TOPIC: 4 sessions of PMMA & HA completed

Hello everyone! Here is my journey…I have had a total of (4) sessions with PMMA + Voluma and have gotten noticeable results. I have no nodules or anything likely because I have my own US shock wave machine which helped with post procedural care. I would like to hear everyone’s opinion and recommendations on how I progressed and what would further benefit me. In my (4) procedures, with the last being done on 09.13.2025, I received (5) Voluma syringes and (5) Bellafill syringes as well as 2mL silikon to the glans. I also perform the home ultrasound shock wave which I believe was instrumental in the post procedural care as there are no nodules or bumps. The Bellafill I have received has ALWAYS been given with the Voluma or volux to act as an HA carrier. Is that beneficial or can Bellafill be injected solo as I had no issues of nodules or lumps after my (4) prior procedures. I am concerned that a the PMMA connective tissue scaffolding network would not allow for the use of the cannula being that there may be new collagen network being built? And if so, would one recommend the micro-dropplet needle injection of Bellafill if one is unable to pass a cannula? Please see my progress below.

[Administrative Edit: The photos were successfully uploaded to be viewed by Premium Members in user Brian2727's 4th post, further down in this topic. ]

2 ml Silicone to the glans? What doc ? Whats your gain at the glans?

@Skeptical_One you know which doctors do Silicone glans injection ?

Hi PmmaFan,

I wanted to share a brief update about my experience. The physician who conducted my four sessions, and who also performed the Silikon injection to the glans, is Dr. Emer.

Despite occasional comments you may encounter, I have found him and his team to be consistently professional throughout the entire process. While I acknowledge that the prices are high, I firmly believe in the adage: you get what you pay for. In my case, I’ve achieved only positive results and am extremely pleased with the outcomes.

Regarding the Silikon results, I am genuinely impressed by how natural and smooth it looks. It’s truly indistinguishable from what one would expect after augmentation. I credit Dr. Emer’s skill, as well as a thoughtful investment in an ultrasound shock-wave therapy device, which I consider a wise decision.

As you know from the PMMA with Voluma or Volux procedures, achieving symmetry and uniformity requires an experienced hand—and Dr. Emer undoubtedly has that expertise. I want to be transparent: I conducted thorough research and chose him after careful consideration. This is not something everyone can afford, and I would strongly advise anyone considering such treatments to ensure they have the financial means for multiple sessions. Balance is essential; one session alone is unlikely to deliver the full, satisfactory results. One thing to also mention is that they offer financing options for their patients which is helpful.

Ultimately, I started above average and, with time and care, I feel I’ve reached a high level of length and thickness. I value health and wellness, and while I am not particularly promiscuous, my partners are absolutely impressed and amazed with what I have to offer below the belt and they think I have just been blessed in size and Girth.

If anyone has questions about my experience with Dr. Emer or the process, I’m happy to share more details.

Warm regards.

PmmaFan wrote: 2 ml Silicone to the glans? What doc ? Whats your gain at the glans?

@Skeptical_One you know which doctors do Silicone glans injection ?

Some Doctors may use Silikon1000 for small areas (i.e. micro-droplet technique as recommended by the manufacturer), we're talking surface-level touch-ups and not for any meaningful gains; while the glans (a.k.a. penis head) constitutes an area that would only need low quantity injections, I'm personally reluctant to encourage or endorse the use of silicone here (the glans is anatomically & physiologically different from the shaft with respect to the dermal planes involved when implanted by fillers like HA and PMMA).

I should note that I've never been opposed to the use of Silikon1000 (the FDA approved version of silicone oil) for very minor touchups in small superficial pockets of skin amounting to no more than 2 to 3 cc's/mL's, but I remain cautious, and I've certainly been against the use of any kind of silicone oil (FDA approved or not) in large volumes in the shaft for girth enhancement.

Not sure how I feel about Dr. Emer's use of Silicone in the Glans when Hyaluronic Acid (HA) is the industry consensus... but information regarding complications stemming from silicone oil in the glans are far less common than that of those in the shaft, so I'll reserve judgement until more information becomes available to us. I do think it is a bit cavalier, but I'm also conceding that not only have I tolerated low quantity injections (typically in the shaft, not penis head), but that this particular application (silicone oil in the penis glans) is outside my scope of knowledge or expertise. Either experts here who are familiar can chime in, or we'll have to wait and see -- but I can't help but stress caution regardless.

@Brian2727 -- for some reason your photos did not attach correctly in your original post.

Would you mind sending them to This email address is being protected from spambots. You need JavaScript enabled to view it. so that I can correct them for you? This will also grant you Lifetime Premium Membership access to the site. Thanks.

I just sent you an email with my photos. Thank you.

Ah so only some esthetic gains regards the glans. This what I also thought with only 2 ml.
I really wonder when something is out to give the penis head longterm / semi-longterm effective gains

Trying to upload pics of my journey. Looking forward to your thoughts and recommendations.

Beginning and final stats ? Looks great.

So I think the end result looks pretty good. I would like to know what the beginning measurements were compared to the ending measurements. I am also confused how eight units of filler were placed over four appointments that seems like very little filler placed at each appointment. I also wonder What the real benefit is of placing columns HA and Bellafill at the same time. Does this just mask Nodule formation and then once Voluma is gone, you may have nodules? I’ve always been confused understanding the benefit of doing both Voluma or HA and Bellafill at the same time. Lastly, have you noticed with Belllafill that your scrotum gets red more often, mine does.

