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Searched for: dermal filler
12 Feb 2024 00:05
Delayed inflammation following dermal filler injections is a recognized, albeit infrequent, complication that can occur weeks to months after the procedure. This type of reaction often presents as swelling, redness, or tenderness at the site of filler injection. Interestingly, it can be precipitated by events that activate or upregulate the immune system. Such triggers include dental procedures, viral infections like the common cold or flu, vaccinations, and more recently, COVID-19 infections. The exact mechanism behind this phenomenon remains elusive, but it is believed to involve an immune response to the filler material that is somehow reactivated or amplified by these events.

The immune system, when stimulated by infections, vaccinations, or other triggers, may inadvertently recognize the filler material as a foreign entity, leading to an inflammatory response at the site of the filler. This is not a typical allergic reaction but rather an immune-mediated response that can lead to symptoms like swelling, pain, and erythema around the filler area.

In the context of your situation, where there is concern about an antibiotic potentially causing issues, it is more plausible that the underlying infection being treated by the antibiotic is the actual trigger for the delayed inflammatory response to the filler. To add complexity to the situation, it's important to note that syphilis can cause a non-tender sore known as a chancre, which necessitates careful evaluation. This is significant because such sores could be mistaken for nodules related to filler complications. You should consult a doctor who has expertise in managing such conditions for an accurate diagnosis and treatment.

getmoregirth.com/nodules/
08 Feb 2024 14:18
Please don’t take this the wrong way…. But this is an elective procedure that you are paying a lot of money for. Asking you to wear something post procedure for 3 weeks after each treatments is not excessive. You chose our procedure because we have the best outcomes because we have a post care garment that is patent pending, soon to be FDA cleared, that no one else offers. It keeps your filler from migrating as the dermal filler becomes encapsulated. We believe it takes 3 weeks minimum for the dermal filler to become encapsulated. This can obviously vary with each patient. You knew about this post care protocol and length of time wearing it from our website and our team before you chose to move forward with the procedure. We have treated thousands of men. We tell them what the they need to do. They comply. They have good results. They plan their dates and their sex life around the procedure and how must to wait to have sex. If you want a good result you must follow our protocol. Some procedures require you to wait months before you can have sex. We only ask 10 days. Its very reasonable. With all due respect, if you cannot do that then you shouldn’t elect to have girth enhancement. You are paying a lot of money for this and you should follow the instructions. Again this post care procedure is on our website which I’m certain you read before and we tell you in our conversations prior to treatment.

As far as your instructions from Dr Cordon to wear the sleeve for 7-10 days after the treatment let me elaborate. That is his recommendation based on your anatomy and condition. Everyone is different. He is your provider. He has given instructions that override any other instruction given to you by any consultant. My patients wear it 21 days. You should absolutely do what your provider has suggested. Our recommendation is to remove it only every 3 days to clean it. It doesn’t take much time for dermal filler to migrate. It can migrate and become uneven in a matter of minutes with retraction.

We want our patients to be happy with their outcome so we developed a very detailed, most would say “easy to follow” post care procedure protocol that works.

William
08 Feb 2024 06:13

PhalloFILL wrote: Hi this is William with Phallofill Dallas. What you are seeing is it really swelling. It’s the 1% lidocaine solution that was used to numb and hydro dissect you. For every 1 ml of dermal filler we use approximately 2-2.5 ml of 1% lidocaine solution. This is the standard amount needed to make you comfortable and to create our pocket for the dermal filler. Because of gravity all of the solution used in the entire length of the shaft during the procedure lands just below the glans exactly like in your photos. And because it’s fighting gravity all day and the penis doesn’t have the best lymphatics it takes sometimes 2 weeks to go away. It only gets relief when you are lying flat in the bed at night. Then you have gravity working against it the entire next day. Nothing is out of the ordinary. And it’s not a pool of HA dermal filler. It will replace in a few days and likely you will experience it again next treatment.


Thanks for your reply William. It has been 1 week since treatment and I am not looking forward to wearing this sleeve for another 2 weeks. If I do 2 more treatments gaining 0.25 each time, that means I have to wear the sleeve for 9 weeks straight? That sounds excessive. When can I have sex/masturbate? After 7-10 days from each treatment? Is it a problem if I have a date night and don’t wear it for 12 or so hours after ~2 weeks?

