In particular, a major concern is that PGE is mainly performed for cosmetic purposes, unlike penile lengthening . Another limitation of conventional PA is that the procedure is invasive . This is consistent with other recent studies on PGE using HA and PLA fillers 13,14,15. Sign up for News and Offers Zensken tailors its procedures specifically to your goals, anatomy and comfort level for natural-looking enhancement with minimal downtime. FDA-approved and widely used for facial rejuvenation procedures, Bellafill has become popular for intimate areas thanks to its long-term effects. Bellafill offers discreet yet scientifically supported treatments to boost self-confidence, enhance intimacy or address physical concerns with volume or size. Explore our before and after Voluma, before and after Bellafill, and before and after Volux procedure videos to see the transformative power of non-surgical penile enlargement. Clinical studies track these outcomes to compare the safety and effectiveness of different enhancement methods. Girth enhancement can significantly boost your confidence and self-image, with studies often reporting high patient satisfaction rates. Looking ahead, we may see advancements in longer-lasting HA fillers and even new non-invasive treatments like shockwave therapy, which aims to stimulate tissue regeneration. The number of men seeking these enhancements is on the rise, partly due to more open conversations in the media about male aesthetic procedures. It may actually be more permanent than that. It’s very smooth, and obviously, for him, the benefit is that it’s going to last at least five years. Voluma provides results that typically last over two years, while Bellafill offers long-lasting results that can be considered permanent due to ongoing collagen stimulation. Both Voluma and Bellafill have shown to be effective in adding volume and enhancing the appearance of the treated area. Bellafill is injected beneath the skin of the penis to add volume and increase size. Composed of a collagen gel base and polymethyl methacrylate (PMMA) microspheres, it’s known for offering long-term, even permanent results. The body’s collagen around them — once matured — can provide stable volume that does not degrade like temporary fillers over time. Dr Rupeka can inject Bellafill or Hyaluronic Acid fillers on a patient that has already had previous filler. What if I already have had penis injections? Yes, all our experts who perform this procedure say that, usually, a numbing agent like a nerve-blocking injection or a topical numbing cream is applied before the procedure begins, so you shouldn't feel anything or, at most, slight but tolerable discomfort during the procedure. Because PhalloFILL® uses hyaluronic acid based filler, it offers flexibility in adjusting or modifying the appearance over time. After the procedure, the penis is fitted with post-care bandaging to help support the area and guide the settling of the filler. After a PhalloFILL® procedure, most people follow the guidance provided by their trained provider to help support the treatment process. Over multiple sessions some patients have shared that their overall girth increased by 1 to 1 1/2 inches or more, depending on individual goals and anatomy. Survey results reflect positive feedback on patient experiences with the procedure, including perceptions of enhanced confidence and satisfaction with their partner and appearance. How do experts measure success in girth enhancement studies? "You're using those same skills and techniques that you would use elsewhere, but for another purpose, if that makes sense," says Dr. Shafer. "I would rather have something there that could potentially be reversed if there was ever an issue." "I don't do silicone and I wouldn't do it in that type of patient because they have a reconstruction there and I wouldn't want to risk a migration or some long-term issue, especially when they've spent a lot of money and it's psychologically for them, very important," he says. All subjects were informed and instructed about the objectives and procedures of the current clinical trial. Patients were advised to abstain from sexual intercourse for 4 weeks after the procedure. Entry sites were made using 21-gauge or 18-gauge needles for the HA or PLA filler, respectively. It is a biphasic HA product with a particle size of approximately 700 μm. The injected HA filler (Doublofill; Humedix, Co., Ltd., Anyang, Korea) is a newly developed PGE product consisting of 23 mg of cross-linked HA in 2 mL of saline. When you travel abroad for treatment, follow-up care becomes challenging. The safety of off-label use largely depends on the expertise of the physicians performing the procedure. This means that while the product is approved for certain uses, it is being used in a different way that has not been specifically approved by the FDA. Off-label use refers to the practice of using an FDA-approved medication or product for a purpose that is not included in its approved labeling. Bellafill is FDA-approved for the correction of nasolabial folds (smile lines) and for the treatment of acne scars. It is the longest-lasting FDA-approved filler on the US market. Before committing to a permanent filler, it’s essential to weigh the advantages and disadvantages. At its core, BellaFill is composed of polymethyl methacrylate (PMMA) microspheres suspended in a collagen gel. BellaFill is a dermal filler originally engineered for cosmetic applications such as smoothing wrinkles, filling acne scars, or restoring facial volume. This article — informed by clinical studies, expert commentary, and practical experience — aims to give a balanced, evidence-driven overview to help you make a well-informed choice. Your partner may be perfectly happy with your current penis size. For those in long-term relationships, it is advisable to discuss this procedure with your partner beforehand to understand their preferences. According to numerous studies, the average erect penis girth is 4.97 inches, and a girth above 6 inches is exceptionally rare. Additionally, our study is the first to report the impact on ejaculation of PGE using HA filler and is expected to serve as a catalyst for future research on PGE for the treatment of PE. Although a placebo-controlled study allows better evaluation of the clinical effectiveness of a new treatment, there is a higher risk that nontreatment would be deemed ethically unacceptable by an ethics commission. First, the study duration limits drawing a strong conclusion regarding the long-term efficacy of PGE using HA filler. In addition, in this study, we found that the effect on ejaculation did not negatively affect satisfaction with sexual life. Therefore, the filler injected between the Buck's fascia and the dartos fascia is speculated to act as a barrier between the tactile stimuli and the dorsal nerve ending receptor in the penile shaft, which reduces the sensation threshold. A thicker penis can enhance sexual pleasure and increase the likelihood of experiencing orgasms.Yes, all our experts who perform this procedure say that, usually, a numbing agent like a nerve-blocking injection or a topical numbing cream is applied before the