PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Hello there

I’ve been reading and learning in the past few months, and have finally decided to go with the Ellanse filler option with Androfill.

After a WhatsApp discussion with them - it seems that it is no longer offered in the UK, and they only offer Ellanse in their Belgium clinic with Dr. Horn.

My questions:
1) has anyone went through this procedure in the Belgium clinic?
2) why did they stop offering the Ellanse filler in the UK? Is this because of regulatory issues or the risk involved?
3) This is my first treatment. I understand the risks involved with Ellanse, but is there any other reason no other clinic uses it in europe? I live in Africa and getting to Mexico is just to much of mess for this. I would have preferred to have it done in London; and not Belgium/Mexico.

Just an update with images now that everything has settled down. Happy with the overall gain, my biggest gripe is the lack of flaccid girth as I was hoping i would have more of a shower after the HA but it appears to be only a 0.3" gain. I was measured at the clinic so although i do not have a pre photo the clinic does at 4.0". I have attached images i took a couple of days ago. I will likely either top up the HA in the next few weeks maybe ill try Voluma, but i would like Ellanse for the long-term so may take the trip to London and get 8-10ml.

Before vs After 15ML of Androfill premium
FL: B=3.5/4" A=4.5"
FG: B=4" A=4.3"
NBPEL: B=6" A=6.5"
BPEL: B=6.75" A=7"
EG: B=4.5/4.75" A=5.4"

Is it ok to 50% HA and 50% LMMA or Linnea? Thanks

Yes, first and foremost, go with trusted providers. That isn't to say "Thicken" isn't a good brand, but there are Clinics up popping up left and right who already use fillers off-label, and upon learning that this (penis enlargement) is an option, offer it because they can. Truth be told, most of the worst work I see are by non-Sponsors.

I know that's easy for me to say, but the fact remains that the VAST majority of traffic never posts even once. Even among Registered Members (you don't need to register to read, only to post, or to purchase Premium Membership to view attachments), I believe on PhalloBoards 2.0 it was like 15% ever posted once or more, it's considerably less here. Most guys do their research, book, and go about their lives. I really wish more guys would pay it forward like the pioneers before them.

The reason I cite those statistics is to explain that there is a lot of back channel information I'm privy to. Emails and Private Messages come my way seeking advice that simply choose not to post publicly. They know with my work here that I treat anonymity like HIPAA (despite not being a Healthcare Practitioner), so I see a lot more than just what goes on publicly. Suffice it to say, most of the worst work (in terms of aesthetic appeal) come from "no-namers."

Also, the Sponsors here not only have been vetted, but have demonstrated a desire to be leading innovators in the field, and that's reassuring. Furthermore, putting their face on this forum takes guts because substantiated negative reviews are permitted (there is no censorship or shilling here). So if someone is willing to embrace Sponsorship of the PhalloBoards, it tells me they want to be a big player in the industry, and not some Family Practitioner-turned-Botox Spa side hustle (no offense to any who may fall under that category, I'm sure there are some who are indeed good at their craft). Sponsorship isn't terribly pricey by a Doctor's/Clinic's standards (I do not disclose financial-specifics other than acknowledging that they are Sponsors, which means exactly that) so if they don't have the guts or pocketbook (i.e. low volume whether because they are extremely new to the scene which implies inexperience or because they put out bad results) to promote themselves on the only site anywhere on the web dedicated to the topic of surgical & non-surgical elective medical male enhancement, why put your one & only penis in their hands? Stick with the "Big Guns" if you want a "Bazooka."

I cannot vouch for the Newport and Los Angeles PhalloFILL Providers (It's only the Headquarter Dallas Location that is an Official Sponsor here), but they have been trained by the PhalloFILL team so you certainly aren't dealing with slouches. On the other hand, Avanti Derma primarily employs Ellanse and Linnea Safe (PMMA) which if you are not comfortable with, I'm not going to try and impose on you other than to say that they have been demonstrably efficacious in the penis long-term (nearly 15 years-ish following its use).

Many start with HA, some like it and don't mind its annual maintenance (every 12-18 months or so, depending on your body's propensity to breakdown foreign bodies), usually requiring less and less volume, making costs manageable (and well worth the investment because its effects are life-changing). Others may prefer the Ellanse or PMMA route afterwards if they were either unsatisfied with HA or found the maintenance to be costly long-term. A lot is to be considered, weighing pros & cons, there is no perfect option, some like the safety profile & non-permanence of something in their penis, while others like to get it one & done and never have to worry about it again. As long as you aren't getting a rigid silicone implant or high volumes of silicone oil inside of you, and stick to the PhalloBoards friendly fillers, you'll be alright (i.e. HA, PMMA, Ellanse, Radiesse, Fat Transfer, and Renuva).

