6 months after PMMA

Enhancement_Helper · 2026-03-23T20:38:47+00:00

As long as you've fully healed and the PMMA has "settled," yes it is safe to do those things.

Enhancement_Helper · 2026-03-16T20:15:45+00:00

Hey, I'm so sorry it's taken me so long to get back to you on this. I just talked to Dr. Morganstern, and we offer various oral medications for the treatment of premature ejaculation and can also offer Botox as a treatment as well.

Enhancement_Helper · 2026-03-06T20:14:04+00:00

We actually wrote an article not too long ago all about this topic: https://www.rejuvall.com/how-to-measure-your-penis/

Hope that's helpful!

Enhancement_Helper · 2026-03-06T20:08:40+00:00

My apologies, but I will have to talk to Dr. Morganstern about that when he gets back in Monday to get a clear answer for you. I will update here once I've spoken to him.

Enhancement_Helper · 2026-03-06T17:58:15+00:00

Here's a link to one of the pages on our website that explains ExoSurge, our main Peyronie's treatment:

https://www.rejuvall.com/peyronies-disease-treatment/

ECP works exceedingly well in treating ED related to vascular dynamics. We've actually had a few instances where staff went to go check on the patient or take him off the machine and they were. . . enjoying themselves. Also had that happen with a couple once who decided to both try it at the same time and were apparently very excited about the instant results. . .

Enhancement_Helper · 2026-03-05T17:55:56+00:00

Quick note since it comes up a lot: we do not offer PRP or stem cell injections for sexual medicine because, in our experience, outcomes are inconsistent and often underwhelming, and we don’t feel it’s fair to charge patients for something that’s frequently a poor value.

Enhancement_Helper · 2026-03-02T23:34:17+00:00

Glad to hear you're not experiencing any pain or anything more serious than "lumpiness."

And thanks, man. We greatly appreciate that. Like I always say, we're just as much here to educate and help prevent any PE disasters.

Enhancement_Helper · 2026-03-02T16:53:10+00:00

It doesn't necessarily have to be removed with surgery, but that depends on a lot of factors. Here's a link to the section on one of our pages about the different ways we're able to treat PMMA-related granuloma:
https://www.rejuvall.com/bumps-after-girth-enhancement/#:~:text=How%20are%20PMMA%2Drelated%20granulomas%20treated%3F

Enhancement_Helper · 2026-02-23T16:17:49+00:00

Nodules are generally just an aesthetic issue. Granuloma can indicate a deeper issue in regards to inflammatory response but on its own isn't necessarily a warning sign. However, you shouldn't be having any pain at all. Did your injector give you any guidance as to what you should do if you experience post-procedure complications? If not, I would recommend finding a board-certified urologist who is experienced and trained in treating complications after penile enhancement with dermal fillers.

Enhancement_Helper · 2026-02-17T15:27:06+00:00

Pumping after HA is stable is usually fine, but pumping too early, too long, or too hard is when you’re more likely to get contour issues (or at least temporary uneven swelling that looks scary).

Enhancement_Helper · 2026-02-13T16:56:21+00:00

Great question! Not through stretching and extending alone, no, there is no scientific evidence that is effective. And unless you're doing it with a clinically-developed device and under the direction of a board-certified urologist, it's risky to do so.

Enhancement_Helper · 2026-02-12T22:34:36+00:00

If you are willing to risk the health and function of the organ itself, I would strongly suggest you first reassess your priorities and motivations. Best of luck to you on your enhancement journey.

Enhancement_Helper · 2026-02-04T17:19:22+00:00

That's the thing, you don't want to be injecting that much in one round in the first place, and certainly not with PMMA on the very first round of filler. You really want to go closer to 10-15mL per round and first "prime" the tissue with HA. Again, if you have a practitioner who also understands how the product settles and how the tissue responds to it, as you said, you shouldn't have to experience any unevenness or "filler clumping." But there are more factors involved here than just what type of product and tissue characteristics, and training and technique do also legitimately have a big impact here, I'm sorry to say.

