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26 Apr 2024 22:35 | |
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That was purely based on this recollection from southbay, i don tknow if the doc has commented otherwise (didnt see him mention it in there) phalloboards.info/forum/progress-reports...start=105#1308714450 ^to save others a click, basically a blend of PMMA and HA, unknown the ratio of each. I would imagine it would HAVE to be a small volume simply because there isn't a ton you can fit in the coronal ridge, total volume, of any filler. |
26 Apr 2024 03:04 | |
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In all my years reviewing every bit of literature that has come through the PhalloBoards (and elsewhere) as it pertains to these procedures, I haven't found anything alarming with respect to penile enhancement + PMMA. The only (hardly) note-worthy matter is when men have had large volumes (we're talking hundreds and hundreds of cc's/mL's) injected intramuscularly that later go on to deal with rare systemic granuloma issues (which in turn can cause other & lesser known rare issues to occur). It should be noted these studies involved silicone oil, but due the involvement of granulomas, it's plausible any permanent or long-term filler injected in heavy volumes intramuscularly could plausibly have some type of late onset risks. However, keep in mind PMMA in the penis is injected in 10-20 cc's/mL's at a time, and seldom (if ever) exceeding 100 cc's/mL's in total over multiple rounds, all injected inter-dermally (not inter-muscularly). Also, granulomas in this regard are exceedingly rare and typically much easier to manage or resolve because of how localized it is (versus having a foreign material injected in hundreds of cc's/mL's in different areas of the body, like the buttocks, etc.). I make this clear because it does not have the same parameters as the aforementioned study, with significantly less volume, not silicone related, and skin injections (not muscle). In a nutshell, I haven't seen a report, study, or former patient who has had strictly PMMA enhancement of the penis show any adverse sexual and/or life impacting events, and I've been monitoring the PMMA bit since nearly the inception of this site. It should be noted, however, no procedure is without risk. If you are highly risk-averse, you may want to consider Hyaluronic Acid (HA) alternatively. That said, I've had PMMA in me (through Avanti Derma in fact), with the next month marking 13 years post-op of my first appointment, with no complication to date. You just have to weigh the pros & cons of what is known. |
26 Apr 2024 02:48 | |
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While I have all the respect for Dr. Liu, I personally wouldn't recommend PMMA in the glans (if that is indeed what he also offers, which is news to me). I suppose at very low volumes it's achievable but the gains would also be equally negligible (in terms of volume injected). As someone has pointed out previously, Hyaluronic Acid (HA) is probably the best bet, and there is no known "glans implant" at this time. My understanding is that Dr. Liu uses PMMA for additional girth for those with Alloderm (since Alloderm is typically a one-and-done type of procedure). If he indeed uses PMMA for glans enhancement, then that'd be at your discretion. It isn't safety issues that I've seen with PMMA-glans enhancement in the past, it's more-so aesthetic; any visual irregularities are far more noticeable on the penis head than on the shaft, making permanent options a bit problematic should you have undesirable results. Dr. Liu is a skilled Surgeon, but this should be noted nonetheless. Due to the anatomical nature of the glans, permanent materials there may prove challenging, hence why temporary options (like HA) are your best bet. This is my personal recommendation as someone who has Moderated and followed the surgical Penis Enlargement (PE) scene for nearly two decades (however, I am not a Doctor). |
17 Apr 2024 03:16 | |
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Contact Dr. Tsay (Orange County) , Dr. Luis Lee (Northern California), Dr. Victor Liu (Beverly Hills and Bay Area) , and Dr. Brandeis (Northern California, P-Long Protocol) to consider your options. Avoid any Clinics that offer penile implants to augment your penis if you are NOT suffering from ED, as well as large volumes of silicone oil filler (i.e. not using micro-droplet technique consisting of volumes of 10 cc's/mL's or less), or really anyone not vetted by the PhalloBoards and/or its Community. If it's your first-time, you may want to consider more temporary options, especially if you can't travel abroad; Hyaluronic Acid (HA) has a strong safety profile and is offered by the vast majority of (vetted & screened) PhalloBoards Sponsors. Many end up liking it and continue to pursue it, while others may prefer less lifetime maintenance and opt for Ellanse or PMMA. You won't know until you try. Just be sure you have realistic goals in mind, sufficient funds to accommodate subsequent visits, and a sound state of mind and sound motivations moving forward. Good luck. |
