TOPIC: New to this with some questions

I am considering PMMA. But I am new to this and have a lot of reading to do before I do anything. I'm in the LA area.
I heard of dr emer from youtube. Anyone seen him? Is there anyone better in the area?

I have been considering getting either the PMMA filler or maybe a fat injection. But I am worried about what the results would be like later. I have seen people on different forums show pictures from a week or a month later. But what about MANY years later? Lets say you get a PMMA injection in your shaft and it goes well. What would it be like 10 years later?

Has anyone here gotten their glands / head done with HA? I have seen some videos of this getting done and I wonder what the specific side effects are with doing HA on the head if anyone has experience with that inparticular.

Also, what about fat injection? Which one is the safer option? I would not want to end up with a "lumpy" or misshapen penis. Do you all think PMMA is the best option?

And lastly, lets say you get the PMMA filler and something does go wrong. Is it fixable later with surgery? Meaning can they undo it? I am hearing about "nodules" that can form. Can they fix that? If so how is it fixed? And if the PMMA doesn't take, can it be fixed or are you screwed?

I already have a fairly large penis. 8 length and 5.9 Girth. I would like to get my Girth to around 6.5-6.8
and have the head enlarged a bit. How possible is this goal for you people with actual experience?

MayB wrote: I am considering pmma. But I am new to this and have a lot of reading to do before I do anything. I'm in the LA area.
I heard of dr emer from youtube. Anyone seen him? Is there anyone better in the area?

I have been considering getting either the PMMA filler or maybe a fat injection. But I am worried about what the results would be like later. I have seen people on different forums show pictures from a week or a month later. But what about MANY years later? Lets say you get a PMMA injection in your shaft and it goes well. What would it be like 10 years later?

Has anyone here gotten their glands / head done with HA? I have seen some videos of this getting done and I wonder what the specific side effects are with doing HA on the head if anyone has experience with that inparticular.

Also, what about fat injection? Which one is the safer option? I would not want to end up with a "lumpy" or misshapen penis. Do you all think pmma is the best option?

And lastly, lets say you get the PMMA filler and something does go wrong. Is it fixable later with surgery? Meaning can they undo it? I am hearing about "nodules" that can form. Can they fix that? If so how is it fixed? And if the pmma doesn't take, can it be fixed or are you screwed?

I already have a fairly large penis. 8 length and 5.9 girth. I would like to get my girth to around 6.5-6.8
and have the head enlarged a bit. How possible is this goal for you people with actual experience?

I say this respectfully, but you have the coveted 8" x 6", anything you do from here on out is like putting modifications on a sports car that voids its warranty.

That said, if you absolutely must (I'm not here to judge those for their own goals, instead simply reminding people to be mindful and to set reasonable goals), I would stick with something non-permanent just in case it doesn't go as planned. Hyaluronic Acid (HA) comes to mind and you could easily achieve your 6.5-6.8 goals with that size.

if you're in the L.A. area, I strongly recommend visiting Dr. Tsay in Orange County. He's very talented, has a great online review presence, and is easy to get a hold of and quite personable. He offers other options as well, for me given your situation, that would be the no-brainer option.

I should add that HA is temporary but can be topped off annually to maintain that size at a fraction of the cost of my sports car analogy.

Also, no shade on PMMA, but its permanence is less appealing if you're already starting with an 8x6 and all you seek is 3/4th an inch max in circumference.

I bet @justn8 could attest to this.

Can HA be done in the shaft?
So HA is easy to reverse?
I would say the main thing I need to improve is my head size even though I am naturally 8 x 6.
I would just like a little more Girth. And a bigger head

MayB wrote: Can HA be done in the shaft?
So HA is easy to reverse?
I would say the main thing I need to improve is my head size even though I am naturally 8 x 6.
I would just like a little more Girth. And a bigger head

Yes HA is done in the shaft.

It is easy to reverse for two reasons:
(1) The enzyme Hyaluronidase can dissolve most, if not all of the HA; and
(2) HA's temporary nature means that most (if not all) of it will dissipate over time.