@Toothman I am also SUPER confused about that !
At the beginning of BellaFill in penile enhancement they did that cause BellaFill was too expensive at that time (my understanding, I read that often). Even this was a weird explaination. But why they do it today ????

The way I look at it is u have belllafill which is bovine cow collagen now mixed with HA. Bovine collagen disappears in 3 mos or so. Usually Bellafill PMMA is then surrounded by collagen and fibrous tissue. If the PMMA is surrounded by HA, it just inhibits Bellafills ability to encourage collagen formation. So after 6 mos to 1.5 yrs, after the HA is gone, then Bellafill goes to work. However, the initial smooth appearance from HA may be replaced with a bumpier appearance of PMMA. Anyone please add to my theory, or challenge it I am curious

PmmaFan wrote: 2 ml Silicone to the glans? What doc ? Whats your gain at the glans?

@Skeptical_One you know which doctors do Silicone glans injection ?

Some Doctors may use Silikon1000 for small areas (i.e. micro-droplet technique as recommended by the manufacturer), we're talking surface-level touch-ups and not for any meaningful gains; while the glans (a.k.a. penis head) constitutes an area that would only need low quantity injections, I'm personally reluctant to encourage or endorse the use of silicone here (the glans is anatomically & physiologically different from the shaft with respect to the dermal planes involved when implanted by fillers like HA and PMMA).

I should note that I've never been opposed to the use of Silikon1000 (the FDA approved version of silicone oil) for very minor touchups in small superficial pockets of skin amounting to no more than 2 to 3 cc's/mL's, but I remain cautious, and I've certainly been against the use of any kind of silicone oil (FDA approved or not) in large volumes in the shaft for girth enhancement.

Not sure how I feel about Dr. Emer's use of Silicone in the Glans when Hyaluronic Acid (HA) is the industry consensus... but information regarding complications stemming from silicone oil in the glans are far less common than that of those in the shaft, so I'll reserve judgement until more information becomes available to us. I do think it is a bit cavalier, but I'm also conceding that not only have I tolerated low quantity injections (typically in the shaft, not penis head), but that this particular application (silicone oil in the penis glans) is outside my scope of knowledge or expertise. Either experts here who are familiar can chime in, or we'll have to wait and see -- but I can't help but stress caution regardless

Silicone of any kind should not be injected anywhere in or around the penis in any volume ever. Period.

I cannot tell you the number of men we have seen in our clinic who had silicone injected into their glans months or even years prior and came to us with necrosis (tissue death) due to the silicone, even in small amounts. One such patient we saw recently sticks out in my mind. He'd had his shaft and glans augmented with silicone injections about 5 years before he came to us when he started having serious problems. His glans was completely necrotic and oozing pus; he lost his job because he was missing so much work due to the pain, his wife left him because of the resulting deformity, and he also came dangerously close to losing his penis completely.

We have also found that Loria and his licensees commonly tell their patients (when they do admit to using silicone) they are injecting Silikon 1000 when it is in fact a dirty silicone oil mixture. We have had this confirmed by the lab on several occasions. Also look out for anyone telling you they use "natural collagen activation filler," "pharmaceutical grade silicone," "CMC," "carboxymethylcellulose," or any combination of those terms or anything that sounds remotely like them.

Silicone looks and feels amazing at first, but silicone of any kind migrates uncontrollably and eventually hardens, causing constant pain, edema, infection, deformity, necrosis, vital organ failure, and can even end in death. You only get 1 penis, and you only get 1 life. It simply isn't worth it to risk both for a gain in penis size.

Here are a few pages and a video that further explain the risks and dangers associated with silicone penile enhancement:
www.rejuvall.com/pharmaceutical-grade-si...e-penile-injections/
www.rejuvall.com/penile-injections-growth-silicone/
www.rejuvall.com/silicone-girth-enhancement-repair/

I also wonder What the real benefit is of placing columns HA and Bellafill at the same time. Does this just mask Nodule formation and then once Voluma is gone, you may have nodules? I’ve always been confused understanding the benefit of doing both Voluma or HA and Bellafill at the same time.

@Toothman I am also SUPER confused about that !
At the beginning of BellaFill in penile enhancement they did that cause BellaFill was too expensive at that time (my understanding, I read that often). Even this was a weird explaination. But why they do it today ????

I'm not sure why a provider would inject HA and PMMA at the same time, but I can tell you that Dr. Carney first puts down a foundational layer of HA before he will apply PMMA because he found it sort of "primes" the tissue for the PMMA to greatly reduce the risk of nodules and granuloma. PMMA causes an inflammatory response which is the trigger for collagen formation. This very same inflammatory response is what is responsible for the granuloma formation and nodules you see so often when PMMA is injected without that HA "buffer." Our FusionThick page goes into more detail about all that and how it works: www.rejuvall.com/permanent-girth-injections/

Beginning Stats: 04/25/2024
Erect Length = 7.08" (18cm)
Erect Circumference: 4.92" (12.5cm)

Current Stats: 10/07/2025
Erect Length = 7.78" (19.76cm)
Erect Circumference: 7.25" (18.42cm)

I also lost weight during this period and therefore, less of a fat pad which could have accounted for a noticeable change in length in combination with pumping and shockwave