PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

The following questions are in bold followed with answers authored by Dr. Sullivan:


How much girth/circumference can you achieve with girth
enhancement injections?

Basics:
The average flaccid girth: 3.5 to 4 inches and erect 5 inches. Most men are
looking to gain 1-1.5 inches.

Results:
A single session typically involves the injection of 5 to 15 syringes. Best results
for most patients come after 15 to 30 syringes over 1 to 4 sessions. After each
session, you can expect an increase in girth ranging from 1/4 to 1/2 inch. After
several sessions, total enhancement ranges from 3/4 to 1.5 inches. Some patients
may wish for more than 1.5 inches but be aware that as the girth increases the
naturalness of the look decreases.


How Many Sessions can a patient expect to achieve ideal results?

Most patients have great results after just one session, but 2 to 3 sessions may
be required depending on your goals. Some patients, thrilled with their initial
enhancement, opt for additional treatments. Spreading treatment over multiple
sessions allows for more fine tuning of the symmetry. It is important to avoid
over-filling during a single session. Stacking enhancements across multiple
sessions seems to produce the best results. Fifteen to thirty cc or syringes is
usually the optimal number for significant girth enhancement for the average-
sized penis. Remember your starting point matters. A man starting with a girth of
3 inches and achieving an increase of 1.5 inches has a 50% enhancement, if you
start with 5 inches and gain 1.5 inches there is a 30% improvement.


How long can filler injections take and what kind of anesthesia is used?

Typically, the procedure is completed within 30 minutes. The initial visit may be
an hour. This extra time is essential for completing patient intake paperwork and
conducting a comprehensive consultation.

I use a combination of topical numbing and a dorsal penis block. The dorsal penis
block involves administering a local anesthetic to the base of the penis, rendering
the entire penis numb. Patients experience almost no discomfort during the
procedure.


Can girth injections affect the function or sensitivity of the penis? What
complications are there to consider?

This is an important question. Most patients report either unchanged or
enhanced sensitivity with girth enhancement. Where does the enhanced
sensitivity come from? I believe some of it is from being more confident. So much
of sexual pleasure is mental, and feeling good about yourself is key to good sex.
Importantly with increased girth there is increased friction thus improved
sensation for you and your partner.

Potential Risks and Side Effects:
Bruising/Swelling - It is common to experience bruising and swelling post-
procedure. This may last for 1-2 weeks.

Discomfort - When the anesthesia wears off, there may be mild discomfort. This is
treated with over-the-counter anti-inflammatory medication.

Infection - Infections are rare, but as we are breaking the skin barrier and
introducing a foreign substance it is a potential risk.

Lumps/Unevenness – There may be lumps or unevenness especially in the first
few weeks. This usually resolves on its own. If it does not HA fillers can be
corrected using a small amount of hyaluronidase. Occasionally unevenness may
require an additional syringe or two. Some men have natural folds in their penis
due to how it is positioned in their underwear. This can cause the filler to kink or
crease. To mitigate this, we use dressings in the first week, but despite our best-
efforts creases can still form, necessitating a touch-up.

Delayed-onset Nodules - Delayed-onset nodules have been associated with both
PMMA and HA fillers. With HA fillers, these nodules can be dissolved entirely, but
PMMA nodules may prove more difficult.

Vascular Necrosis – This is where the filler is inadvertently injected into a blood
vessel. Although most affected individuals make a full recovery without lasting
scars it is an important possible serios complication. Girth enlargement is a
medical procedure and all procedures have possible serious complications.


How does a newly girth enhanced penis feel?

Great! It’s like driving a new car. The enhanced girth offers a sensation that is
amplified for many men. There's a subtle difference in how the penis feels
compared to before, but it remains discreet, detectable mostly only to yourself.
The injected area might be marginally softer, usually if larger volumes are used.
Usually, partners don’t notice a change in firmness; they do notice the change in
girth.

Consider many intimate toys have trended towards a softer exterior, for
enhanced comfort, a little bit of softness may be more comfortable for partners.
Also consider, the penis doesn't just gain in volume but also in weight, giving a
more noticeable hang when naked and in clothes. Most men really enjoy this
heavier feel and get a great boost in self-confidence.


How long can you wait before resuming intimacy or strenuous activity?

To prevent infections, it's advised that patients wait between 5 to 7 days after the
procedure before engaging in sexual activities. This period allows for adequate
healing and reduces potential complications. After 7 to 10 days sex and
masturbation are okay and might even assist in reducing any post-procedure
lumps. Physical activities such as the gym can be resumed after 3 days, but
caution should be taken to avoid any pressure to the penis.


Can you gain length from girth injections?

Unfortunately, no. However, there is the feeling that it is longer because the
increased weight of the penis makes it “hang” more. Girth injections increase the
thickness of the penis, not its length.


Question of Filler Migration?

After the filler is injected, a compression sleeve is provided to ensure the penis
remains extended. However, since the penis is not a static organ and can change
shape during various activities, some filler movement is normal. For the first 2-4
weeks post-procedure, any uneven distribution of the filler can be adjusted
through gentle massages. After a few weeks and after couple months, the filler
integrates substantially with the tissue, making migration very rare. One
advantage of using Hyaluronic Acid filler over other treatments like PMMA or fat
transfers is its adjustability. If any irregularities occur, Hyaluronidase can be
injected to dissolve the undesired filler areas, and additional filler can be added if
needed.

Although PMMA fillers, like Bellafill have the potential to move, following
aftercare guidelines can significantly reduce this risk. Abstaining from sexual
activities for a minimum of one week, using the provided dressing and avoiding
kinking greatly reduce this risk. As PMMA becomes part of the tissue and collagen
production, migration becomes highly unlikely.


Granulomas:

Granulomas are inflammatory reactions by the body to foreign materials. They
can occur when certain substances, like silicone, are injected into the skin. While
PMMA injections can cause granulomas, they are rare. If they do occur, they can
be treated, though they might not fully disappear. The chances of getting
granulomas are extremely low with HA dermal fillers. If granulomas do form from
HA, they can be easily managed hyaluronidase, which dissolves the filler if
required.


What to expect on the Procedure Day?

Before the Procedure:
- I will examine you and we will discuss your goals. Once we decide on the both
the filler to be used and the amount I will perform a dorsal penile block to make
sure you are numb for the procedure.

During the Procedure:
- I will carry out a series of dermal filler injections. The total volume injected will
range from 5 to 15 syringes on average (although some men may do more), based
on your individual anatomy.

After the Procedure:
- A dressing will be applied to the injection area, which you'll need to wear
continuously for the first 5-7 days. During this time, avoid sexual activities. We
will guide you on dressing care and provide the necessary supplies for a smooth
recovery at home.

Follow-Up:
- A follow-up appointment will be scheduled for you three to four weeks after the
procedure.
 

Blunt-Tip Cannula vs Needle?

Both the Blunt-Tip Cannula and Needle methods have their own advantages.
However, I prefer using the needle technique. The reason for this preference is
that I believe the needle provides more control and allows for precise fine-tuning
during the procedure. Additionally, by employing a nerve block during the
process, the procedure becomes extremely comfortable for the patient, reducing
any potential discomfort.


What makes a good candidate?

The best candidates are circumcised individuals without pre-existing scar tissue,
primarily interested in girth enhancement, and have realistic expectations about
the results.

