TOPIC: Dr. Chang Q&A

What is Penis Augmentation and how can it be achieved?
Penis augmentation is the process of enlarging the penis. This can be achieved by various treatments including
oral medications, traction devices, platelet rich plasma (PRP), Botox , Dermal Filler, or surgery. There are of course
advantages and disadvantages to each of these options for penis augmentation. At Pollock Clinics, we offer penile
PRP, Botox and Dermal Filler for penis enlargement and believe that these are the most effective and least
invasive treatment options available.

Why should I come to Pollock Clinics? What are you doing that is different from other clinics?
Pollock Clinics has always been committed to providing gold standard care in everything we do, we never
compromise! We have been a trusted provider in the healthcare space for over 25 years.
Dr. Pollock and Dr. Chang have treated over 100,000 patients in British Columbia. Each year they are consistently
ranked number 1 and 2 out of hundreds of doctors in their respective categories on 'Rate MD' and recognized
for the quality of care that they provide. Rate MD is an independent rating system where patients are able to
rate their degree of satisfaction with their medical care following their experiences with their doctors. Hundreds
of independent patient reports posted on this site clearly support why our doctors are so highly rated. You will
feel quite reassured after reviewing these multiple extensive evaluations before booking an appointment with
our team.

What happens in the initial consultation?
The initial consultation is conducted by Dr. Jack Chang, our lead penile augmentation physician and leader of
clinical innovation at Pollock Clinics. During the assessment, Dr. Chang will review your medical history, your
goals, and perform an exam. You will have an opportunity to discuss your penis augmentation options, expected
outcomes of the procedure, and ask any questions.
As Pollock Clinics is a private medical practice, we can offer quick access to consultations and treatment. Patients
are able to book an appointment within days of their inquiry.

How are dermal penile fillers different from PRP?
Platelet-rich plasma (PRP) is an all-natural solution of concentrated platelets made from the patient's own blood.
Platelets possess a variety of growth factors and proteins with powerful reparative and healing properties. There
is solid scientific evidence demonstrating that PRP is a powerful tool for penile enlargement. PRP works to
increase penis size from the inside out.
The challenge with PRP is that we are not able to predict consistent or precise results, as the outcomes of this
treatment depend greatly on the response of the body to the PRP treatment. This is why we have chosen to offer
penile dermal fillers as well. Fillers placed in the deep subcutaneous tissue of the penis allow for more precise
and predictable increases in penis Girth, enlarging the penis from the outside in so to speak.

How does Botox work for penis enlargement?
There are a few potential mechanisms by which the injection of neuromodulators, like Botox, can result in
penis enlargement, one of which is by relaxing the penile retraction reflex. This causes the Flaccid length of
the penis to become longer, and there is less shrinkage in cold environments. Botox also works to relax
smooth muscle to allow more blood flow into the penis and allows the nervous system to encourage higher
quality erections.

How long does it take to see results?
Results from penile filler are instant! Your penis will be thicker immediately after the treatment. Note that
Dermal Filler will not impact the length of your penis. However the Botox and PRP treatment can enhance
length, if desired. Botox treatment can take 5-7 days to establish the full effect, and PRP treatment is
conducted over a period of five months.

What can I expect in terms of results?
After the first treatment with penile filler many patients report approximately 1" or 20% increase in Girth. We
recommend that patients start treatment with 6-12mL of filler. Using higher volumes of filler at the first
session can cause unnatural appearing results in regards to the proportional appearance of the head in
relation to the thickness of the shaft. Excessive filler can also cause an unwelcome softer or more padded
texture to the Erect penis. In addition adding large amounts of filler all at once will result in excessive skin
stretching. Ultimately, it is possible to have more filler, but this must be done progressively to achieve the
best result with the highest level of safety. The total amount of filler and your Girth limit will be determined
with you by the doctor.
The results from Botox and PRP are less precise as each patient responds to treatment differently.
Approximately 70-80% of patients that receive the Botox and PRP treatments are satisfied with their results.

Is it safe to get penile filler?
Penile Dermal Filler is the safest medical approach available to instantly thicken the penis and is considerably
safer than surgery. Complications are rare and are usually minor including temporary swelling and mild
bruising. You will be awake during the entire procedure (so there is no need for general anesthesia), and no
stitches are required.

Is there any down time associated with getting penile filler treatment?
We ask that you refrain from sexual activity (including masturbation) for 2 weeks after the procedure to allow
adequate time for the filler to set. Also be cautious when engaging in strenuous exercise and avoid the risk of
trauma to the area until the filler has set.

