TOPIC: HA injectable Phalloplasty - for safety

aleksk wrote: Looks extremely good, Dr Oates. Do you think you have equal success aesthetically with uncut patients? I know for a fact that most Australians (especially under 40) are uncut. 

Also, think seriously about a clinic in East Europe - somewhere low cost and easy access to much cheaper high quality fillers (including Ellanse) and easy access to the whole European market. I\'d look into Bulgaria if I were you - super low cost, easy to establish a business, European Union laws. You\'d be able to offer these procedures 40% less than the price you are currently asking and will have huge success with British, German, Irish, Spanish etc. Bulgaria also borders Turkey and is very close to MIddle East so think about that massive market as well as Europe. You\'d get the best of both worlds. It doesn\'t even happen to be Sofia, you can establish yourself at a holiday resort with good flights to most European countries (e.g. Varna). 

By the way, I have an MBA and speak several Eastern and Western European languages if you need my help.

Hi Aleksk,

My trial Ellanse patient is really happy and wanting more (from the 4 ml we did). 

Waiting on Allergan to get back to me about pricing of Voluma in various places. One consideration is how easy/quick it is to get to from Perth/Sydney. I would like to train doctors in other countries (and will eventually) but think from a business point of view they would just drop any arrangement I have with them and just go it alone once they are trained up.

jackets5 wrote: That looks good asethetically as well. What is the feel like? Does it feel natural when Erect?

Yes it feels natural Flaccid and Erect. I have a patient booked to do pre/post Erect photos. His partner definitely notices the change in size. It seems to contradict the idea that size doesn\'t matter.

Dont want to use the images at the end of the procedure because it is a medically induced Erection which may be different, plus potential bruise/ spots of blood. But we do have someone liked up to do the Erect photos. So hopefully very soon.

aleksk wrote:
Thanks for letting me know. I will contact you about Ellanse in the next few weeks. Sounds like good news and I like to believe in that filler based on its properties and the research that backs it up. 

I see why you are looking at Dubai now. It\'s one of the few places in the Middle East with a direct flight from Perth. There are very good connections from there to most of Europe with minimal transit time though (I fly often via UAE). Bulgaria is not that far, and Athens is even closer. Also, can I make a suggestion for you to consider Cyprus. A short flight from Dubai and a place of a booming holiday-type plastic surgery industry. Very competitive in terms of running costs compared to Dubai and much, much more accessible to anyone in Europe. Once again, you will find European Union laws and a very easy place to run a business administratively speaking. Also, you will enjoy a great lifestyle while you\'re there and it will be a great place for you to establish partnerships/do networking as there are many plastic surgeons who speak perfect English established there. I know people from Europe who travel to Cyprus for cosmetic surgeries, oral, maxilofacial and even dental surgeries. 

Also, could you tell us what you think about circumcised vs. uncircumcised regarding aesthetics with your procedure? Any chance to see uncircumcised pictures? Maybe myself? 

Looked at Cyprus/Bulgaria - from your suggestion - the problem being even though it is not a very long flight from Dubai, it will still lose an extra day each way. Which makes it non viable. I still think Dubai and Kuala Lumpur/Bangkok the most likely. Maybe Mexico eventually.

We are doing lots of uncircumcised men now. Using Caverject for an erection has made it easier by stretching out the skin. We have 1 uncut pre/post on our website - www.academyfaceandbody.com.au and hope to have several more up soon.

were the Erect numbers as good as the Flaccid numbers? 

Playing off Sexbeasts question: This is what I don\'t understand. Still back reading in the forum and stuff - but let\'s say you get 1\" flacid change..  then you get an Erection.  Wouldn\'t that 1\" flacid change disperse over the new 3 or 4 inches (let\'s say) of Erect penis?  I guess the reverse too. If you are injecting into an Erect penis (which makes more sense to me, not sure why \'C\' doesnt do it) and you get .5\" of enhancement doesn\'t that compact and puff out when you are flacid?  I mean its the same amount of material over less (or more) space depending on which way you go.  I would guess thats why penis enhancement is so hard as the body part is always changing sizes. 

brock wrote: Playing off Sexbeasts question: This is what I don\'t understand. Still back reading in the forum and stuff - but let\'s say you get 1\" flacid change..  then you get an Erection.  Wouldn\'t that 1\" flacid change disperse over the new 3 or 4 inches (let\'s say) of Erect penis?  I guess the reverse too. If you are injecting into an Erect penis (which makes more sense to me, not sure why \'C\' doesnt do it) and you get .5\" of enhancement doesn\'t that compact and puff out when you are flacid?  I mean its the same amount of material over less (or more) space depending on which way you go.  I would guess thats why penis enhancement is so hard as the body part is always changing sizes. 