procedure begins, so you shouldn't feel anything or, at most, slight but tolerable discomfort during the procedure.PRP injections are another low-risk option that doesn’t create permanent changes, allowing your body to naturally process the treatment over time.Volux is designed for those seeking a firmer penile enhancement.Additionally, a topical numbing cream can be applied before the treatment to further ensure the patient’s comfort.Penile girth, satisfaction level, Premature Ejaculation Profile (PEP), and self-estimated intravaginal ejaculation latency time (IELT) were assessed at baseline and at 24 weeks post-injection.Patients were advised to abstain from sexual intercourse for 4 weeks after the procedure. But Dr. Shafer recommends starting with hyaluronic acid fillers because their formula is dissolvable if patients aren't happy with a newly plumper look. By choosing a reputable provider who uses FDA-approved fillers, you can ensure that your treatment is safe, effective, and supported by high standards of medical care. This can lead to the use of fillers that are not as thoroughly tested for safety and effectiveness as FDA-approved fillers. Opting for FDA-approved fillers provides a layer of assurance about the quality, safety, and effectiveness of the procedure. Using FDA-approved products ensures that the fillers themselves meet high standards of safety Are the Dermal Fillers Used for Penile Enhancement FDA Approved? Non-Surgical Penile Enhancement This content is not intended as medical advice, diagnosis, or treatment, and it should not be interpreted as such. Areas with greater blood flow or lymphatic activity often show different patterns of metabolization than areas with less activity. Because each patient’s anatomy and preferences are unique, experiences with filler retention and results may vary. Traction devices involve wearing a device over time that applies gentle stretching. Other methods, such as traction devices or surgeries, are sometimes used by people seeking length changes. In fact, a 2014 study published in the British Journal of Urology International reports that the average erect penis size is 5.16 inches in length and 4.59 inches in width. Long before Ariana Grande injected "big dick energy" into the mainstream vernacular, the most desirable members — the pinnacle of penises, if you will — have usually been described as long, girthy, and maybe even a bit veiny. Facial rejuvenation treatments, Botox, Juvederm, Bellafill, lip fillers, threads, microneedling, designed to fit your schedule - day, evening, and weekend appointments available in Arcadia / Scottsdale / Phoenix. The Penile Girth Enhancement Procedure Patients have reported that this location appears to provide results that feel more durable for them compared to filler placed in other regions of the body. The PhalloFILL® protocol was developed with this in mind, placing filler between two layers of natural connective tissue (fascia) along the shaft. Sessions involve multiple injections, with the option to adjust or remove filler if desired. "You don't want to inject any filler of any kind into a blood vessel, and the penis contains very large ones," says Dr. Emer. Sex and working out can also increase the chances of filler migration and bruising, so Dr. Rowe suggests staying away from both for two weeks. He recommends avoiding blood thinners like Advil or aspirin for two weeks before the procedure since they can increase your chance of bruising. The numbing agents wear off about an hour after the procedure, so mild swelling and bruising will probably happen by the time you step out of the office. Radiesse and collagen inducing fillers are, non-dissolvable and more difficult to remove, which should be considered when choosing the filler type.Because PhalloFILL® uses hyaluronic acid based filler, it offers flexibility in adjusting or modifying the appearance over time.The PhalloFILL® protocol continues to evolve through collaboration with experts in Men’s Health and Sexual Medicine.Though Dr. Shafer notes that a few of his patients have seen a slight increase in length of up to an inch after a few years of routine injections, Dr. Rowe says a significant difference in length is highly unlikely unless you decide to undergo a surgical procedure.As the present study was not specifically designed to evaluate PGE using injectable fillers for the treatment of PE, further studies are needed to demonstrate the therapeutic effect of PGE on PE.Unlike other fillers that require frequent touch-ups, Bellafill® provides a more permanent solution, saving time and money in the long run. Your own natural hyaluronidase enzyme works to dissolve the filler, causing a gradual loss of volume. The reason is simple, your body naturally breaks down and absorbs substances like hyaluronic acid over time. In the same review, about 4.5% of patients developed hypertrophic scars at the incision site. The Penuma implant is a well-known surgical option, and a review of its first 400 cases showed a wound infection rate of 3.2%. Even procedures considered safe can sometimes lead to issues with sensitivity, erectile dysfunction, or infection if they aren’t performed by an experienced urologist. Many patients are given a compression wrap or similar support bandage as part of their post-procedure routine. Some before-and-after photos may give the impression of added length, often because the penis appears fuller when flaccid after the procedure. Many find that following the injection and post-care guidelines, and routine maintenance allows them to maintain the appearance they desire long term. Your procedure will always be handled by a certified, highly trained provider with a track record of excellence. Among voluntary applicants for the clinical trial, healthy men aged between 20 and 65 years seeking cosmetic PGE and having a heterosexual and stable sexual relationship were included. Furthermore, PGE using filler improved clinical symptoms related to ejaculation. Satisfaction level regarding penile appearance and sexual life significantly increased in both groups. How to enlarge the penis is no longer a question with vague or risky answers. Through a combination of immediate volumizing (via collagen gel) and long-term structural support (via PMMA microspheres stimulating collagen), BellaFill can deliver durable girth increases with minimal downtime. Here’s a summary of what the literature and clinical reports currently indicate. You may experience temporary swelling, redness, pain, bruising, lumps/bumps, itching, and discoloration at the treatment site.Patients can literally have the procedure done during a lunch break and return to work right afterwards.Witness with your own eyes that penile enlargement is right for you.Zensken has quickly established itself as one of Phoenix's premier providers for intimate rejuvenation and Bellafill male enhancement services, combining cutting-edge science with compassion and professionalism.Unlike traditional surgical methods, non-surgical penile enhancement uses injectable fillers to achieve desired results.Since the skin around your groin has more bacteria than the skin on your face, it's more susceptible to gnarly infections in