PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Could Ellansé™ be the most advanced product for nonsurgical phalloplasty that we have now? (read this!!!!)

Key Advantages

1. Longevity (duration)

• The PCL implant lasts much longer than the hyaluronic acid implant. The microspheres of PCL enter phase II of degradation until the forth year after injection.

• The PCL implant is absorbed exceptionally slowly, and unlike PMMA, which persists for life, the former eventually disappears, allowing the tissues to return to their basal conditions; the advantage is that the patient is freed from the implant in the later stages of his life when his priorities change.

2. Consistency



• The hyaluronic acid gel retains water and it can be soft and spongy, mainly when used in high volume. We have reports of patients who left finger marks after handling the penis firmly.

• PCL and PMMA implants owe their volume to new collagen formation, so their consistency is natural and much firmer than hyaluronic acid.

In our practice, we have found that the effect of Ellansé™ on the penis lasts much longer than the 18-24 months that researchers have reported in patients who received it on the face. At Avanti Derma, we have Ellansé™ non-surgical phalloplasty patients who have had the implant for almost a decade, and its absorption has not been sufficient to justify a touch-up or an additional session.

So, the big question now is: could Ellansé™ be the most advanced product for nonsurgical phalloplasty that we have now?

Those readers interested in more knowledge of Ellansé™ will find intermediate/high-level technical information in the following attachment. Ellansé™ Monography

If you have any further questions or comments, please do not hesitate to contact Dr. Luis Casavantes (This email address is being protected from spambots. You need JavaScript enabled to view it.).

or message us on this thread!!!! we will answer you!

AfterCare: Does Shockwave Therapy support New Collagen Growth? In PMMA/Ellanse
And if yes - Significant?

Thank you. I had great Dr's and ellanse is s great product, but my body seems to not like it. I still want to continue my journey so I may try HA once I'm cleared by my doctor. So I appreciate your input.

Hyperbol wrote: Care to explain, wonka?

So mine is similar but different. I did get ellanse a few weeks before my second vaccine. So there's that, but sense about a month after ellanse I have had inflammation nothing serious seems like, but my body is treating it as an infection. I'm having more blood work done. So once it all comes back I will elaborate more. But my wbc have been lower since getting ellanse (or possibly the covid vaccine although not likely ) it's been almost 2 years of ellanse and about 1 year and a half of lower wbc. I am fine otherwise. Everyone's body acts differently so take this with s grain of salt.

If I were in this position I would post this question on the ASHA “ask the experts community”. You will get hunter handsfield, who is an expert in HIV and HIV testing . Secondly, if your exposure was risky, I would have that partner test immediately.

What type of risk did you have? Have you had any vaccines recently? Any other illnesses or autoimmune flares?

My best friend had a positive test after a flu vaccine. It was a false positive but a very long week for him .

Through my clinical experience, I have found that both hyaluronic acid (HA) and PMMA fillerpolymethylmethacrylate (PMMA) fillers can be expertly and safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the diverse preferences and objectives of my patients.

Hyaluronic acid fillers are particularly valued for their temporary and reversible attributes, presenting a less risky proposition for individuals exploring penile girth enhancement without a long-term commitment. These fillers deliver instantaneous results in girth expansion and are generally well-accepted by the body, exhibiting a minimal likelihood of adverse reactions. One of the standout benefits of VolumaHA fillers is their adjustability, allowing for fine-tuning to achieve the desired aesthetic and tactile outcomes.

In contrast, PMMA fillers are recognized for their enduring results and are chosen by those who desire a more permanent augmentation. The robustness of PMMA is attributed to its microscopic spheres that maintain their position beneath the skin's surface, thus offering a sustained enhancement in penile circumference. However, given the non-reversible nature of PMMA fillers, it is imperative to engage in a comprehensive consultation to ensure that patients have a clear understanding of the long-term commitment and are well-informed of the potential risks and implications.

While each type of filler has distinct characteristics that might make one more suitable than the other depending on individual circumstances, there are no intrinsic contraindications to using them in a sequential manner. This flexibility allows for a customized treatment plan that can evolve over time to align with the changing desires or satisfaction levels of the patient.

HIV testing typically involves a two-step process, starting with a screening test and followed by confirmatory tests if the screening test is positive. The screening test is usually an antibody test, which checks for antibodies to HIV. If the screening test is positive, a follow-up test, such as an antigen/antibody test or a nucleic acid test (NAT), is performed to confirm the presence of the virus. The antigen/antibody test looks for both HIV antibodies and antigens, while the NAT looks for the actual virus in the blood.