While both circumcised and uncircumcised men can undergo the procedure,
those who are uncircumcised might need follow-up touch-ups.
 

Use of Platelet Rich Plasma (PRP) to Aid Gains?

While I perform this procedure for aesthetic purposes this will not increase girth.
If your goal is girth, you are better off investing in a filler procedure. If the
question is where to spend your money PRP or filler, filler wins every time.


 Best Circumcision for Girth Enhancement (Filler)

You do not need to be circumcised. We treat both circumcised and uncircumcised
patients. Male Enhancement injections can be performed regardless of
circumcision status. Patients need to understand that if uncircumcised they may
require a touch up and if they are looking for larger girth enhancement, they
would benefit from a go-slow multiple treatment approach.


Preference of filler and/or brand?

Juvéderm Voluma XC and Juvéderm Volux XC are the longest lasting HA fillers in
the U.S. They also have a firm feel. HA’s are safe and have been around for
decades. The results are very consistent and predictable. I also use Defyne, Lyft
and RHA-4 however Juvéderm Voluma XC and Juvéderm Volux XC are my
preferred fillers.

If a patient is looking for a more long-term option especially if they have already
had HA filers. I choose to use the bio-stimulatory dermal filler Bellafill. Bellafill
provides immediate, long-lasting results and can last 5 years or more.


Can Filler cause ED?

No, not routinely. However as with any medical procedure extremely rare
complications can occur. The likelihood of the girth enhancement causing ED is
extremely rare. This is because we do not enter the corpora cavernosum which
holds the blood for the erection, nor do we inject anywhere near the nerve
bundles that affect the erection.


Can girth enhancement injections be performed on a penis that uses an
inflatable implant?

In most cases yes. Rarely, it would not be possible. For example, if an implant was
inserted and there were complications such as infection or scar tissue then girth
enhancement with filler might not be optimal.

Why are silicone injections regarded as the least safe option as a girth
filler?

Even when medical-grade silicone is used and even with the correct technique
(the microdroplet technique) its use is complication prone. The mechanism by
which liquid silicone works involves the formation of foreign body granulomas,
which can lead to firm nodules. These nodules may not only be challenging to
remove but can also erode the skin, resulting in ulcerations. This complication can
occur immediately or years later. It is unpredictable. I have seen this complication
many, many times and for this reason I do not use silicone. It is also very
important to consider that many providers using “silicone” are not even using
medical grade silicone. There are so many safer options that are very long lasting
so why take a chance?


Are there any solutions for glans enlargement?

Hyaluronic Acid (HA) fillers like Vollure can safely be used to increase the size of
the glans (head) of the penis. I take a go-slow approach here only injecting a
limited volume at one session. I keep the number of syringes injected here to a
minimum (I only inject a maximum of 2 mL of HA) and ask the patient to come
back to add more product later. Although I know it is said that the results are not
long-lasting due to the vascularity of the glands, I do not necessarily believe this is
true. Consider the lips another very vascular area, filler typically lasts 1.5 years
here if the correct filler is used. Filler may not last as long in the glands as the
shaft, but it is certainly long lasting.


Can you describe your experience with cosmetic medicine and the
importance of injection technique? How does this benefit girth
enhancement?

Injection technique is extremely important. I have been using dermal fillers since
they first became available in the U.S. two decades ago. I have used all filler types
including hyaluronic acid (HA), PMMA (Bellafill), calcium hydroxylapatite
(Radiesse), poly-lactic acid (Sculptra) and silicone. I have injected almost every
anatomical location including the face, lips, hands, neck, chest and of course the
penis. I have used both needles and cannulas. This experience allows me to safely
inject for girth enhancement.


Do girth dermal filler injections adversely impact blood pressure or
increase risks of hypertension?

No.


If I had other treatments for penile enlargement (fat injections,
Penuma, Surgimend, etc.) and am not happy with it, can I have still get
filler injections?

Yes. Filler injection after a person has had surgical insertion of devices such as
Penuma is safe and do-able. It can even be used to correct problems with the
device. If the device is visible or palpable, its appearance can be improved with
filler injections. Unevenness after fat injections can also be improved by injecting
filler.



getmoregirth.com

riggsrodds wrote: Yes I have a first hand account. They use high pressure tactics and rush to get your money. Charged me thousands of dollars before I even arrived for my appointment and when I cancelled they refused to refund me in full. Kept hundreds of dollars for no service performed. I didn’t agree to this or sign for this.

My first go around with Dr Emer, they had little no follow up Dr Emer. Everything is done through his employees and you will not be able to talk to Dr Emer after the procedure. All communication is directed through employees. They also used pushy high sales tactics convincing me I needed all kinds of after care products which I trusted I needed. I bought them but later realized, none of it was needed.

First go around they also overcharged for services by hundreds of dollars and they argued and denied. When I was able to show proof through email and texts compared to service and charges they reluctantly agreed I was overcharged. Then had to follow up on multiples occasions to get the refund processed which took several weeks.

The place is a factory and they don’t seem to care much about their patients. It’s all about the money, however they can get it.

Despite a poor first experience with Dr Emer, I had decided to give him another chance since he is local to me but after he tried to steal my money for charges I didn’t agree to, I won’t be back.

Side note, he said he was trained by Dr Loria and was considering offering silicone for penis filler.

Did he actually admit Loria trained him? Because that would be such a poor job of "due diligence" in vetting his trainer/teacher. I'm not sure I'd put stock into an overweight Nutritionist & balding Hair Restoration Doctor, who decided to get into penis enlargement by creating (a yet still unknown) filler concoction to maximize profits at the expense of his patients' welfare.

Oh and for any Loria sycophants, shills, or simps, yes -- I know he has a "patent" which outlines the ingredients in his filler. However, upon further examination (i.e. ACTUALLY READING IT), you'll see that there is a factorial-level of permutations with respect to the ratio he can concoct to make his filler (or in other words, the patent doesn't set in stone how much of the filler uses silicone oil, and his patent leaves room for it being a majority silicone oil). Also, this patent isn't FDA approved, and it doesn't mention the Silicone Oil as Silikon1000, which also presents a few problems: (1) silicone oil imported from somewhere like China to maximize profits is a big no-no (a valid assumption if SIlikon1000 isn't being used), -OR- (2) he is using Silikon1000, which may be a lawsuit waiting to happen, especially if it makes a large composite of his cocktail injection, and (3) he is currently injecting his proprietary filler without FDA approval (regardless of whether or not it is being trialed/studied, which I highly doubt is). In other words, implications of any of what is plausible given what's known could be criminal in nature, and you'd hope Dr. Emer would be the wiser.

As despicable as Dr. Elist has been (historically), I'm starting to lean toward Loria as being the #1 worst penis enlargement practitioner in the U.S. To those who have visited these forums frequently, this may come as a surprise because Dr. Elist's negative reviews far outweigh Dr. Loria's in abundance. Well, for one, Dr. Elist's Penuma (now rebranded as "Himplant") silicone implant (when gone wrong) typically fails within the first year or two post-op -PLUS- his high volume of patients (due to admittedly good marketing strategies), which leads to a higher rate of reporting. The issue with Loria is that silicone oil may take much longer before symptoms and complications arise, and when they do, they "suck." Additionally, Dr. Elist AT LEAST has a background in Urology and Surgery, whereas Loria is a fraud (he once, and maybe still does, calls himself a "Cosmetic Surgeon" on his own website).

