TOPIC: A walk down filler lane... Progress Reports -- (Pictures Inside)

Hello good PhalloBoards members! This thread will serve as my record through the Phalloplasty process, what I have learned, and my current progress/thoughts.

Let’s start at the top…

Motivation:

All my life I have been self conscious about my penis size. I was bullied for it in middle school. But this is only one factor contributing to my desire for a larger penis.

At the end of the day, size does matter. I have been married for a decade and have wonderful children. Sex still feels great, but it’s not as tight as it used to be. Yes, my current size can get the job done - and if getting the job done was all that mattered, then I’d be happy. But that’s like settling for a C. I want to go for an A+ experience. Bigger = more sensation = possibility for more pleasure. Seems simple enough.

My Current Size: (See Attached Pictures)

And here come the stats…

Flaccid Length: 4”
Flaccid Girth: 4”
Pelvic Bone Erect Length: 6.2”
Erect Girth: 4.6”

It was a little colder when I took these pictures, but I generally hang a little longer.

As far as where I fall in the distribution, I’m right about smack dab in the middle of average.
My Girth is 46th percentile.
My length is 82nd percentile.

Would be nice to have a bit more Girth… that leads me to my:

Goals:

I think my length is fine. Sometimes I hit my wife’s cervix in certain positions and feeling around in there, the canal ends maybe 4” from the opening. Girth is where it’s at.

I’m going for somewhere between 5.5” and 6” in Girth. Function over form.

Oddly enough, I don’t really care about having a big bulge. In fact, I’d prefer not to really have a large bulge if possible… but if things go well, this likely can’t be helped.

Step 1 -- The Consultations

I like to know how things work. The more I can learn, the better. PhalloBoards have been extremely helpful when researching the types of fillers that can be used for Girth enhancement. I was actually very close to getting the Penuma device when I stumbled across PhalloBoards and discovered that it was clearly the wrong option.

Here are the folks I consulted with over the last two weeks:

Dr. Jane Chung

• Jenesis Lipoplasty and Laster
• Recommended Filler: Juvederm Ultra XC+ (HA)
• Cost per cc: $950
• Experience: Over 1000 cases (10 years)
• Summary: Love her as a doctor. Her work is masterful, but extremely expensive. She doesn’t use Voluma which surprised me and only would go for 5-9 CCs in the shaft for the first treatment.

Dr. Victor Liu, MD

• Own practice
• Cost per treatment (as much Oil as you can take): $8,000
• Experience: Roughly 80 Cases
• Summary: Dr. Liu was very straightforward and nice. A very experienced plastic surgeon that seems to specialize in more female services. I found him through realself.

Ian Garcia

• Avanti Derma
• Recommended Filler: Linea Avanti (PMMA)
• Available Filler: Ellanse (PCL)
• Cost per treatment: $5000 (PMMA), $450 per cc (PCL)
• Experience: 4-5k
• Summary: I loved talking with Ian. Super professional and insightful. I’m a little nervous about going out of the country for treatment, but these guys are professionals. Reading Dr. C’s posts throughout PhalloBoards really makes me respect their practice.

Dr. TJ Tsay

• Ageless MD
• Recommended Filler: Juvederm Voluma (HA)
• Available Filler: Hyperdilute Radiesse (CaHA)
• Cost per treatment: $850/cc Voluma, $650/cc Radiesse
• Experience: Didn’t ask number, but seems very experienced.
• Summary: Talking with Dr. Tsay was great. He is incredibly knowledgeable and answered several questions I had about the different filler technologies. His practice in LA is great and I’d feel very comfortable in his care.

The consultation phase was great. For anyone considering fillers, PLEASE speak to many different physicians. As you can see from my experience, each practice offers different options that have pros/cons.

If I had to rank my preference based on physician, it would be: Dr. Tsay, Avanti Derma, Dr. Jane, then Dr. Victor.

Step 2 -- Deciding what to go with

Now, this is the hard part. Let’s start by comparing and contrasting fillers.