The doctor who did the treatment told me it is recommended I wear the sleeve for 3 weeks by you guys, but it can likely be fine to take the sleeve off permanently after 7-10 days. Is 7-10 days insufficient and 3 weeks very necessary? Thanks.
08 Feb 2024 00:50
Hi this is William with Phallofill Dallas. What you are seeing is it really swelling. It’s the 1% lidocaine solution that was used to numb and hydro dissect you. For every 1 ml of dermal filler we use approximately 2-2.5 ml of 1% lidocaine solution. This is the standard amount needed to make you comfortable and to create our pocket for the dermal filler. Because of gravity all of the solution used in the entire length of the shaft during the procedure lands just below the glans exactly like in your photos. And because it’s fighting gravity all day and the penis doesn’t have the best lymphatics it takes sometimes 2 weeks to go away. It only gets relief when you are lying flat in the bed at night. Then you have gravity working against it the entire next day. Nothing is out of the ordinary. And it’s not a pool of HA dermal filler. It will replace in a few days and likely you will experience it again next treatment.
07 Feb 2024 11:43
07 Feb 2024 11:16
An excerpt from Proud Urology's website translated into English; Megaderm is a lot like their American counterparts (Alloderm and Surgimend), basically sheets of donated tissue/cadaver that is used to augment the penis. Megafill is taking that same product but converting it into an injectable filler. Each have their pros & cons, but both very effective for augmenting girth.


MegaDerm® is made by processing the donated human skin is derived from human skin which is processed using a AlloClean® technology.The Alloclean® process inactivates or removes cell debris, antigens and potential viruses while maintaining the structural integrity inherent in the pre-processed collagen. MegaDerm® is used not only in skin transplantation but also in soft-tissue reconstruction.


AlloClean® : Allograft tissue engineeringAs a unique technology of L&C BIO that processes the raw materials of safe human tissues selected through a pre-screening and testing process, its chemical and sterilization processes are devised to meet the features of each tissue so that it can effectively and safely remove unnecessary substances (foreign matter, microorganisms). Based on the AlloClean process, we have been safely processing human tissue grafts for tissue reconstruction and the survival and treatment of patients afflicted with various diseases.More detailed information: http://www.lncbio.co.kr/eng/tissue.php


MegaFill® is produced after pulverizing MegaDerm®, and is composed of the same extracellular matrix components (collagen, elastin, proteins, and proteoglycans) as that of MegaDerm®— Liquid material of MegaDerm. It is consisted with fat of humans thigh and buttocks. MegaFill is a product of the organ donor programs. It is a micronized format for tissue transplants. The smaller micronized particles of MegaFill reduces nodule size resulting in improved evenness and symmetry (Almost 0% deformation outcome). MegaFill is a specific allodermic brand of product, therefore; the procedure works so well. But other brands of similar products produce inferior and unacceptable results. Despite the good features of allogenic material in the past, the micronized format of all brands (except MegaFill) got unsatisfactory results — VERY unlike the allograft sheets being used worldwide which are comprised of the exact same type of allogenic dermal tissue.The manufacturers of MegaFill created a superior product and it is now the only brand of this type of product we use. Proud Urology Clinic does not use any other products which are consistent with Hyaluronic Acid.
05 Feb 2024 19:31
Honestly a pretty good visual erect result thus far post-op, especially this far out. Like the comparisons from your original photos are night & day, and in a very good way, congrats.

I think if you can top-off semi-annually or annually, you should be able to stay above the 5inch mark rather easily. Especially if they are doing 5 units per round (conservative approaches are aimed at providing an aesthetic end-result), they are likely to fill any proverbial gaps while keeping you 5"+ afloat. That's usually the premise of low volume injections, to build a foundation and brick-lay over time (and while it doesn't induce collagen growth to the extent of more permanent fillers, Hyaluronic Acid still stimulates some fibers, collagen, elastin, and other building blocks for dermal volume).
24 Jan 2024 20:52

Abc123. wrote: Alright thanks a lot I’d have a few last questions if you don’t mind answering @Skeptical_One


Abc123. wrote: 1: My understanding is that being uncircumcised is suboptimal for any filler procedure, so I‘m going for a circumcision. Is that a necessary step to take in your opinion?

