Many men suffer from low self-esteem due to the size and girth of their penis. This feeling of inadequacy can have detrimental effects in their relationship as well as their overall well-being. Although penile girth enhancement procedures are not as mainstream as female enhancement procedures, non-surgical penile girth enhancement using dermal fillers are gaining significant traction in the world of male cosmetic interventions resulting from excellent aesthetic outcomes and high patient satisfaction.
Any man who is not currently satisfied with the appearance of his penis may be a candidate for a penile girth or shaft enhancement procedure with a few exceptions. The safest and most effective material to perform penile enhancement procedures is a Hyaluronic Acid injection called Juvéderm. Any patient with a known hypersensitivity to dermal fillers or hyaluronic acid should avoid this procedure. Additionally, patients with active inflammatory conditions of the penis such as balanitis or the acute phase of peyronie’s disease should hold off on penile dermal filler procedures until their acute condition has been treated. Dr Robbins can help you assess is you are a good candidate for a procedure during an initial consultation.
The penile enlargement procedure is performed fully conscious in Dr. Robbins’ office. There is no need for presurgical labs and testing as the procedure is performed using a combination of local and topical anesthesia resulting in minimal discomfort. The entire procedure can be performed in approximately 30 minutes to 1 hour. To perform the penile girth or shaft enlargement procedure, Dr. Robbins will insert microcannulas under the skin at the base of the penis and inject a hyaluronic acid dermal filler (Juvéderm) evenly under the skin resulting in a uniform distribution of the filler in a circumferential manner around the penile shaft. The advantage of a microcannula over a needle is that the blunt end of the microcannula results in less injury to the small blood vessels underneath the skin of the penis and therefore decreased bruising and swelling. Hyaluronic acid (Juvéderm) produces an excellent natural elastic feel in both the flaccid and erect states.
After completing the procedure, Dr. Robbins will wrap the penis in an elastic gauze to promote an even distribution of the hyaluronic acid dermal filler (Juviderm). Men can return to normal activities the same day, but sexual activity must be held ideally for 1-2 weeks. Heavy lifting and exercise as well as bath and swimming pools should be avoided for one week. Showering is permitted right away. It is not uncommon to experience mild swelling after the procedure initially after the procedure. Results are noticeable immediately after the procedure.
Hyaluronic acid is a naturally occurring substance that is already present in the skin that functions to keep the skin thick and hydrated. Hyaluronic acid fillers come in syringes and are a soft jelly like substance. The most commonly used and popular filler for penile shaft firth enlargement procedures is Juvéderm Voluma XC made by Allergan. It is widely considered to be the saftest and most effective dermal filler. In the rare event that the filler needs to be removed, hyaluronic acid can be dissolved by injecting hyaluronidase with results in under 24 hours.
Dr. Robbins is a board-certified urological surgeon specializing in surgical diseases of the male genital and urinary tract. After graduating with honors from NYU Medical School, Dr. Robbins completed a 6-year urological residency program at NYU as well. As a urological surgeon in practice since 2009, Dr. Robbins has performed countless penile surgical procedures including penile implant surgeries for erectile dysfunction and surgical procedures for peyronies disease. As a urological surgeon, Dr. Robbins is significantly more experienced with penile anatomy and penile surgery as compared to an internal medicine physician, dermatologist or plastic surgeon that may be offering penile enhancement procedures.
The duration or residence time for the dermal fillers is dependent on the brand that is used. The manufacture of the high-quality hyaluronic acid brand (Juvéderm) that Dr. Robbins uses is projected to last for 12 to 24 months. Of course, everyone person and situation is unique and results and duration of response can vary with each individual. Some individuals will notice a longer duration of volume enhancement after the material has completely dissolved likely related to microfibrosis around the hyaluronic acid filler particles.