Theunooso wrote: I contemplated state side treatments, but they’re not permanent, which puts you on a $$$ hamster wheel.
True, but a lack of permanency has its advantages too:
(1) No need to worry about being "stuck" with an unsatisfactory result for a lifetime, and corrections/revisions can imitate said "hamster wheel";
(2) Temporary fillers seem to be lasting longer in the penis, with some reports 2+ years out without any significant loss (this will vary per person to person);
(3)
HA in particular has the best safety profile among the fillers endorsed by the
PhalloBoards.
I'm not knocking permanent fillers (heck, I have some myself), but temporary options have proven to have their strong advantages. Some of the more current trends are guys trying out temporary fillers first before deciding on whether or not they (a) want to continue with temporary fillers; (b) move onto permanent fillers; or (c) discontinue fillers altogether. In other words, the temporary filler also let's you "test drive" before making any long-term commitments, temporary, permanent, or otherwise.