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Post by jonappleseed on Dec 27, 2010 17:33:22 GMT -5
ABSTRACT Introduction. Despites 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. Kwak TI, Oh MM, Kim JJ, and Moon DG. The effects of penile girth enhancement using injectable hyaluronic acid gel, a filler. J Sex Med **;**:**-**. www.ncbi.nlm.nih.gov/pubmed/20233296I would try this if the pictures looked good and it were state side. Who cares that you would probably have to get a touch-up shot 1-2 times per year to keep it full and even. Since it does not go into the shaft and the material has been used for close to a decade in the body it seems like the safest procedure by far. Also wouldn't have length loss problems or scars. Possible good news ahead.
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Post by jonappleseed on Dec 27, 2010 18:06:17 GMT -5
hehehe just found this. They're already doing it in Spain. www.manclinica.com/xhtml/aumento-del-pene.htmlResults are fucking questionable. 1st photo looks good, second one is a mess, but if there was a doctor that could distribute the filler evenly it could be good. The translated text: Procedure The thickening is achieved without surgery, using an absorbable hyaluronic acid gel. With local anesthesia is applied the padding between the skin of the penis and the erection system, achieving a natural appearance both at rest and during erection. What changes is an increase in penis without surgery? You can get a thickening of the penis up to 3.5 cm in circumference or perimeter (around the stem or where most needed). The thickness can be increased provided that allows preserving the glans penis look natural and is not too unreasonable. The strength and capacity of erection does not change at all since it does not touch the erectile bodies, the filling gel is out of the erection system. How is the process of thickening of the penis? First, local anesthesia to avoid discomfort. After using a special cannula, your doctor applies the gel and is shaped to give the increased volume, in harmony, to his penis. The thickening is flexible and gives a natural consistency to the penis, with no evidence of artificial components not to touch or sight. How long does the application of the treatment? Between 30 and 45 minutes. How much? Depending on the volume, an average of 900 €. To learn more detail and beauty treatments for men, our doctors will attend the consultation of our Aesthetic Medicine Clinic in Madrid. Listen Read phonetically Dictionary - View detailed dictionary
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Post by idm on Dec 27, 2010 22:33:45 GMT -5
This will completely absorb w/in 4 mos. ABSTRACT Introduction. Despites 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. Kwak TI, Oh MM, Kim JJ, and Moon DG. The effects of penile girth enhancement using injectable hyaluronic acid gel, a filler. J Sex Med **;**:**-**. www.ncbi.nlm.nih.gov/pubmed/20233296I would try this if the pictures looked good and it were state side. Who cares that you would probably have to get a touch-up shot 1-2 times per year to keep it full and even. Since it does not go into the shaft and the material has been used for close to a decade in the body it seems like the safest procedure by far. Also wouldn't have length loss problems or scars. Possible good news ahead.
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Post by Skeptical One on Dec 27, 2010 22:53:47 GMT -5
I've read about this gel before and too was under the impression that it was not permanent.
Fillers, synthetic or natural, tend to have poor retention when injected into the penis, for one reason or another. I know that staged FFT has improved retention, so I wonder if there is anything new with this gel? Care to chime in jonappleseed?
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Post by jonappleseed on Dec 28, 2010 10:42:04 GMT -5
IDM- What makes you think absorbtion will occur within 4 months? There could be several bonuses to this procedure
1) Unlike PMMA it is known to safe within the body.
2) It is not permanent so any mistakes can be altered in time.
3) There is no surgery to put it in or take it out.
4) Recovery time is a few day. 5) If you don't like the results, not a problem. They'll go away.
As long as the effects lasted say at least 6-12 months than this would be a procedure I would consider doing to hold me over until something better comes along.
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Post by jonappleseed on Dec 28, 2010 10:45:55 GMT -5
I've read about this gel before and too was under the impression that it was not permanent. Fillers, synthetic or natural, tend to have poor retention when injected into the penis, for one reason or another. I know that staged FFT has improved retention, so I wonder if there is anything new with this gel? Care to chime in jonappleseed? Do you have any links to studies that show fillers were injected into the penile fascia? As far as I know this is a new trend, but would love to see more info on it if work has been done in the past.
