TOPIC: HA Girth Enhancement Long-Term: What Actually Holds Up at 6, 12, and 24+ Months?

There are plenty of threads about the first few weeks after HA—the swelling, the gains, the photos, the victory lap. I’d like this thread to focus on what happens after the confetti gets swept off the floor.

The goal is not just to gather information for me, but to create an ongoing discussion where guys can share long-term experiences, set realistic expectations, and give the community a better understanding of how good initial results actually evolve over time.

A little background on me:

I had 3 PhalloFILL sessions of 6 units each over roughly 10 weeks. I gained nearly 0.5" with a very solid aesthetic, although most of the meaningful gain came from the 1st session.

I also want to give Bill his flowers. He did an amazing job. His communication, attention, technique, and genuine care for me as a patient were outstanding. I could not have thought more highly of the experience.

Because my 2nd and 3rd Versa sessions produced limited additional gains, I later went to a local provider and received 10 units—approximately 12 mL—of RHA 4 in 1 session.

I was hoping for another 0.25", perhaps 0.5" if the gods were feeling generous. Instead, I was shocked to measure a full 1" increase at midshaft, taking me to approximately 6" in circumference. For reference, I measure approximately 6.75" bone-pressed in length.

The result feels very natural, and I am fairly confident the injector placed it in the correct plane. At the moment, I could not be happier.

My only complaint is that the added midshaft Girth has made a tight band just proximal to my Circumcision scar more noticeable, creating a slight hourglass shape. I would especially like to hear from other Circumcised guys who experienced this. Were you able to safely fill that area and soften the transition? Did the product hold there?

More broadly, I’d love to hear from guys who had strong initial results:

* What product and volume did you receive, and what were your initial gains?
* How did the result evolve at 6, 12, 24 months, and beyond?
* How much measurable size did you lose?
* Did the feel, firmness, movement, or appearance change?
* Did the product fade evenly, or did you experience gaps, nodules, migration, or other issues?
* What maintenance or touch-ups were required?
* Where are you today—still treating, maintaining a stable result, letting it fade, or finished with HA altogether?

Hopefully this can become a useful home for long-term updates and honest anecdotes—not just dramatic week-2 measurements.

Right now, I’m as happy as I could reasonably be. I’d just like to know whether I’ve built something durable or rented a very nice apartment.

I really hope someone responds. I would also like to know what it looks like when it gets reabsorbed

Not sure how to give this a bump but attempting here. Would it help to gain some attention on this thread if I posted photos?

Northloop wrote: Not sure how to give this a bump but attempting here. Would it help to gain some attention on this thread if I posted photos?

It could very well. I hope the new forum update (facelift) will make joining the discussions a bit easier and welcoming for those who are on the fence, every bit of info here helps pay it forward and is much appreciated.

Statistically, even on the 2.0 site, those who posted even one time accounted for 20% of the actual traffic, and those who post substantively are in the single digits. I want to remind users that your contributions are anonymous and you'll help continue building on this Community's knowledge-base. If you have suggestions on how better to improve engagement on a discussion/post submission level, please PM or email me at contact @phalloboards .com

So far, I haven’t noticed any loss in size from my two rounds of HA. I’m still relatively early in the timeline, but the measurements I have now are essentially unchanged from after my second round.

For context, I had 15ml of Teosyal (Teoxane) at Androfill London in January 2026, followed by another 10ml in March. I documented my first round here .

Measurements:
Baseline: EG 5.2" (13.2 cm) | FG 4.5" (11.5 cm) | FL 4.3" (11 cm)
Round I: EG 6.0" (15.2 cm) | FG 5.5" (13.9 cm) | FL 4.9" (12.5 cm)
+15.4% EG from baseline
Round II: EG 6.5" (16.5 cm) | FG 6.0" (15.2 cm) | FL 4.9" (12.5 cm)
+8.3% EG from Round I
Overall, that’s a 25% increase in EG from baseline.

The numbers are obviously significant, but the experience has been somewhat mixed versus what the measurements suggest.

It took about four weeks for everything to feel fully settled. During that first month, there was an obvious “edge” or shelf near the glans where the filler was noticeable during sex. It felt strange to me and my partner, like a lump under the skin, but this has improved over time.

There is still a taper immediately beneath the glans where no filler could be placed. Dr. Greta did a great job making the transition look as natural as possible. I also took her advice not to overdo the filler in that area.

