TOPIC: Long Lasting Issues From HA, seeking advice

Hi all, I am very nervous about my situation and reaching out here to seek advice and guidance from you all on the forum. I had HA fillers done almost 2 years ago now. The procedure was done by a recommended doctor from this forum and I had 8ml Voluma done. I am also uncut which may be what has caused the issues to arise. I immediately had swelling and bumps all over. I was told to wait so I waited roughly a month and half, but the issues persisted. Then I returned and he dissolved some of it but I still had issues. 4 months post procedure, I returned and the doctor attempted Kenalog injections to no avail.

My issues have been that I have these grain like bumps (about 5-6) on my shaft. Furthermore, it seems like there is a fluid like lump on two parts of my shaft. I know I should have addressed this earlier but I was told to wait after the Kenalog injections to see if the fluid would clear out as well and the bumps would go away. I was working long hours at that point and was having severe personal issues (my father and brother passed away), so I am now just looking to address these issues as I have more time on both a work and personal level. Is there anyone you guys would recommend I reach out to? Is it possible for me to still fix these issues or has that ship sailed? I am in my early 30s and this has caused a lot of concern and worry for my future, as well as a lot of insecurity. I am now more insecure then I was before about my Girth. Please let me know what would be the best next steps to take! Thank you and I appreciate you all for taking the time to help me out.

LazBJackson wrote: Hi all, I am very nervous about my situation and reaching out here to seek advice and guidance from you all on the forum. I had HA fillers done almost 2 years ago now. The procedure was done by a recommended doctor from this forum and I had 8ml Voluma done. I am also uncut which may be what has caused the issues to arise. I immediately had swelling and bumps all over. I was told to wait so I waited roughly a month and half, but the issues persisted. Then I returned and he dissolved some of it but I still had issues. 4 months post procedure, I returned and the doctor attempted Kenalog injections to no avail.

My issues have been that I have these grain like bumps (about 5-6) on my shaft. Furthermore, it seems like there is a fluid like lump on two parts of my shaft. I know I should have addressed this earlier but I was told to wait after the Kenalog injections to see if the fluid would clear out as well and the bumps would go away. I was working long hours at that point and was having severe personal issues (my father and brother passed away), so I am now just looking to address these issues as I have more time on both a work and personal level. Is there anyone you guys would recommend I reach out to? Is it possible for me to still fix these issues or has that ship sailed? I am in my early 30s and this has caused a lot of concern and worry for my future, as well as a lot of insecurity. I am now more insecure then I was before about my Girth. Please let me know what would be the best next steps to take! Thank you and I appreciate you all for taking the time to help me out.

A few things:
Firstly, sorry about your losses, I've lost my mom years ago but to lose both a parent & sibling, well I can't pretend to know what it would be like.

Now to the topic at hand: I'm rather optimistic and I will explain a few reasons why. Firstly, Hyaluronic Acid (HA) is arguably the most manageable Dermal Filler so that is already promising. You didn't mention hyaluronidase, is there a reason this was skipped or was attempted at least once? Hyaluronidase is an enzyme that helps break down HA.

Also, HA is temporary so as it continues to dissipate, I strongly suspect you'll see the reduction of your issues as well. Hyaluronidase can speed that process up as well.

One idea is that your skin is just a poor candidate for filler (some guys take filler better than others, not all dermis is created equal), and being uncut could have also exacerbated the issue. In this instance, it may just be a matter of continued treatment with a Physician. I'd recommend going back to your performing physician since he has your medical file but don't feel like you can't get a 2nd opinion. There are also some guys who have used DMSO to help soften areas with nodules however I would get clearance from your Doctor before applying this method since otherwise "self-medicating" topics are not permitted on the forum, I only mention it because men have reported some success with it.

An alternative could be some sort of foreign body reaction (e.g. granulomas). These are rare albeit real complications, these are why these procedures are elective to begin with. The good news here is that from the Doctors I've spoken to, immune reactions of this nature (1) aren't life threatening; (2) aren't going to impact the functionality of your penis; (3) are treatable; and (4) some have resolved completely on their own with little to no intervention. Now this is all assuming you are having that type of inflammatory response, this is a just an idea.


Lastly, if you are comfortable, attaching some photos may help provide better context.

@Skeptical_One Thank you so much for taking the time to respond to my message, I really appreciate your kind words as well!

I forgot to mention that hyaluronidase was used and attempted multiple time. Im fairly certain all the filler is pretty much gone at this point since hyaluronidase was used multiple times and it has been 2 years.

I am leaning towards getting a second opinion, would you have any suggestions for doctors who specialize in revision or addressing these sorts of issues? I have seen names such as Dr. Gelman, Dr. Solomon, and Morganstern come up occasionally. I am switching jobs soon and will have a few months time off. I am not too concerned about location and have saved up specifically to address this, so I would love to go with the most highly recommend doctor for the job!

I will attach some pictures as well soon but am not able to now as I am traveling home from a business trip.

Once again, I wanted to thank you for taking the time to address my concerns and provide guidance and advice. Your words were super reassuring and I am excited to finally be able to take steps to address the issues I have been facing. Looking forward to hearing back from you!