The glans is the trickiest area to enhance on the penis anatomically speaking I'm afraid, and the gains aren't nearly as significant as the shaft. You might find manual PE methods like edging/ballooning, Jelqing, pumping (or even glans pumping) to be comparable (if not better) alternatives.

No procedure (or PE exercise) is without risk. That said, HA has arguably the strongest safety profile too. Again, I emphasize these strong points in light of your specific circumstances. Give Dr. Tsay a call (I fixed the links in my original post), not sure if he's still in since it's approaching 5pm on a California weekday, but it wouldn't hurt to leave your name & number with them. Express your goals, see what options he recommends.

I am definitely concerned about possible complications and trying to get ahead on that and pick the safest option that is the easiest to fix if a problem arises.

I went to his site and it said "Juvederm Ultra for the glans" whatever that is. I'll probably be reading around and seeing what different people have to say before contacting any doctors. I appreciate all your replies.

Would love if others could chime in their thoughts as well.

Any idea how long HA lasts in general?

I've yet to read of any /established/ safe procedure for permanent glans enlargement. There's just not a lot of space where it's safe to put stuff - most of your glans is vascular.

I had HA in my coronal ridge when i had my shaft done (also with HA) in November 2021.
I got probably a little of 2 years of SOME retention in both spots, but it didn't do so much for the visual size as it did make the ridge more pronounced so it'd be more...textured, in use. That part was pretty cool. I think most of the people doing glans enhancement are staying more or less near the coronal ridge in a sort of U shape.

I think part of the nudge towards HA is...you've got the holy grail Dick, if anyone should use something temporary as a trial run, it's you. See if you can get a result you like with HA, see how much it takes (it's going to take way more for you at that starting size), if you don't like it after it's settled in in a few months' time, have it dissolved, no harm except a little wasted money and maybe some extra skin.

MayB wrote: I am definitely concerned about possible complications and trying to get ahead on that and pick the safest option that is the easiest to fix if a problem arises.

I went to his site and it said "Juvederm Ultra for the glans" whatever that is. I'll probably be reading around and seeing what different people have to say before contacting any doctors. I appreciate all your replies.

Would love if others could chime in their thoughts as well.

Any idea how long HA lasts in general?

Juvederm Ultra is a brand of HA and is usually the only one I personally am comfortable with in the glans (not saying others can't work, but this is just a personal take).

One of the challenges with HA (no filler option is perfect, or else all Doctors would be using the same one), is that how long it lasts really depends on how your body breaks down the filler. Think inversely how people's hair grow faster than others... same with when our body breaks down substances, typically you hear 6 months on the short end and as much as 24 months on the high end... for this reason I usually express a 12-18 month projection.

Also keep in mind that your HA may diminish gradually over time, so rather than needing a brand new session annually, you only need to top-it off with less volume than your original session... so I'd say that's a reasonable trade off.

How often people chime in varies, and unlike traditional Social Media, this isn't exactly a site people log into regularly unless they are actively undergoing research and/or recovery from a procedure. Hopefully you'll get some responses in the coming days & weeks, but in the meantime I'd definitely peruse the forums, including the use of the SEARCH tab.

Good luck!

They can dissolve it or I just wait for it to?

Lets say that I keep it. How long in general does HA last?

itgoesthud wrote: I've yet to read of any /established/ safe procedure for permanent glans enlargement. There's just not a lot of space where it's safe to put stuff - most of your glans is vascular.

Precisely why if I HAD to go with a glans pick, it would be HA. Its non-permanence in an anatomically delicate area is most comforting. The lack of studies in it of itself isn't my biggest concern because let's face it, penis enlargement doesn't get the best Research & Development funds, and there isn't a plethora of authoritative, peer-reviewed publications that validate much of what is shown to work, or invalidate much of what is shown not to work.

MayB wrote: They can dissolve it or I just wait for it to?

Lets say that I keep it. How long in general does HA last?

