Resources for Androfill Practitioners
Downloadable Forms
(These forms may be used as a template)
(Right-click and ‘Save As’ to download)
Filler Moulding
Get erect
Dermal filler is best moulded (if any moulding is necessary), when erect, as the erect shaft provides resistance into which the filler can be pressed.
If you have any doubt regarding your ability to achieve an erection after your procedure, bearing in mind your penis may be a little tender, please ask the doctor for a prescription of erectile dysfunction medication (Viagra).
Malleability of the filler
There is some initial malleability to Hyaluronic acid-based fillers, (you can mould the filler by applying pressure to it to spread and flatten it out when erect). This can be of benefit in allowing you to smooth out small irregularities.
If you want to move the filler towards the head or the base, then you will be able to massage it somewhat in either direction while the penis is erect. It is best to start moulding as soon as possible (but a minimum of 4 hours after the procedure). As each day passes the filler will integrate with surrounding tissue and ‘set’ more firmly becoming harder to move and adjust.
The hyaluronic acid dermal filler will integrate with the penile tissue during the first 14 days. After this period any abnormal placement will need to be dissolved and reinjected, which is possible only with Hyaluronic acid fillers.
Note: Dissolving is not possible with Ellanse. Hyaluronic acid filler can be spot dissolved to adjust small areas if necessary (there is no need to dissolve all the filler in order to make a correction).
The harder the Hyaluronic acid filler, the more difficult it will be to mould, please see www.androfill.co.uk/filler-types
Detailed Instructions
- Wash your hands first and then attain an erection.
- Evaluate visually and by touch how the filler is distributed along the penis shaft.
- You should not try to spread filler to the underside of the penis (the side pointing to the floor when erect), spread along the top and sides only.
- If there is any unevenness, for example, filler concentrated in one area and not others, then press firmly into the protruding filler using the erect shaft as resistance. Note: A light pressure will probably be insufficient, press firmly (but not so firmly as to cause significant pain).
- If there are any small lumps of filler that do not spread easily, pinch them between your thumb and finger and they will gradually break up (think of squashing jelly beans).
- The earlier you start moulding the filler the better, by day 4 or 5 the filler is almost ‘set’ and becomes very difficult to mould.
- If you can’t seem to smooth out the filler or if it has already set, it can be altered back in the clinic with a dissolving enzyme, if you have chosen a Hyaluronic acid filler.
- Please call the clinic if you need guidance on how to mould the filler: [phone number] or text [sms number] – do not hesitate to call at any time, the earlier you contact us the better.
Moulding Videos
The video below is of a patient moulding filler approximately 4 hours following their procedure.
The patient moulds the filler for approximately 30 minutes, or until the shape looks and feels smooth, when erect.
The patient will repeat this process over the next few days, morning and evening, and if there is time to during the day until all irregularities are smoothed out.
Once the shape looks and feels good when erect, it is not necessary to continue the moulding process.
Some patients may only mould once for 10 minutes before the shape looks and feels good when erect. They can then simply check on the erect shape over the next few days without needing to mould further. There should be no sexual intercourse for 2 weeks as it may dislodge and distort the filler shape, however, it is fine to masturbate.
Patients can largely ignore the shape of the penis when flaccid for 2 weeks following the procedure as the shape when flaccid will be significantly distorted by swelling.
Moulding Videos
In the video below, the patient is using an optional sports strapping bandage during the moulding process. This type is bandage is quite firm and should only be used during moulding. Do not leave it on overnight, in case you get a nocturnal erection leaving no space for the filler, resulting in the filler diffusing / migrating / moving to a space where there is less pressure. The benefit of using a bandage of this type is that the force applied to the filler can be more evenly distributed, resulting in a flatter result.
TREATMENT OF COMPLICATIONS
Management of Delayed Onset Nodules
Management of Delayed Onset Nodules – SafeFace Guide
Late Onset Inflammatory Response to Hyaluronic
Treatment of Soft Tissue Filler Complications
RECONSTITUTION OF HYALURONIDASE
MEDICAL STUDIES
‘Psychological Outcomes of Penile Augmentation’ Gemma Sharpe & Dr. Jayson Oates.
‘The Effects of Penile Girth Enhancement using Injectable Hyaluronic Acid Gel, a Filler’ – The Journal of Sexual Medicine (2011)
Tae Il Kwak MD,MiMi Oh MD,Je Jong Kim MD,Du Geon Moon MD
ABSTRACT
Introduction. Despite the debates on penile girth enhancement (PGE), demands for enhancement are increasing. Recently, various fillers have been widely used for soft tissue augmentation with proven efficacy and safety.
Aims. To identify the feasibility and efficacy of PGE by injection of filler.