It is not necessary to get circumcision for dermal filler injections, but strongly recommended. In other words, men can (and have) achieved successful results despite being uncut, but this is the exception, not the rule. Fact remains that the highest volume injectors report a clear discrepancy between uncircumcised and circumcised men when it comes to injectable girth enhancement; circumcised men tend to fare better than their uncircumcised counterparts. As an uncut male, you have a high propensity for the "accordion effect," which seems exclusive to uncircumcised units. Personally, I would seek out an experienced Practitioner in Adult Circumcisions and have them perform it in a way recommended by your Girth Enhancement Physician.




Abc123. wrote: 2: I read that dr berg suggests getting ha fillers if you’re a first time patient before getting Ellanse, what is your opinion on the matter?

I'm don't know much about Dr. Berg and can only recommend Androfill trained Practitioners in Europe at present time; that said, Dr. Berg very well may be good at what he or she does and I am not suggesting you switch physicians, only that you are mindful that fillers like Ellanse ought to be performed by those with a lot of experience dealing with long-lasting dermal fillers. Getting Hyaluronic Acid (HA) first (in low-to-modest volumes) is a good way to predict how your shaft handles fillers (and/or to spot problem areas), and acclimate your shaft's dermis for future filler injections (whether HA or Ellanse). Is it necessary? No, but it certainly can help improve odds of aesthetic & natural results for the end goal, especially when done incrementally. In other words, I do agree with Dr. Berg's approach in this regard. However, Dr. Berg's willingness to see you 2 weeks post-op for another round of injections is questionable, and compels me to question his or her overall background in male phalloplasty.




Abc123. wrote: 3: What would be the maximum ml Ellanse you‘d do in one session? Is it dependent on length too?

It is dependent on length if aesthetics matter to you. The longer the shaft, the more product (i.e. filler) you can take without sacrificing naturalness. That said, regardless of length, I think anything in excess of 25mL (cc's) should be the upper bounds, especially for a first appointment. If he or she offers anything higher in addition to seeing you again 2-weeks post-op, just contact Dr. Horn in Brussels if the U.K. is not your destination of choice.

24 Jan 2024 16:10

TurkeyJerky wrote: Dear all!

I'm a new user here, and I have already a consultation booked with Dr. Horn at Androfil, London. I'm anticipating going for 6ml of Ellanse; I have had no previous filler procedures, so I will be totally virginal going into this, providing I still feel completely comfortable after the consultation and I am accepted as a suitable patient.

I understand that there is an inclination to reduce the amount of filler, especially in a irreversible product like Ellansé. However, Androfil are currently only offering 6ml. What sort of gain would I be expecting, and is that even enough filler to be able to mould harmoniously around the entire shaft? I'm rather limited financially, so there won't be any top-ups, if even conceivable until my initial 12 months of finance is paid off.

I'm approximately 6" in length, and about 5.5" in girth at the base.


I am growing to prefer this approach, and I know Rejuvall (a reputable Clinic in the U.S.) is also implementing this measure. Dr. Horn (of Androfill) is maybe the highest volume injector of both Hyaluronic Acid (HA) and Ellanse in the penis in Europe that I'm aware of, or most certainly top 3. He has the requisite expertise in this area of male enhancement.

By introducing low volumes of HA first, a few critical things can be ascertained:
  1. How well your penis acclimates to dermal filler in general. HA being a naturally occurring substance in your body containing no microspheres (a.k.a. foreign bodies) will ellicit a more subtle immune/inflammatory response, thus making the your shaft's dermis more accommodating for future applications, be it HA or Ellanse.
  2. Spotting problem areas early so that when more volumes of HA or Ellanse are injected in the future, they know what areas to hone in on.
  3. HA is both temporary, and at those volumes, easy to reverse if results are unsatisfactory.
  4. Determining whether HA or something more long-lasting like Ellanse is best.

