TOPIC: How is Injection Precision Ensured?

The "target space" for injection of fillers within the penis is between the collies fascia & Dartos fascia -- a very thin space that is not entirely uniform around the penis. Seems quite precarious. How is it that the clinician 'knows' with any degree of confidence that he's entered the correct depth & cavity and hasn't incorrectly overshot/undershot?

Precision is ultra important for any filler (perhaps less so for a bio-identical temporary HA-type filler) but when speaking of a PMMA-type product specifically -- the PMMA spheres (even if a tiny amount) will forever be in the wrong place -- creating a cascade of unintended consequences.

I think PhalloFILL is best suited to answer this as I honestly don’t think any other physicians care/know how. I would love insight on how William Moore came to know this, but they can’t give away all their secrets.

What I know my doctor has told me is that he can “feel it”. Just like if you put styroam layers atop each other and had each have a different thickness you might notice passing through the layers with your needle. I imagine the corpus caverns has a distinct feel from the rest of the penis, and the different layers so.

If your physician CANT answer this then I suggest you RUN. Coming from someone who’s had 12cc of filler botched, and then 15cc of filler botched.

1776 wrote: The "target space" for injection of fillers within the penis is between the collies fascia & dartos fascia -- a very thin space that is not entirely uniform around the penis.

Conventionally it's between the dartos and buck's fascia and isn't precarious at all. In fact the technique is remarkably efficacious, as demonstrated by an overwhelming authentic patient reporting of filler injections in general. You'll find many on this site, but they have been sporadically mentioned on other PE sites as well.

What's more "precarious" is choosing the wrong practitioner and/or filler type. There are some bad actors out there who opt to inject non-FDA approved filler cocktails (often containing silicone oil), and others opting for the use of rigid silicone implants for the purposes of augmentation (and not erectile dysfunction).

And there are a bunch of "Botox Mills" who have access to the same fillers off-label who may not understand the critical technique & methodology of injecting the filler correctly (let alone aesthetically), so your concerns are valid as someone approaching this scene. I've seen some of the work through back channels (PMs + Emails) and bad quality results very much exists and persists.

I'm here to tell you that (fortunately), there are leading Docs in the field and they are excellent at what they do. The previous poster mentioned PhalloFILL, their Dallas Clinic being a great option for Hyaluronic Acid (HA). Other popular fillers include PMMA (a permanent option), and Jiva Med Spa has put out some quality work in Ohio, and Dr. Luis Lee out of the Bay Area offers a bit of everything (P-Long, P-Shot, Girth Injections, etc.).

While the industry has a poor history of botcheries and has largely remained experimental (i.e. lacking standardization), I would contend that injectable phalloplasty has really come a long way in the past 10 years and we've entered the first ever Golden Age of medical male enhancement in the 2020's.

What Dr botched your filler?

Alittlebigger wrote: What Dr botched your filler?

Would you like to elaborate on your off-topic remark? Or did you fail to read that this thread was an inquiry and not a complaint?

I think I misunderstood this statement.. 'history of botcheries".....my apologies.

Alittlebigger wrote: I think I misunderstood this statement.. 'history of botcheries".....my apologies.

No worries. We can carry on the thread as intended. One of a dozen masterful injectors I know includes William of PhalloFILL, Dr. Shafer in NYC, Jiva Med Spa in Columbus, Ohio, and @Dr_Tsay from Orange County, perhaps he can chime in on injection technique. He's not just well reviewed for male enhancement, but has an overwhelming number of positive reviews with female aesthetics (like the face), which comes with a higher degree of skill to ensure the most seen part(s) of a woman retains as much naturalness as possible while enhancing it for symmetry & proportion.

Each area of treatment, i would assume, take a slightly different approach, preference of filler, and skillful hands to achieve.