Girthquest1 wrote: Thanks for the reply guys, after hours of reading I’m still a little unsure on a couple of things the first is stretching in aftercare is this a must or could I just use a pump eg bath mate twice a day? And where to source the peptides I’m doing this on the quiet so will I have to rest up completely a few days or just take it easy? I know everyone’s opinion is different but would appreciate the feedback
Please don't use a Bathmate or any other pumps for at least 4 weeks after HA and 12 weeks after Ellanse. This will likely cause the filler to migrate.
Even after 4 weeks, HA can shift with excessive pumping.
Ellanse sets quickly, you need to make sure that the result looks symmetrical and well distributed on the evening of the procedure, when erect.
I would have in my Ellanse tool kit some Viagra / ED medication in case you suffer anxiety and are unable to get an erection in order to check the shape on the evening of the procedure.
The reasons to be checking the result on the first night are two-fold.
1. It is still possible to manipulate the filler very early on.
2. There is not yet significant swelling, so the patient knows what the result is when checking erect on day 1. Any imperfections after this may be disguised by swelling and only revealed after it is too late to mould them out.
There are two types of bandages recommended particularly for Ellanse >
ibb.co/5GckTXq
The first is the blue sports strapping type bandage which allows you to strap the penis up tight and provides a firm surface against which to squash the filler flat.
Put this bandage on during the moulding process and then remove it. Only to be used for moulding.
See video.
www.androfill.co.uk/wp-content/uploads/2...Moulding-Bandage.mp4
The second bandage, the green cohesive support bandage from the photo linked above, is more flexible and is to be worn the rest of the time for the first 7 days at a minimum. The second bandage is keeping the penis a little extended while it is healing, preventing it from fully retracting and the filler from bunching up.
Change the green support bandage daily (remembering to start the bandage at the base rather than from the glans end).
There are pros and cons of using bandages and for some time we felt the negatives outweighed the positives.
Negatives:
- Bandages get grubby, particularly if they are not changed or if the patient is putting them on and taking them off frequently. This increases the risk of infection.
- Nocturnal erections. If the patient puts the bandage on too tightly while flaccid before bed, he can have an erection during the night. The penis has no space to expand as it is compressed too tightly by the bandage and the filler diffuses / migrates.
- Patients put the bandage on incorrectly, either too tightly or too loose. Or patients will tend to rebandage with the bandage starting at the base and ending at the head. Please do not do this. Bandage from the head working back toward the base. You create pressure when bandaging the wrong way which encourages filler to move up into the foreskin.
Pros:
- It keeps the penis extended and is particularly important for patients who retract a lot. This stops the Ellanse from bunching up in the middle.
- It somewhat holds the filler in place, more so in the case of HA than Ellanse which will have set more quickly.
There are suggestions from the forum that a patient should mould every day, take hot baths and so on.
We feel that you should mould on the first night, get it looking as good as possible when erect, and then substantially leave it alone only rechecking the shape when erect twice per day and only remoulding if necessary.
If you keep moulding it, pushing and prodding it, stretching it and so on you will generate more swelling which can disguise any imperfections and retard the healing process.
There should not be such a wide variation in aftercare protocols and it seems like the patient here was coming to the forum for advice rather than to us, or he even went directly against the doctor's advice.
If you are coming to Androfill for Ellanse, please do come to London. It is nothing against Dr Kimilu who was reluctant to inject Ellanse. The reason to come to London is that I have better visibility over what is going on (I am Dr Horn's assistant and I have guided hundreds of patients through Ellanse moulding). Dr Horn has also performed many more Ellanse procedures, I assume the most of any doctor in the world in the penis. When booking Androfill it actually states "Ellanse is not available in Manchester", so I am not sure how this procedure went ahead.
Before having Ellanse in London please establish contact with me ideally by Whatsapp so you can send me photos after the procedure.
Please ask "is this Francis" as there are a few people answering the inbox.
You are almost certain to have a good Ellanse result if:
- you are checking in with the clinic regularly following the procedure (ask specifically for me).
- you have a small HA procedure prior to the Ellanse to check that you are anatomically suitable and to train you in the moulding and aftercare process
- you don't have too much product
- you set aside time to mould on the evening of the procedure and have some ED medication in case you struggle to get erect
- you use the bandages correctly and avoid pumps and other improvisations.