the injection site.Non-surgical penile girth enhancement with Voluma, Bellafill, and Volux is a safe, effective way to achieve your desired size and boost your confidence.Facial rejuvenation treatments, Botox, Juvederm, Bellafill, lip fillers, threads, microneedling, designed to fit your schedule - day, evening, and weekend appointments available in Arcadia / Scottsdale / Phoenix. This is a video of a first penile girth enhancement with a patient receiving 10 syringes of (PMMA) Bellafill. Are the dermal fillers used for penile enhancement FDA approved? When it comes to penile enhancement with dermal fillers, prioritizing safety and effectiveness is paramount. Currently, there are no dermal fillers specifically approved by the FDA for penile enhancement. Unlike traditional surgical methods, non-surgical penile enhancement uses injectable fillers to achieve desired results. Our provider network spans North America, South America, and Canada, making the procedure accessible while maintaining consistent standards. The PhalloFILL® protocol continues to evolve through collaboration with experts in Men’s Health and Sexual Medicine. These “one-and-done” treatments carry higher risks and can require additional interventions for correction. Treatments are administered by a network of licensed providers specializing in sexual medicine, all trained in the PhalloFILL® protocol and post-care practices. The mean increase in girth was 22.74±12.60 mm and 20.23±8.73 mm in the HA and control groups, respectively. Patients recruited between December 2017 and March 2018 were randomly assigned to the HA filler or control group (polylactic acid PLA filler). A double-blind, randomized, controlled trial of suspended polymethylmethacrylate microspheres for the correction of atrophic facial acne scars. Penis Enlargement and Enhancement No partner will know you have had a penile girth enhancement.Other mental health factors that could sway someone into exploring the procedure are gender dysphoria, body dysmorphia, or a simple desire to enhance their sexual appearance, according to Dr. Manly.For example, if your current erect penis length is 5 inches, then 20ml of filler would correspond to around a 2.5 cm (approximately 1 inch) increase in the circumference of your penis.There is no social downtime, patients are simply advised to refrain from sex and self-pleasuring for about a week and follow the post-care plan as directed by their provider.The control group was injected with polylactic acid (PLA) filler, previously approved by the KMFDS for PGE.The use of Sculptra and Bellafill has been introduced in some clinics for penis enlargement. The HA filler used in this study had a higher degree of cross-linking and HA concentration than the HA fillers used in previous studies, thus increasing the viscosity and cohesivity of the filler, which in turn increases the longevity and tissue volume of the injection site . As the PGE procedure was expected to increase the entire penile circumference, the mean penile girth was defined as the mean of the proximal, mid, and distal circumference measurements of the penis. Meanwhile, the demand for surgical treatment to enlarge genital circumference has steadily increased, and various procedures are available, including PGE using dermal acellular graft , autologous fat injection , and other scaffolds . Food and Drug Administration (FDA) in 2003, it has become the filler of choice in the dermal filler market and clinical practice . PGE for cosmetic purposes requires clarification on various aspects, such as standardized methods and performing the procedure in patients with psychiatric distress . Less common side effects include rash and itching more than 48 hours after treatment, persistent swelling or redness, lumps/bumps, acne, and increased sensitivity at treatment sites. You may experience lumps/bumps/papules that may occur more than one month after injection and that may persist. Get natural and long lasting results without all the fuss of traditional dermal fillers. Bellafill offers discreet yet powerful enhancement solutions, without surgery risks and downtime; its long-lasting effects surpass other dermal fillers available today. Bellafill penis enhancement procedures are simple, minimally-invasive processes typically completed within an hour at Zensken Clinics. Men throughout Phoenix trust Zensken to offer comprehensive male enhancement treatments backed by medically guided approaches that emphasize both results and safety for optimal male enhancement treatments. Ready to explore permanent girth enhancement with Bellafill? So, let’s get into it together and find the information that actually helps. I’ll break down the benefits, risks, and what you can honestly expect. For reference, the average erect penis is about 5.5 inches long and 5 inches around, but even with those numbers, many men still think about boosting their confidence in this area. Non-surgical injection therapies, such as those using hyaluronic acid, have shown significant increases in penile girth with a reported low rate of mild, temporary adverse events (e.g., bruising or swelling at the injection site) and high patient satisfaction rates, often between %.1,2 These procedures are generally performed in an outpatient setting. Hyaluronic acid fillers, like those used in Voluma, Volux, or PhalloFILL procedures, are the top choice for a reversible penile girth enhancement. Penile girth enhancement, a procedure aimed at increasing penis thickness, has become a highly desired treatment in the field of penile surgeries. Various procedures are marketed for penile enhancement, including surgical implants, permanent fillers, fat grafting, silicone injections, and PMMA injections. The use of fillers for penile girth enhancement remains controversial among many urologists, dermatologists, and experts in sexual medicine. Bellafill is a long-lasting filler composed of polymethyl methacrylate (PMMA) microspheres suspended in a collagen gel. FDA approval means that a product has undergone rigorous testing and clinical trials to meet strict standards for safety and effectiveness. The Food and Drug Administration (FDA) is a regulatory body responsible for ensuring the safety, efficacy, and security of drugs, biological products, and medical devices. Bellafill provides results that can last up to five years and in many patients are permanent. Penile Girth Enhancement (PGE) refers to a range of medical and surgical procedures designed to increase the circumference, or girth, of the penis, primarily for aesthetic reasons or to address patient dissatisfaction with their penile size.1,2 It involves various techniques, including non-surgical methods like injectable fillers (such as hyaluronic acid) and surgical approaches like fat grafting or dermal grafts.2 As the field of penile aesthetics evolves, ongoing advancements and research will continue to improve the safety and effectiveness of penile girth enhancement treatments, ensuring that patients achieve the best possible outcomes. We aimed to evaluate the efficacy and safety of penile girth enhancement (PGE) using hyaluronic acid (HA) filler with different physical properties from previous studies. At