That said, just as I praised Ellanse & PMMA, I will equally praise HA and confirm your understanding that it has the best safety profile among all fillers, because it does. It's already naturally occurring in your body, it's only been cross-linked in a lab to behave more like a dermal filler, somewhat if not mostly reversible (depending on how much volume injected and how soon after you choose to do it), and will EVENTUALLY dissipate in the event you don't like it, meaning you won't need any invasive procedures to remove it surgically (that said, again being as impartial as I can be, it's exceedingly rare for people to get PMMA or Ellanse completely removed when having it originally injected by a legitimate practitioner).

Personally, if it was HA I truly desired, I'd hit up Dr. Tsay ( Additional Link ) in Orange County or fly to the PhalloFILL Office in Dallas ( Additional Link ). Again, not a knock on the Newport or Los Angeles locations, I just can't personally vouch for them, but if it were them vs. Thicken, my bets on the PhalloFILL locations. That said, if you are going to spend what you're spending, I'd take a look at some of the options I mentioned.

Good luck and keep us posted!

JackSnow wrote: Thanks for the response, inflammation and any rashes/discolouration have subsided now and i have settled in to a roughly 0.5" gain in girth with no major deformities or issues. The HA is still sightly more soft than i would like but hopefully as you said it may take a few more weeks to integrate properly. I will post updated photos with a tape measure as i plan to do a secondary round in a few weeks and will post the before/after images for the forum. May choose voluma this time though if i am able to mix HA fillers but ill discuss that with the doctor.

The penis should always have some "give" -- simply go to an adult novelty store and compare a dildo to a vibrator. You'll see that the dildo is never pole rigid, but rather, voluminous. Obviously, one wouldn't want it too soft in terms of how palpable/tangible it is, but there will be some collagen & elastin triggered (albeit not to the extent of Ellanse or PMMA) by its mere presence in an area that normally doesn't have high volumes of cross-linked Hyaluronic Acid (HA) -- that should help with the integration I spoke of before.

Ellanse (which Androfill offers) is an option as well which you could consider down the road, but I'd personally stick with the HA for at least 6-12months before passing judgment; you'll find that despite requiring annual (12-18 month) top-offs, it won't require nearly the same volume as your initial round(s) and further integration will ensue. Ellanse has its appeal in that it is effectively semi-permanent (it's allegedly long-term temporary but no one knows when you can anticipate actual loss in the penis as of 2024), but doesn't possess the safety profile, reversibility, or size & aesthetic management that HA offers. I would only consider the Ellanse route if you were simply not satisfied with Androfill's choice of HA (every brand and version of HA aren't created equal), but I suspect with enough time you'll likely see that it's sufficiently adequate.

To be frank, a 0.5" gain in circumference and the absence of rashes & discoloration with no deformities or asymmetry is a huge win! Men really don't know (unless they've been doing penis enlargement a.k.a. PE exercises for years) how significant even a 0.25 inch gain is in girth, and 0.5 inches can potentially jump condom brackets. If you were to do the math on a cylindrical object, changing its circumference by an inch yields significantly more volume than increasing its length by an inch.

You should be able to mix HA fillers but ultimately that's at the discretion of your Performing Physician. That also assumes whichever HA you choose to opt for is available in the U.K. (some iterations are not necessarily available in every jurisdiction around the world; cheaper Canadian HA is not available to Americans for example).

Thank you, I am very happy with the result, both on erect and flaccid measurements. One under-appreciated effect for me was the movement along the grower to shower spectrum. Very satisfying psychologically and in addition to my partner’s reactions to the larger size, which have been both notable in her reactions and own admission. For those on the fence, it really does make the impact you are seeking in performance.

On the product decision, my understanding is that Renuva is really there to top-off prior fat transfers. I think it is fairly costly per ML and you more total MLs when using fat transfers or Renuva such that building up solely using Renuva would not be recommended. I wasn’t considering a fat transfer based on my research on the forums (although I understand they have come along away from where they were 10 years ago). Ultimately, I liked the safety profile offered by HA given the non-permanent nature, reversibility if was very dissatisfied, etc. In terms of which filler, I think Dr. Tsay would steer most people towards either Voluma or Volux. Volux is supposed to provide a better, firmer result that lasts longer all things else equal, but is more expensive. Dr. Tsay does perform fat transfers but I was pretty sold on HA before contacting him and steered the conversation down that route.

I asked Dr. Tsay if he would ever consider using Ellanse in the future if and when approve by the FDA and he seemed excited about the opportunity, but he doesn’t seem inclined to consider Bellafil/PMMA as I think he has had experience with people who come to him for HA after receiving PMMA they are not happy with.