Methods. Fifty patients with subjective small penis who visited Korea University Guro outpatient clinic were enrolled and prospectively followed. Restylane Sub-Q (Q-med, Upssala, Sweden) was injected into the fascial layer of penile body via 21G cannula with “Back & Forth Technique” and homogenized with a roller.
Main Outcome Measures. From April 2006 to February 2008, 50 patients were enrolled and 41 patients were followed until 18 months after PGE. Changes in penile girth at midshaft were measured by tapeline at 1 and 18 months. Patient’s visual estimation of residual volume (Gr 0–4), patient’s satisfaction (Gr 0–4), and any adverse reactions were also evaluated.
Results. Mean injected volume was 20.56 cc (18–22). Compared with basal girth of 7.48 ± 0.35 cm, maximal circumference was significantly increased to 11.41 ± 0.34 cm at 1 month (P < 0.0001) and maintained as 11.26 ± 0.33 cm until 18 months. In patient’s visual estimation, two patients complained the decrease as Gr 3 with focal depression at 1 month. At 18 months, all patients answered as Gr 4 without asymmetry. Patient’s and partner’s satisfaction score was 3.71 ± 0.46 and 3.65 ± 0.48 at 1 month and 3.34 ± 0.53 and 3.38 ± 0.49 at 18 months. There were no inflammatory signs or serious adverse reactions in all cases.
Conclusions. Considering the property of material, methods, and follow-up results of 18 months, PGE using filler is a very effective and safe technique for penile augmentation.
‘Nonsurgical Medical Penile Girth Augmentation: A Retrospective Study of Psychological and Psychosexual Outcomes’ – Aesthetic Surgery Journal 2018, 1–11
Gemma Sharpe & Dr. Jayson Oates.
‘Comparison of Clinical Outcomes between Hyaluronic and Polylactic Acid Filler Injections for Penile Augmentation in Men Reporting a Small Penis: A Multicenter, Patient-Blinded/Evaluator-Blinded, Non-Inferiority, Randomized Comparative Trial with 18 Months of Follow-up’ – Journal of Clinical Medicine
Dae Yul Yang, Hyun Cheol Jeong, Kyungtae Ko, Seong Ho Lee, Young Goo Lee, and WonKiLee
Abstract:
At 18 months, the mean penile girths had significantly increased in both groups (each p < 0.001). Satisfaction levels at 18 months were significantly higher than those at baseline in both groups (each p < 0.01). Changes in satisfaction levels did not differ significantly during the study period. Injection-associated adverse events (AEs) occurred in three (9.1%) patients in the HA group and in two (5.9%) patients in the PLA group; no serious AEs occurred. In conclusion, HA and PLA filler injections for PA led to significant augmentation and increased satisfaction. Clinical efficacy and safety were comparable between groups.
‘Nonsurgical Medical Penile Girth Augmentation: Experience-Based Recommendations’ – Aesthetic Surgery Journal 2017, Vol 37(9) 1032–1038
Gemma Sharpe & Dr. Jayson Oates.
‘Effects of hyaluronic acid gel in penile augmentation’ Int Journal of Impotence Research 2002; 14 (Suppl 3): S40
‘Use of Macrolane VRF 30 [Hyaluronic Acid] in emicircumferential penis enlargement’ – Aesthetic Surgery Journal / The American Society for Aesthetic Plastic Surgery 33.2 (Feb 2013): 258-64
Authors : Sito, Giuseppe; Marlino, Sergio; Santorelli, Adriano
ABSTRACT
Background. Penis enlargement is increasingly in demand. Methods for penis enlargement can be classified into surgical, nonsurgical (filling), and mechanical. Each method has shown only relatively successful results. A new formulation of injectable, stabilized, hyaluronic acid (HA)-based, nonanimal gel is available that may have applications for this use.
Objectives. The authors propose a new technique for emicircumferential-injection filling of the penis and assess the safety and efficacy of this procedure compared with lipofilling [fat grafting, fat injection].
Methods. The authors retrospectively reviewed the charts of 83 patients who underwent penis enlargement with either their HA-injection technique or lipofilling between December 2007 and July 2011. Safety, efficacy, and patient satisfaction were assessed.
Results. The circumferential enlargement obtained from both techniques ranged from 3.2 to 4.5 cm, with a decrement during erection. In all patients, the increase in penis length ranged from 1.8 to 3.6 cm.
No complications were seen in patients treated with HA [Hyaluronic Acid], whereas 8 patients treated with lipofilling [fat grafting, fat injection] developed granuloma, and another experienced fat necrosis.
The vast majority (n = 72) of patients reported being “very satisfied” with the results.
