What Are the Risks of Filler Migration

PhalloBoards is a user community that allows for individuals to ask questions, share information, and learn more about the positives and potential negatives for a penile implant procedure. Below is a great user submitted question that is answered by Board Certified Surgeon, Dr. Schafer:

What are the risks of filler migration? Does the type of filler play a role in this risk, if any?

Dr. Schafer

Filler injections in the penis are becoming a very popular treatment through procedures such as the SWAG procedure for width and Girth. The most popular fillers are Juvederm Voluma XC and Bellafill. There are two issues with filler movement. First, initially after injection, fillers take a week or two to settle. It's important during this time to help maintain the shape of the penis with massage and wrapping to help fold the filler in the position intended. This is even more important in patients that are growers, as the retraction of the penis in the Flaccid state that shifts the filler while it is still settling. Occasionally a second treatment is required after the filler has settled to achieve the best results. Second, filler can migrate over time as it's metabolized. This is more subtle and occurs most often when large quantities of filler are placed. Third, the weight of the filler on the penis can stretch the overlying skin creating an pseudo-Foreskin appearance which many men enjoy. However, as the skin advances forward, surrounding skin is recruited toward the penis shaft which is normally in the pubic area. This may create a narrowing toward the base which will require more filler over time to achieve the best and most uniform results.

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