After lurking on this forum for quite some time, and waffling over PMMA and Ellanse on the one hand (was considering Avanti Derma given I am in Southern California) and HA in the other, I decided to go with HA. I still may consider them in the future for reasons I mention below, but so far, I am extremely happy with my decision on both the HA route and Dr. Tsay. I mainly saw the discussion around Dr. Tsay on the forum related to another product he offers, Renuva, and didn’t see any in-depth discussion on his HA procedures, but I chose him based on location and the general recommendation of the forum.

I received a total of 25 ml of Volux over three rounds between September 2023 and March 2024 (Round 1: 10 ml, Round 2: 5 ml, Round 3: 10 ml). I believe 10 ml is the max he will do per round, but can’t recall if he said that exactly. 10 ml is a good increment and provides a noticeable difference, but my guess is most people will ultimately want multiple rounds unless they are already on the bigger side.

My initial stats:
FL: 4.0”
FG: 3.5”
EL: 6.0 “
EG: 5.0”

6 days post 3rd Round:
FL: 4.75” – 5.0”
FG: 5.0”-5.25”
EL: 6.0”
EG: 6.125”

Dr. Tsay’s office is located in Tustin, CA, which is about an hour outside of LA. The office is clean/modern and comfortable. From what I saw, all of the staff are great, friendly, and professional young women who assist all the way from scheduling through post-care. They mainly communicated through text which was very convenient, and they are very responsive to your messages including through post-care.

The procedure itself goes like:
1) Arrive and fill out forms.
2) Go into the exam room, undress from waste down and put on paper gown, apply numbing cream to the base.
3) Dr. Tsay and staff come in and start sterilizing the area, which involves cleaning and some liquid that feel pretty cold when applied (which actually kind of helps for next step).
4) This is the only unpleasant part of the whole process, which is the numbing. It’s really not that bad and takes about 90 seconds I would guess. Initial poke is actually fine because of topical numbing, but you will feel a deep aching kind of sensation at parts. It’s over pretty quick.
5) Dr. Tsay layers the product in. He is very focused on you being comfortable and good with the progress and service. Both he and the staff have great bedside manners.
6) You get bandaged up and get post-care instructions.

Post-care: No working out for a couple days, keep it bandaged four 2-3 days, no sex/masturbation for minimum 7 days. Massage as appropriate.

I am extremely happy with the results. The only downside with HA as I can see it is that you have to continue it indefinitely. Volux was said to last 12-24 months, but highly variable based on each person. I don’t think I’ve observed any loss to date, but it’s hard to tell given the spread out rounds.

*All my pics as of 6 days post-3rd round. I wasn’t planning on writing a detailed review so didn’t take my own before pictures. I was ultimately so grateful I ended up pulling the trigger, I wanted to post what I could to hopefully convince whoever is considering Dr. Tsay to just book.

Hyperbol wrote: 6 full sessions of PMMA and still a ways to go? Curious what your ultimate goals are. No judgment here. I had 5 full rounds of Ellanse (5th rd was barely a full session at 8cc) and will probably go for a 6th if I start noticing a reduction. I'm considering layering PMMA on top of the Ellanse at some point.

He might be like me and have no specific goal, lol. Either way good results!

And for you, why are you thinking PMMA added to the Ellanse? Have you had any loss or?

6 full sessions of PMMA and still a ways to go? Curious what your ultimate goals are. No judgment here. I had 5 full rounds of Ellanse (5th rd was barely a full session at 8cc) and will probably go for a 6th if I start noticing a reduction. I'm considering layering PMMA on top of the Ellanse at some point.

I would give Hyaluronic Acid (HA) some time to integrate. Despite it not being a conventional collagen filler like PMMA or Ellanse, it still stimulates some collagen and elastin by virtue of having been injected inside of you, inducing a mild inflammatory response. In time it will better mimic your shaft, both flaccid and erect. I wouldn't pass judgment until a minimum of 6 weeks post-op. Also, it carries with it the best safety profile among manufactured dermal fillers, making it at the very least a good test filler, and for many, a sustainable filler (since you won't have to inject nearly as much in subsequent rounds to retain size/gains). Food for thought

Before HA stats: 6.25x4.5"
After: TBC

Been doing PE for a few years on and off. Been moving around alot the last year or so and had really dropped the ball and ended up losing some gains. Plan on playing football this year and start in a few weeks and dreading the locker room at current size so decided to give HA a try.

Previous a year or two ago whilst doing PE: NBPEL 6.75xG4.75 closer to 5 at base Current 6.25x4.5 Flaccid: a measly 3.5x4 and worse after a big training session. Severe end of the grower not shower spectrum.

I am in the north of the UK so i visited the Manchester clinic, beforehand i had read to go with Voluma as it tends to last a bit longer but in the heat of the moment i went for the androfill premium 15ml option as it was cheaper. The overall experience of the injections was fine, pecker shrivelled up something rotten but it is what it is and pain was minimal. Only a few days in and wasnt going well at first admittedly. Had an reaction to the numbing cream and my little guy looks like he'd been in a bar fight, rash at the base of my penis within a few minutes of putting the cream on and the head of my penis has a discoloured purple rash on it too.