Conclusions. The ideal technique for penis enlargement should be nonsurgical, with a satisfactory and predictable result, a low rate of complications, and long-term stability. Emicircumferential enlargement with HA [Hyaluronic Acid] filler meets these requirements. However, results have been durable but not definitive, and repeated treatment (with associated costs) is necessary.
‘Nonsurgical Medical Penile Girth Augmentation: A Retrospective Study of Psychological and Psychosexual Outcomes’ – Aesthetic Surgery Journal 2018, 1–11
ABSTRACT
Background: Although interest in penile augmentation procedures is increasing, there is a significant lack of research into the psychological and
psychosexual outcomes of these procedures.
Objectives: To investigate the psychological and psychosexual outcomes of nonsurgical medical penile girth augmentation.
Methods: This retrospective study involved a mixed method approach. Twenty-five men who had undergone a nonsurgical medical penile girth
augmentation between 1 and 12 months prior (mean, 6.6 months) completed an online questionnaire containing measures of procedure motivation,
procedure satisfaction, genital self-image, penile-focused body dysmorphic disorder symptoms, self-esteem, and sexual relationship satisfaction. Six of
these men elected to complete in-depth one-to-one semi-structured phone interviews to further explore the psychological impacts of the procedure.
Results: In the online questionnaire, most men were satisfied with their penile size, appearance, and function after penile girth augmentation. The men
also reported statistically significant improvements in their genital self-image (P < 0.001) and self-esteem (P = 0.008), and a reduction in penile-focused body
dysmorphic disorder symptoms (P = 0.002) at the time of completing the questionnaire compared to recalled pre-procedural levels. The in-depth interviews
yielded 3 themes surrounding penile augmentation outcomes: (1) high satisfaction with increased penis girth; (2) increased self-confidence, particularly in
situations in which the penis would be seen, such as a locker room; and (3) increased sexual confidence, but some mixed impacts on sexual relationships.
Conclusions: Most men appear to be satisfied with their nonsurgical medical penile girth augmentation results, and they also seem to experience
improvements in their overall self-esteem.
‘Nonsurgical Medical Penile Girth Augmentation: Experience-Based Recommendations’ – Aesthetic Surgery Journal 2017, Vol 37(9) 1032–1038
ABSTRACT
Penile augmentation is increasingly sought by men who are dissatisfied with the size and/or appearance of their penis. However, augmentation procedures are still considered to be highly controversial with no standardized recommendations reported in the medical literature and limited outcome data.
Nevertheless, these procedures continue to be performed in increasing numbers in private settings. Therefore, there is a need for safe, effective, and minimally invasive procedures to be developed, evaluated and reported in the research literature. In this article, we focus particularly on girth enhancement
procedures rather than lengthening procedures as penile girth appears to be particularly important for sexual satisfaction. We discuss the advantages and
disadvantages of the common techniques to date, with a focus on the minimally invasive injectable girth augmentation techniques. Based on considerable
operative experience, we offer our own suggestions for patient screening, technique selection, and perioperative care.
‘Effects of hyaluronic acid gel in penile augmentation’ Int Journal of Impotence Research 2002; 14 (Suppl 3): S40
Authors: Moon DG, Kwak TI, Kim JJ. Cho HY.
Preliminary study 2002.
GLANS ENHANCEMENT USING HYALURONIC ACID
‘Injection of Hyaluronic Acid gel into the penis glans’ – International Journal of Impotence Research (2003) 15, 439–443
Moon DG, Kwak TI, Kim JJ. Cho HY
CONCLUSION
In human glans penis, injecting hyaluronic acid gel into the dermis was not so difficult and the implants showed long-term residence in the patient’s visual estimation and resulted in high satisfaction rate of patients. These results suggest that injectable hyaluronic acid gel is a safe and effective material for soft-tissue augmentation in patients with small glans penis. Long-term efficacy of more than 1 y needs to be demonstrated.
‘Glans Penis Augmentation Using Hyaluronic Acid Gel as an Injectable Filler’
World Journal of Mens Health (2015) Aug; 33(2): 50–61.
Moon DG, Kwak TI, Kim JJ
INJECTION OF HA TO PENIS GLANS – TREATMENT OF PREMATURE EJACULATION
‘A clinical study to assess the effectiveness of a hyaluronic acid-based procedure for treatment of premature ejaculation’
– International Journal of Impotence Research 2013 May;25(3):117-20. doi: 10.1038/ijir.2013.13. Epub 2013 Apr 4.
“Glans penis augmentation using hyaluronic acid for the treatment of premature ejaculation: a narrative review.”
Fares Kosseifi, Ala Chebbi, Nehme Raad, Antoinette Ndayra, Raed El Samad, Kamal Achkar, Xavier Durand, Antoine Noujeim,