United States Penis Enlargement Procedure

For penis girth, surgical and non-surgical options are available. Surgical options involves degloving the penis and wrapping it with a bovine or dermal graft, which will vascularize to the shaft and provide permanent girth. Non-surgical options include the use of dermal injections under the skin layer of your penis, providing you with instant girth.

Dermal filler injections range from long-term (temporary) to permanent, depending on the filler product you choose.

For lengthening, you can also choose between surgical and non-surgical options. The surgical option is known as ligamentolysis, which involves the severing of the suspensory ligaments found internally to allow some "inner penis" to extend forward, yielding more length. This is often coupled with a stretching regimen to fully manifest gains. Alternatively, the P-Long protocol offers a non-surgical means of lengthening through a prescribed routine that employs a professional-grade stretching device, penis pump, and proprietary supplementation (including PRP) over the course of several months. According to one study, the P-Long Protocol can result in gains of up to 1 inch in length and a 1/2 inch in girth.

Among the popular fillers used for penile enhancement, three types stand out: PMMA, Ellanse, and Hyaluronic Acid (HA). PMMA is a permanent filler and is available in the U.S. under the brand name Bellafill and internationally under the name Linnea Safe. Ellanse and HA are long-term temporary fillers, which provide girth but may require future top-ups. Ellanse is only available in Europe and Latin America, while HA is available worldwide. Hyaluronic Acid stands out for its exceptional safety profile among fillers. It is a naturally occurring substance in the body that has been specially formulated for use as a dermal filler.  Fat grafting is a surgical technique in which donor tissue is collected from another part of the body and transferred to the penis. This method can also be used as a filler for penile augmentation.  The benefit of a permanent filler like PMMA is that once you achieve your desired results, the effects are long-lasting. However, in the unlikely event of complications (as with any procedure), removing PMMA can be costly and invasive. While major complications related to PMMA penile enhancement appear to be rare, it is important to consider this potential risk.

On the other hand, long-term temporary fillers offer the advantage of easier management in case of complications. However, it is important to note that you will need to plan for top-ups every few years, which can be a logistical and financial consideration.

The majority of procedures discussed on the PhalloBoards are non-surgical or minimally invasive, and can usually be performed using local anesthesia. For instance, dermal filler injections involve numbing the penis, allowing patients to remain awake and pain-free during the procedure. These treatments typically last around an hour and are reported by most men to be straightforward and smooth. However, highly invasive procedures (typically involving grafting or degloving) may require general anesthesia.

Most penis enlargement procedures discussed can be completed on an outpatient basis, with no need for an overnight stay. Dermal filler injections require no downtime once the procedure is complete. However, it's recommended to avoid sexual activity or masturbation for up to 2 weeks following dermal filler injections and for up to 2 months after grafting surgery or as advised by your physician.

The outcome will depend on the type of procedure you choose, your doctor's recommendations, and your personal goals. However, in general, most men report an increase in circumference of up to 0.75 inches, which is a significant improvement. Additional gains may be possible with subsequent appointments, depending on the procedure. Length gains can be less predictable and are influenced by factors such as the patient's anatomy and adherence to a prescribed stretching regimen. Many men report greater improvements in flaccid gains, although erect gains are also achievable.

The extent to which you need to prepare for the procedure will vary depending on the specific type of procedure you undergo. We recommend that you contact your doctor's office and request pre-op and post-op protocols. Additionally, many men have reported beneficial results from taking collagen supplements, practicing stretching and pumping routines, and temporarily quitting smoking to help their bodies acclimate to the new size and facilitate recovery and healing.  You may find it helpful to explore the PhalloBoards 3.0 Forums to learn from the experiences of other men who have undergone similar procedures. Engaging with the community through discussion can also provide an opportunity for you to share your own insights and gain additional support.

When performed by a licensed and experienced practitioner using medical-grade products, the risk of complications associated with these procedures is relatively low. However, due to the experimental nature of phalloplasty, there are currently no concrete or official statistics available regarding the types, severity, or frequency of complications. That being said, conventional wisdom suggests that the risks are similar to those associated with other cosmetic procedures that use similar methods, such as facial and buttock injections.  The most significant complication associated with dermal fillers tends to be foreign-born granulomas, which are hard lumps that result from an inflammatory response. Fortunately, there are medical interventions available to treat this condition. With surgical procedures, the most significant risk is an increased exposure to infection. It is not uncommon for doctors to prescribe antibiotics post-op to minimize these risks.  It is strongly advised against and universally condemned by all PhalloBoards Sponsors and Clinics to inject large volumes of silicone oil into the penis. The risks of complications are significantly higher and managing them can be much more challenging due to the increased likelihood of migration. Silicone oil is best used in small amounts and via a micro-droplet technique, especially in areas such as the face.

When performed correctly, the procedure should not pose any risks to the form, function, or health of the penis. You should not experience any adverse effects on urination, ejaculation, or erections.

Yes, there are various procedures available for testicular enhancement. One option is a silicone implant, while another option is a dermal filler. In addition, some clinics offer scrotal webbing procedures to remove excess skin, and glans enhancement procedures that involve injecting Hyaluronic Acid (HA). Non-phallic/scrotal procedures such as the mons pubis (fat pad reduction) can also be performed, which involves the liposuction of fat around the base of the shaft to improve both the size and appearance of the penis length.

When performed by a skilled practitioner, results of penis enlargement procedures can often appear and feel natural. While there may be minor irregularities or nuances that only the patient can perceive, they are often undetectable to others such as partners or medical professionals. However, if a patient aims to achieve excessive size, the results may become noticeable. This is similar to a woman undergoing a breast augmentation that radically increases her cup size, resulting in an obvious indication of the procedure.

Because these procedures are typically considered elective, it is unlikely that health insurance would cover the cost. However, there may be exceptions for individuals with micro-penis or those who have experienced trauma or injury. If this applies to you, it's always a good idea to check with your insurance provider to see if they offer any coverage.  Regarding financing, it's best to contact the individual clinic directly to inquire about their specific financing options. You can find a directory of vetted practitioners in your region on our website.

The PhalloBoards is focused on the penis enlargement procedure itself, but there are wide discussions on various pills, supplements, and techniques that you see throughout the internet.

Yes. The Before and After Gallery on the PhalloBoards has images from REAL men who have undergone the procedure and are graciously sharing their results and experiences.