GetMoreGirth, DR. Sullivan is highly experienced and trained in using these fillers for penile enhancement. Don’t let hesitation hold you back — If you’re ready to learn more about how our non-surgical penile enhancement treatments can benefit you, contact us today for a consultation. Our before and after Bellafill videos demonstrate the significant enhancement in penile girth, showcasing satisfied clients who have achieved their desired outcomes. Our non-surgical penile enhancement treatments offer a safe and effective solution to boost your size and confidence. Unlike other fillers that require frequent touch-ups, Bellafill® provides a more permanent solution, saving time and money in the long run. Bellafill® has been FDA approved since 2006 and has undergone extensive clinical testing to ensure its safety and efficacy. Bellafill® has been proven safe through 5 years in the largest and longest prospective dermal filler study ever completed. Many medications and treatments are used off-label in various medical fields. At GetMoreGirth, we use it off-label to stimulate collagen production in the penis. At GetMoreGirth, we use Voluma off-label to “volumize” the penis. ” At GetMoreGirth, we use Juvéderm Voluma and Bellafill, both of which are FDA-approved for cosmetic use. Let our before and after real-life videos inspire you to make a positive change. Data including penile girth; 5-scale satisfaction regarding penile appearance and sexual life; and self-estimated IELT, PEDT, and PEP measurements at baseline and at 12 and 24 weeks for all subjects were expressed as mean±SD. The primary outcome was the difference in the change in mean penile girth in the HA and PLA groups at each follow-up visit. During the study period, assessments before and after the procedure were performed by a single physician, independent of the filler injection at each institution (evaluator-blinded). The subjects' penile girth was measured at baseline (before the procedure) and at 4, 12, and 24 weeks after the procedure. In the quest for penile girth enhancement, many men are exploring non-surgical solutions to increase penile circumference and boost confidence. The success and safety of penile girth enhancements with PMMA is heavily dependent on the precise anatomical placement of the product. While these fillers are being used off-label for penile enhancement, their safety and efficacy are well-established in their FDA-approved uses. When considering penile enhancement with dermal fillers, it’s crucial to ensure the treatment is safe, effective, and uses FDA-approved products. When considering such procedures and deciding where to have the procedure performed, it is critical to ask, “Are the dermal fillers used for penile enhancement FDA approved? Supported by thousands of successful outcomes, PhalloFILL® has been retrospectively reviewed using data from 471 men who underwent the procedure over a 3 year period. PhalloFILL® is offered through a network of highly trained providers specializing in male aesthetic enhancement. Unlike other approaches, PhalloFILL® is designed to work with the natural anatomy of the penis, providing a customizable aesthetic result without invasive surgery. This could entail an implant, and the experts we talked to all say to proceed with extreme caution here, because of the risk of infection (albeit infections can develop on injection sites alone) and implant malfunction. "Legally, someone can inject Bellafill into a penis for off-label use, but do I think it's smart? No." He says semipermanent injectables are not a good option for this area, noting that if your results aren't up to par, you'll be stuck with the Bellafill injectable for at least half a decade since it cannot be dissolved. Carefully selected hyaluronic acid fillers are applied according to the protocol, and the procedure is fully reversible if adjustments are desired. However, further studies are recommended regarding the efficacy and safety of PGE using fillers in patients with severe PE. In particular, the current study showed safety using HA filler with a higher HA concentration and cross-linking degree than the HA filler in previous studies. Although an ideal penile filler has not yet been established, PGE with HA and PLA filler resulted in significant PGE for 24 weeks post-injection and appears to be safe and stable. It’s not just about the procedure itself but also about what comes before and after. Just like with other aesthetic treatments, from hair restoration to liposuction, planning is key. Most men find they need a touch-up appointment every 12 to 18 months to maintain their desired look, with gains varying by initial size—longer or thicker penises may require more filler. You’ll likely see immediate gains right after a filler injection, but these results typically last between one to two years for HA options like Voluma and Volux. This approach may reduce the need for frequent follow-up visits or aggressive self-modeling techniques, helping patients achieve their desired results more comfortably and effectively. This collaboration helps to ensure that every licensed provider follows advanced, standardized techniques designed to achieve a balanced and reproducible aesthetic result. The PhalloFILL® protocol offers a structured, evidence-informed approach, that is methodically tailored to each individual. Articles from The World Journal of Men's Health are provided here courtesy of Korean Society for Sexual Medicine and Andrology Our extensive before and after gallery of videos showcases the remarkable transformations our clients have experienced. This filler offers firmer results, making it ideal for larger volumes. As you will be able to see in our real-life procedure videos, the transformations are impressive and convincing. They also rely on patient satisfaction questionnaires to understand the real-world impact. A paired t-test is particularly useful as it directly compares each participant’s measurements before and after the procedure. Bellafill has been in it's "third generation" since 2006. Most patients typically achieve their ideal results after 2–3 appointments. The penis is a dynamic organ and our body is unique, therefore collagen formation is not always predictable. Allure may earn a portion of sales from products that are purchased through our site as part of our Affiliate Partnerships with retailers. Remember, you want it to be done by skilled hands, even if that means shelling out a few more bucks. PGE for cosmetic purposes requires clarification on various aspects, such as standardized methods and performing the procedure in patients with psychiatric distress .To minimize pain, he suggests patients use an arnica-infused topical to reduce swelling and redness.FDA-approved and widely used for facial rejuvenation procedures, Bellafill has become popular for intimate areas thanks to its long-term effects.Although the reason for this has not been clearly demonstrated, it is considered to be the same mechanism as that of glans penis augmentation using HA filler for the treatment of PE .And if you think girth enhancers or girth shots might be that choice, why wait?As the PGE procedure was expected to increase the entire penile