02 Apr 2024 01:43 | |
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Just keep following your post-op instructions, it's too early to say anything about it short of any complications (which from what you describe sounds like a normal part of the process). When it comes to dermal fillers, you're almost always inevitably (like 99% of the time) going to have a subsequent appointment to touch-up, revise, and/or add more girth anyways. It's a process, a marathon even. Let your body do the work, the massaging is typically for the short-term to ensure the filler stays evenly spread (or conversely, to prevent filler from clumping and creating nodules). You'll likely feel some unevenness with your fingers, but that's because you know your penis better than anyone else. Don't allow that to alarm you, and try not to obsess over very small matters, especially if they are not complication-related (which with Hyaluronic Acid a.k.a. HA is uncommon). Teosyal is more common Internationally if I'm not mistaken, do you mind if I ask where you got yours injected? |
01 Apr 2024 23:49 | |
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If aesthetics are your concern and you're a big retractor like me, dermal grafts like Alloderm performed by the likes of @PhalloplasticSurgeon_DrLiu are still very much viable as they've come a long way since iterations of this procedure early in PhalloBoards' 2.0 era. Since it is custom tailored to fit your shaft, you'll likely face less aesthetic irregularity; the trade-off is that it is surgical so will have longer downtime. I also think injectables can work but I'd start with small volumes, perhaps Hyaluronic Acid (HA) to see how much retracting you do with the presence of filler. As a fellow retractor, you can probably do 0.5"ish in circumference (via graft or filler) while surviving the donut effect but that's just a guestimate on my part. |
28 Mar 2024 19:56 | |
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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). |
27 Mar 2024 16:01 | |
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When it comes to injectable fillers of any type, consider a second (subsequent) round inevitable. If not just to achieve your size goals, but minor revisions if & when necessary. Fortunately for you it seems like it will be mostly a girth thing if you choose to follow-up. Be mindful though, you are pretty thick already, keep your goals practical that way you can ensure an aesthetic end-result. Plus it's nice knowing you can top-off when necessary to maintain the sweet spot between aesthetics & size (not something necessarily afforded to you by permanent options, one of the benefits of Hyaluronic Acid a.k.a. HA). |
23 Mar 2024 01:10 | |
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I am sorry to hear about your ordeal. For those who have followed this forum long enough know my opinions about Loria (I refuse to call him "Dr.") as well as his deceptive "proprietary filler." If you hear those words, run for the hills! I actually took at a look at Dr. Malik to see if he'd be a viable Sponsor to reach out to, but once I learned he was injecting this crap, it was a no-go for me. I'll say it for the newcomers, but avoid silicone oil injections for penis enlargement, especially in high volumes! Granted, it is true that infections are an associated risk with most medical procedures that involve any breaking of the skin (like injections and incisions) where pathogens can enter your system, albeit very low when proper measures are taken, especially in non-surgical procedures. It is indeed a risk nonetheless, remember that these are elective procedures; once in a blue moon things can and do go wrong. It's a small gamble, even smaller if you deal with reputable, experienced, and mindful practitioners (Loria isn't someone I'd describe in that vain). Furthermore, some Practitioners will provide you a dosing of antibiotics post-op as a preventative measure, even if the procedure is an outpatient non-surgical dermal injection. While it is technically possible for even a reputable, highly skilled Doctor to have a patient acquire an infection from a procedure, it's something so uncommon that I can't recall the last time any Sponsor here has had a case so bad that it required this level of treatment. In addition to this observation, Loria is notorious for having complaints of all types, and with his proprietary filler, who's to say that it hasn't been tainted during the compounding/manufacturing process? While I can't know or say for certain, the very fact that he just won't offer Hyaluronic Acid (HA) or Bellafill (PMMA) tells me there is something fishy about this filler of his. I don't know of any other cosmetic practitioner who uses THEIR OWN mystery injection cocktails; if they choose to mix two or more