hyaluronic acid penis enlargement

In studies and surveys of 25, 594 men conducted between 2017 and 2020, 45% said they wanted a larger penis. However, few people decide to undergo surgery. Today, there is an alternative to surgical intervention - penis enlargement with hyaluronic acid (HA-hyaluronic acid). In this article, we will look at various aspects of this technology, its effectiveness and safety.

what program is this

Penis enlargement using hyaluronic acid is a minimally invasive procedure that involves the introduction of a biocompatible filler under the scalp of the penis or glans using a fine needle or Venfor (cannula). Corrected results are visible immediately and last for one to two years, depending on the properties of the filler itself.Hyaluronic acid is a temporary filler that has been approved as a safe and effective soft tissue filler. This can increase the circumference of the penis by 2-3 cm and the length by 1-3 cm, with the effect increasing within the first month. This is because hyaluronic acid attaches to and holds water molecules, increasing the size of the penis.
In aesthetic medicine, this method of penis enlargement has several names:

• Intimate Contour Plastic Surgery;
• Penis Enlargement with Hyaluronic Acid;
• Intimate padding;
• Injection phalloplasty.

Enlarging the size of the penis with hyaluronic acid is a non-surgical procedure that is performed on an outpatient basis and the patient can go home immediately after taking the medication.Using hyaluronic acid to increase penis size is a safe procedure. The need for safer, more effective, less invasive treatments is increasing in all areas of modern medicine. Using hyaluronic acid to enlarge the penis solves three problems at once: medical, psychological, and aesthetic. Soft tissue fillers are the second most popular minimally invasive procedure in the United States, with more than 2. 6 million such fillers performed in 2019.

Is filler necessary for penis enlargement?

Each case is individual and it is impossible to give a general answer. With a good erection, even a small penis can give a woman pleasure and bring her to orgasm. This is because the most sensitive G-spot is located on the front wall at the entrance to the vagina. You can learn more about normal penis size in this article.

Indications for Penile Shaft Injections

There are various indications for the introduction of hyaluronate into the genital trunk:

• psychological problems associated with smaller penis size;
• Insignificant penis thickness, or so-called "thin penis";
• Insufficient vaginal stimulation of the partner during intercourse and her dissatisfaction;
• Disproportionate parameters of the partner's reproductive organs (large vaginal volume, small penis);
• Psychogenic erectile dysfunction, associated with a syndrome in which expectancy fails due to undersize of the penis;
• Peyronie's disease - curvature of the penile shaft;
• urethral defects;
• Consequences of unsuccessful reproductive organ surgery;
• Cavernous fibrosis;
• Genetic and hormonal pathologies lead to underdevelopment of the penis and micropenis.

It is important to note that correcting hyaluronic acid into the penile shaft does not increase the length of the penis, but only increases the size of the penis, increasing the size of the girth and diameter, although visually the penis looks more impressivestatus and during erection.

Indications for glans penis injections

Minimally invasive glans enlargement using hyaluronic acid is suitable for the following indications:

• The glans penis is small relative to the size of the penis (thin head);
• The top of the head is not obvious enough;
• Smooth lacing;
• Wrinkling of the mucous membrane of the head;
• Deformation of the glans penis after injury;
• Premature ejaculation.

This kind of head correction can not only improve the shape of the head, but also increase the length of the head.

What results can I expect after the injection?

After the filler is injected into the penis, its circumference increases by 1-2 cm, and glans surgery not only improves its aesthetics, but also lengthens the penis by 3-5 cm. Once under the skin, hyaluronic acid distributes evenly, smoothing the skin and mucous membranes and improving the appearance of the penis. The use of gel helps to increase the relief of the head corolla and its width, highlight the frenulum and make it more convex, changing the shape and volume of the head.
At rest, a hyaluronic acid-filled penis is heavier and therefore appears longer because it does not retract into the groin. When upright, it appears thicker than before the injection, but the length remains the same.Gel injections into the glans penis can help men with premature ejaculation solve the problem. Hyaluronic acid is injected into a sensitive area of the head - the frenulum. The substance penetrates the subcutaneous layer and distributes in the intercellular space, transferring some of the receptors to the lower subcutaneous layer. As a result, the sensitivity of the penis decreases and the man can control the onset of orgasm.

How long do the effects last?

The results of the first filler injection can last from nine months to two years. Additionally, volume increases over the first six months as the broken down hyaluronic acid short units retain more water. Dehyaluronidase then gradually breaks down the acid. After 12 months, more than 30% of the gel breaks down. To restore the volume, it is recommended to repeat this process. The breakdown of hyaluronic acid tends to decrease after repeated injections.