Day 1 - flaccid girth up from 4" to 5" not able to maintain an erection to move the filler around due to pain albeit mild but enough to discourage a hard on for the most part. Have no Viagra as never really had an issue with it and didn't think I would. My pecker looked like this guy from the movie 300 due to gland size in comparison to shaft and the fact it was all bruised, rashed up and swollen ibb.co/pQqtZvd

Day 2 - Pain and swelling down a little and able to maintain an erection long enough to move the filler around. Have been using an extender most of the time to keep it a big elongated, still swollen and rash starting to fade at base of penis. Penis head still purple with rash. Girth (approx 5.6" mid shaft erect - had to use string and a ruler so not as accurate as my tape measure

Day 3 - Woke up and the swelling has either gone down alot or some of the filler has absorbed as my penis girth has shrunk both flaccid and erect, still bigger than previously but definitely not the girth increase i had yesterday. Lost my tape measure and ordered another online so i will update with exact stats in the coming days as the string method doesn't feel accurate enough. Girth only noticeable from the side angle as the majority of the filler has landed on the top of the penis. Rashes pretty well faded now.

Day 4 - Similar to yesterday, the filler is still quite squishy on the top of the penis, hoping it firms up a little as it doesn't feel quite normal. I am used to having a firm erection, veins etc. and rock hard but it isn't close to that at the minute. I expected it to some degree but not quite this squishy.

First time posting so i stuffed up not using a tape to measure whilst taking the before and after photos for size change reference. I plan to get ellanse eventually so i will do a full before/after write up with measurements when i do that, so apologies.

IMG1 - Fully erect pre filler
IMG 2 - 80/90% post filler, struggling to maintain full erection post filler still
IMG 3 - 90% erect post filler, can still see slight discolouration of penis head but rash pretty well gone at this point
IMG 4 - flaccid penis 2 days post. Have lost some size since then due to swelling decrease. That's the goal i think long term!

Hello @ou812
The only three versions of Ellanse available in Mexico were L, M, and S (3, 2, and one year, respectively), so we never treated a patient with Ellansé X, the four-year version.
The longevity between versions L and M is negligible; we do not miss the discontinued version L.
Best regards,
DrC @ Avanti Derma

Hyperbol wrote: Yes. The RNA confirmatory test was negative. No HIV. I'm convinced the 4th Gen test that's part of the ten panel picked up on my bodies response to the Ellanse and gave the false positive. It doesn't mean I'm sick the same way pregnant women who also get false positives from this test aren't sick.

There's a lot of misleading info out there saying that false positives from that test are very "rare" but I think that's bullshit. And I don't understand why I would take that 4th Gen test again before taking the confirmatory test. Why not just take the confirmatory test and not have to deal with the anxiety of thinking maybe I'm positive?

I don't do give or receive anal sex and the partners I go bare with aren't sleeping around. Getting it via the vagina is pretty rare. If I had to guess it's more rare than getting a false positive from the 4th Gen test. Again, I'd rather just take the RNA test next time and not have to go back to the clinic twice. It's so dumb.

All it did was give me anxiety that maybe I was extremely unlucky and the one time the condom broke and I was bare inside this girl for ten seconds caused me to be infected.

Jesus - talk about anxiety. I’ve been there worried about stds so can’t imagine having an actual positive test! The odds of contracting HIV in the US through vaginal sex is super low so you’re correct that it’s probably statistically more likely to have a false positive hiv test. I guess at the end of the day the outcome was good but I can’t imagine you’ll be looking forward to your next std screening! Scale of 1 to 10 how confident are you the false positive was caused by the Ellanse?

Yes. The RNA confirmatory test was negative. No HIV. I'm convinced the 4th Gen test that's part of the ten panel picked up on my bodies response to the Ellanse and gave the false positive. It doesn't mean I'm sick the same way pregnant women who also get false positives from this test aren't sick.

There's a lot of misleading info out there saying that false positives from that test are very "rare" but I think that's bullshit. And I don't understand why I would take that 4th Gen test again before taking the confirmatory test. Why not just take the confirmatory test and not have to deal with the anxiety of thinking maybe I'm positive?

I don't do give or receive anal sex and the partners I go bare with aren't sleeping around. Getting it via the vagina is pretty rare. If I had to guess it's more rare than getting a false positive from the 4th Gen test. Again, I'd rather just take the RNA test next time and not have to go back to the clinic twice. It's so dumb.

All it did was give me anxiety that maybe I was extremely unlucky and the one time the condom broke and I was bare inside this girl for ten seconds caused me to be infected.

Did you ever figure out what was going on with this?