circumference, the mean penile girth was defined as the mean of the proximal, mid, and distal circumference measurements of the penis.Surgery, on the other hand, can provide more permanent results but comes with a different set of considerations. The trend is leaning heavily into minimally invasive options that deliver natural-looking results with less risk. They can explain why some non-surgical options like Voluma fade over time while Bellafill might last longer but come with greater risks. While surgery might seem more cost-effective in the long run, you also have to factor in the potential for additional costs if complications arise. You will have to be meticulous with your aftercare routine. Aftercare is just as important as the procedure itself. You can also click on the link above to see examples of these options via our "packages for your package" that are built out for you on here. Dr Rupeka's proprietary technique promotes a more uniform and stable result that appears aesthetically natural. Potential post-treatment risks include swelling, bruising, or small nodules. Avoid the temptation to save some money by seeking treatment abroad or from providers using “proprietary” fillers, as these options come with significant risks and uncertainties. Providers who use FDA-approved fillers are more likely to adhere to best practices and provide high-quality care. The FDA approval process for dermal fillers involves rigorous testing and clinical trials to ensure their safety and efficacy. For instance, some antidepressants are used to treat chronic pain, and certain cancer drugs are used for types of cancer other than those for which they were originally approved. Non-surgical fillers like Voluma and Bellafill offer a safer alternative with minimal risks. PRP injections are another low-risk option that doesn’t create permanent changes, allowing your body to naturally process the treatment over time. Some studies even suggest that for many partners, girth is a more important factor for sexual satisfaction than length. Many men in these studies reported that their anxiety about penis size faded after the procedure. Increasing penile girth can lead to a significant jump in self-confidence. Table 2. Changes in the satisfaction of subjects with penile appearance and sexual life during the study period. Therefore, the current study used active treatment in the control group, as in previous studies. Second, it is possible to criticize the study design, which uses an active control rather than a placebo control. It is well known that one of the two axons of the dorsal nerve is located along the dorsal midline and terminates in the glans, while the other group radiates from the main trunk over the lateral and ventral aspects of the penile shaft . This was considered to be due to the difference in the properties of the HA filler used in this study and in previous studies. Recent studies on PGE used HA fillers from different manufacturers, differing in HA concentration and degree of cross-linking, which determine the physical properties of HA fillers 13,14,15. "The skin of the penis is extremely thin and the skin of the face, overall, is not. If you put fillers in lips, the skin holds structure better and looks natural. It's very hard to do that on the penis because the skin is so thin.” he says. "You can end up getting some asymmetry."However, since 2000, various soft fillers for minimally invasive procedures have been approved by the FDA, leading to several trials of dermal fillers that offer a less invasive alternative to the traditional surgical interventions for PGE.Composed of a collagen gel base and polymethyl methacrylate (PMMA) microspheres, it’s known for offering long-term, even permanent results.Your own natural hyaluronidase enzyme works to dissolve the filler, causing a gradual loss of volume.Briefly, under local anesthesia with the application of EMLA cream (EMLA 5% cream; AstraZeneca Korea, Co., Ltd., Korea) or penile dorsal nerve block, patients were placed in the supine position, and a medical curtain was placed at the umbilical level for a patient-blinded procedure.Additionally, the patients' self-estimated intravaginal ejaculation latency time (IELT) was documented at baseline and 24 weeks after the procedure.Unlike hyaluronic acid fillers, Bellafill’s effects are not reversible because of its permanent nature.Bellafill is injected beneath the skin of the penis to add volume and increase size. Surgery has a much higher initial price tag but is typically a one-time expense. Volux and Bellafill have similar tiered pricing starting at $3,625 and $3,750 for 5 syringes, respectively. Clinics often recommend starting with at least 5 syringes, with most patients opting for for optimal results (0.75–1.5 inches after multiple sessions). It offers a “try before you buy” approach, allowing for adjustments and ensuring you’re always in control of your appearance without committing to an irreversible procedure. Use of Macrolane VRF 30 Hyaluronic Acid in emicircumferential penis enlargement The Effects of Penile Girth Enhancement using Injectable Hyaluronic Acid Gel, a Filler Also there is virtually nothing that can provide erected length safely. Additionally, a longer penis may reach the cervix, which can sometimes cause discomfort or pain for some women. The only FDA approved long-term solution for acne scars. FDA approved to smooth smile lines for up to 5 years. Find out why so many so many Bellafill patients say it’s worth it! If you desire a bigger penis purely as a luxury, Inovo Medical offers a sensible medical approach to achieve your goals safely and effectively. Thus, PLA filler was selected as a control to evaluate the effect and safety of HA filler injection for PGE in this study. Although previous approval studies have evaluated subjective satisfaction regarding sexual performance, detailed information regarding ejaculation after PGE using injectable fillers is still unknown. Consequently, the Korean Ministry of Food and Drug Safety has approved several HA fillers for PGE. Recently, several studies have demonstrated the efficacy and safety of PGE using HA fillers 13,14,15. Results reveal of the 9 million patients who have had dermal fillers1, an estimated 8 million are experiencing filler fatigue2. Radiesse and collagen inducing fillers are, non-dissolvable and more difficult to remove, which should be considered when choosing the filler type. Hyaluronic Acid fillers can be dissolved with an enzyme called hyaluronidase if needed. By using blunt cannulas, we completely eliminate this risk, ensuring a safer and more comfortable procedure for our patients. Using needles could potentially lead to intravascular filler injection, which can cause complications such as necrosis. As a general rule, patients avoid strenuous sexual activity and exercise for 1–2 weeks. Stimulation is usually increased with the increase in penis size. Bellafill is FDA approved for the correction of nasolabial folds and moderate to severe acne scars on the cheek. Based on the properties of HA fillers, in 2011, a group of researchers reported the feasibility and safety of PGE using HA fillers . Additionally, the slow degradation of the HA filler