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Post by Skeptical One on Dec 28, 2010 11:00:38 GMT -5
IDM- What makes you think absorbtion will occur within 4 months? There could be several bonuses to this procedure 1) Unlike PMMA it is known to safe within the body. 2) It is not permanent so any mistakes can be altered in time. 3) There is no surgery to put it in or take it out. 4) Recovery time is a few day. 5) If you don't like the results, not a problem. They'll go away. As long as the effects lasted say at least 6-12 months than this would be a procedure I would consider doing to hold me over until something better comes along. PMMA doesn't have a bad record as far as I know...it is essentially a synthetic filler like your H. acid gel but actually IS permanent. And I suppose the risk for an immune response is the same. And I'm not sure why anyone would want to drop thousands of dollars to fill their penis with something that you acknowledged is guaranteed not to be permanent. Jonappleseed, if you don't mind me asking... why not Fat? As in FFT? Granted it may be a little bit more invasive than hyaluronic acid gel injections but "retrieving small amounts of fat," is a common and refined medical practice, unlike some other procedures that are ultra-invasive.
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Post by jonappleseed on Dec 29, 2010 12:51:36 GMT -5
Would have been polite to answer my question instead of just asking me more, but that's okay. A couple things: HA is not comparable to PMMA IMO. HA occurs naturally throughout the body. PMMA is similar to glass. I have nothing against PMMA. In fact it would be my second choice of procedures if I had to do one at this moment, but I am fairly certain HA is much safer. The second thing is I appear to be wrong concerning the absorbtion of HA. According to this guy's interpretation of the study it is basically permanent: www.pegym.com/forums/chemical-pe/20689-injectable-hyaluronic-acid-gel-4.html"The study on the shaft does not address erect measurements only flaccid. There were 50 participants, the mean gain was 3.93 cm (1.55 in). After follow up at 18 months the average loss was .15 cm. The patient's visual satisfaction was graded (1-4, with 4 being the best) Quote: "At 18 months, all patients answered as Gr 4 without asymmetry." Quote regarding the safety on the shaft study: "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." The gel is placed between buck's facsia and the tunica. The placement between connective tissue layers serves to minimize the squishy feeling. The HA gel is crosslinked and doesn't tend to migrate." Again, I am reiterating that I am liking this very much thus far based on the information I am seeing.
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Post by Skeptical One on Dec 29, 2010 14:23:57 GMT -5
Sorry Jonappleseed, for some reason I did not catch your question post, my apologies. No I haven't actually seen other studies for other fillers, just mostly testimony and experience from those who have had it done to them.
It does sound promising if it is in fact permanent. I do notice a sentence in your post saying "doesn't tend to migrate;" so I'm wondering if the risk for migration is there, just minimal?
Seems interesting (assuming the permanency is legit).
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Post by idm on Dec 29, 2010 15:22:11 GMT -5
Hi J.A.S:
Note, this is my first response to your "question".
Let me preface by saying the following: Hyaluronon aka hyaluronic acid is a natural part of our bodies chemistry. Bio chemistry is an AMAZING and complex subject, one that I enjoy very much.
As part of the healthy human life cycle the body is continually at work replenishing new cells to basically keep everything "up and running" properly, an example of this is the bodies largest organ-the skin (sorry guys)! Cells are constantly in a state of change so to speak...shedding and regrowth.
Hyaluronic acid, an extracellular matrix (what's outside the cell as opposed to inside the cell) is a component of Sinovial fuild fluid. This fluid helps lubricate the joints allowing us to MOVE properly and w/out pain.
Biochemistry is complex and anyone who isn't studying science or the body of course isn't expected to know this stuff!
As some of you may know, many products such as: Restylane, Perlane, Juvederm are ALL hyaloronic acid based. Since H.A is a natural substance IT WILL be absorbed by the body and it happens fairly quickly.
The products that I've mentioned aren't inexpensive- if money isn't an object and one can find a Dr willing to pump large volumes of H.A into the penis, I suppose some might consider it BUT it is a procedure that will require repetition. Speaking for my self, this is notion is unappealing.