Disclaimer: I’m not a doctor - just some dude who talks to doctors and reads a ton on the internet. How I see it, there are two types of fillers: volume fillers and dermal fillers.

Both work in the same subdermal level of the skin but end up with slightly different results. Volume fillers create volume with the substance that is injected by capturing water and expanding (Like HA) or an inert volume like silicon oil. Many dermal fillers stimulate collagen growth. This is done with some type of collagen stimulant like plastic microspheres or some other material (we will break this down a little more in a second). Over time, your body produces collagen around these spheres and effectively thickens that layer of the skin adding volume. These fillers are typically injected with a vehicle that acts somewhat as a volume filler while your own collagen builds up. The vehicle is typically dissolved within a few weeks.

Okay… So let’s compare and contrast our filler options:

HA
Temporary (9 months to 18 months)
Pros: Safe. Reversible. Time Tested.
Cons: Softer finish. Metabolizes pretty quickly. Expensive.

Silicon Oil
Permanent
Pros: Instant volume. Cheaper
Cons: Horror stories of people getting degloved with it. Volume filler, so likely to end up squishy.

PMMA
Permanent
Pros: Collagen stimulating. Firmer finish. Fairly inexpensive at Avanti Derma (Bellafill is crazy expensive though)
Cons: Degloving is scary if things go wrong. Not recommended past two sessions if you want more Girth. Risk of granulomas are higher.

PCL/CaHA
Temporary/Semi-permanent
Pros: Collagen stimulating. Firmer Finish. Reasonably priced.
Cons: Uncertainty about dissolving period.


Lots of information here, but here is where I’m at. I don’t want a squishy finish. I don’t think my wife would love it either. That kills Silicon Oil and HA (in the shaft, definitely considering the glans for HA though)

That leaves me with PMMA or PCL/CaHA. I think I have three options:

Option 1 - Go PMMA. People have been doing it for a long time and the negatives we have seen on the cheeks in 15 year patients won’t apply as much to the penis as there isn’t really fat to wither away around the PMMA. Though, this is permanent. What if the ideal filler comes out and it can give you 2” in Girth?! Did I pull the trigger too early? On the other hand, if I can hit my goal with PMMA, why not just settle for this.

Option 2 - Go 1 year Ellanse or Radiesse then switch to PMMA. Talking with Ian, this is certainly possible but most physicians will recommend the PCL/CaHA is fully dissolved before injecting PMMA. This sounds like an appealing option. It gives me the opportunity to try it out and learn how to do post care with collagen stimulants before learning on a permanent option. However, this is more expensive AND I’m not sure if I will want to have to wait for things to full dissolve after experiencing a better size.

Option 3 - Go with 3 year Ellanse. I’ve heard this can be a great option as it’s temporary, but will last quite a long time. Reports of people not seeing any loss in two years seems to be pretty common. Getting topped off with Ellanse would be fairly easy and mitigate risks for deformity if something went wrong. You still get the firmness, but I've heard this can have a slightly rougher finish than PMMA. One of the questions I’ve had about Ellanse is will the penis start to deform as the spheres start to dissolve. Assuming they likely won't dissolve evenly over the penis, it seems like you are likely to get lumps as you reach the end of its life lifecycle.

I need your help!

Questions:
Has anyone gone through a full PCL dissolve? Any issue? What was it like?
PMMA 10% seems to be the best way to reduce the likelihood of nodules/granulomas. Thoughts?
Has anyone tried taking Collagen supplements (Protein, pills, etc.) prior to a PMMA or PCL treatment? Think it would help boost production around the spheres?

Right now, I’m leaning towards Option 3. I’m 30 years old with hopefully 60 more years of sex ahead of me. It would be a shame to be permanently deformed. Ellanse seems like it really checks all the boxes. Money isn’t a super big problem for me, but I’d like to not pay more than I have to. Plus, I trust Avanti Derma based on their prior work. What do you think?

I’ll keep everyone posted on my progress + photos.

I'm trying to attach images, but i'm getting an error:
unable to get image properties 427

If anyone else has had this issue, let me know how you fixed it. I've tried 3 different picture formats.