If Dr. Emer chooses to offer silicone oil, it'd be a stain on top of the many stains that seem to circulate. The only reason I never reached out to him was because I was turned-off by his "pseudo-celebrity" marketing, making him out to be the stud of Beverly Hills, when in fact he's nothing special in the world of male phalloplasty.

I hope he cleans up his Clinic of high-pressure sale-tactics (exploiting male insecurities is actually a Sponsorship disqualifier), and opts out of any use of silicone (or whatever the hell is in Loria's mystery shot).

lvhatrick wrote: I wrote this reply on another thread that was older my apologies if this is duplicated.
I have a procedure scheduled the second week of October. Dr. Zimmerman (Las Vegas “the dicdoc”). I found this coummunity by dumb luck and have read several threads. After reading several of the threads I had talked myself out of going forward with this but after this thread I genuinely find myself excited. My question is this a typical result/recovery or are the other 20 threads that seem to be filled with problems the typical result. I’m really curious in the recovery process. Thanks.

Dr. Zimmerman really blew up on Social Media by using a clever moniker and using props (like oversized cucumber, carrot, or eggplant plushies) along with innuendos to briefly describe different kinds of procedures. That's sort of how he was able to get around the phallic-stigma that most Clinics face when advertising penis enlargement (if you think nipples are a "no-no" on mainstream platforms, imagine how naughty a penis must be, an instant ban!). I'll give him credit, I haven't heard of him prior to last year despite being familiar with every "name in the game", and he's now sitting with a ton of TikTok followers (although TikTok is probably the least desirable Social Media Platform to advertise PE due to its demographic makeup).

I had talks with his Office regarding potential Sponsorship, but after they had informed me that they were going to eventually offer the Penuma Silicone Implant (now being rebranded as "Himplant"), I politely discontinued communication. I'm not condemning Dr. Zimmerman for his decision to consider Penuma a.k.a. Himplant, since he simply may not have been privy to all the negative reviews out there, and last I checked, his website doesn't seem to mention Penuma or Himplant (unless I am blind as a bat). If it turns out they took my sincere advice to avoid Dr. Elist's creation (Penuma/Himplant), then good on them.

Anyways, without getting side-tracked since this is someone else's Progress Report, I will say that there are hundreds and hundreds of reports spanning a decade, so start here, but you can go to the older iteration of this site PhalloBoards 2.0 and read even more on what to expect with recovery, results, etc.

Dr. Rupeka > Dr. Zimmerman any day. Yea that's easy for me to say because he's this site's Sponsor, but he's also the leading injector of Bellafill worldwide, which I find more impressive than a TikTok Influencer when it comes to the fate of my penis. Again, no knock on Dr. Zimmerman, just food for thought.

EricPig wrote: …. You realize that in order to prove this point you need to find and unbiased source of information. Not a place that pays you lol. Also. You realize that there are members here (i won’t call them out) that deal with lymphedema secondary to the fillers they received (not Loria patients). My point here is that all these points and risk can be said about pmma. There’s risk involved in all of this. PEROID.

It also should be noted that injecting pure silicon is dangerous and can most certainly cause the issues listed in the article.

You're done.

To suggest my issues with Loria and its associated biases comes from a place "that pays me" versus the fact that I'm genuinely concerned about his history and his proclivity to engage in unethical medicine is downright insulting.

I'm happy that I know time will tell, just sad for those who fall victim inevitably. As much as I now have lost respect for you due to those incendiary comments, I don't wish anyone to have to get their skin replaced with grafts, or worse, have serious pain from all the lymphatic blockage that will ensue when migration occurs ever so slowly. Was this part of his informed consent, did he tell you about any of these potential complications, especially given that the procedure is very much elective?

My criticisms were not baseless, most of what I said were facts, with the exception of my inability to prove what exactly is in his "proprietary filler" because his patent never mentions Silikon1000 by name, and everything else associated with it didn't add up. I simply concluded I was suspicious in that regard, everything else however were facts.

I'm not going to sit around and warn people about the dangerous side of male phalloplasty only to have someone insinuate my concerns come from anywhere other than a place of sincerity. If it was a matter of "pay", why not bring on Loria, and all the other naïve Doctors he's got pumping poor guys full of silicone? Why not bring on Dr. Elist and all the Surgeons that offer the Penuma implant? I could delete the negative reviews Loria, Elist, and others, silence critics of my decision to delete those reviews, and newcomers wouldn't be the wiser. Then I'd really be swimming in cash. But I don't. It may be hard for you to believe in this crazy world, but some of us can conduct ethical business and protect their members/readership.

Also for transparency's sake, I've only black-listed two Clinics. By black-listed, it means discussion of them are forbidden. I hated having to do this when I did, as it was antithetical to the one of the main reason's this site was created --> the free flow of authentic information regarding penis enlargement. However, to be black-listed, circumstances must really warrant it. Dr. Elist and Dr. Loria ought to be Black-Listed, but they are so popular by way of advertising (they pump a lot into marketing), that I know it would only create an atmosphere of censorship if I banned discussion of these guys. Instead, I've made it a matter to let men share their experiences (as they should), but also provide those who are not aware the dangers presented by these practices from having followed this scene well before PhalloBoards inception.

My warnings don't just come from my personal communications with devastated former patients, but with numerous Doctors (Sponsors and non-Sponsors) as well. I also spent time learning some of the science behind what may cause complications in male phalloplasty, what would trigger a procedure to go wrong, etc.

Why is it personal? I almost became one of those patients. I almost got the silicone implant. Had I not taken the initiative and create the original PhalloBoards in 2010 voluntarily as a side project that yielded zero income, I wouldn't have been able to compile the necessary information exchange & discussion to become a more informed decision maker.

Do I promote my Sponsors and recommend them to my readership? Of course. They've demonstrated efficacious and quality work. I can admit that, no problem. However, that has nothing to do with the Loria/Silicone Oil problem, I don't get paid a penny for having made these "public service announcement" posts. I have never been asked by a single Sponsor to campaign against Loria or Silicone Oil. If memory serves me correctly, I have been warning men before this site ever had a Sponsor, before it was commercialized, before I was making any money whatsoever. I officially commercialized the PhalloBoards at the start of 2019, meaning I spent more time running this site without pay (and only occasional donations) than I have with pay. Imagine that.

Adios. I won't delete this topic so people can see your experiences as well as my fair warnings regarding the matter(s) discussed.

EricPig wrote:

Skeptical_One wrote: First and foremost, my proclamations on the matter come from a multitude of respected physicians with considerably more authority on the subject, so this is not simply my own assumptions.

Secondly, Dr. Loria is a career liar. You have no idea how many times he changed up his vocabulary with respect to his filler and how quickly he'd change subjects. I've joined in on calls, and I've had members join in on conference calls, and he would just toss around gibberish assuming us (the "ignorant") would take his word for it. He would even throw around terms like "PMMA" and "Collagen production" and wouldn't even mention silicone at first. He's so evasive in fact, that there is a former patient on a separate PE forum who shared a story when in the hospital for his penis condition, that Loria refused to give the physicians information on what was injected. Can you believe that? This patient facing infection that could lead to sepsis, and Loria didn't have even the morality to do the right thing for his own patient because he's clearly got something to hide. I really try my hardest to refrain from name-calling as it is not befitting of an Administrator of a site discussing serious topics, but that was such a scumbag move on Loria's part and tells me everything I need to know about who he really is.