I have only recently been asking guys for pre/post Erect circumference measurements. And guys are often very shy about talking about these things. Certainly many guys have said their partners notice and appreciate the extra Girth. Guys say they can see and feel it. So hopefully soon we will have some actual measurements. The guy who\'s picture I posted with 1.4\" Flaccid I would guess must have 0.75 - 1\" but we need more actual measurements to give good advice.

hey Dr.
how zit look directly after filling with the meds on board. when ever we do a procedure in our office, lets say lips, there is some pretty good swelling but u can defiantly tell a substantial increase in size( of course depending on what the client is looking for ).
i know there is swelling and some bruising but there has to be a noticeable increase in size from when the meds first take effect and the procedure is filled and finished.

sexbeast wrote: hey Dr.
how zit look directly after filling with the meds on board. when ever we do a procedure in our office, lets say lips, there is some pretty good swelling but u can defiantly tell a substantial increase in size( of course depending on what the client is looking for ).
i know there is swelling and some bruising but there has to be a noticeable increase in size from when the meds first take effect and the procedure is filled and finished.

It looks good at the time of the procedure. Occasionally a bruise. I usually start before fully hard - but it is full hard by the time I finish, so not really able to say/measure a true difference vs pre injection. A lot of guys dont really want to look at it after the injecting, so they dont say either.

Hi Dr. Oates As you know from my PMs I\'m interested in a temporary filler Girth enhancement. However, I find it hard which to choose. I\'m considering Ellanse, Belotero or Voluma. Which one provides the firmest feel? As far as I understand the choice is quite important as you can\'t choose another one when you\'ve got one filler injected (cf. your post about possible inflammation) Also, is it correct that Voluma can move around during intercourse?

Johnson wrote: Hi Dr. Oates As you know from my PMs I\'m interested in a temporary filler Girth enhancement. However, I find it hard which to choose. I\'m considering Ellanse, Belotero or Voluma. Which one provides the firmest feel? As far as I understand the choice is quite important as you can\'t choose another one when you\'ve got one filler injected (cf. your post about possible inflammation) Also, is it correct that Voluma can move around during intercourse?

I am not sure if you could tell the difference between Belotero or Voluma - but my clinical impression is that Voluma is superior. No it does not really move around during intercourse - it does get integrated into the tissue. There may be some ability to have some compression by masturbation or using a starching device with a silicone ring.

I am seeing my Ellanse patient on Saturday and placing some more. Will be interesting to ring out if it feels any different. I suspect not.

Dear Dr Oates

i have been researching your procedure and considering getting it done.

i have a slight bow to the left which i first notice when i was about 9 years old, im now 43. my penis is actually straight what i mean is my gland points and is directly in front of me. its kind of like the left side is less developed which gives the appearance of being bowed \"i hope this makes sense.

i visited a Urologist and he confirms i don\'t have peyronies disease and suggested getting a filler to make it look straight.

this is to say if the left side was filled my penis would look normal and point directly in front of me.

can you advise please if your process would achieve this.

i can add a photo if you like

kind regards

hi Member,

I have tried to make curved penis look straight with filler. And they do look much straighter while Erect. But when Flaccid and it shrinks back a bit it then tends to look too full on that side. So now I tend to keep to doing it even all round the penis. It looks somewhat straighter still, and bigger and everyone is happy!

hi Dr Oates

thank you for your helpful reply.

ive never had any kind of surgery on my member ive been waiting for a safe procedure to come available.

1. can gland be done at the same time as shaft?

2. on your website it says it last 18-24 months, is this to say after 18-24 months i will be back to where we started? or some where in between?

3. will any of it be permanent? if so what percentages are you seeing in other patients?

4. once the initial treatment has been done how regularly do you recommend getting it done to maintain or continue growth?

5. im currently 7inch long and 5inch around what volume HA would you typically use for a first treatment and what gain would i potentially see?

Hi Dr Oates. I know HA last 6-9 months but, what I don\'t get is how it works. How do you know right amount of cc\'s to have so that it doesn\'t absorb? For example I get it done in April does that mean each time it wont absorb until a full six months or even if you have multiple treatments throughout the 6 months when will it absorb?

Hi Dr. Oates Any news on the Ellanse patient? Also, is it correctly understood that if I undergo a Voluma procedure then I shouldnt get Ellanse after it has absorved due to a possible reaction happening?