TOPIC: Why aren't PMMA and fillers more popular?

I find myself pondering this after a 2nd session with Avanti... 10k of two Utmost packages and my Girth is 1.25" more than my initial Girth. PMMA has made sex so much better.

I can now focus purely on length exercises like Hanging, no need to clamp for Girth if I don't want to (will still clamp and pump to increase the space for my 3rd PMMA session).

Why aren't these fillers as popular and widespread as women getting boob jobs or BBL?

Relative to population why aren't aren't there clinics everywhere in the States?

Why are the biggest options a Dermatology clinic in Tijuana and a "medspa" in a random town in Ohio?

You asked:

Why aren't these fillers as popular and widespread as women getting boob jobs or BBL?
For a number of reasons but here are a couple that stand out:

[1]
Fillers, and all other male enhancement procedures (once called "phalloplasty," but this term has been phased out and largely used in context with gender reassignment surgeries) are unfairly associated with the industry's past, stretching back to the 90's. The field was (and arguably still is, but to a lesser extent) full of botcheries and unethical quacks. It wasn't until 15 years ago that the PE Community learned of the viability of fillers as an option, and it wasn't until this last decade that girth enhancement by way of dermal filler injections were proving to be demonstrably effective.

In fact, there are still a dozen (or possibly more) physicians employing unacceptable and/or obsolete methods for penis enlargement like the use of a solid implant (not to be confused with implants designed for erectile dysfunction) or the use of silicone oil (regardless if blended or pure). These two procedure types just so happen to be headed by two separate Doctors respectively, who also invest a ton of money in marketing. Then they have gone on to sell & train their methodology to other crooks, or (unfortunately) duped, but well meaning doctors (hence the "dozen or more" speculation). Sadly, these may very well be the biggest marketers in modern male enhancement, the very same ones most noteworthy for their notoriety: poor results and/or too high a frequency severe complications rendering them unacceptable when a patient's welfare should be a physician's first and foremost consideration. Since many other Surgeons end up having to fix and repair these botcheries, the word on the (medical) streets is that male enhancement is still up to its old tricks (of being a pipe dream and a disaster like the days of old), and the PhalloBoards is the only known platform trying to fight it (both these specific procedures mentioned in this paragraph, as well as the industry's overall image and respect).

Many men report that their primary care or family physician has no idea when consulting them about it, and some can be scolding to their patients about getting it done after the fact. This is due to the to widespread ignorance regarding this area of Cosmetic Medicine in broader medical circles. Until mainstream Urology and Plastic Surgery standardizes the techniques & protocols that are associated with successful girth injections, it will continue to grind the slow trail up the mountain. The reason why some medical circles still remain opposed to penis enlargement procedures largely relates to its history and its experimental nature like I mentioned in the 1st & 2nd paragraphs (not many, if any, investors or academics are pumping Research & Development into it, so all advancements are being made by brave innovators in Medical Offices around the world).

However, because we've come a long way (up this proverbial mountain), and we've seen demonstrable efficacy over a sufficient sample size, we are seeing more & more providers offer these procedure(s). We also see more mentions of it in the media, and more men having it done, but it still remains relatively niche. I suspect it'll be a "known thing" in the 2030's if I were to take a guess -- and by "known thing," I mean to say somewhat mainstream.

[2]
Stigma. For some, even embarrassment, shame, or insecurity (all of which are unfair). If women can get virtually every part of their body enhanced as sound-minded adults & informed decision makers, why can't men have something worthwhile?

That said, the penis remains a sensitive topic. In my time dealing with this subject in social media, and other platforms with Terms of Service (TOS), I can tell you that for whatever reason, the penis (especially erect) triggers more red flags and aversion than any other part of the body (male or female). My PayPal for PhalloBoards 2.0 got closed because the content of my site dealt with penises, despite being purely educational/medical/scientific in nature (no porn or eroticism, just fact finding and community discussion).

Ask yourself, of all the cliche and comical topics that people dread to discuss over a Thanksgiving Dinner, how'd you feel bringing up your recent penis enlargement procedure? Don't get me wrong, I'm certain there are outliers, but as of present day, I'm still convinced most of you would omit this from the discussion (where I believe a woman in 2025 could openly talk about, and even brag about her recent breast augmentation at a Holiday Dinner table).

The stigma has been eroding when you look at the increase in popularity in recent years (as cited in the first bullet-point above), but it remains nonetheless.



Relative to population why aren't aren't there clinics everywhere in the States?
There have been an increase in Clinics in the past 5 years because more and more Cosmetic Practices are hearing about it, as well as for the demand. However, not all Clinics are created equal, and many of them just so happen to offer it because they can, and by that I mean having access to the same fillers off-label. So many of them include it in their suite of services, even if they aren't necessarily experienced or skilled in the art. Hence why the PhalloBoards plays a pivotal role in helping guys figure out the best option(s) for them.

I continue to be in talks with potential new collaborators who are ethical providers, look to advance the field, and can provide this Readership competitive options + a transparency behind the process. There are more than just those found in the Physician's Directory in the website's header (or menu for those on mobile), but I'm all about quality-over-quantity. You want someone vetted, screened, and interviewed by the only site dedicated specifically to the topic of surgical and non-surgical medical male enhancement, to assess whether or not there is good reason to believe they provide efficacy in a field that otherwise lacks regulatory oversight or standardization (i.e. there are no formal medical textbooks or residencies that specializes in modern male enhancement, and instead these procedures are derived from the modification of previously existing techniques, with every Injector having their own preference in filler type, brand, needle-vs-cannula, pre-op & post-op protocols, among other things).



Why are the biggest options a dermatology clinic in Tijuana and a "medspa" in a random town in Ohio?
They aren't the "biggest" options, I'm not sure what that means? Shafer Clinic has been performing these successfully for many years, PhalloFILL has many affiliate locations, Dr. Sullivan does great work both in the procedure room and the studio (making educational videos), Rejuvall is a prominent Urological practice offering a variety of procedures, just to name a few. The two you mentioned just so happens to do high volume of PMMA, so if I were to guess what you mean by "biggest," this is maybe it. It also may seem this way because PMMA was the first to gain traction & popularity early on with the PhalloBoards, but Hyaluronic Acid (HA), Ellanse, Radiesse, and others have made considerable headway in recent years. There is no single best option, it really depends on the patient's goals, expectations, budget, logistics, etc.

.