TOPIC: HA injectable Phalloplasty - for safety

jogift wrote: Please doc, would you kindly comment on the thread \"BBC I-player ...\" started by Reklaw? The number of replies in a short time shows how it has confused us but espeicially that you were refered to several times in the thread.

Will do.

OK - there was a lot going on the Thread BBC 1 player and I had not gone to look. I thought I would repost some of the information here because i think it is useful and may be seen here when someone is looking for this info.

So we have just started a facebook page -  www.facebook.com/CALIBRE.penile.enhancement
We are just starting on new website dedicated to the CALIBRE procedure (how do you like our name?) separating from the rest of the things we do which obviously is more skewed towards women.

Where we inject - yes between the superficial (Dartos) fascia and the deeper bucks fascia. From the Androfil video it looks to be exactly the same plane as that needle - we are not injecting deeper than that. The person posting from Androfil (a practice manager when I PMed) said it was rediculous to think that a 27G needle could cause a blockage to these vessels - sorry totally wrong. In fact most arterial blockage has been caused by 27G needles. As Androfil said - that is what comes in the box. Arterial blockage is caused by being in the wrong plane - which is one of the reasons the cheek filling video gave me the shivers. Plus injecting without gloves. And then posting the video.

The Angular Artery runs across the face at an angle from just out from the corner of the mouth to the corner of the nose and up to the corner of the eye. Is tends to have lots of bends in it so it can stretch out when you tun your face. It is one of the most commonly occluded arteries and leading cause of blindness. Most blindness comes from fat - presumably injected with cannula (this is not fully documented not the size if the cannula). The area of the face being injected needs to be done down at the bone - well below the artery and you know you are there because you can feel it. Or very superficial with a needle into the skin itself well above the artery. If you really want to inject at a more medium depth like they appear to be doing then you better be using a cannula, and actually keeping it moving is safer than keeping still( hopefully you come out of the vessel before injecting too much rather than nice and slowly injecting a big blob carefully into the artery) - but still no guarantee.

On Hyalase not being effective (ie Hunky) - surprising. Maybe what was left was either granulation or scar? My concern with a blockage in the dorsal artery was getting the hyalase down through the deep fascia. But it has been well shown that it penetrates well through a thick arterial wall. In the case of this happening they hyalase is injected with a needle. When people ask me how much - till the problem if totally fixed or you run out of Hyalase. Amazingly Hyalase is not an approved medicine in France and they have to purchase it elsewhere and \'smuggle\' it in.

On getting rid of injected blobs of fat. Lipodissolve often/usually causes lots of redness/swelling/pain and i dont think you would like it. I use injected steroid and usually find it gets rid of lumps and bumps in lips and around eyes - so that would be my first choice.

Stem cells. Quite possibly a big part of the future of medicine. I banked cord blood when my 2 kids were born to store the stem cells. But currently it is research and conjecture. Yes there are stem cells in fat and we have been injecting them with fat transfer for decades. Maybe it was always the stem cells that were responsible for a lot of the benefits we saw. But...I dont think any of the kits available now have been demonstrated to really get you that much more or that it then does that much more. Unfortunately we have just had a death of an elderly woman having it for dementia. Not directly related to the actual stem cells (I think) but the procedure and being on blood thinning medications and the doctor not knowing that.

I will try and post some histology pictures to show exactly where things are. First thing to notice is the dorsal artery does not necessarily run in the midline and can be/usually paired. The superficial facia and skin are intimately applied. It is also called the Dartos fascia - the dartos muscle is the muscle \'in\' the skin of the scrotum and why it can contract (the cremaster muscle is the one that actually retracts the ball). There there is a loose space between the superficial and deep fascia. You will all be aware of what this loose space does (think of a single man before he goes to sleep). The deep fascia and Tunia are quite thick. It could be punctured by a cannula. But less likely. And a lot less likely than a needle - especially one going in and out as rapidly as it the Androfil video.