Are these solutions permanent? Or how long do the results last?
The filler will gradually be broken down by the body over a period of 12-18 months, so the results are not
permanent. At your 12 month follow up you can opt to add additional filler (usually half of the original
amount) in order to maintain the extra penis Girth.
Botox treatments last, on average, 3-4 months. However the length of treatment effect will be determined by
how quickly your body metabolizes the Botox . PRP is also not a permanent solution, however by injecting the
growth factors and nutrients contained within the PRP, we rejuvenate the tissue and the effects can
potentially last a couple years.

Am I a good candidate for enlargement therapy?
During an initial consultation, the physician will discuss the treatment and expected results. Each person is
unique and your physical exam will help determine what your personal needs and options are for penis
enlargement.
Patients who tend to develop hypertrophic scarring, or have active inflammatory or infectious lesions in the
area (herpes, STI, etc.) may not be good candidates for treatment.

What kind of filler am I getting? And how much will I need?
We use a proprietary blend of filler that consists of either Hyaluronic Acid, calcium hydroxylapatite or a blend
of both. There is a lot of variation from patient to patient and the amount of Girth gained depends on both the
amount of filler injected and the length of the penis . A shorter penis will require less filler, and a longer penis
will require more. On average patients start with 10mL of filler, and may add more at subsequent visits until
the desired result is achieved.

What if I live out of town?
We offer consultations over zoom and telehealth, which gives you the opportunity to discuss the procedure
with the physician prior to coming out to our clinic in New Westminster, BC. The procedure itself is 1 hour, and
we would have you in for a follow up in 2 weeks to assess your progress. Depending on where you are
commuting from, you may wish to stay locally or return home between your procedure and follow-up.

How do I prepare for the procedure?
No pre-procedure preparation is required! To reduce risk of infection, we ask that you shower and wash the
area prior to any treatment, and maintain self hygiene afterwards. You should review the information package
and familiarize yourself with the pre and post procedure instructions.

What to expect during the penile filler treatment?
The procedure will begin with cleansing the surgical field, and application of a numbing agent. The physician
will then inject a small amount of local anesthetic which will freeze the area, to allow us to perform the
procedure while you are fully awake. Once the freezing agent has set in, we will begin the filler procedure
where we will make two small injection sites causing minimal trauma and allowing us to distribute the filler
evenly. This portion of the procedure lasts about 20 minutes.
During the entire procedure you will be able to listen to some music, watch a television program or read a
book. Our priority is to ensure you have a great experience and get a great result!
Some possible side effects you may experience after treatment include:
-Edema (swelling) at the injection areas
-Ecchymosis (bruising) or bleeding around the injection sites
-Itching or redness around the injection site
-Mild discomfort around the area

Is the filler procedure painful?
Your comfort is our priority, so we offer 4 levels of pain management: a topical numbing agent, a local
anesthetic and all injectable product also has small amounts of anesthetic incorporated. We also offer
Pronox during your treatment. Pronox is a mix of nitrous oxide and oxygen that can be inhaled during
treatment to provide and analgesic effect.

What is Scrotox ?
Scrotox is a treatment where a neuromodulator is injected to relax the muscles on areas of the scrotum that
cause wrinkles and raise/lower the testicles. The neuromodulators will cause the wrinkles to essentially
disappear resulting in lower Hanging and fuller appearing testicles for more sexual stimulation and a larger
appearance.

Is it safe to get Botox in my scrotum?
As with all procedures there is a certain degree of risk including post treatment discomfort, swelling, redness
and bruising and risks of infections or allergic reactions. The injection of botox into the scrotum paralyzes the
ability of the testicles to ascend.
The reflex of these muscles causing the ascent and descent of the testicles is important for temperature
regulation, to ensure health production of sperm. By temporarily paralyzing this reflex we introduce the risk
of infertility. Good candidates for Scrotox are those who do not wish to father children.

What is Grotox ?
Grotox is a treatment where neuromodulators are injected to relax the dartos muscle, which causes
retraction of the penis. A hyperactive penile retraction reflex can result in drastic variation in penis Flaccid
versus Erect size and in some cases can cause pain. Treatment with neuromodulators can blunt the
retraction reflex and allow the penis to protrude more without eliminating the reflex completely. This result
is a penis with increased Flaccid length. *Note: Erect length remains unchanged.
Results of this treatment do not become apparent until 5-7 days after treatment, and a follow up
appointment is scheduled 1-2 weeks after the procedure to determine if more product is required.

Is it safe to get Botox in my penis?
Yes, however with all procedures there are small risks including post treatment discomfort, swelling, redness
and bruising and risks of infections or allergic reactions. The injection of Botox into the penis does not pose a
significant risk of infertility as might an injection into the scrotum.

How much does penis augmentation cost?
Depending on the type of treatment you choose, penis augmentation procedures can range from
$4,000-$12,000. During your consult with the doctor, you will go through the various options available to you
and outline the associated costs.