through cross-linkage increases its longevity by a hundred times compared to that of natural polymer implants, without a decrease in biocompatibility . Penile girth, satisfaction level, Premature Ejaculation Profile (PEP), and self-estimated intravaginal ejaculation latency time (IELT) were assessed at baseline and at 24 weeks post-injection. Based on the 5-year Post-Approval Study on nasolabial folds with 1,008 patients, long-term safety of Bellafill® for up to 5 years has been established. In a clinical trial, Bellafill® was shown to work equally well on both male and female patients with a variety of skin types. They create a supportive base that allows more of your own collagen to develop. The collagen in Bellafill® provides immediate volume and lift for results that you can enjoy as soon as you leave the office. Common side effects include swelling, redness, pain, bruising, or itching at the injection site. Local anesthesia or a numbing cream is often applied beforehand to make the experience more comfortable. Other mental health factors that could sway someone into exploring the procedure are gender dysphoria, body dysmorphia, or a simple desire to enhance their sexual appearance, according to Dr. Manly. "Given that social media exposes the public to images that support the idea of a large penis, many men — be they cis or trans — feel that they should have larger penises to prove their virility or manliness." "Ancient Greeks believed that those with smaller penises were more likely to possess positive traits such as intellectualism, restraint, and heightened wisdom," she says. But, not every person with a penis has one with a length and circumference that could rival an extra-large bratwurst. Briefly, under local anesthesia with the application of EMLA cream (EMLA 5% cream; AstraZeneca Korea, Co., Ltd., Korea) or penile dorsal nerve block, patients were placed in the supine position, and a medical curtain was placed at the umbilical level for a patient-blinded procedure. The PLA filler (PowerFill; REGEN Biotech, Inc., Seoul, Korea) is a currently commercially available powder consisting of 10 g of 50-μm PLA microparticles suspended in 3 mL of methylcellulose and carboxy-methylcellulose that is reconstituted with 8 mL of saline immediately before injection. This was designed as a prospective, patient/evaluator-blinded, randomized, active-controlled, multicenter trial to evaluate the efficacy, safety, and clinical impact of ejaculation following PGE using injectable filler 24 weeks after the injection. Furthermore, it is necessary to determine whether HA fillers with different properties (HA concentration and cross-linking degree) show similar effects and safety to those of previously studied HA fillers. Two subjects in each group reported inflammation at the site of injection that was mild and improved with conservative treatment. The satisfaction levels regarding penile appearance and sexual life during the study period are summarized in Table 2. The mean penile girth at baseline was 81.75±9.86 mm in the HA group and 80.37±6.79 mm in the control group (no significant difference). The protocol is designed to be consistent across varying anatomies, giving patients a customizable experience tailored to their goals. Patients appreciate the customizable nature of the procedure, which allows them to achieve their desired aesthetic outcomes. Many patients note feeling more self-assured, which can positively influence how they approach relationships and social interactions. Any questions or concerns after your procedure should be directed to your medical provider. Using FDA-approved fillers ensures that the product has met high standards and is supported by scientific evidence. This means that fillers approved by the FDA have been thoroughly evaluated for their ability to provide consistent results without significant adverse effects. However, some patients might be tempted to leave the country for treatment or choose a U.S. provider who uses “proprietary” fillers. This guide will explain what FDA approval means, the significance of off-label use, and the safety and efficacy of these fillers. The world of girth enhancement is definitely moving towards safer and more effective techniques in 2025. A clinical study to assess the effectiveness of a hyaluronic acid-based procedure for treatment of premature ejaculation Dr Belanger has the experience of using many different types of fillers over the years and built his own experience to offer the safest treatment possible. The penile filler enlargement procedure is designed with safety as a top priority. He’s never had any treatments before, and I really like the Bellafill option because it really provides a nice, firm, natural consistency. This has been demonstrated in FDA-approved trials. Using such fillers increases the risk of adverse reactions and complications. We believe that our study will provide useful information for clinicians to choose HA fillers among various available products. Despite these limitations, the present study showed the efficacy and safety of PGE using HA fillers with properties different from those of previous studies. As the present study was not specifically designed to evaluate PGE using injectable fillers for the treatment of PE, further studies are needed to demonstrate the therapeutic effect of PGE on PE. Indeed, in the initial feasibility study of PGE using HA filler, most patients experienced decreased tactile sensation of the shaft . Although the reason for this has not been clearly demonstrated, it is considered to be the same mechanism as that of glans penis augmentation using HA filler for the treatment of PE . The natural-state HA filler, which is considered the most ideal filler, has a short half-life, which is a major drawback; however, a cross-linking process is used during manufacturing to stabilize the HA, leading to increased longevity . Although an ideal filler for PGE has not yet been established, among reversible fillers, HA has become dominant and popular . As a result, we achieved a high satisfaction rate for penile appearance during the post-injection follow-up period. And learn what treatment plan is right for you.PhalloFILL® is a non-surgical injection protocol involving a series of dermal filler injections over 2 or more sessions to help achieve a patient’s desired increase in penile girth.Most patients are about 4.0 to 5.25 inches in circumference when erect.In December 2014, Bellafill® was approved by the FDA for the correction of certain types of moderate to severe acne scars in patients over 21.Then, you'll lay down on a treatment table and a sterile drape with a hole in the middle for the penis to come through will be placed over your body.In particular, the current study showed safety using HA filler with a higher HA concentration and cross-linking degree than the HA filler in previous studies. The safety of Bellafill® for use during pregnancy, breastfeeding, or in patients under 21 has not been established. At Inovo Medical, we recommend most patients use between 8ml and 20ml of filler for penis enlargement, depending on the results they wish to achieve and their current erect penis size. However, Sculptra, when