To be frank, you may not get much in the way of girth (but you will likely see some tangible gain) -- this methodology is designed to ensure that when you do bulk up, it will be done so with the best results and natural aesthetics possible. Think of this first appointment as a preliminary round to "check the foundations before renovating."

The more I learn about this approach (both through Androfill and Rejuvall), the more I endorse it; the biggest complaints with dermal fillers have always been aesthetics (e.g. asymmetry, nodules, etc.), and this approach aims at reducing, if not eliminating, those issues. If you are uncircumcised and are choosing NOT to get circumcised, this approach is even more sensible (this is because uncut men experience higher rates of aesthetic irregularities when undergoing injectable dermal fillers in the penis).
20 Jan 2024 12:50

evolution10wrx wrote: better written, I want to increase the thickness of the penis in the healthiest and most FDA approved way.


As Dr. Sullivan pointed out, there is no FDA approved penis enlargement filler (or method) per-se. These dermal fillers (Hyaluronic Acid, PMMA, Ellanse, Radiesse, and Renuva) are used off-label into a layer of the penile shaft skin to create volume (simplest way of putting it). These fillers however, have been FDA approved for other specific reasons, none of which indicate girth enhancement, hence the off-label use (which is legal). I should note that Ellanse is still not FDA approved in the U.S. and is only available abroad.

In my personal opinion, Hyaluronic Acid (HA) is arguably the safest filler given that it already exists naturally in the body -- medical device manufacturers have cross-linked them to behave as dermal fillers to increase the volume of the skin. They are temporary in nature and somewhat reversible too with the use of a special enzyme to breakdown the filler if necessary. The trade-off with temporary fillers is that you will have to periodically top them off, and the rate at which HA breaks down/reabsorbs varies person to person. A safe bet is once a year, and you'll often times not need nearly as much volume to get back to your size-goal because not all of the HA will have diminished by then. I call this a trade-off because while you wish to seek out the safest option, you'll have to accept that maintenance comes along with it.

A counter example would be something permanent like PMMA (Bellafill in the U.S.). Due to its permanence, it can be very difficult and invasive to remove all of the PMMA in the event you have an undesirable result or complication. The trade-off here is that while it isn't as manageable as HA in terms of reversal/complications, you won't have to top it off periodically once you've achieved your final size goal. I should note that Bellafill is FDA approved and by and large is a safe filler too, relatively speaking.

So as you can see, some people prefer the peace of mind of HA in the event that they have undesirable results or complications because they are easier to manage, or would like to trial girth enhancement due to HA's temporary nature. On the flip side, permanent options like PMMA or dermal graft surgery offer a sort of "one & done" solution (with some potential subsequent touch-up appointments) which is a life-long convenience but can come with unforeseen challenges, despite complications being uncommon. You have to assess your own risk threshold, size goals, and what trade-offs are more compelling.
20 Jan 2024 09:52

eastbound wrote: Hey,
Heard of dermal filler procedures, IMO a good risk-win ratio. I understand these procedures do not increase erect length, which is fine, but girth and flaccid length, that's a major win, and from what I've read I can expect an average of 0.6" girth improvement with HA, and an assumed deterioration time of 18-24 months. Is it all gone within that time frame or reduction with maintained gain?

Currently, 4.7, 6.5, if this could achieve at least 5.3", that's OK. Flaccid length, not sure there's any data on what to expect there. 'heavier so it hangs more', lol.
Are my expectations reasonable, should I expect more/less?

Yes, pretty much spot on in terms of your understanding of fillers. I believe a 0.6 inch gain in circumference is a pretty fair expectation from one round, and a likely follow-up round to touch-up natural aesthetics (and add any additional girth if you wish, but always stick to practical goals).

Hyaluronic Acid (HA) will breakdown overtime, however total degradation/dissipation can take upwards to 24 months. Typically, it's usually within 12 months you see some loss, and you'll find the need to top-off (with much less volume than originally injected) to maintain your size goals. Fortunately, HA has a strong safety profile (it's a naturally occurring substance in your body modified by medical device manufacturers to behave as a dermal filler to create volume).

There are also permanent options like PMMA, Megafill, and Dermal Grafts.