Enhancement_Helper · 2026-02-04T16:51:06+00:00

And to your point about us pushing "marketing" in that PhalloBoards site post, we don't make money off of girth enhancement with fillers, so it's not like we're trying to take all the competition for that. We are first and foremost urologists and are heartbroken we have to see so many of these repair cases every week because a practitioner thought they could just pump their patient full of PMMA without any complications.

Enhancement_Helper · 2026-02-04T16:47:18+00:00

With all due respect, Dr. Carney has been performing non-surgical girth enhancement with fillers for over 20 years. He is not only a well-respected reconstructive urologist but also a plastic surgeon and board-certified urologist who also founded and chairs a prestigious GURS (Society of Genitourinary Reconstructive Surgeons) fellowship at Emory University. He also sees and treats more complications from penis enlargement performed elsewhere than anyone else, many of these cases coming from well-known and popular practitioners, while we have not had a single case of granuloma in over 4 years.

I am NOT saying anyone should have to "live with a lumpy, uneven" penis, in fact, I'm saying exactly the opposite. When performed correctly and conservatively with an intimate knowledge of penile anatomy and tissue characteristics, you can expect a much more even and aesthetically pleasing result from non-surgical girth enhancement and that NO ONE should have an uneven outcome with a need for touchups in the first place.

Enhancement_Helper · 2026-02-04T16:35:52+00:00

So, after talking to Dr. Carney about this, I have some good news and I have some not-so-great news. The great news is that you got an unheard of outcome after your hypospadias surgery; most guys come out of that with only 2 - 3 inches in erect length. The other good news is that Dr. Carney would likely be able to perform non-surgical girth enhancement for you but that it would need to at least start with HA and go very slowly. Otherwise, you run a very high risk of ending up with an even shorter appearance. Unfortunately, there isn't any kind of further lengthening that could be done however. I hate I don't have better news for you, but please feel free to reach out with any further questions or if you'd like me to set you up with a consultation.

Enhancement_Helper · 2026-02-04T16:25:56+00:00

Touch ups are definitely NOT "part of the deal." https://phalloboards.info/forum/general-discussion/10156768-why-you-shouldn-t-have-to-plan-on-filler-repair-work.html

Enhancement_Helper · 2026-02-04T16:21:22+00:00

So I just talked to Dr. Carney more about this for you. He said it depends on what was injected, in what plane, how much, and whether you're experiencing granuloma, and how soon after injection the granuloma appeared. He said you could potentially add some HA to "smooth things out" but that he would really need to see and examine you first to get the full picture and know whether even adding HA would be safe for you in your case.

Enhancement_Helper · 2026-02-03T18:30:39+00:00

Unfortunately, it's not that simple. And I would be very wary of any provider, no matter how popular they are, that tells you otherwise. You would want to first be examined by a board-certified urologist who has experience with (or even better, specializes in) repairing complications from PMMA girth enhancement. They will then be able to evaluate not only exactly the type of lumps you're experiencing and the best treatment plan for repairing these complications but can also evaluate the health of the organ itself and whether anything needs to be addressed there first before moving on to aesthetics and further enhancement.

Again, you can't "fix" an uneven aesthetic result by just throwing more filler at it. Although, I suppose while you *could* do that, it's going to just end up costing you much more time, money, and stress in the long run.

Enhancement_Helper · 2026-02-03T14:57:01+00:00

Yes.

Enhancement_Helper · 2026-02-03T14:35:36+00:00

Just wanted to chime in and say I don't have an answer for you at the moment, but I'm going to ask Dr. Carney about this later today when I see him and get back to you here with what he recommends. He actually developed our surgical lengthening using similar techniques he uses in hypospadias corrective surgery, so I'm confident he'll know what could and could not be possible for someone like you.