When I brought up him using the term "Cosmetic Surgeon," it wasn't meant to say that you need to be a surgeon to perform these procedures, it was to say he was lying about his medical background because he's in-fact NOT a surgeon in any capacity.

Yes, I received an email from his marketing rep, not himself obviously. He's too proud and stubborn to ever make the first move. I've defended Sponsors and Non-Sponsors alike. I'm open to new Sponsors. Ask yourself why I won't accept Loria? Why not take his money? Ask yourself why the vast majority of penis enlargement doctors don't include silicone oil as a filler option when they can use Silikon100 off-label? Do you really truly believe this Hair Restoration "specialist" has figured out what career-accomplished surgeons and urologists haven't?

Having followed the scene since 2005 and learned the nuances of the penis and these procedures from the Doctors themselves sort of actually does amount to the same kind of "credits" you'd need to earn to have some above-average understanding of the topic matter -- more so than a random "nurse" I'd contend. I've spent countless hours reading not only posts, but private messages, emails, and other modes of communication for well over a decade with both patients and Doctors (some of which were non-Sponsors). I've studied sexual medicine to the extent that I have a good understanding of anatomy and some of the physiologies involved, especially as it pertains to penis enlargement. Sure, I'm not a medical professional, but I do see myself as the most qualified Patient Educator there is (on matters of penis enlargement). Either way, my claims are made on the information provided to me by those who are in the know, and many of them.

Clearly your schooling has not made you any smarter on making good decisions in this respect, and I'm afraid not even a Doctorate will solve your inability to see the patterns of deception -- but I get it, the last thing you want to think about is having a ticking timebomb in your penis, so you have to double down on defending your poorly made decision by reassuring yourself that because you've had some medical training, that you're incapable of being scammed. You know, no one likes being scammed, it's a tough pill to swallow as a grown adult. Besides, an ICU Nurse? I seldom "LOL" on this forum but I know a few personally (ICU in fact), and I assure you they wouldn't have a damn clue about the nuances of penis enlargement, so kick rocks with that nonsense please.

Dr. Elist has been performing his botcheries circa 2009, and we all know how terrible his procedure is. Dr. Loria's patient count doesn't give him any points, all it tells me is that he's a sociopath for cash.

Yes, many of the Doctors I know of actually show the box, or at the very least, will have the box and serial number sticker per request.

You do realize that until he has FDA clearance, he's injecting you illegally, right?

Do you actually believe he changes the ratios of his filler ingredients per patient on the day of the procedure? Right there and then in his lab by just examining your penis? I mean that seems rather tedious, inefficient, and costly. Did you have to wait a while before he came into the room with the syringes? Seems bizarre if you ask me. If I were a gambling man, I'd wager a pretty penny he has a set ratio premade ready to go, largely that of silicone oil that is imported illegally in order to give him absurd profit margins. Last I checked, Silikon1000 was the 2nd most expensive filler, only behind Bellafill (PMMA), and looking at some price lists right now, may have exceeded that of Bellafill. To pump the kind of volumes you require with this type of filler (60cc's +) and keep his pricing market-competitive, I'm having a hard time believing he's using anything legally. But you just haven't asked yourself those kind of questions, have you? I'm trying to do you a favor here, if you can only see it.

What you ultimately fail to see is that this site promotes the efficacious methods of phalloplasty based on its history, the science/medicine behind it, and patient feedback. The PhalloBoards is the only site, community, and validated source (via physician education & endorsement) that has followed this niche topic, and has done so for 13 years. It isn't bias, it's reality. If it were bias, why would I provide my readership with different options like Alloderm, Surgimend, Ellanse, Hyaluronic Acid, Radiesse, PMMA (Bellafill AND Linnea Safe), Renuva, Fat Transfer, and so on? PRP and exosomes? Different regions, states, different countries? Do you think some of my Sponsors were thrilled that P-Long came along? Well, it was an alternative to phalloplasty for guys who like to do PE exercises. By encouraging healthy competition, I play a role in lowering market costs and incentivizing innovation among the leaders in phalloplasty. I have weekly/monthly calls and can't wait for them to share some advances made that I'm not at liberty to speak of at present time (because they need to be fully tested). I'm clearly taking the sides of methods I know don't possess unacceptable levels of risk based on a knowledge that you simply do not have -- if that's bias, fine, I'll concede that much. And yes, all elective procedures are not without risk, but there is a line that when crossed, becomes unacceptable.

If this wasn't an open free flow of information, wouldn't I have simply deleted your posts and banned you? If you want to continue insulting this forum and its community, then you can go take a hike. We've been very receptive to your experience(s), but I've stated on innumerable occasions that this site is a No-Silicone-Zone, and so whenever the procedure itself is promoted or recommended, I've made it a forum policy to provide the necessary information to many newcomers who are simply unaware. If hypothetically PMMA (known to be non-carcinogenic) were to somehow have a 100% direct causality with cancer, not only would most ethical Doctors discontinue its use, but those who choose not to would be admonished and black-listed.

I've seen enough emails of Loria patients begging for assistance, and Doctors telling me the nightmares they've seen fixing his garbage-excuse for work. This is also true for the Penuma (Elist implant). However, I just don't get that level of scary reporting from the aforementioned procedures I support (like HA and PMMA and so on). Those mostly deal with aesthetic issues that never impact the health and/or function of the penis.

Oof, the kind of skin grafts required to fix a Loria procedure gone wrong, or the severity of late stage granulomas with something so synthetic, or migration into other parts of the body... I know of a forum veteran who I won't mention that is experiencing illness that may be related to silicone oil according to some back-channel sources, if I get confirmation that the diagnosis is confirmed (or get him willing to acknowledge it here), I will.

Lastly, you told me you didn't want to argue, and I made clear my post was a PSA in response to what may have been an intentional or unintentional promotion of this procedure (citing patents give people the impression of legitimacy), and it wasn't necessarily to argue with you. I also asked in my last post that we carry on, because as you said yourself, you wish not to argue. Everything I've said has been factual, honest, and informed. The only thing I said that I can't prove (but believe the evidence is strongly in favor of) is my belief that he sources/imports silicone illegally because there is no way he's charging those prices for the amount of volume being injected, even in bulk. Everything else were facts, plain and simple.

Based on your insistence that there are no more arguments, I am politely asking everyone please resume the topic at hand.

I agree with you to move on. I don’t really care to address many of the above comments since it will just keep this discussion going. However I do want to be clear that use of medications off label (the use of drugs outside the approved FDA intention) is in fact legal. Also to that point as the below link will highlight- doctors are not required to tell patients if the medications they are prescribing are being done in an “off label” manner. However Loria does.

journalofethics.ama-assn.org/article/inf...on-medications/2012-

07#:~:text=In%20fact%2C%20many%20physicians%20prescribe,of%20informed%20consent%20is%20introduced.

www.webmd.com/a-to-z-guides/features/off...hat-you-need-to-know

I understand that to those who are not medical this might come as a shock but I just wanted to clear that up that it is not illegal. So please make sure your sticking to your word when you profess to be educated on these matters and putting down healthcare workers and their educations when it’s us who care for you and your loved ones.

I also wanna comment that I don’t think you’re a bad dude. I appreciate that you care and take a strong stance in your opinion. I do believe you truly dislike Loria and his practice and want to convince guys to avoid him. I completely disagree with your view but you’re entitled to feel how you do.
I encourage everyone to not take your word nor my word and to do their own research and speak to patients from all companies to get their experiences.

