The use of Hyaluronic Acid Injecton in Penis Enlargement

Studies have been undertaken since 2002 in order to determine the suitability of injectable Hyaluronic acid gel for penile girth enhancement.  In relation to the use of Hyaluronic acid in the face, studies go back to the 1980s and show the substance to be safe and effective.

Hyaluronic acid based filler was an effective technique to enhance penis size with no inflammatory signs or serious adverse reactions in all participants.

REFERENCES:

‘The Effects of Penile Girth Enhancement using Injectable Hyaluronic Acid Gel, a Filler’ – The Journal of Sexual Medicine (2011)

Authors : Tae Il Kwak MD, MiMi Oh MD, Je Jong Kim MD and Du Geon Moon MD

Available here

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. 

‘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

Available here

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

Gemma Sharp, PhD; and Jayson Oates, FRACS

Available here

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

Authors: Jayson Oates, FRACS; and Gemma Sharp, PhD

Avaliable here

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.

Available here

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

Available here

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

Available here

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.

Available here

Permanent Girth Gain – Hyaluronic Acid

Note: There is insufficient evidence to reliably predict the amount of permanent penis girth gain stimulated by neocollagenesis or other processes.

  • Neocollagenesis: New collagen formation stimulated by HA (permanent tissue gain).

‘The Lasting Effects of Fillers through Neocollagenesis’ The Dermatologist: Issue Number: Volume 22 – Issue 4 – April 2014

Authors: Cathy L. Koger, DO, and Joel L. Cohen, MD, FAAD

Available here

‘In vivo stimulation of de novo collagen production caused by cross-linked hyaluronic acid dermal filler injections in photodamaged human skin’ Arch Dermatol,2007;143(2):155-163.

Authors: Wang F, Garza LA, Kang S, et al.

Available here

‘Association between collagen production and mechanical stretching in dermal extracellular matrix: in vivo effect of cross-linked hyaluronic acid filler. A randomized, placebo-controlled study’ J. Dermatol Sci. 2013;69(3):187-194.

Authors : Turlier V, Dellalleau A, Casas C, et al.

Available here

Permanent Girth Gain – Hyaluronic Acid

A permanent increase in penis thickness stimulated by the injection of Hyaluronic acid filler has also been reported by Senior Korean Urologist Dr Kim Jin Hong

Dr Kim Hong is a pioneer of the treatment with over 4,000 procedures performed and numerous publications in medical journals on the use of HA in penis enlargement.

“Hyaluronic acid injections increase penis size by adding volume to the penile tissues. It is naturally integrated into the tissue and will undergo isovolumic degradation in the long term, approximately 4% per month.

Note: nothing about your body is “permanent”. Every part changes over time. We define “permanent” as a result that changes very little over a very long period of time.

We define “temporary” as a procedure such as HA which will decrease in volume from 20 ml to about 12.25 ml in one year.

Older and less specialized varieties of HA continued to decrease over the second year, providing a “permanent” gain of about 39% of the original HA volume. About 61% of the gains were “temporary”.

But current varieties of HA specifically for penis enlargement is more durable and serve as a scaffold longer, resulting in the creation of permanent new tissue that is about 50% of injected HA volume. It is the most effective ever and is continually being improved.

Many men consider that an acceptable cumulative and “permanent” gain. You never go back to the starting point.”

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About the author

Clinic Director Dr Gary Horn

Dr Gary Horn is the owner and director of the Androfill Clinic and is responsible for all website content.

Dr Horn is a registered Plastic Surgeon in the UK (GMC 4267803) and Belgium.

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Dr Gary Horn is a highly acclaimed Consultant Plastic and Reconstructive Surgeon and Uro-Andrologist with over 25 years of experience.

Dr Horn has published widely in international journals and is regularly invited to give lectures and to perform live surgery and non-surgical procedures.

Dr Horn has been filmed by the BBC for the Plastic Fantastic series.

In 2016 Dr Horn was filmed performing penis enlargement surgery for a BBC documentary The Penis Extension Clinic

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