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PENIS AUGMENTATION COMMON PRODUCTS AND ACTIONS

Chemical Name *Product 1Product 2 and 3Polymethylmethacrylate (PMMA)Free Fat Transfer (FFT)Fat GraftPlatelet Rich Plasma (PRP)
ActionBiodegradable sugar-based soft-tissue filler that binds with water in gel form and creates volume. It is naturally found throughout human tissueBiodegradable, biocompatible soft medical polymer. Triggers tissue inflammation and collagen stimulation once injectedNon-biodegradable, biocompatible, man-made polymer. Micro-beads are suspended in carrier gel, which triggers tissue inflammation and collagen stimulation once injectedNatural – surgical harvesting of fat cells, mostly from the abdominal area with reinjection into the penis to create volumeNatural – surgical harvesting of fat tissue usually from buttock area. Penis is de-gloved, the fat tissue is wrapped around the penile shaft and skin is stitched closed.Natural, highly concentrated platelets extracted from patient’s blood and immediately reinjected. Growth factors trigger tissue and skin repair along with regeneration of collagen elastin, muscles, nerves and blood vessel.
Girth AugmentationYesYesYesYesYesClaimed but unproven
Glans EnhancementYesPossibleNoNoNoClaimed but unproven
LengtheningOften when flaccid (due to product weight)Often when flaccid (due to product weight)Often when flaccid (due to product weight)Often when flaccid (due to product weight)Often when flaccid (due to product weight)Claimed but unproven
Blending along shaft **Yes, different HA viscosities can be blended along shaft for smooth resultsYesYesVariable – often resorbs irregularly along shaftVariable – may resorbs irregularly along shaftN/A
Longevity1 – 2 years (depends on product used)2 – 4 years (depends on product used)Long-Term (some permanency)Meant to be permanent, however, resorbtion in penile tissue is high (6-8 months).  Some permanent lumps and scar tissue may formMeant to be permanent, however, uneven resorbtion may occur.  Some permanent lumps and scar tissue may formPRP is resorbed quickly but healing process continues for months with results lasting up to 15mths
Erectile DysfunctionNoNoNoNoNoPossible
Premature EjaculationYesNoNoNoNoPossible
Cost$$$$$$$$$$$$$$$$$$$$$
Risk Rating++++++++++++Safe
ReversibleYes, may be dissolved at any timeSome correction possible to soften lumps but not reversibleNo (only surgical removal)No (only surgical removal)No (only surgical removal)N/A, natural body substance
IrregularitiesPossiblePossibleCommonCommonCommonNo
ComplicationsRisk of bruising, swelling and infection. Possible vessel occlusion and necrosis (if using needle), but unlikely with cannula injection.  Nodules may form early or possible scar granulomas at a later date, but can generally be resolved quickly with Hyalase/steroid injections.Risk of bruising, swelling and infection. Possible vessel occlusion and necrosis (if using needle), but unlikely with cannula injection. Some risk of nodules or granulomas forming that may be softened with steroid injections, but can remain longer-term, until the product naturally breaks down.Risk of bruising, swelling, uneven results and infection. Possible vessel occlusion and necrosis (if using needle), but unlikely with cannula injection.  Some risk of nodules, granulomas and product hardening that require surgical intervention to remove. Lumpiness is common. Long-term risks are not fully known.Fat is living tissue and its survival after transfer requires developing a new blood supply. There is no fat in penile tissue so survival rate is low and FFT may be resorbed quickly. There is risk of skin fibrosis, scarring, and possible skin necrosis that may require surgical intervention to remove.Fat is living tissue and its survival after transfer requires developing a new blood supply. There is no fat in penile tissue so survival rate is low and Fat Graft has tendency to result in some lumpiness.  Scar tissue is material (both at harvest site and where penis is re-stitched), which can result in deformity.Possible swelling, bruising and/or infection. Minimal complications
Recommended number of sessionsGenerally 1 full session and 1 touch up
Annual Top-Up
Generally 1 full session and 1 touch up
Top-up every couple years
2 full sessions and 1 touch up session
Semi-permanent
Regular top-ups likely (every 4-6 mths)Permament, but may require correction of lumpiness1 session every 12mths

* Always research dermal filler brands and products as these vary greatly around the World. Ensure the dermal filler is FDA/TGA approved, the product manufacturer is reputable and the product viscosity is appropriate for the area being treated. Ensure PRP concentrations are 5-9 x base levels.

** Blending is useful to address different bands of skin along the shaft and to enhance penile symmetry. It is not recommended to inject different dermal fillers at the same time due to potential combination issues and it can be difficult to identify the cause of complications if they arise.

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