Like I said in my previous answer, there is no way of knowing for sure and it depends entirely on your body's propensity to breakdown the HA filler.

Perhaps you missed it but I'll copy & paste it here again:
One of the challenges with HA (no filler option is perfect, or else all Doctors would be using the same one), is that how long it lasts really depends on how your body breaks down the filler. Think inversely how people's hair grow faster than others... same with when our body breaks down substances, typically you hear 6 months on the short end and as much as 24 months on the high end... for this reason I usually express a 12-18 month projection.

Also keep in mind that your HA may diminish gradually over time, so rather than needing a brand new session annually, you only need to top-it off with less volume than your original session... so I'd say that's a reasonable trade off.

Saw I was tagged and yeah, I'm 100% with Skeptical_One. For starters you're large, larger than I was to start, and your goals are less than mine were and more of an enhancement than a significant enlargement. Go with HA or a hybrid is my opinion. It's been shown you can always transition to something even longer lasting but you have the emergency rip cord if you do it and hate it, which does happen. I've talked to a guy who had a lot of HA done and found he became he wasn't a fan after awhile and is now dissolving it. Myself on the other hand love it.

As for longevity, it varies from person to person. I kind of feel it tends to last a little longer in the shaft than some other areas of a person's body but some guys have found some brands get absorbed quicker than they'd prefer. The glans can absolutely be done with HA but it tends to 'gobble up' filler. Like... I find that five syringes in the shaft is majorly noticeable but five syringes in the glans is like 'ok yeah a little bit bigger'. You might want to just focus any glans fills on the ridge of the head more so. It tends to plump up more and gives you that illusion of a larger head.

MayB
Im just now seeing this and wanted to chime in. Regarding your choice of product HA is definitely the safest and I will always put safety as priority over everything else. If something has high efficacy and lower safety I would choose the safer option first, in my opinion. Fat transfer becoming lumpy is usually due to injector technique. So an experienced injector will have less of these issues. Also mild irregularity with fat transfer can be corrected with Renuva which a product that you can inject to grow your own fat. Regarding PMMA, you are right. After 20 years no one knows how that will look like. I’ve seen it look great in the face for the first 10-20 years and then as the body ages and the fat compartments Atrophy and shift, the PMMA can “stand out” and look like some abnormal growth. So it did its job originally but later did not look good.

HA is easier to dissolve but if you woke up one day and wanted it all gone that would still be a big challenge especially with products like Voluma or Volux which are my two favorite HAs to use. The HA molecules are very tightly crosslinked which has the advantage of giving a longer duration. When they say “easy to dissolve” what that means is if there is a small area of irregularity or “lump” you can easily take that down with dissolving agent. PMMA is a different beast. These are basically microscopic glass beads that are permanently inert in your body. Removing large amounts do require surgery. However if there is a small lump or Nodule those can easily be remedied with a steroid/5FU injection. With that being said, I mostly perform HA injections in my office.

Seems like your expectations are very reasonable. Based on your goal 5.9-6.3 that is approx 10% increase. In someone that had a shorter length that can easily be accomplished with maybe 10 ml or product. Since your length is higher than average you have more “real estate” to cover (essentially more surface area) that would definitely require more product. My estimate would be that you would need between 20-30 ml of product over a few sessions.

Duration varies from person to person but the average I see for Voluma in the face is 1-1.5 years, despite their claim of 2 years. I do see much longer duration in the penis compared to the face and would say it can for sure last 2 years or more.

Hope this helps with your research and journey.
Dr. T

Skeptical_One
I did miss your post from before sorry. And thanks that clears up some of my thoughts

Thanks @Dr_Tsay
I have another question if you don't mind. How possible is it to shape the penis with ha? I'll elaborate..

Since it seems the head can't be altered all that much, i would not want to have the head be considerably smaller than the shaft. Because of that, I thought of this..

imgur.com/a/KbgDKL0

Crude drawing (sorry) but you should get the idea. Is something like the above drawing possible and still look smooth?