False positives on the initial screening test can occur due to factors such as cross-reactivity with other antibodies or improper test administration. However, false positives are very rare on the reflex confirmatory testing because these tests are highly specific and designed to minimize false results. The reflex testing, which includes more specific and sensitive tests, helps to reduce the likelihood of false positives and accurately confirm the presence of HIV.

The likelihood of a false positive HIV test result after PCL or PMMApolymethylmethacrylate (PMMA) filler injection is not well-documented in the available search results. However, it's important to note that false positive HIV test results can occur due to various factors, including technical issues associated with the test and biological causes. Technical issues may involve specimen mix-up, mislabeling, improper handling, and misinterpretation of a visually read rapid test result. Biological causes include participation in an HIV vaccine study, autoimmune disorders, recent flu vaccination, and cross-reactive antibodies that may be present following a blood transfusion or pregnancy

It's important to note that a positive result on the screening test does not confirm HIV infection. Additional tests are needed to confirm the diagnosis. Similarly, a negative result does not rule out HIV infection, especially during the "window period" when antibodies and antigens may not be measurable.

Care to explain, wonka?

Not *exactly* the same but since they both function in the same manner it might be somewhat relevant... I've had HA after PMMA with zero issues. Have yet to read a post of anyone getting HA after Ellanse here.

This is topic for doctors I guess, are there any issues with getting ha after having ellanse?

Something similar is happening to me.

I recently had the 4th gen HIV screen. HIV 1 and 2 were negative but the test repeatedly had a reaction to the HIV antibody. Supposedly.

I took the RNA test Friday to confirm any infection and results should be sent Monday.

Looking online, it seems false reactivity from this 4th gen test aren't uncommon. For example, there are plenty of cases involving the test reacting to the blood of pregnant women. Most likely due to the bodies immune system working differently to accompany a fetus. But they don't have HIV. When they take the RNA test it's negative.

The 4th gen test is very sensitive and other types of antibodies can trigger it. I have close to 60cc of Ellanse in me. My body has to react to the foreign substance in a substantial way, building new tissue/collagen. I'm wondering if my body's response to the Ellanse/PCL is triggering the reaction. It could be that my immune system is producing some sort of "antibody" and that is what is triggering the result. Interesting if this is the case. I don't think this has been studied much at all.

Good food for thought: Can you have an antibody for something and not be infected? Is any part of the body's response to PCL and PMMA considered an antibody? Are people with PCL or PMMA in them technically "infected" with a foreign substance?

Abc123. wrote: Hello all,
I‘m getting Ellanse,I don‘t really know how much it differs to pmma or ha. I read it sets quicker,pretty much the same night even.I don‘t know how accurate that is though.
I got a 6 hour drive that I need to do on day 1,2 or 3, I‘m leaning towards directly after the procedure. I‘d leave the bandage on until I get home and then start massaging. You should wait a certain amount of time before you start moulding anyways if I understand that correctly?

check this recent thread on Ellanse!! All patients have had one session of Ellanse that has lasted more than 5 years and counting!
phalloboards.info/forum/general-discussi...time.html#1308715957

Chip2th wrote: What is P Long ?

By the way I went with HA / Volux got 13 ML looks like .9 inch increase but it’s only been 2 weeks not sure what the final result will be.
You think I’m settled in with the result at this point ?
So far I’m overall satisfied with the result and feeling during sex.
I think eventually I might just go with PMMA because it’s permanent and I won’t have to deal with top ups and logistics of avoiding sex for 2 weeks each time I get HA added.
Is PMMA a lot firmer as well? Biggest risk with. PMMA?
Any suggestions for getting top ups and a good recuse to avoid sex fir 2 weeks without being suspicious? I’ll need to go back and get my base filled in and probably a little more added in just can resist the temptation to add more.
I wet from 4.5 mid shaft to now 5.3 maybe 5.4 if I have a peak rager.
The doctor left a about a half inch gap between the filler and my gland I’m not thrilled with that aspect of it. They said that section is more prone having lumps.
Thoughts ?

@Chip2th
if you are thinking of other options that are not permanent like pmma
we recommend you check what patients on this board have experience with Ellanse.
One trip with Ellanse and the results have endured for more than 5 years! its not pmma, so no risk on permanent, but it is a good option for safe longevity.

Phalloboards, thread:
phalloboards.info/forum/general-discussi...time.html#1308715957

otis wrote: phalloboards.info/forum/dr-casavantes-dr...se-l.html#1308699987
"Clinically, we have seen a better collagenesis response when compared with PMMA, and also, the effects seem to be longer lasting than what is described by the manufacturer; this is due to the difference in the dynamics and metabolism of the penis compared to the face, where clinical trials have been made."

This could factor in too, it's just that I haven't seen or heard an official statement by the manufacturer themselves (I myself tried to reach out, but who knows how their correspondences are handled?).