had time to investigate further on the best product to use.

Tiritera,

Yes I think it was large particle size that caused Macrolane to have issues. Not sure about partial size in the Hyacorp product. We tried Belotera Volume (their 'volumizing' product) but it was too soft.