used in combination with hyaluronic acid (HA) fillers, can offer a safer and more effective solution. Additionally, the full effects of these fillers take approximately six months to become visible, complicating immediate adjustments during the procedure. Too much of these fillers in one area can lead to huge nodules that are very difficult to remove. But keep in mind that this is definitely not the type of procedure you want to penny-pinch on. Keep in mind that pricing depends on your location, how much filler is used, and which type of filler is used. Since the skin around your groin has more bacteria than the skin on your face, it's more susceptible to gnarly infections in the injection site. As if necrosis isn't frightening enough, Dr. Goldberg says that hygiene of the genital area alone was enough to make him stop performing the procedure for good. "If filler were to get into there, you could cause necrosis tissue death or damage to the penis itself." Penile Girth Enhancement: A Comprehensive Guide for Individuals with Penile Prostheses Have you ever wondered if your penis size is “normal,” or maybe felt a little self-conscious about it? If you have any concerns, don’t hesitate to reach out to us at GetMoreGirth – we’re here to make you your best! The number of Bellafill® treatments needed varies depending on the individual’s goals and the area being treated. Serious side effects are rare but can occur, so it’s important to discuss all potential risks with your healthcare provider before the treatment. Subjects and study design Therefore, esthetic PGE should not be performed in patients with psychiatric disorders, and a multidisciplinary approach, including psychological counseling, is necessary. Pain at the injection site was reported in one subject in the control group, and it was transient and self-limited. Filler injection-related AEs in the HA and control groups were reported in two (6.3%) and three (9.4%) subjects, respectively. Both groups showed significantly improved PEP index scores at 24 weeks post-injection; no significant differences were observed between the groups (Table 3). Many patients also note that their penis appears more consistent in size in various situations, such as in colder conditions or during moments of anxiety. Routine maintenance treatments every 12–18 months may help maintain the enhancement over the long term. The PhalloFILL® approach is customizable, and many patients have shared that they have experienced filler retention for several years, in some cases as many as 4–6 years. The PhalloFILL® protocol involves the use of hyaluronic acid dermal filler, applied under the guidance and discretion of your medical provider. The PhalloFILL® protocol is structured around a standardized, non-surgical injectable approach that complements the natural anatomy of the penis. Patient Information According to board-certified urologist Dr. Amy Pearlman, a good consultation should cover your overall health, not just girth enhancement. In fact, a 2013 study comparing fat grafting to HA fillers found no complications in the HA group, but the fat grafting group had issues with granulomas (hard lumps) and fat necrosis. For many men, the biggest benefit of girth enhancement is the boost in self-esteem. This girth enhancement guide is here to give you the straight talk on real solutions. At GetMoreGirth, we are a leading provider of innovative penile enhancement solutions designed to help individuals achieve their desired girth and width. Bellafill stands apart from temporary fillers in that it provides immediate volume as well as long-term collagen stimulation, offering fuller penile girth for up to five years or longer! Bellafill penis enhancement involves injecting collagen-based dermal filler, Bellafill, into the penile shaft to increase girth and improve aesthetic appearance. No partner will know you have had a penile girth enhancement. Watch Dr. Sullivan perform a penile ring block for patient comfort and then watch as he performs a PMMA penile girth enhancement. The probability of infection is also increased, adds Dr. Goldberg, since the foreskin has bacteria and is harder to clean. First off, you need to go to someone who can perform the procedure properly — always by a board-certified dermatologist or cosmetic surgeon, never ever at a medi-spa. To minimize pain, he suggests patients use an arnica-infused topical to reduce swelling and redness. "Typically, they get very black and blue. You can imagine what it feels like," he warns. "The filler is moldable during the first several days and the patient is encouraged to massage the areas to help keep the results smooth," he says. For example, if your current erect penis length is 5 inches, then 20ml of filler would correspond to around a 2.5 cm (approximately 1 inch) increase in the circumference of your penis. Refer to the graph below to understand how much filler you might need to achieve your desired girth increase. Most men will need between 10ml and 30ml of filler, depending on the results they wish to achieve and their current erect penis size. Penile girth enhancement refers to procedures that increase the thickness or girth of the penis. While surgical procedures can offer permanent changes, non-surgical methods like HA fillers and PRP injections have a limited lifespan. By choosing experienced, qualified medical professionals, patients can undergo this procedure with confidence, knowing that their safety and satisfaction are top priorities. PhalloFILL® focuses solely on customizable girth enhancement using reversible products, with procedures tailored to each individual’s goals. Using the PhalloFILL® protocol, patients have reported increases in penile girth ranging from approximately 1/4 to 1/3 of an inch per session. The rigorous FDA approval process ensures that Voluma is safe and effective for its approved uses but it also helps ensure safety for non-FDA approved uses.. Juvéderm Voluma is an FDA-approved hyaluronic acid-based filler. It’s important to note that their application for penile enhancement is considered off-label. Volux is designed for those seeking a firmer penile enhancement. Our before and after Voluma procedure videos highlight the dramatic improvements that can be achieved with Voluma. Bellafill® was approved by the FDA to treat nasolabial folds in October 2006, under the trade name ArteFill®. Keep in mind that these symptoms are usually temporary, resolving within 1 to 7 days. However, you may experience some temporary swelling, redness, pain, bruising, lumps or bumps, itching, and discoloration at the treatment site. Bellafill® replaces lost volume in the skin below the indentation for correction that is both immediate and lasting. Additionally, the patients' self-estimated intravaginal ejaculation latency time (IELT) was documented at baseline and 24 weeks after the procedure. Although the composition of the PLA filler is different from that of the HA filler, the application methods and expected effects are identical. The control group was injected with polylactic acid (PLA) filler, previously approved by the KMFDS for PGE. Therefore, in this randomized controlled trial, we aimed to evaluate the efficacy and