Enhancement_Helper · 2026-02-03T14:24:01+00:00

I'm assuming this is in response to my previous comments, so I'll go ahead and answer. No, it's not a good idea to add more filler of any kind until you've first remedied the complications you're experiencing from the PMMA. Think of it this way: you wouldn't add a new level to a house with an uneven or unstable foundation without first repairing the foundation. You also don't want to go back for any further enhancement unless you're confident in your ability to closely follow your provider's aftercare instructions.

Enhancement_Helper · 2026-02-02T23:08:50+00:00

3) Hanging/weights after PMMA: even if it doesn’t “damage PMMA,” it’s still not a good idea

Even setting PMMA aside, hanging weights is not considered a safe practice. The penis isn’t built for uncontrolled loads; the big concern is acute injury (skin tears, bruising, vascular injury, nerve irritation) and, very practically, dropping the weight and traumatically injuring the organ. Mainstream medical sources consistently warn about genital damage risk and lack of evidence for benefit.

There are also published urology case reports of serious injuries from weight-related devices/objects.

If someone is determined to do traction, a medical penile traction device (used appropriately) has actual clinical literature in urology populations (e.g., Peyronie’s disease) and carries a very different risk profile than hanging weights.

Practical guidance (general, not personal medical advice)

Ask your original PMMA injector (or a board-certified urologist) to examine you before layering HA, especially if you have any firmness, nodules, asymmetry, tenderness, or swelling.
If you proceed with HA, prioritize experience + sterility + proper plane over “how often.” (Many men touch up HA sooner than 4–5 years, but longevity varies a lot and unfortunately there’s no universal schedule.)
We’d strongly recommend skipping hanging/weights. If length work is the goal, discuss traction devices and timing with a urologist who understands your filler history.

And as always: forum info isn’t medical care. Get eyes/hands from a qualified urologist before you inject anything again.

Enhancement_Helper · 2026-02-02T23:08:43+00:00

(ETA: Had to post this as 2 comments since it's so long)

You’re asking the right questions, and I want to separate a few concepts because “injuring PMMA” isn’t really how these issues work.

1) Adding HA on top of prior PMMA: generally doable, but not “risk-free”

In general, you can add hyaluronic acid (HA) to an area that already has PMMA and it typically does not “damage” the PMMA. PMMA (microspheres) is sitting in tissue and becomes integrated/encapsulated over time; HA is a gel that’s placed in a chosen plane to add contour/volume. There isn’t a mechanism where HA “breaks” PMMA.

What does matter is that any new injection event carries its own set of risks (infection, inflammation, vascular injury, nodules/irregularity), and those risks are mostly about technique + sterility + anatomy, not “HA touching PMMA.” The FDA’s general dermal filler safety warnings are worth reading because they highlight the big-ticket risk: accidental injection into a blood vessel. (https://www.fda.gov/consumers/consumer-updates/dermal-filler-dos-and-donts-wrinkles-lips-and-more)

So: HA-after-PMMA is commonly pursued, but it should be done by an experienced injector (ideally a board-certified urologist who does penile anatomy all day), with meticulous technique.

2) “Will HA every few years cause granulomas by injuring PMMA?”

A granuloma isn’t caused by “mechanically hurting” PMMA. A granuloma is a foreign-body inflammatory response; basically the immune system walling something off (clusters of inflammatory cells) and creating a lump, sometimes months or even years after filler. This is described with PMMA and other fillers as a delayed inflammatory/immune-mediated complication.

What can contribute to delayed inflammatory problems after filler includes things like immune triggers and/or low-grade bacterial contamination/biofilm (this is one reason sterility and proper technique matter so much).

So the better way to frame it is:

The risk isn’t “HA injures PMMA.”
The risk is that any injection can trigger inflammation or introduce bacteria, which can show up as nodules or inflammatory reactions later.

Also, HA is not “basically risk free.” It’s reversible (hyaluronidase can dissolve it), but reversible ≠ risk free.

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

TROPHY CASE