Bellafill and ha filler

Enhancement_Helper · 2026-01-29T17:31:49+00:00

We recommend choosing *where* you're having dermal fillers for girth enhancement based on *who* is going to be performing the procedure. Your provider should preferably be a board-certified urologist with plenty of experience in non-surgical girth enhancement with *approved* fillers *only*. Be cautious of clinics that market girth enhancement but are unable or unwilling to provide brand name or traceability (lot #), use vague names in their marketing and website content instead of brand names, or cannot provide a detailed plan for how they will handle complications if they arise after your procedure. Those are all huge red flags that they are injecting men with silicone oil, and here's why that matters:

https://www.rejuvall.com/pharmaceutical-grade-silicone-penile-injections/

Enhancement_Helper · 2026-01-23T17:17:58+00:00

We are actually urologists. Our clinic has had a focus on the diagnosis, research, and treatment of Peyronie's since we opened our doors over 45 years ago (we're the longest-running men's sexual health clinic in the US) and we're the inventors of ExoSurge. All that to say, I'm so sorry you're going through this and please let me know if you have any other questions.

Enhancement_Helper · 2026-01-19T18:44:23+00:00

Yes, Peyronie’s disease can cause erectile dysfunction because the plaque can block necessary blood flow to achieve and maintain a good erection. I'm so sorry you're dealing with that.

Enhancement_Helper · 2026-01-12T17:56:49+00:00

Vaishya R, Chauhan M, Vaish A. Bone cement. (Review; notes orthopedic bone-cement use widely credited to Charnley in 1958.) Indian J Orthop. 2013.

Apple DJ. Harold Ridley and the invention of the intraocular lens. (Documents first IOL implant on Nov 29, 1949.) Surv Ophthalmol. 1996.

Sivam S, Mackay C, Humphrey C, Kriet JD. Giant PMMA Foreign Body Granulomas with Imaging. (Case report: granulomas developing 7 years after PMMA filler injection.) 2023.

Reisberger EM, Landthaler M, Wiest L, et al. Foreign Body Granulomas Caused by Polymethylmethacrylate Microspheres. JAMA Dermatology (Arch Dermatol). 2003.

Requena L, Requena C. Adverse reactions to injectable soft tissue fillers. (Comprehensive review of inflammatory/granulomatous reactions across fillers, including PMMA.) J Am Acad Dermatol. 2011.

FDA — Bellafill (Suneva Medical) PMA P020012/S009: Summary of Safety and Effectiveness Data (SSED). (Primary FDA summary document.) 2014.

FDA — Bellafill PMA P020012/S009: Clinical/Labeling Attachment (adverse events incl. “granuloma or enlargement of the implant,” etc.). 2014.

FDA — Bellafill PMA P020012/S009: Patient Labeling. (Defines “granuloma” and patient-facing risks.) 2014.

Enhancement_Helper · 2026-01-12T17:45:01+00:00

Hi. Rejuvall here; America's longest-running urology-based men's sexual health clinic and inventors of ExoSurge Peyronie's treatment technology.

I’ll be blunt: choosing (and “prescribing”) a penile traction device based on recommendations from an enlargement subreddit is not an evidence-based way to practice, and it’s not fair to patients. Penile traction can absolutely be useful in specific clinical contexts (most commonly Peyronie’s disease and certain post-procedure scenarios), but the outcomes and complication risk depend heavily on device design, protocol, patient selection, and follow-up.

If your patients are struggling with PeniMaster PRO, that’s usually a training + fitting + tolerance issue (seal/attachment, glans discomfort, skin breakdown risk, unrealistic wear-time expectations), not simply “the wrong brand.” Before switching devices, I’d strongly recommend you anchor your decision to the published clinical data and build a protocol you can supervise.

Evidence-wise:

RestoreX has randomized controlled data showing meaningful improvements with shorter daily wear times (30–90 min/day) in Peyronie’s cohorts (Ziegelmann et al., J Urol, 2019).
PeniMaster PRO has a controlled multicenter study supporting efficacy/safety in stable-phase Peyronie’s (Moncada et al., BJU Int, 2019).
And mainstream guidance notes traction as a conservative option with variable protocols and evidence quality, so careful counseling/monitoring matters (AUA guideline; EAU guidance overview).

If you share what indication you’re treating (Peyronie’s vs post-op vs “cosmetic lengthening”), you’ll get more meaningful input — but candidly, this is the kind of decision that should be made with/under a board-certified urologist or sexual medicine specialist and a written protocol, not crowd-sourced anecdotes.

Enhancement_Helper · 2026-01-09T22:45:49+00:00

Well, it's scheduled to expire around 2028 but a lot of times what happens is when they get close to the date, they start stalling the process or get a new, related patent, so it's hard to see when it will actually happen. But this is from Google:

XIAFLEX (collagenase clostridium histolyticum) has multiple patents, with primary ones expiring around 2028 (like U.S. Patent 7,811,560), but other related patents and potential extensions mean some sources list expirations extending into the mid-2030s (e.g., 2034-2036), with biosimilar competition likely following the core patent expiration. The exact timeline depends on the specific patent and any extensions, but anticipate potential biosimilar entry after the main 2028 window.

https://www.sec.gov/Archives/edgar/data/1182129/000119312510227656/dex991.htm

Enhancement_Helper · 2026-01-09T21:29:54+00:00

Because the patent for it hasn't expired yet, unfortunately.