fillers, they'll simply tell you what it is they are injecting and you can decide against any one of them. The same can't be said for Loria's filler. How much of this was just bad luck (that small percentage of patients that will end up with an infection after a simple, non-surgical outpatient procedure) -OR- how much of this was due to poor product quality (e.g. tainted) and/or negligence or incompetence on the part of the Clinic's sterilization protocols, DOES NOT MATTER with respect to Loria and his cronies, because if it wasn't an infection, it'd probably end up being some other ridiculous issue. Hang in there man, per our discussion in private messages, take my suggestions seeking out Doctors who have dealt with Loria complications -- those who haven't, simply don't know what they are dealing with and may actually exacerbate the situation unintentionally (you'd be surprised to learn how often I hear about people telling me that their ER Surgeon, Urologist, or Family Practitioner had no clue what they had done to their penis). Penis enlargement is still very niche & experimental technically-speaking and therefore specialists are vital in acquiring the best care. Do you mind if I ask what Loria or Malik said with respect to your situation, or if they offered to help? Were they at all at least trying to offer help, whether to you or your treating physician? |
22 Mar 2024 15:05 | |
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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 |
22 Mar 2024 13:18 | |
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Thank you very much, Dr. Sullivan. I greatly appreciate your feedback. If I can ask, Could you recommend any other brands that specialize in non-permanent fillers? I've come across Androfill and noticed it has received positive reviews online. From a layperson's perspective, a filler specifically designed for penile enhancement seems more suitable. This was my initial concern with more general brands like Juvéderm Voluma, which are used for various treatments (such as lips, cheeks, jaw, etc.). |
21 Mar 2024 23:31 | |
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Voluma stands out in the HA (Hyaluronic Acid) filler market in the U.S. for its durability, with results lasting at least 2 years. This longevity is a significant advantage over many other HA fillers, which often have a duration of about half that time. The enduring effect of Voluma makes it an attractive choice for those seeking longer-lasting enhancements without frequent touch-ups. Voluma provides a very natural sensation feel. This natural feel is essential for individuals looking for enhancements. If your poing to do HA as opposed to PMMA hands down I would pick Voluma. getmoregirth.com/voluma/ Dr. Sullivan |
19 Mar 2024 09:43 | |
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Hello to everyone. I'm at a crossroads in deciding between two HA (Hyaluronic Acid) fillers for penile girth enhancement and would greatly appreciate your insights. CHOICE: On one hand, I've got Juvederm Voluma, which comes highly recommended by a well-respected clinic in London. On the other, UroFill has been proposed by a well-known urologist in Rome. Given the prestige of both the two medical institutions, I'm finding it quite challenging to lean decisively towards one. Both options seem viable, but I'm curious about real-world experiences from this knowledgeable community. QUESTIONS:
SOME DETAILS: This would be my first HA filler injection so I am looking for something non permanent. Thanks for your time and help! |
18 Mar 2024 15:01 | |
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Dr. Shafer's work has noticeably refined overtime to the extent that I'm giving him full scores on injection technique at this stage. If you are in the market of Hyaluronic Acid (HA) and especially in the East Coast/New England area, Dr. Shafer can really provide aesthetic results while simultaneously providing gains. Most of his recent work I've seen (on the forums and behind the scenes) has shown me he's easily the best injector north of Georgia and east of Ohio, and irrespective of geographics, one of the best period. The PhalloBoards has had the good fortune to have a prestigious Double Board Certified Plastic Surgeon working off 5th Avenue New York City (Manhattan) provide its readership with one of the very few Plastic Surgeons in the world with the volume & expertise as it pertains to penis enlargement. |
08 Mar 2024 17:43 | |
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In your experience how long does swelling last from HA injections? Heller said 3 weeks, online it says it goes a way in a few days to a week so im not sure who's right. And yeah point taken on my partner. A part of me wants to have sex with her with my new rod but I fear it will most certainly out me. maybe I can say I was pumping but i fear it will still show i was insecure about my size. although it might be better that than telling her I got fillers. |