According to reviews, this type of penis enlargement using hyaluronic acid increases a man's sexual attraction, increases the quantity and quality of sexual intercourse, while experiencing a more vivid sensation from the additional stimulation, bringing pleasure to the partner, which alsoIncreases male self-esteem.

Is hyaluronic acid safe?

Hyaluronate (hyaluronate) is a mucopolysaccharide that is part of epithelial, neural, and connective tissues. It is contained in the extracellular space, biological fluids, including biological lubricants. The body of an average-weight person contains approximately 16 grams of this substance. Hyaluronic acid is involved in tissue fluid dynamics and cell reproduction. It is the regenerative effect associated with this feature.The substance contains up to 25, 000 disaccharide units and is capable of holding the same amount of water. It is this ability of the polysaccharide that provides extra bulk to the hyaluronate and penile tissue. Therefore, the introduction of exogenous hyaluronic acid is absolutely safe for the human body.This compound is not rejected by the body and does not cause allergies. It has been used in medicine since the 1980s to increase the viscosity of synovial fluid in joints. The technique of using hyaluronic acid gel to increase penis size and length is relatively new, but has gained men's trust as an effective method that doesn't require surgery.

Hyaluronic acid filler selection advice

The choice of filler depends on the doctor. Gels vary in composition, density and percentage of hyaluronic acid. Some fillers add a local anesthetic to reduce pain after surgery, but such formulations are more expensive. The density is chosen by the doctor based on the target and injection site.Many fillers injected into the penis indicate that the product contains cross-linked hyaluronic acid. It is composed of alternating monomers of D-N-acetylglucosamine and D-glucuronic acid. The monomer units are cross-linked into polymers using biocompatible urea. This cross-linked biopolymer tends to last longer in the implanted area and improves the filling quality of penile tissue compared to traditional hyaluronic acid.

How to Use Hyaluronic Acid for Penis Enlargement

The procedure itself is preceded by a preparation phase. The andrologist collects a medical history, inquires about systemic and chronic diseases, psychological problems, and performs examinations. The patient consents to the processing of his or her personal data. Before surgery, get tested:

• General blood analysis;
• Urine test;
• Blood tests for coagulation.

Depending on the indication, additional studies may be necessary.Penis enlargement surgery using hyaluronate is performed on an outpatient basis. Before correction, the hair in the groin area is shaved. The surgery is performed under local anesthesia.The introduction of filler into the penis is carried out in several stages:

• The groin area is treated with antiseptic and covered with a sterile disposable diaper.
• The numbing gel is applied to the penis and takes 15 minutes to take effect.
• Draw the required amount of medication and hyaluronic acid into the syringe. A thin needle is inserted into the subcutaneous layer and the filler is slowly injected. The doctor ensures that the hyaluronic acid is evenly distributed over the injected area.
• Place a sterile bandage and patch over the injection site.

The duration of the procedure depends on the number of injections and can take anywhere from half an hour to an hour, taking into account the anesthesia time at the site where hyaluronic acid is injected.

Dosing method

There are several ways to introduce filler into the glans penis. Doctors choose techniques based on indications. More often than not, several methods are combined to improve the appearance of the glans penis:

• Fan method— A fine needle is used to inject hyaluronic acid in different directions through a fan-shaped puncture.
• point method- Injections are given into a limited part of the penis to eliminate irregularities or deformations.
• Profile introductionFiller is applied along the top of the head, after which the contours become fuller and more defined.

Characteristics of the recovery period

After correction, you may experience pain at the injection site, which can be easily relieved with lidocaine spray. The penis looks swollen and a small hematoma may develop. Swelling may last up to 5 days and the hematoma resolves by day 6. There is slight redness and swelling at the injection site. All these changes shouldn't be scary. It must be taken into account that this is a very sensitive organ with a large number of nerve endings and small blood vessels. Many men report frequent nocturnal erections after surgery. Serious complications are extremely rare and are usually related to poor hygiene and infection at the injection site, which serve as entry points for microorganisms. Sometimes, hyperpigmentation may be observed at the site of the hematoma.

Post-operative restrictions

After introducing hyaluronic acid, there are some restrictions and recommendations:

• A two-week break from intimate life;
• Antibiotics are required for 5 days and then as directed;
• Be sure to treat your penis with anti-inflammatory and antiseptic agents;
• Do not take hot baths, baths and saunas for a week.