There is definitely added weight, and for some can improve the appearance of flaccid length since the implanted material can prohibit full retraction. Erect length on the other the hand is not impacted by the presence of filler or implant. As a side note, overfilling can create a disproportion between glans and shaft, so you will want stick the goals you stated above, which I believe can be done without sacrificing much in terms of natural aesthetics.



eastbound wrote: Where to do it
Based around Hong Kong, can't find any clinic via Google around here. Thailand could be an option, if there’s any reputable place?
Heard of Androfill in AU/EU, recommended?
Any other clinics close to me, that can be recommended?

Proud Urology offers virtually every option on the market, and only a 3-4 hour flight from Hong Kong (they are located in Seoul, South Korea). Very reputable Urological practice, more can be learned by selecting the links found in their Directory Listing link I provided.

James, the Patient Coordinator @Proud_Urology is fluent in English and quite helpful if you needed to coordinate travel arrangements. Given your locality, Proud Urology is likely the best option, or at the very least, worth the initial consideration. Logistics are just as important as value, expertise, and results. The vast majority of patients (irrespective of Clinic or Doctor) will likely need at least one follow-up session if you go the route of dermal fillers -- being within a reasonable flying distance makes them all the more appealing in my opinion.

Androfill is a great International Brand but I can only vouch for their United Kingdom operations. Those outside their U.K. Borders are effectively affiliates, and while having been trained under Androfill in some capacity, can't be vouched for from where I stand, that would be more-or-less a research process on your part.

I would avoid no-namers for the sake of price or convenience. This is your one and only dick, and you ought to be sure whoever is performing their work are Clinics/Doctors who are advancing the field as leaders in the industry and well respected, both among patients and professional peers.



eastbound wrote: Method
I understand HA is the safest one?
Any votes for something better with a similar risk, i.e. it's reversible.

Other than HA, Fat Transfer is regarded by many as a safe alternative since it harvests your own body's tissue (adipose cells), thus a more a subtle inflammatory and immunological response. That said, HA may still win out as the safest because Fat Transfer still requires additional surgical steps (i.e. harvesting fat from the body prior to penis enlargement).

HA is somewhat reversible. If done early and when not much volume is used, you can get most of it neutralized via Hyaluronidase, an enzyme that acts like an "anecdote" to HA -- however, at larger volumes and/or longer durations, some collagen and elastin may result in the presence of this HA (albeit nothing close to the amounts created by permanent & semi-permanent fillers like PMMA and Ellanse), and may prove to be difficult to eradicate 100% of the HA. The good news is that HA will eventually breakdown at one point or another.
20 Jan 2024 09:10
Hey,
Heard of dermal filler procedures, IMO a good risk-win ratio. I understand these procedures do not increase erect length, which is fine, but girth and flaccid length, that's a major win, and from what I've read I can expect an average of 0.6" girth improvement with HA, and an assumed deterioration time of 18-24 months. Is it all gone within that time frame or reduction with maintained gain?

Currently, 4.7, 6.5, if this could achieve at least 5.3", that's OK. Flaccid length, not sure there's any data on what to expect there. 'heavier so it hangs more', lol.
Are my expectations reasonable, should I expect more/less?

Where to do it
Based around Hong Kong, can't find any clinic via Google around here. Thailand could be an option, if there’s any reputable place?
Heard of Androfill in AU/EU, recommended?
Any other clinics close to me, that can be recommended?

Method
I understand HA is the safest one?
Any votes for something better with a similar risk, i.e. it's reversible.
20 Jan 2024 06:57
There are a variety of topics discussing these matters, and you can even UberEats items from convenience/grocery stores if need-be. You'd be surprised how easy it is to walk around post-op with dermal filler injections, and from the Grand Hotel (under the assumption you are staying there), much of what you need is within a reasonable walking distance away.

While I doubt these travels by foot will create an issue with "migration," you could always do your shopping ahead of time (in other words, book a day ahead).

And of course, there is Hotel Room Service.

That all said, this is Texas's Thread on Aftercare and I ask we not veer too off topic, thanks :)
11 Jan 2024 18:18

TMN91 wrote: Thank you for sharing all that information. So I seen them open the boxes of linea safe PMMA unless they were tampered with before hand and replaced with what you said was silicone oil which wouldn’t be surprising. I wonder if there is any way for me to do a scan of the penis with some sort of medical device to know what is in there for sure without cutting me open.