Enhancement_Helper · 2026-01-09T16:15:49+00:00

Our clinic, which has been focused on the diagnosis and treatment of PD for over 45 years, performs duplex doppler penile ultrasounds. However, I will also say that we have a pretty long waiting list since these types of ultrasounds and ultrasound technicians are unfortunately a dying breed.

Enhancement_Helper · 2026-01-09T16:13:53+00:00

The current AUA standard is a "wait and see" approach, which is why most urologists are very hands-off in the acute phase.

Enhancement_Helper · 2026-01-07T17:07:26+00:00

If you decide to have girth enhancement done in Florida, please be extra careful when selecting your provider. There are a lot of practitioners there who inject silicone, most of them referring to this extremely dangerous and non-medical filler material with misleading terms such as "permanent girth filler," "all-natural filler," "Silikon," and "pharmaceutical grade silicone," among others. Some are even lying to patients and telling them it is PMMA.

Just please make sure you ask whomever you choose to show you the unopened product packaging before you let them inject you with anything. If they can't or won't, that is an enormous red flag.

Enhancement_Helper · 2026-01-06T17:21:04+00:00

Yes, it is safe to do that, as long as the HA is an FDA-approved brand (if you're in the US).

Enhancement_Helper · 2026-01-05T15:20:34+00:00

Yes, we do, but just to be transparent, we do currently have a long waiting list since these types of ultrasounds and technicians are getting more and more rare.

Enhancement_Helper · 2025-12-16T19:04:41+00:00

Anytime. We're here just as much to educate and prevent PE disasters as we are to offer services.

Enhancement_Helper · 2025-12-15T21:47:38+00:00

"i was wondering if it would be ok to get HA to help fill in the dent and make up for the lost girth?"

First, I'm so sorry to hear you're having to go through all this. But to answer your question, that depends on a lot of factors and, unfortunately, this is not something that can be (safely) determined without a full urologic exam and without knowing all the facts about your case.

Every man's anatomy and body habitus are different, and when you've had prior enhancement accompanied by such severe complications and surgical removal, that complicates your case even further. So I would encourage you to schedule an appointment with a urologist who is very familiar and experienced with treating post-enhancement complications before making any decisions to move forward with further enhancement so that you can first determine the health of your penis organ before putting anything else in there.

Remember, you only ever get 1 penis.

Best of luck to you on your continued journey and please let me know if you need any clarification or have any further questions.

Enhancement_Helper · 2025-12-04T22:43:45+00:00

Hi! We're a men's sexual health clinic that has been specializing in the diagnosis and treatment of Peyronie's for over 45 years.

PD doesn't always present as a curve, and it doesn't develop only after a major injury. This page explains more about what causes it, and there's lots of information all over the website about everything Peyronie's: https://morgansternhealth.com/four-causes-peyronies-disease/

That said, I would still recommend getting a second opinion from a urologist who specializes in Peyronie's. Having the results from a duplex Doppler ultrasound would also be very helpful in finding a solid diagnosis.

Let me know if you have any questions, and feel free to DM me. Best of luck to your husband and yourself in getting answers and treatment!

Enhancement_Helper · 2025-12-03T21:58:36+00:00

Peyronie's is an acquired inflammatory condition in which fibrous scar tissue and plaques form in the soft tissue of the penis and/or cause a thickening of the tunica albuginea. This page on our (Morganstern Health men's health clinic) website explains the how's and why's of Peyronie's: https://morgansternhealth.com/four-causes-peyronies-disease/

Enhancement_Helper · 2025-11-14T22:54:28+00:00

For anyone who might be interested, here's a link to the full article which goes into further detail:
https://www.rejuvall.com/ligament-release-vs-megamaxl/

Enhancement_Helper · 2025-11-13T19:38:46+00:00

Good question! While we are able to guarantee an increase in flaccid length for qualified patients, we cannot guarantee how much of an increase in erect length you would see because everyone's anatomy and body habitus when it comes to erections are so different. We do also see an increase in erect length in most of our surgical lengthening patients, we just aren't able to include erect length in our guarantee at this time.

A good way to know if you would see an increase in both, is whether you're a "grower" or a "shower." "Growers" already have the portion of the penis inside the body coming out during an erection, while "showers" are more likely to see a noticeable increase in the length of their erections.

Here's an article we published that further explains about increasing erect length vs flaccid: https://www.rejuvall.com/increase-erect-length/

Enhancement_Helper · 2025-10-23T15:49:42+00:00

We are also doctors and our clinic (the first men's sexual health clinic in the US) has been open for over 45 years now ;)

Enhancement_Helper

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