No one once disputed the use of dermal fillers off-label as being legal or illegal. Every Sponsor, like most cosmetic doctors & surgeons, use fillers off-label and the FDA is well aware and typically don't intervene. Many medications are prescribed off-label all the time. No one here is shocked, it's common knowledge and It doesn't take an ICU Nurse to know this... not only does this make you sound embarrassingly pretentious, but makes me believe you didn't bother to read a word I typed, and yet still had the audacity to reply with something that was never being argued in the first place.

My point overall was NOT about off-label use, but rather my suspicion that he's acquired (i.e. imported) non-FDA approved silicone oil, which would then make it a matter of legality. You would have known this if you read what I typed, but again, I feel like you're selectively ignoring details in my posts for whatever reason(??). The amount of volume he injects (60cc's-100cc's +) using Silikon1000 is cost prohibitive, yet he somehow offers competitive market rates for girth enhancement... this explains my skepticism about what he's injecting people with. I'm not claiming I know with certainty that this is going on, and maybe never will, but his history of being a liar and his reckless willingness of injecting silicone oil AT ALL in addition to the cost-per-volume disparity, who wouldn't ask questions?

My other contention was that silicone oil is a dangerous choice of filler for high volume in the penis from various credible sources over decades monitoring the topic of male phalloplasty. When the Penuma Implant has complications, you usually see it in the first year or two so you tend to see more negative reports more frequently; the scary part about something like silicone oil is that it can take 3, 5, or more years for serious complications to manifest. The lymphatic system is going to go through hell, especially if this isn't medical-grade silicone oil (even then it wouldn't matter a whole lot). Risks like silicone migration (embolisms are no joke), or granulomas that are much more difficult to treat because the matter is oil and not tissue, and so on, are real problems I hear about from credible sources.

In hopefully what will be my last summary on this matter: (1) silicone oil is bad as a penile filler and (2) I have suspicions of his actual filler concoction (despite my inability to prove it). Every other sane, ethical Doctor uses brand name fillers that come in neatly packaged boxes. Dr. Loria is now not only a "Cosmetic Surgeon" (which he isn't) but a Pharmaceutical Manufacturer as well? I mean, come on man.

This will be the third time I politely ask you resume the topic at hand, my response was made to clear up what was most definitely a misunderstanding on your part (off-label legality was never the issue). Now that I've cleared that up in addition to reiterating my sentiments in fewer paragraphs so that my stance is understood, and not something I care to argue, carry on. I don't think you're a bad person or an unappreciated forum member either, and I sincerely hope you don't ever have to deal with complications that stem from your injections (and maybe you never will) -- my comments were aimed at Loria and his quackery is all. Again, let's carry on.

Skeptical_One wrote: First and foremost, my proclamations on the matter come from a multitude of respected physicians with considerably more authority on the subject, so this is not simply my own assumptions.

Secondly, Dr. Loria is a career liar. You have no idea how many times he changed up his vocabulary with respect to his filler and how quickly he'd change subjects. I've joined in on calls, and I've had members join in on conference calls, and he would just toss around gibberish assuming us (the "ignorant") would take his word for it. He would even throw around terms like "PMMA" and "Collagen production" and wouldn't even mention silicone at first. He's so evasive in fact, that there is a former patient on a separate PE forum who shared a story when in the hospital for his penis condition, that Loria refused to give the physicians information on what was injected. Can you believe that? This patient facing infection that could lead to sepsis, and Loria didn't have even the morality to do the right thing for his own patient because he's clearly got something to hide. I really try my hardest to refrain from name-calling as it is not befitting of an Administrator of a site discussing serious topics, but that was such a scumbag move on Loria's part and tells me everything I need to know about who he really is.

When I brought up him using the term "Cosmetic Surgeon," it wasn't meant to say that you need to be a surgeon to perform these procedures, it was to say he was lying about his medical background because he's in-fact NOT a surgeon in any capacity.

Yes, I received an email from his marketing rep, not himself obviously. He's too proud and stubborn to ever make the first move. I've defended Sponsors and Non-Sponsors alike. I'm open to new Sponsors. Ask yourself why I won't accept Loria? Why not take his money? Ask yourself why the vast majority of penis enlargement doctors don't include silicone oil as a filler option when they can use Silikon100 off-label? Do you really truly believe this Hair Restoration "specialist" has figured out what career-accomplished surgeons and urologists haven't?

Having followed the scene since 2005 and learned the nuances of the penis and these procedures from the Doctors themselves sort of actually does amount to the same kind of "credits" you'd need to earn to have some above-average understanding of the topic matter -- more so than a random "nurse" I'd contend. I've spent countless hours reading not only posts, but private messages, emails, and other modes of communication for well over a decade with both patients and Doctors (some of which were non-Sponsors). I've studied sexual medicine to the extent that I have a good understanding of anatomy and some of the physiologies involved, especially as it pertains to penis enlargement. Sure, I'm not a medical professional, but I do see myself as the most qualified Patient Educator there is (on matters of penis enlargement). Either way, my claims are made on the information provided to me by those who are in the know, and many of them.

Clearly your schooling has not made you any smarter on making good decisions in this respect, and I'm afraid not even a Doctorate will solve your inability to see the patterns of deception -- but I get it, the last thing you want to think about is having a ticking timebomb in your penis, so you have to double down on defending your poorly made decision by reassuring yourself that because you've had some medical training, that you're incapable of being scammed. You know, no one likes being scammed, it's a tough pill to swallow as a grown adult. Besides, an ICU Nurse? I seldom "LOL" on this forum but I know a few personally (ICU in fact), and I assure you they wouldn't have a damn clue about the nuances of penis enlargement, so kick rocks with that nonsense please.

Dr. Elist has been performing his botcheries circa 2009, and we all know how terrible his procedure is. Dr. Loria's patient count doesn't give him any points, all it tells me is that he's a sociopath for cash.

Yes, many of the Doctors I know of actually show the box, or at the very least, will have the box and serial number sticker per request.

You do realize that until he has FDA clearance, he's injecting you illegally, right?

Do you actually believe he changes the ratios of his filler ingredients per patient on the day of the procedure? Right there and then in his lab by just examining your penis? I mean that seems rather tedious, inefficient, and costly. Did you have to wait a while before he came into the room with the syringes? Seems bizarre if you ask me. If I were a gambling man, I'd wager a pretty penny he has a set ratio premade ready to go, largely that of silicone oil that is imported illegally in order to give him absurd profit margins. Last I checked, Silikon1000 was the 2nd most expensive filler, only behind Bellafill (PMMA), and looking at some price lists right now, may have exceeded that of Bellafill. To pump the kind of volumes you require with this type of filler (60cc's +) and keep his pricing market-competitive, I'm having a hard time believing he's using anything legally. But you just haven't asked yourself those kind of questions, have you? I'm trying to do you a favor here, if you can only see it.