I don't trust them one bit. Someone else said the same thing, then was told he was put under (general anesthesia) for a dermal injection procedure. So he would have no clue what was injected into him and these procedures are outpatient in nature, done under local anesthetics!

You only need a small poke, if it oozes out after 6 weeks and is clear, well you got yourself in all likelihood silicone oil.

However I don't need any of that information because you've provided me with the single most damning information yet: 80cc at 30% is absurd in one round. Can it be done, sure? But 80cc is in the silicone oil territory of volume, and this is a Clinic notorious for having employed the use of this filler in the past.

If I were you, seek out someone familiar with silicone oil and assess whether or not to have it removed or if you are best leaving it alone and not getting any more work done -- try Rejuvall for starters and good luck.
10 Jan 2024 03:35
### Comprehensive Penile Growth Protocol:

1. **Steady Hormonal Optimization:**
- TRT + GH + DHT
- **Frequency:** Weekly injections for hormonal balance.

**Rationale:** Hormonal optimization serves as a foundation for penile growth by ensuring consistent levels of testosterone, growth hormone, and dihydrotestosterone. These hormones play crucial roles in tissue development and maintenance.

2. **Less Frequent Collagen Enhancement Infusions:**
- Dermal Filler (PMMA) every 3 months + Collagen Peptides bi-monthly

**Rationale:** Collagen enhancement supports tissue structure and resilience. The less frequent administration aims to avoid overstimulation while providing ongoing support for penile integrity.

3. **Balanced Mechanical Stimulation:**
- Biomechanical Stimulation (Stretching, Pumping) + Monthly Shockwave Therapy
- **Frequency:** Daily biomechanical stimulation with monthly shockwave therapy.

**Rationale:** Mechanical stimulation promotes blood flow, tissue flexibility, and potential cell growth. Shockwave therapy enhances the effects by promoting angiogenesis and tissue regeneration.

4. **Optimized Testicle Growth and Sperm Production Treatment:**
- Clomiphene + HCG
- **Frequency:** As prescribed by healthcare professionals.

**Rationale:** Enhancing testicular growth and sperm production is introduced at this stage to support reproductive health. Clomiphene and HCG are chosen for their roles in stimulating the testes.

5. **Essential Nutritional Support:**
- Vitamin C + Zinc + Omega-3 Fatty Acids + Hyaluronic Acid (Ingestible)
- **Frequency:** Daily supplements.

**Rationale:** Proper nutrition supports overall health, collagen synthesis, and hormonal balance. Hyaluronic acid contributes to tissue hydration and health.

6. **Structured Biomechanical Stimulation:**
- Daily Stretching and Pumping with Weekly Rest Days
- **Stretching Duration:** 10-15 minutes per session
- **Pumping Pressure:** Gradual increase up to 5 PSI
- **Pumping Time:** 10-15 minutes per session

**Rationale:** The structured approach aims to avoid overexertion while maintaining consistent mechanical stimuli. Rest days allow tissue recovery and growth.

7. **Minimal Hormonal Boosts:**
- PT-141 + IGF-1 (if applicable)
- **Frequency:** Intermittent injections.

**Rationale:** Minimal hormonal boosts are introduced intermittently to enhance the overall growth environment without constant exposure.

8. **Regular Assessments and Adjustments:**
- Bi-Monthly Assessments

**Rationale:** Regular assessments under professional supervision are crucial for monitoring progress, adjusting the protocol as needed, and addressing any potential issues promptly.

### Important Considerations:

- **Individualized Approach:** The protocol's effectiveness varies among individuals, and adjustments may be necessary based on personal response and health conditions.

- **Professional Oversight:** Consultation with qualified healthcare professionals is essential throughout the protocol to ensure safety, efficacy, and individualized care.

- **Safety First:** Prioritize safety and well-being over rapid progress, and be attentive to any signs of discomfort or adverse reactions.

This comprehensive protocol aims to address various aspects of penile growth, from hormonal balance to mechanical stimulation and nutritional support. It should be approached cautiously, with professional guidance and individualized consideration.
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