The filler feels slightly firmer now than it did initially. Even so, HA still feels softer to me than what I’ve read from guys reporting on PMMA. It never feels 100% natural or as firm as the natural tissue. That was probably the biggest psychological hurdle for me. My partner notices this too. She says I’m “not as hard” as before, although she mainly notices it with her hands. During sex, she doesn’t notice the size increase nearly as much as I do.

For me, the biggest benefit has been the flaccid appearance. The change is much more noticeable flaccid than erect. It has had a bigger impact on my confidence in the locker room and sauna than it has in the bedroom.

I haven’t had any major complications, nodules, migration, or significant asymmetry.

One thing I didn’t fully appreciate beforehand was how it would look during shrinkage. In my experience, the filler doesn’t move when I go from erect to flaccid. Because I didn’t have filler placed on the underside, everything pulls into more of a semi-“hook” shape when I’m very cold or fully shrunk. It can look strange, but a discreet pull and shake usually sorts it out.

I also have noticeably more print/bulge. That could be positive or negative depending on the person. I’ve leaned into it and actually like the extra attention and confidence boost.
The other hard part is knowing when to stop. You get used to the new size pretty quickly, which makes it tempting to keep adding more. I’d rather keep a good aesthetic result than risk compromising it for another increment of size.

I’m going to wait until I’ve gone a full year before deciding whether I want more.

I know I’m not far enough out to answer the 12- or 24-month question yet, but I’ll update this thread once I am. I’d also be interested to hear from anyone who is 12, 24, or more months out, especially if you have measurements from different points along the way. That kind of long-term experience seems pretty hard to find.
—KT

Thanks for taking the time to write this up. Really helpful to hear an actual experience with measurements and some of the less obvious aesthetic/feel issues.

One follow-up on the taper you mentioned immediately below the glans. Are you Circumcised? If so, where does your Circumcision scar sit relative to that taper and the “edge/shelf” you described?

I ask because I have something similar—a ridge just proximal to the corona that doesn’t feel entirely natural, particularly with the looser/thinner skin in that distal area around my Circumcision scar.

I’m actually contemplating going the opposite direction rather than trying to bring filler closer to the glans: starting the taper a little farther down, around the scar or just proximal to it, where the shaft skin feels more stable. My thought is that it might create a slightly later taper but a more natural-feeling transition, and perhaps give the injector a better area in which to stay cleanly in the proper plane.

Curious whether your ridge/taper corresponds at all with your Circumcision scar, and whether you and your injector discussed intentionally starting the transition farther down rather than trying to fill closer to the glans.

I was also a little surprised your partner hasn’t really noticed the size difference given how meaningful your increase was. My partner was pretty skeptical of me doing this initially. She certainly didn’t think I needed it, but I knew she appreciates a fuller size. Now that we’ve lived with it for a while, she has basically said she’d be perfectly happy if I eventually went back to baseline—but she’d be even more excited if the additional size sticks around.

That gets into another part of this discussion I find interesting. You hear constantly that size doesn’t matter and that technique, confidence, presence, arousal, psychology, connection, etc. are what really matter. I think all of that is absolutely true.

But I also think the debate sometimes creates a false choice. The better question is: holding all of those other things equal, can some additional size/fullness enhance the overall pleasure a woman gets from sex? Based on my partner’s experience, I think the answer can absolutely be yes. That doesn’t mean bigger is endlessly better or that size can substitute for everything else. It just means physical sensation is one variable among many rather than somehow being irrelevant.

Really appreciate you adding your experience. I’m also planning to periodically update this thread with my own progress and hopefully keep it going. I think the longer-term side of HA...what actually holds up, what changes, what needs touching up, and how guys should think about planning and expectations over several years...is probably some of the most useful information for anyone who has done this or is contemplating it. The more people who come back and update their experience over time, the more valuable this becomes.

Can you tell us where you what provider you went to for your RHA?

About 8 months ago now i had 15ml of HA at Androfill london
In the following weeks my Flaccid Girth was 5.6" and that has reduced to 5.1" now and seems to be stable.

I think the firmness has stayed about the same, Flaccid i think its slightly firmer than it was before and with an Erection its slightly less firm, slightly squeegee on the area where the filler is.
I have not had any top ups since but there is one thing that if it was easy to fix i would look into it and that is where i am Circumcised the scar line which is at least a couple of cm down from the glans is the point where the filler stops at.
It looks fine when Flaccid but when Erect i am much thicker at the base and then up to the scar which then doesn't really taper much.

I did go back to discuss with the Urologist but they said there is not a lot of space under the area above the scar and would probably require some other product which isn't something they have yet so i am not sure if its worth getting a second opinion at this time.