PhalloBoards - An Online Community to discuss Phalloplasty


Welcome, Guest
Username: Password: Remember me
  • Page:
  • 1

TOPIC: General recap of HA collective wisdom

General recap of HA collective wisdom 5 years 6 months ago #1294257310

All,

I\'m getting more and more interested in having HA done. That said, I\'m finding it hard to navigate the learnings we have on this site.

Is there a summary of some of these issues?
- Is cannula definitely superior to needle or doesn\'t it matter?
- Have we settled on which HA filler works best? juvaderm?
- are you allowed to pump and jelq with HA in?
- does it feel normal or does it felt squishy/soft?
- anyone experienced any real complications aside from nodules (which can be dissolved)?
- is there a complied database of who offers this (which filler, which city, etc) and who we think are the best 3-4 offering this? I would much prefer to go to someone who was well respected here. I live in Paris and travel to the US frequently. I don\'t see myself heading to Australia to see Dr Oates.

Please Log in or Create an account to join the conversation.

General recap of HA collective wisdom 5 years 6 months ago #1294264086

If no one is answering your questions, it isn\'t because they are not good ones but the expectation is that every does their own research. The answers to all those questions are on this board, you should go through the posts - most are in a few threads and put all your answers in this thread for others to read. I think most of the longer term members who could answer those questions are tired of giving summaries. None of this is meant as a criticism.

It is a good way of informing yourself in the process of answering your questions and posting your research here.


Please Log in or Create an account to join the conversation.

General recap of HA collective wisdom 5 years 6 months ago #1294269753

thenewdigs wrote: All, I\'m getting more and more interested in having HA done. That said, I\'m finding it hard to navigate the learnings we have on this site. Is there a summary of some of these issues? - Is cannula definitely superior to needle or doesn\'t it matter?
I think cannula is definitely safer, rare that needle helps enough to negate the increased risk of penetrating an important blood vessel.

- Have we settled on which HA filler works best? juvaderm?
No. I have injected 5 different HA\'s. I still think Voluma (a form of Juvederm) is the best so far, but keep trying others. Trying to work out the qualities of each filler and why I like one over the other.

- are you allowed to pump and jelq with HA in?
After a month I think that is probably fine, but you would need to keep an eye on it at first

- does it feel normal or does it felt squishy/soft?
It is mildly softer with bigger volumes like 25ml I think it does make a slight difference, but the guys who have had that much are happy with the big increase in Girth.

- anyone experienced any real complications aside from nodules (which can be dissolved)?
We have had 1 guy with an infection - he did have an anatomical abnormality with his penis that may have contributed. It looks like we may have our first patient with a granuloma

- is there a complied database of who offers this (which filler, which city, etc) and who we think are the best 3-4 offering this? I would much prefer to go to someone who was well respected here. I live in Paris and travel to the US frequently. I don\'t see myself heading to Australia to see Dr Oates.


Qantas just announced direct flights to London from Perth(where I live). I have previously had a medical license in the UK...not sure if my wife will be too happy to have me fly away too often.

Please Log in or Create an account to join the conversation.

General recap of HA collective wisdom 5 years 6 months ago #1294271107

These are my opinions from reading everything I can in journals and in patient experiences (though 99% is in the face, not the penis).

Is cannula definitely superior to needle or doesn\'t it matter?

The cannula is safer because you have a lower risk of embolism (injecting into a blood vessel and causing a blood clot and necrosis) than a needle. You bruise less too, but that\'s usually more of a concern with the face. It takes the risk of embolism from .5% to .00001%. IMO, proper technique with a needle will also lower the risk (aspirating, withdrawing as injecting, no use of excessive force). Needles are more precise in my opinion. Blunt tips on these cannulas do not allow easy \"navigation\" especially if you have existing stuff in there like old pmma or whatever. If you have an unaltered dick, then a cannula will be very easy to use. Doctors are mixed with their opinions on the new cannulas...some hate them and some love them - they can be creatures of habit.

Have we settled on which HA filler works best? juvaderm?

Juvederm Voluma is what Dr. Oates uses and has been shown to have the longest life and greatest thickness. Another doc in London (see below) also used it. So, that\'s why it is preferred, I think. I have wondered (but have no data) if thinner fillers like Juvederm ultra, restylane silk, or belotero balance would be better in circumcised guys in the distal end (the area near the head). I don\'t know, however. Maybe Dr. Oates has an opinion about that. I\'d be a little concerned that voluma would be too obvious in that thin skinned area. In the face, it is only supposed to go deep into the tissue. Belotero can go just under the skin, like silikon 1000 (which is not actually approved for filling, but people use it for that off label).

are you allowed to pump and jelq with HA in?

This hasn\'t come up to my knowledge. I wouldn\'t risk it just due to the cost/benefit. The benefit you\'re getting from pumping or JelQs won\'t be more than the HA, and you could screw up the HA placement (maybe). The face has much more tissue to hold the HA in place. The penis isn\'t as layered with muscle and fat. If Dr. Oates reads this, maybe he\'ll say it\'s fine. Y

does it feel normal or does it felt squishy/soft?

It has been reported both ways - some say it\'s indistinguishable from normal tissue and others do not like it and have dissolved it because they felt it was too unnatural.

Anyone experienced any real complications aside from nodules (which can be dissolved)?

Nobody has posted any problems like that. The biggest problem is that it didn\'t feel right.

Is there a complied database of who offers this (which filler, which city, etc) and who we think are the best 3-4 offering this? I would much prefer to go to someone who was well respected here. I live in Paris and travel to the US frequently.

Not really compiled by anyone yet, but a few names have come up on here for HA. There are a couple of reports, but not a ton. Here\'s one from London, which is probably the closest to you:

phalloboards.websitetoolbox.com/post/vol...on-8334775?&trail=15

Please Log in or Create an account to join the conversation.

General recap of HA collective wisdom 5 years 6 months ago #1294414663

Great thread - just answered a few niggling question I had ahead of my procedure tomorrow.

Please Log in or Create an account to join the conversation.

  • Page:
  • 1