What you ultimately fail to see is that this site promotes the efficacious methods of phalloplasty based on its history, the science/medicine behind it, and patient feedback. The PhalloBoards is the only site, community, and validated source (via physician education & endorsement) that has followed this niche topic, and has done so for 13 years. It isn't bias, it's reality. If it were bias, why would I provide my readership with different options like Alloderm, Surgimend, Ellanse, Hyaluronic Acid, Radiesse, PMMA (Bellafill AND Linnea Safe), Renuva, Fat Transfer, and so on? PRP and exosomes? Different regions, states, different countries? Do you think some of my Sponsors were thrilled that P-Long came along? Well, it was an alternative to phalloplasty for guys who like to do PE exercises. By encouraging healthy competition, I play a role in lowering market costs and incentivizing innovation among the leaders in phalloplasty. I have weekly/monthly calls and can't wait for them to share some advances made that I'm not at liberty to speak of at present time (because they need to be fully tested). I'm clearly taking the sides of methods I know don't possess unacceptable levels of risk based on a knowledge that you simply do not have -- if that's bias, fine, I'll concede that much. And yes, all elective procedures are not without risk, but there is a line that when crossed, becomes unacceptable.

If this wasn't an open free flow of information, wouldn't I have simply deleted your posts and banned you? If you want to continue insulting this forum and its community, then you can go take a hike. We've been very receptive to your experience(s), but I've stated on innumerable occasions that this site is a No-Silicone-Zone, and so whenever the procedure itself is promoted or recommended, I've made it a forum policy to provide the necessary information to many newcomers who are simply unaware. If hypothetically PMMA (known to be non-carcinogenic) were to somehow have a 100% direct causality with cancer, not only would most ethical Doctors discontinue its use, but those who choose not to would be admonished and black-listed.

I've seen enough emails of Loria patients begging for assistance, and Doctors telling me the nightmares they've seen fixing his garbage-excuse for work. This is also true for the Penuma (Elist implant). However, I just don't get that level of scary reporting from the aforementioned procedures I support (like HA and PMMA and so on). Those mostly deal with aesthetic issues that never impact the health and/or function of the penis.

Oof, the kind of skin grafts required to fix a Loria procedure gone wrong, or the severity of late stage granulomas with something so synthetic, or migration into other parts of the body... I know of a forum veteran who I won't mention that is experiencing illness that may be related to silicone oil according to some back-channel sources, if I get confirmation that the diagnosis is confirmed (or get him willing to acknowledge it here), I will.

Lastly, you told me you didn't want to argue, and I made clear my post was a PSA in response to what may have been an intentional or unintentional promotion of this procedure (citing patents give people the impression of legitimacy), and it wasn't necessarily to argue with you. I also asked in my last post that we carry on, because as you said yourself, you wish not to argue. Everything I've said has been factual, honest, and informed. The only thing I said that I can't prove (but believe the evidence is strongly in favor of) is my belief that he sources/imports silicone illegally because there is no way he's charging those prices for the amount of volume being injected, even in bulk. Everything else were facts, plain and simple.

Based on your insistence that there are no more arguments, I am politely asking everyone please resume the topic at hand.

I agree with you to move on. I don’t really care to address many of the above comments since it will just keep this discussion going. However I do want to be clear that use of medications off label (the use of drugs outside the approved FDA intention) is in fact legal. Also to that point as the below link will highlight- doctors are not required to tell patients if the medications they are prescribing are being done in an “off label” manner. However Loria does.

journalofethics.ama-assn.org/article/inf...on-medications/2012-

07#:~:text=In%20fact%2C%20many%20physicians%20prescribe,of%20informed%20consent%20is%20introduced.

www.webmd.com/a-to-z-guides/features/off...hat-you-need-to-know

I understand that to those who are not medical this might come as a shock but I just wanted to clear that up that it is not illegal. So please make sure your sticking to your word when you profess to be educated on these matters and putting down healthcare workers and their educations when it’s us who care for you and your loved ones.

I also wanna comment that I don’t think you’re a bad dude. I appreciate that you care and take a strong stance in your opinion. I do believe you truly dislike Loria and his practice and want to convince guys to avoid him. I completely disagree with your view but you’re entitled to feel how you do.
I encourage everyone to not take your word nor my word and to do their own research and speak to patients from all companies to get their experiences.

First and foremost, my proclamations on the matter come from a multitude of respected physicians with considerably more authority on the subject, so these are not simply my own assumptions.

Secondly, Dr. Loria is a career liar. You have no idea how many times he changed up his vocabulary with respect to his filler and how quickly he'd change subjects. I've joined in on calls, and I've had members join in on conference calls, and he would just toss around gibberish assuming us (the "ignorant") would take his word for it. He would even throw around terms like "PMMA" and "Collagen production" and wouldn't even mention silicone at first. He's so evasive in fact, that there is a former patient on a separate PE forum who shared a story when in the hospital for his penis condition, that Loria refused to give the physicians information on what was injected. Can you believe that? This patient facing infection that could lead to sepsis, and Loria didn't have even the morality to do the right thing for his own patient because he's clearly got something to hide. I really try my hardest to refrain from name-calling as it is not befitting of an Administrator of a site discussing serious topics, but that was such a scumbag move on Loria's part and tells me everything I need to know about who he really is.

When I brought up him using the term "Cosmetic Surgeon," it wasn't meant to say that you need to be a surgeon to perform these procedures, it was to say he was lying about his medical background because he's in-fact NOT a surgeon in any capacity.

Yes, I received an email from his marketing rep, not himself obviously. He's too proud and stubborn to ever make the first move. I've defended Sponsors and Non-Sponsors alike. I'm open to new Sponsors. Ask yourself why I won't accept Loria? Why not take his money? Ask yourself why the vast majority of penis enlargement doctors don't include silicone oil as a filler option when they can use Silikon100 off-label? Do you really truly believe this Hair Restoration "specialist" has figured out what career-accomplished surgeons and urologists haven't?

Having followed the scene since 2005 and learned the nuances of the penis and these procedures from the Doctors themselves sort of actually does amount to the same kind of "credits" you'd need to earn to have some above-average understanding of the topic matter -- more so than a random "nurse" I'd contend. I've spent countless hours reading not only posts, but private messages, emails, and other modes of communication for well over a decade with both patients and Doctors (some of which were non-Sponsors). I've studied sexual medicine to the extent that I have a good understanding of anatomy and some of the physiologies involved, especially as it pertains to penis enlargement. Sure, I'm not a medical professional, but I do see myself as the most qualified Patient Educator there is (on matters of penis enlargement). Either way, my claims are made on the information provided to me by those who are in the know, and many of them.

Clearly your schooling has not made you any smarter on making good decisions in this respect, and I'm afraid not even a Doctorate will solve your inability to see the patterns of deception -- but I get it, the last thing you want to think about is having a ticking timebomb in your penis, so you have to double down on defending your poorly made decision by reassuring yourself that because you've had some medical training, that you're incapable of being scammed. You know, no one likes being scammed, it's a tough pill to swallow as a grown adult. Besides, an ICU Nurse? I seldom "LOL" on this forum but I know a few personally (ICU in fact), and I assure you they wouldn't have a damn clue about the nuances of penis enlargement, so kick rocks with that nonsense please.

Dr. Elist has been performing his botcheries circa 2009, and we all know how terrible his procedure is. Dr. Loria's patient count doesn't give him any points, all it tells me is that he's a sociopath for cash.

Yes, many of the Doctors I know of actually show the box, or at the very least, will have the box and serial number sticker per request.

You do realize that until he has FDA clearance, he's injecting you illegally, right?