I have a lot of experience w/different sorts of injectables. Restylane for certain areas gives great results but the rate @ which its absorbed is frustrating-again its NOT inexpensive.
The 2 other injectable categories are SEMI-permanent...eg:the product "Radiesse", an excellent product (calcium based) lasts up to 2-3 yrs. Generally safe. Its a thicker material between a gel and a puddy. Very effective as a deep tissue filler-should NOT be used to treat areas where there's insufficient tissue volume eg: if used between skin and bone (such as forehead) results may appear lumpy...for lip enhancement, it would be great...looks as good as restylane, if not better and lasts almost 3 yrs. Not sure if a dr would treat the penis (or certain other areas) w/ this product for several reasons) but worth asking- and if you find one...let us know! I'm not sure what the aesthetic result would be, my hunch is it would be acceptable. One would certainly need an anesthetic as a great deal of palpation/manual molding of the product once injected is necessary.
Permanent fillers, are the last category, for most these are the most appealing b/c we tend to like the idea of the one time fix. Permanent fillers potentially carry the highest risks. Eg-Silicone was a DISASTER, some progress seems to have been made w/ PMMA. BUT I have to warn those who are thinking about pushing the envelope by pumping large amounts of pmma-that would be a big mistake. Though I'm not advocating the procedure or necessarily endorsing Dr Casavantes, after. having several communications w/him, its clear to me that he understands very well the parameters w/this product.
Re: your statements 1-5, I agree, but I think more info needs to be acquired on PMMA....(a modification on my initial stance for the time being).
Generally speaking, I'm against the introduction of foreign material. such as PMMA, BUT it will be interesting to following this course of treatment. It appears it MAY be used w/out any major negative side effects when administered scrupulously...in VERY small amounts.
Idm
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Post by Skeptical One on Dec 29, 2010 18:48:26 GMT -5
idmIdm, what do you think about the results the blogger had with the Brazillian PMMA? www.blogger.com/profile/06301158283399507880Also bioplasty is very common with buttock augmentation, which I would imagine requires a substantial amount of PMMA to make a noticeable difference. Considering "butt lifts" are becoming increasingly popular, it could only reaffirm PMMA's safety record, no? Perhaps PMMA could be established as a permanent and safe filler for the penis some day? Time will tell. jonappleseedAs for H. Acid's permanency, it seems that the study you are quoting mentions 18 months...probably not a sufficient time to conclude it's true effectiveness.
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Post by idm on Dec 30, 2010 0:27:33 GMT -5
I reaize this post is re:the H.A application-sorry about the pmma comments here, but as you said time will tell-insufficient data to make a real confident statement on larger amounts of the product used in bioplasty. Though the gentlemans results is very good from an aesthtic point of view that potentially means nothing. How much of the product was used in his case? Future effects, if any (hopefully not for his sake). Sometimes I think we (general "we"), tend to be too casual in speaking about this procedures that affect our health w/out knowing enough about the science behind the procedures and what could go wrong. We're not talking about remodeling our living rooms or putting a new coat of paint on our car. We are flesh and blood and are bodies are resilient they can be quite fragile. Point is, and my opinion, (as it is so often) is very strong on this, we must value or bodies, or health and consider these procedures much more carefully. Its my observation that many people are WAY too casual about these operations. To become bigger w/out question is possible and its a process but we don't want to make a deal w/the Devil to make it happen! I'll be signing off the site soon as I'm taking a much needed vacation b4 school resumes. My suggestion is don't base your decisions just an a promise of the biggest/quick fix-do a lot of reading-google everything and think health first.
Good Luck All...
Idm
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Post by Skeptical One on Dec 30, 2010 1:40:42 GMT -5
idmthanks for the insight jonappleseeddo you know if there has been any reported long-term permanency with the H. Acid? Idm suggested it will eventually diminish but as we all know there can always be some advance in a method that changes the dynamics of the entire procedure.
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Post by idm on Dec 30, 2010 10:19:33 GMT -5
Sorry about the typos! I really need to start previewing b4 posting! Idm
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Post by Skeptical One on Dec 30, 2010 12:49:07 GMT -5
idmI believe you can edit your own posts too, or at least I think you can...
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