TOPIC: HA injectable Phalloplasty - for safety

member wrote: 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?
 Yes

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?
There have been studies showing some permanent enhancement with HA fillers over time. Most people injecting lips find that after 3 - 4 rounds (over yrs) they need less/last longer. Eventually we will study this and see - but it will take a long time to get a real idea.

3. will any of it be permanent? if so what percentages are you seeing in other patients?
As above. HA is expected to totally go away over time - dont know how long yets.

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

I think there are some limits to how much you can put it and keep it looking/feeling natural. Also depends on how much we put in - which may be down to budget/caution. Say we put in 10ml - that may give a great result for 2yrs+. But it does not stop you in 6 - 12 months (or any time) from putting in another 5ml (say) and then repeating that 6/12 later. Each result will be getting gradually bigger till you reach a point where enough is enough!

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?

 I would suggest 12 - 15 ml and expect about 1\" (Flaccid - waiting on some post Erect measurements/photos right now)

Johnson wrote: 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?

Hi Johnson,

Just wrote up in the Ellanse thread. He is very happy and prefers it to Voluma in terms of \"feel\".
Generally I avoid combining fillers. The companies dont like it because if there is a problem (any not because of combining) then no one knows who to blame.
But if the Voluma is gone then Ellanse is fine.
Combining HA/Ellanse with PMMA would give me the shivers.
More followup on Ellanse in about 1 mth - but I do have a cupboard full of it now waiting to do another test patient.

Hello Dr. Oates, you mentioned combining PMMA and HA is not recommended. How about if you got PMMA 6 months ago and wanted to get HA now?   Thanks

Dr. Oates,

Any updates on the changes in Erect size.

Jerryc129 wrote: Hello Dr. Oates, you mentioned combining PMMA and HA is not recommended. How about if you got PMMA 6 months ago and wanted to get HA now?   Thanks

The issue is what is called bioflims - which are bacteria seeded on the PMMA (is this case) but not causing any problem... untill given an opportunity with the HA injection. Or just introducing bacteria to a permanent foreign body while doing the HA.

Because the PMMA is permanent and difficult to remove I would be very cautious. If the HA was the only alternative to having surgical Removal anyway - then I may consider. But if the PMMA is doing a good job - best not to mess with it.

jackets5 wrote: Dr. Oates, Any updates on the changes in Erect size.

Soon I hope - maybe next week. Just want swelling to go down so it is the real result.

Dr. Oates, have you noticed if there is any effect on superficial veins after HA injections? Do veins get more or less noticeable?

Great to see some activity going on again in this incredibly interesting thread.I\'d like to add another question: Can you do manual stretching post HA injections or can it cause complications? If yes, how long should you wait before you start stretching?

And how about manual Girth routine after? I have read some after PMMA do pumping Clamping and even Hanging.

Please, doc, I crave your indulgence in two off-topic subjects :-

If I spend the time and money to Australia (especially the time), I should like to carry out some other procedures as well. In your personal opinion, how effective is cool-sculpting, does your wife do it, what\'s the average cost?

Again in your opinion, can a penis injected with fillers have implants installed, and vice versa? Would the gains be lost? If it is possible to do both, which one first?

I find that you have not yet provided enough statistics for both your Ellanse and voluma procedures. These are crucial in deciding to take the plunge.

I consider that this forum was primarily a PMMA forum. Now that most are turning away from that stuff, we are left in quandry somehow.

Thanks in advance, doc ...

smalljohnny wrote: Dr. Oates, have you noticed if there is any effect on superficial veins after HA injections? Do veins get more or less noticeable?

SJ,

Less noticable - hidden by the volume.

Swapzor wrote: And how about manual Girth routine after? I have read some after PMMA do pumping Clamping and even Hanging.

Waiting on a patient to get back to me on this right now. I would not want anything constricting in the middle of the shaft. But they dont usually do that.

I have a question that I\'ve thought about. Is it possible to get most of the filler on the underside of the penis? And are there any complications with this?

jogift wrote: Please, doc, I crave your indulgence in two off-topic subjects :- If I spend the time and money to Australia (especially the time), I should like to carry out some other procedures as well. In your personal opinion, how effective is cool-sculpting, does your wife do it, what\'s the average cost? Again in your opinion, can a penis injected with fillers have implants installed, and vice versa? Would the gains be lost? If it is possible to do both, which one first? I find that you have not yet provided enough statistics for both your Ellanse and voluma procedures. These are crucial in deciding to take the plunge. I consider that this forum was primarily a PMMA forum. Now that most are turning away from that stuff, we are left in quandry somehow. Thanks in advance, doc ...

Thanks for all the questions Jogift,

Ideally patients wont have to travel around the world to get this done. But it is new and not many doctors have experience with it. Eventually we will set up training in other countries.

Hard to do statistics on Ellanse when I have only done 1 patient. Does it last years without any issues - guess we will have to wait till 2018. Same with Voluma - only been using it for 1 year. But it seems to still be there.

What sort of implant are you thinking? Like for impotence? Then get that done first.

Coolsculpting certainly works and we do it in Perth and Sydney. It is about $785 Aust/cup and gets less the more you do ($4000 for 6 which is common).

the cool sculpting works great and then i would fine tune with some kybella