Do you actually believe he changes the ratios of his filler ingredients per patient on the day of the procedure? Right there and then in his lab by just examining your penis? I mean that seems rather tedious, inefficient, and costly. Did you have to wait a while before he came into the room with the syringes? Seems bizarre if you ask me. If I were a gambling man, I'd wager a pretty penny he has a set ratio premade ready to go, largely that of silicone oil that is imported illegally in order to give him absurd profit margins. Last I checked, Silikon1000 was the 2nd most expensive filler, only behind Bellafill (PMMA), and looking at some price lists right now, may have exceeded that of Bellafill. To pump the kind of volumes you require with this type of filler (60cc's +) and keep his pricing market-competitive, I'm having a hard time believing he's using anything legally. But you just haven't asked yourself those kind of questions, have you? I'm trying to do you a favor here, if you can only see it.

What you ultimately fail to see is that this site promotes the efficacious methods of phalloplasty based on its history, the science/medicine behind it, and patient feedback. The PhalloBoards is the only site, community, and validated source (via physician education & endorsement) that has followed this niche topic, and has done so for 13 years. It isn't bias, it's reality. If it were bias, why would I provide my readership with different options like Alloderm, Surgimend, Ellanse, Hyaluronic Acid, Radiesse, PMMA (Bellafill AND Linnea Safe), Renuva, Fat Transfer, and so on? PRP and exosomes? Different regions, states, different countries? Do you think some of my Sponsors were thrilled that P-Long came along? Well, it was an alternative to phalloplasty for guys who like to do PE exercises. By encouraging healthy competition, I play a role in lowering market costs and incentivizing innovation among the leaders in phalloplasty. I have weekly/monthly calls and can't wait for them to share some advances made that I'm not at liberty to speak of at present time (because they need to be fully tested). I'm clearly taking the sides of methods I know don't possess unacceptable levels of risk based on a knowledge that you simply do not have -- if that's bias, fine, I'll concede that much. And yes, all elective procedures are not without risk, but there is a line that when crossed, becomes unacceptable.

If this wasn't an open free flow of information, wouldn't I have simply deleted your posts and banned you? If you want to continue insulting this forum and its community, then you can go take a hike. We've been very receptive to your experience(s), but I've stated on innumerable occasions that this site is a No-Silicone-Zone, and so whenever the procedure itself is promoted or recommended, I've made it a forum policy to provide the necessary information to many newcomers who are simply unaware. If hypothetically PMMA (known to be non-carcinogenic) were to somehow have a 100% direct causality with cancer, not only would most ethical Doctors discontinue its use, but those who choose not to would be admonished and black-listed.

I've seen enough emails of Loria patients begging for assistance, and Doctors telling me the nightmares they've seen fixing his garbage-excuse for work. This is also true for the Penuma (Elist implant). However, I just don't get that level of scary reporting from the aforementioned procedures I support (like HA and PMMA and so on). Those mostly deal with aesthetic issues that never impact the health and/or function of the penis.

Oof, the kind of skin grafts required to fix a Loria procedure gone wrong, or the severity of late stage granulomas with something so synthetic, or migration into other parts of the body... I know of a forum veteran who I won't mention that is experiencing illness that may be related to silicone oil according to some back-channel sources, if I get confirmation that the diagnosis is confirmed (or get him willing to acknowledge it here), I will.

Lastly, you told me you didn't want to argue, and I made clear my post was a PSA in response to what may have been an intentional or unintentional promotion of this procedure (citing patents give people the impression of legitimacy), and it wasn't necessarily to argue with you. I also asked in my last post that we carry on, because as you said yourself, you wish not to argue. Everything I've said has been factual, honest, and informed. The only thing I said that I can't prove (but believe the evidence is strongly in favor of) is my belief that he sources/imports silicone illegally because there is no way he's charging those prices for the amount of volume being injected, even in bulk. Everything else were facts, plain and simple.

Based on your insistence that there are no more arguments, I am politely asking everyone please resume the topic at hand.

Skeptical_One wrote: Please be mindful that self-injections or any form of medical procedure on one's self (i.e. an act that would otherwise require approval or supervision by a physician and/or cleared by State & Federal Guidelines) is a forbidden topic on the PhalloBoards.

This is because without the prerequisite training, education, and/or experience, these types of DIY (do-it-yourself) enhancements are at a considerably higher risk for complication (i.e. not in a Clinical setting with sterilization protocols, the appropriate antibiotics, and all other health considerations). So much a risk in-fact that I personally put it on par with back-alley injections for women who seek bigger butts but end up dying from silicone oil embolism.

This forum very much embraces the free flow of transparent information as it pertains to medical male enhancement, but self-experimentation that requires needles or scalpels steps outside the boundaries of what I consider constructively useful information for the general audience of this site.

This isn't a knock on your account @Otterboi , but I ask you limit sharing your experiences to just those of your end-results, and not so much the process or instructions involved in achieving said end-results. Normally I'd delete it outright, but your results demonstrate that scrotal enhancement is in-fact achievable, despite its lack of long-term safety profile. It also implies that any skilled medical practitioner could enlarge the scrotum through medical means in a sterile environment, should they determine this procedure type (and filler-employed) outweighs the risks cosmetic procedures have in general.

I hope you (all) have my understanding in the matter.

Lastly, scrotal enhancement does already exist and is performed by a few of this site's Sponsors either via fat transfer or filler injections. There are also actual implants that can be cupped around your testicles but I currently have no Sponsor who provides this solution that I'm aware of. I know of a Dr. Whitehead (non-Sponsor) in Florida who offers the silicone implant (which seem to accommodate much better than those used in the penis from past reviews) but can't vouch for its overall efficacy.

Dr. Elist also offers these silicone testicular implants (akin to those Dr. Whitehead presumably still offers), but given how absolutely egregious Dr. Elist's Penuma (silicone implant) is in the penis, I simply couldn't recommend his testicular enhancement in good faith. For those who don't know the story on that, go to the front page phalloboards.com and look down to the middle of the page and scroll through the Trending Articles section. Look for both the INSIDER and THE NEW YORKER articles discussing the trials & tribulations of former Elist patients. And it just so happens both popular National Publications cite the PhalloBoards as a credible source in their investigation of the subject matter (Penuma), super cool! indeed.

Anyways, if anyone is seriously interested in scrotal/testicular enhancement and would like to know which Sponsors (and even non-Sponsors like Dr. Whitehead) are providing options, email me at This email address is being protected from spambots. You need JavaScript enabled to view it. or private message me in-site.

100%, hence why I only share the end results; other forums are devoted to such matters, and I know that any risk I take on is all my responsibility and nobody else. Just because it worked well for me so far doesn't mean it will for somebody else, so I know you mean no offense

Please be mindful that self-injections or any form of medical procedure on one's self (i.e. an act that would otherwise require approval or supervision by a physician and/or cleared by State & Federal Guidelines) is a forbidden topic on the PhalloBoards.

This is because without the prerequisite training, education, and/or experience, these types of DIY (do-it-yourself) enhancements are at a considerably higher risk for complication (i.e. not in a Clinical setting with sterilization protocols, the appropriate antibiotics, and all other health considerations). So much a risk in-fact that I personally put it on par with back-alley injections for women who seek bigger butts but end up dying from silicone oil embolism.

This forum very much embraces the free flow of transparent information as it pertains to medical male enhancement, but self-experimentation that requires needles or scalpels steps outside the boundaries of what I consider constructively useful information for the general audience of this site.