safety of PGE using HA filler and its clinical impact on ejaculation. A major advantage of HA filler over temporary fillers such as fat and collagen is its low complication rate . The data required to reproduce these findings cannot be shared at this time due to legal and ethical reasons. Additionally, among the subjects who completed the ejaculation assessment, less than half showed clinical PE. The PEP questionnaire has yet to be validated as a sensitive tool for evaluating PE. By making minimal alterations to the material, manufacturers have created HA products that are well tolerated by the immune system and exhibit favorable properties of longevity and nonreactivity . While it might be tempting to suggest that many men have a large girth to play on insecurities, the reality is different. Most patients gain between 0.5 and 1.0 inches, although some have gained over 2 inches. A patient requesting a 2 or 3-inch girth gain has unrealistic expectations. An inch increase in girth is very significant on a penis. Experienced medical professionals specializing in advanced penis dermal filler techniques. Choose Zensken for expert-level care provided by board-certified providers who prioritize both results and safety with every procedure performed at our Phoenix center. And learn what treatment plan is right for you. Ten to Fifteen syringes provide a “wow” enhancement. Other non-surgical options, such as vacuum devices and traction tools, may offer temporary results, but require careful use and are not part of the PhalloFILL® protocol. PhalloFILL® was founded on principles of safety, consistency, and professional oversight. These reported experiences highlight the value of PhalloFILL® in supporting confidence and satisfaction with one’s appearance. PhalloFILL® is more than just an aesthetic enhancement, it represents a medically advanced, protocol-driven approach to penile girth enhancement. PhalloFILL® is an advanced, non-surgical procedural protocol for penile girth enhancement. Permanent penile fillers — particularly those based on PMMA such as BellaFill — present a compelling option for men seeking long-term girth enhancement without surgery. Deciding whether to pursue penile girth enhancement with BellaFill (or any filler) is a highly personal choice — and one that should be made with full understanding of benefits, risks, trade-offs, and alternatives. "I think Bellafill's a great filler for acne scars, but I would never ever use it on a penis," he says. Dr. Shafer says he usually uses Juvéderm Voluma, a tried-and-true hyaluronic acid injectable usually used to enhance the chin and cheeks, or Juvéderm Volux, a newer formula that he says is three times as thick, has a longer staying power, and is less likely to migrate. "How thick the product is and how long the results will last depend on how long the hyaluronic acid chain is and how strong the bonds are between the molecules," he says. No matter what modern standards may make you feel, your worth, sexually and in general, is not defined by the size of your penis. Based on the properties of HA fillers, in 2011, a group of researchers reported the feasibility and safety of PGE using HA fillers .It is important for clinicians to note that adverse events in PGE procedures may be under-reported, and due to limited long-term evidence and a lack of standardized guidelines, many of these procedures are still considered to be under investigation.2 Patients should be thoroughly counseled on the potential benefits, risks, and limitations of each available option.It is the longest-lasting FDA-approved filler on the US market.The penis is a dynamic organ and our body is unique, therefore collagen formation is not always predictable.The effectiveness and patient satisfaction rates of Bellafill® have been established through 5 years when used to correct nasolabial folds.Other methods, such as traction devices or surgeries, are sometimes used by people seeking length changes.FDA-approved Bellafill treatments tailored specifically to your anatomy and goals. This guide explores the world of penile enlargement for individuals with penile prostheses, shedding light on the enhancement process and focusing on the use of hyaluronic acid fillers. Using hyaluronic acid dermal fillers within a structured, reversible approach, PhalloFILL® allows patients to pursue their personal enhancement goals. Most patients report an increase in penile girth of 1–1.5 inches or more through a series of treatment sessions, with visible changes in both flaccid and erect states. This well-established girth enhancement procedure may involve a series of two or more treatment sessions. Dr. Rowe also notes that his clients' circumference is usually increased to about 1.75 centimeters, which is just shy of an inch. In case you're not familiar, hyaluronic acid is a molecule found in your skin and is known for its water-retaining properties. According to Carla Manly, PhD, a clinical psychologist based in Sonoma County, California, the desire for a larger penis is more of a current phenomenon. Visit Zensken.com now to arrange your private consultation and experience the next generation of male aesthetic treatments on your terms, with proven results included! If you're ready to take that next step toward being more empowered with yourself, then start the Bellafill journey with Zensken's medically precise guidance backed up with privacy and care from their team of specialists. For instance, one study reported an average girth increase of 3.29 cm with HA fillers.1 "The skin of the penis is extremely thin and the skin of the face, overall, is not. If you put fillers in lips, the skin holds structure better and looks natural. It's very hard to do that on the penis because the skin is so thin.” he says. "You can end up getting some asymmetry." David Goldberg, MD, a board-certified dermatologist in New York City, used to perform penile injections but has refused to perform the procedure in the past six years due to the health risks, including infection and even tissue death. "After we know that you have a good result and you're happy with the effect from hyaluronic acid-based fillers, it's something that we can transition over to if desired." "The filler doesn't enlarge when the penis is erect, so however big you are in girth in the flaccid state, you'll be that much bigger in the erect state," he says. Bellafill is another excellent option for non-surgical penile enlargement. Voluma provides a smooth, natural appearance, enhancing both confidence and satisfaction. These fillers are safe, effective, and provide a more natural look and feel. Witness with your own eyes that penile enlargement is right for you. One study found that men who used HA fillers saw an average girth increase of 3.29 cm and reported feeling much better about their appearance almost immediately. Providing patients with the knowledge about the procedure, potential risks, and the importance of personalized treatment approaches allows them to make informed decisions that align with their unique goals. Some patients choose follow-up sessions as part of their ongoing enhancement plan, while others may be satisfied with their initial treatments for longer.