Contraindications

Like any other surgery, filler injections have a number of contraindications:

• Exacerbation of chronic disease;
• blood disorders, including bleeding disorders;
• Inflammatory diseases and acute viral infections (pyrexia, fever);
• taking antibiotics and anticoagulants;
• immune system diseases;
• acute phase herpes;
• malignant tumors;
• diabetes.

If a man has an elevated temperature, a fever, or a rash or ulcer on his penis at this time, hyaluronic acid injections will not be performed.

Clinical Studies on Filler Injection Results

Fillers appeared relatively late in my country, so long-term clinical research in this area has not yet been carried out. However, foreign clinics have accumulated such experience. The results of a long-term observation conducted by scientists led by Professor De Yul Yang at the Department of Urology, Cha Meditech Co. , Ltd. Clinic, South Korea, have been published. These studies were designed to summarize the long-term clinical outcomes of hyaluronic acid (HA) injections.The multicenter, randomized trial followed a single filler injection for 18 months between November 2016 and May 2018. The trial included 67 healthy men aged 20 to 66 who thought their penises were smaller than normal for adults.All men under observation underwent an initial examination before the study and a detailed medical history was compiled for them, focusing on psychiatric and psychological problems. They consent to the processing of their personal information.The study was conducted by an independent biostatistician using SAS version 9. 4 (SAS Institute Inc. , Cary, NC, USA). During the blinded portion of the study, all post-injection assessments at each site were performed by independent physicians who were not involved in excipient screening or injection.

Research results

Overall, the penis was smooth, natural, and pliable, and the increase in girth was maintained up to a year and a half after filler injections. No unevenness, retraction, hardening or deformation of the penis, or filler migration was observed. Six months after injection, the average circumference of the penis increased by 1. 91 cm, and then the average circumference gradually decreased until 18 months, and was +1. 79 ± 1. 41 cm after one and a half years. Dynamics of penis girth increase after injection of hyaluronic acid filler:

Post-dose study period	Average penis circumference of this group (cm)	Deviation from the mean (cm)
Before injection	7. 74	±1. 40
1 month	10. 15	±1. 57
3 months	10. 25	±1. 64
6 months	9. 74	±1. 83
18 months	9. 08	±1. 87

Satisfaction

After 1 month, the penis appearance indicators increased significantly. This improvement lasted for six months. Thereafter, they gradually declined until 18 months, but scores at one and a half years were significantly higher than baseline. After three months, rates of sexual activity increased significantly. This growth continued for a year and a half.

Research result

Studies have found that hyaluronic acid fillers can significantly increase penile girth and improve injection-related satisfaction. The procedure was tolerable and no major complications were observed over 18 months.Hyaluronic acid is composed of natural ingredients and has both direct and passive effects. After injection, the filler is gradually absorbed by the surrounding tissue. As hyaluronic acid breaks down into smaller fragments, the molecules bind more water; the same volume can be maintained for months with less hyaluronic acid. Results then steadily declined. The enhancing effects of fillers can last up to 18 months.The results of this study are comparable to those of previous trials and demonstrate the clinical utility, effectiveness, and safety of the gel. Because hyaluronic acid fillers are temporary, long-term follow-up after the injection is crucial. In terms of enhancement effects, penis girth increases to maximum within about a month after filler injections. Satisfaction with the appearance of the penis increased significantly about one month after filler injections. This growth continues for approximately 6 to 12 months. It then gradually decreased until one and a half years; however, satisfaction levels remained above baseline.Research shows that satisfaction with sexual activity continues to improve for 18 months after filler injections, although penis girth gradually decreases over time. This finding suggests that filler injections may reduce the psychological stress associated with sexual activity. This also supports the idea that men who want to enlarge their penis experience psychological stress. They often require psychological counseling or psychotherapy.

Compatibility of Hyaluronic Acid Injections with Other Types of Hyaluronic Acid Injections

Introduction of hyaluronate into the penis can be combined with other surgical interventions:

• Ligamentotomy— Surgical intervention to cross the ligaments that support the penis;
• pubic liposuction— Extract the fat tissue that hides the penis of obese men;
• fat filling- Increase the circumference of the penile body by subcutaneous injection of autologous lipids;
• Scrotum plastic surgery- Removal of the scrotal velum that hides several centimeters of the reproductive organs;
• circumcision- Removal of the dermis around the head;
• Head denervation- Reduce sensitivity by removing part of the penile nerves.

The compatibility of certain types of penile correction and the decision as to whether such surgical intervention is necessary is left to the physician on an individual basis in each specific case.