This isn't a knock on your account @Otterboi , but I ask you limit sharing your experiences to just those of your end-results, and not so much the process or instructions involved in achieving said end-results. Normally I'd delete it outright, but your results demonstrate that scrotal enhancement is in-fact achievable, despite its lack of long-term safety profile. It also implies that any skilled medical practitioner could enlarge the scrotum through medical means in a sterile environment, should they determine this procedure type (and filler-employed) outweighs the risks cosmetic procedures have in general.

I hope you (all) have my understanding in the matter.

Lastly, scrotal enhancement does already exist and is performed by a few of this site's Sponsors either via fat transfer or filler injections. There are also actual implants that can be cupped around your testicles but I currently have no Sponsor who provides this solution that I'm aware of. I know of a Dr. Whitehead (non-Sponsor) in Florida who offers the silicone implant (which seem to accommodate much better than those used in the penis from past reviews) but can't vouch for its overall efficacy.

Dr. Elist also offers these silicone testicular implants (akin to those Dr. Whitehead presumably still offers), but given how absolutely egregious Dr. Elist's Penuma (silicone implant) is in the penis, I simply couldn't recommend his testicular enhancement in good faith. For those who don't know the story on that, go to the front page phalloboards.com and look down to the middle of the page and scroll through the Trending Articles section. Look for both the INSIDER and THE NEW YORKER articles discussing the trials & tribulations of former Elist patients. And it just so happens both popular National Publications cite the PhalloBoards as a credible source in their investigation of the subject matter (Penuma), super cool! indeed.

Anyways, if anyone is seriously interested in scrotal/testicular enhancement and would like to know which Sponsors (and even non-Sponsors like Dr. Whitehead) are providing options, email me at This email address is being protected from spambots. You need JavaScript enabled to view it. or private message me in-site.

In next time i fibd a exzellent doctor in europe and i hope this doctor come to this forum for a sponsor i hope in 2 month...my question for Adim can we open a New Forum Rubrik im this great best real Penis Forum for Deformite Revision after Bad Penis operation i see worldwide so many mens after Penis enlargement or burried hidden or penuma or fillers in Bad clinics wirh wrong techniques destroy his life and a good doctor for repair is not so easy
A Rubrik for Repair Clinic worldwide with pics help many many mens,i see so much scar problems and other Penis problems after ohalloplasty,please open a Repair Rubrik !!Thanks from germany

Here is a recent Article that deals with Dr. Elist suing some other Doctors over stealing each others ideas (which blows my mind, the Penuma has to be the single most useless penis enlargement device ever created, what level of "moron" must you be to have to not only steal it, but get sued and lose to the likes of Elist... )

In fairness, the article is quite comprehensive and well written and this in no way is a criticism of the author or publication itself.

Original Link: www.texasmonthly.com/news-politics/penis...lant-lawsuit-penuma/
Author: Michael Hardy
Publication: Texas Monthly
Date: June 8th, 2023 (with a subsequent update later in the article for June 22nd, 2023)

Here's an excerpt from that link:

After changing, I met Elist, now wearing a surgical cap and mask, just outside the operating room. As we waited for the anesthesiologist to finish preparing the patient, Elist told me about the memoir he had just written, titled Operating With God. He showed me the book’s cover image: a surgeon leaning over a patient, bathed in a beam of celestial light. “I’m a very spiritual person,” he said, adding that he draws strength not just from the Jewish faith in which he was raised, but also from his study of Christianity and Islam. “I don’t care what you believe, as long as you believe.”

I have a feeling it must be Divine Intervention as to how he's still practicing medicine, and Dr. Elist has now made it all make sense!

PRP accelerates growth. This has been proven in hair growth, wound healing, orthopedics and many other fields. There are thousands of articles about PRP in reviewed journals. Traction and suction work if you apply them for a long enough period of time. If you look at the phallosan study, this is clear. But those men used the phallosan for 8-10 hours a day. Most people with a normal job can't stretch 8-10 hours a day. The PRP accelerates the growth. This has been shown in many other disease states. The platelets are activated by manipulation and injection and so they stick to the tissues and we put a clamp at the base of the penis that limits their circulation.

To be honest, I feel your comments were challenging and little rude. It would be more appropriate to ask whether I considered .... I put a lot of thought, time and effort into the study and it is surprising that no one has put everything together into a study, but that is actually the case. I am the first medical researcher that I can see who has done the study. I know that it works because I did the research and talked to all of the patients. I'm not sure that showing images of penises and slightly bigger penises would do anything to prove this point. In any case, none of my research subjects were consented for this, and probably would not have signed the consent if that were part of the study.

If you want to be a late adopter, rather than an early adopter, that is up to you. Eventually men will post images on phalloboard and other sites. As for the cost, if you compare 5k for P-Long with 5-15k for fillers every 2 years and 20k for penuma, P-Long is a bargain. Please don't be judgemental. I created P-Long because I wanted to create a safe and effective and proven alternative to the bad techniques that currently exist, and I feel that this has been accomplished.

Hey

Following the New Yorker Magazine article, the MailOnline health desk are investigating the side effects of silicone implants for penile enlargement (Penuma) and the impact this has had on people's lives.

I have seen the strong message being spread continuously across this platform. I was hoping for if anyone would like to help spread awareness on this procedure then please do reach out. Please send me an email on This email address is being protected from spambots. You need JavaScript enabled to view it. if you are happy to discuss your experiences around this surgical procedure or alternatively you can dm here.

I am aware this is a very personal matter and so you can remain anonymous if you wish.

Thank you for your time
Chloe Louise

Skeptical_One wrote: …
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To newcomers of the site, the PhalloBoards has been following the male phalloplasty scene for well over a decade, including many accounts of men who underwent the Penuma surgery and had complications so severe, that if I posted some of these pictures you'd lose your lunch.

What many newcomers may also not know is that I have personally turned down Sponsorships to Clinics that I deemed to be risky, unethical, or outright incompetent. I know some of you may choose to be skeptical (heck, that's my name too!), but I've sidestepped actual revenue & improvements to my own livelihood to ensure the integrity of this site remains intact -- in an industry tainted with quacks and sugar pills promising you 5 inches, I take pride in providing a resource & refuge to men who wish to better themselves, and their "manhoods"

..and that safety-first mindset is greatly appreciated!!

I’m firmly convinced that before you know it we’ll be seeing a “Botched Dicks” spin off of the famous (or infamous) “Botched” boobs, butts, nose job surgeries, etc. show..

I'm proud to say our Community has been mentioned not once, but twice in two different National Publications!

The following links:

Insider

The New Yorker


While both are largely about Dr. Elist and the dangers of phalloplasty, our Forum Community was cited multiple times for being a source of information on this subject, which we can all pat ourselves on the back for!

To newcomers of the site, the PhalloBoards has been following the male phalloplasty scene for well over a decade, including many accounts of men who underwent the Penuma surgery and had complications so severe, that if I posted some of these pictures you'd lose your lunch.

What many newcomers may also not know is that I have personally turned down Sponsorships to Clinics that I deemed to be risky, unethical, or outright incompetent. I know some of you may choose to be skeptical (heck, that's my name too!), but I've sidestepped actual revenue & improvements to my own livelihood to ensure the integrity of this site remains intact -- in an industry tainted with quacks and sugar pills promising you 5 inches, I take pride in providing a resource & refuge to men who wish to better themselves, and their "manhoods"