** EDIT ** -- Fixed images.

They still offer silicon oil in 2021.. that’s the recipe for disaster for the patients’ health and for the doctor’s reputation.

I totally agree with you on Ellanse choice and in particular with Avanti Derma since they have the most experience in the world and a reasonable price. In fact im considering traveling there from Europe (18-20hours trip).

Regarding the re-abdsorbing question, I can tell you that as far as I remember, none of the Ellanse receivers here on the forum have reported reduction in size, yet.
The first guy to receive it, Subtle77 (who got the procedure done by Dr. Oates in Australia) is approaching the 5 years mark in January 2022. Last time he reported he was at around the 4 years mark, and had no reductions. He had the 3 years version.
So now the hypothesis are 2 and both can be true:
- Ellanse lasts more than what the manufacturer predicted. The only way to know this would be by performing a biopsy of the enhanced areas.
- The results are very long lasting because the collagen produced by our body in response to the Ellanse
presence has a long half-life. Some studies reported that kind of collagen has a 15 years half-life. This is very reasonable.

So you get the same results as PMMA but without retaining (probably) the stimulator.

Honestly, just go with PMMA. Yes, it’s nice that HA is reversible. But you’re not going to want to reverse it. Once you have PMMA, you’ll wonder why you didn’t do it years earlier.

Put my deposit down for Ellanse at Avanti Derma. I went with Ellanse for a couple reasons.

1) I can get more than two sessions if needed to hit my goals.
2) I like the idea of semi-permanent.

I’m trying to figure out scheduling. If I had the procedure two days before thanksgiving, and had to sit down at family dinner with extended family, how bad of an idea is that?

ColdFire wrote: Put my deposit down for Ellanse at Avanti Derma. I went with Ellanse for a couple reasons.

1) I can get more than two sessions if needed to hit my goals.
2) I like the idea of semi-permanent.

I’m trying to figure out scheduling. If I had the procedure two days before thanksgiving, and had to sit down at family dinner with extended family, how bad of an idea is that?

Shouldn’t be an issue.

Im scheduled for 12ml of Ellanse next Tuesday with Dr. M Avanti Derma.

Super excited but a little nervous.

Anyone have good links to aftercare guides? I want to reduce the chance of granulomas and nodules as much as possible. I also got some Cialis to help prevent retraction for the days after.

Hey Coldfire, good luck next week! I can assure you that the crew at Avanti will make sure you’re fully at ease. Good luck and am keen to see your progress.

Cant wait to hear and see your progress brother. I hope all the aftercare worked out ok for you

Hey Folks,

I'll post some pictures later tonight, but the treatment went well.

Dr. M is great and Ian is a lifesaver. I got the utmost package which included HA glans enhancement, PRP, Botox for the shaft and ball sack, collagen booster, LED light treatment, and of course - 12ml of Ellanse L.

Overall, things have been very swollen. Keeping the product towards the base has been a challenge, it's wanting to pool at the neck. Also, massaging is ALOT harder than i expected. I don't have a good feel for it yet and my technique isn't perfect. Does anyone have any tips for pushing the product from the neck to the base?

With swelling, my gains so far are pretty good. about 5.2 - 5.5" in the flacid state. I expect that to go down to about 4.75ish once the swelling goes down. I bet erect gains will land somewhere around 5.3 based on my current state, maybe a bit larger. That would land me in the neighborhood of about an inch when it's all said and done.

Pro tip... don't fall asleep with your dick wrapped... it turns purple. All good though, no harm.

Make sure you pay close attention when you see Ian. You will be amazed at the difference when he is done. Good luck!

Happy healing!

Some initial Flaccid photos. 2 days after

I feel like some of the filler may have entered my ball sack. Anyone else experience this?

ColdFire wrote: I feel like some of the filler may have entered my ball sack. Anyone else experience this?

Highly unlikely; the area is still fresh off the procedure so between the swelling and bruising, it's easy to mischaracterize these new sensations.

Could you describe what makes you think there was any filler migration? That could help maybe narrow down what's going on, but like I said before, not likely.