I have had 4 PM\'s while writing this post - will check after inserting some pictures.

If these pictures dont make it clear I am sure you will let me know. The subcutaneous layer is the loose space - where the product goes with the cannula (and the needle). There should be a second image (pink) which is a microscopic close up - if it does not come up I will repost. 

And the other picture which never wants to go in the original post - 

You can see a \'loose\' layer on the outside of the deep fascia where injected products go. Although it would be possible with a needle to inject into the skin/superficial fascia that is not what is being done in the video.

Welcome Dr. Oates,

Thank you for joining here even though you admittedly have some self interest and want to promote this technique, which I don\'t think people care about as long as you\'re open, honest and help men like us while doing so. I respect that you stress safety before anything else in contrast to what most other plastic surgeons do who don\'t seem to to mind butchering people\'s most precious organ just to make profit for themselves.
If this HA technique is for real and can safely add circumference to the penis semi-permanently, it will most likely make you and your fellow practitioners insanely rich one day, and while doing so, you\'re helping men around the globe - what an incredibly rewarding job to have!

I have a couple of relevant questions that I believe could help not only myself but other lost souls out there who finds this forum. Disregard any repetitive question (I might have missed it in the thread).
1. You mentioned that you\'re quite new to offer this procedure, approximately how many men have you injected so far?
2. Can one come back for as many treatments as he wants? Lets say one would want to start out with a 0.5\" increase and then have another 0.3\" increase in a few months and a 0.3\" in a few months again. I speak of approximate gains as that is more understandable for readers rather than volumes injected.
3. How far up towards the glans can HA be injected? For a Circumcised, can it be injected past the Circumcision scar if the skin is loose enough?
4. For us with excess scrotum skin (penoscrotal webbing), would it be adviced to have it fixed and healed before getting the HA treatment?
5. For us who have gained length naturally (stretching), will HA work the same? I read somewhere that FFT wasn\'t recommended for people who have been stretching before, but I have no clue to why, skin is skin right?
6. It was mentioned the \"substance\" exists in the body naturally already, but how similar is the injected version and is there any risk of sudden allergic reactions or other side effects we should be aware of?

And also a recommendation to you and your team: If you want more pictures from pre and post surgery, perhaps you could offer every customer a sizable discount option if they allow pictures to be taken. If anything would boost your customer base, it would be real picture proof (and continued picture proof) to back up any claims.
Cheers from Texas,
SIP

Hi all,

First post on this forum. Am i right in understanding that results from HA are the best when used in conjunction with caverject?

cheers

Hi Members ( no pun....)

We have had a number of requests to provide more pictures - especially documenting increase in size vs volume injected and pre/post Erect photos. And video of the procedure performed.

To help with this we have a offer open to PhalloBoards members -

35% discount on the procedure for 3 people willing to be videoed, provide good quality pre/post Erect photos and comment here on PhalloBoards. All video/photo to be non-identifying (unless you have tattoos/identifying marking that you are happy to be displayed).

25% discount for 10 people willing to have us use their before/after pictures (including Erect).

This is both Perth and Sydney Clinics.

Volume will be determined by what you need/your penis will take. ie dont think it is a good time to get 35% more. You may be suitable for a second round at the same discount.

To get the discount first PM me.

Hi All,

Will try and post some pics of a guy who (finally) let me post his images here. 15 ml Voluma to shaft done 4 weeks ago.
Went from 9.5cm circumference to 13 cm = 1.4\" increase.

Maybe this time...

Will try resizing a bit for the others -

WOW!!!Looks too good to be true!

Any update on your clinic in Dubai or elsewhere?

jogift wrote: WOW!!!Looks too good to be true! Any update on your clinic in Dubai or elsewhere?

Dubai/KL will be next year I think. There are some issues doing these procedures in some Muslim countries.

That looks good asethetically as well. What is the feel like? Does it feel natural when Erect?

Any photos Erect before and after?

i agree, great job aesthetically! do u have photo\'s with the Alprostadil on board?