Hyaluronic Acid Phalloplasty
Dr Kim says:
One of my materials of choice for injection phalloplasty are Hyaluronic Acid (HA) derivatives.
It is also one of the most popular penis enlargement procedure for Korean men in Seoul. Why? One big reason: it is relatively painless.
Postoperative pain after open surgery will last for one month during erection of the penis.
Pain during erections while healing after open surgery, unlike injection enhancement, is normal — be prepared for it in advance.
HA, also called hyaluronan, is a naturally occurring carbohydrate polymer already in your epithelial, neural and connective tissues (cartilage) and eyes (vitreous humor).
It is often used in skin care products such as anti-aging creams and other face products.
It is also used for dermal fillers in procedures such as lips augmentation, breast augmentation and as wrinkle filler.
Penis enlargement phalloplasty using hyaluronic acid injections provides quick results and is a good value investment. It is a safe, minimally-invasive, repeatable outpatient procedure done under local anesthesia.
In Korea, about 80% of penile girth enhancement procedures are done using injectable materials like hyaluronic filler instead of open surgery.
More than 20 Korean companies produce HA filler materials.
There are dozens of hyaluronic acid filler products in the Korean market with various particle sizes and durability.
A couple of decades ago, the strongest in the market was Restylane from Sweden. Currently, domestic products command the top positions because they are better, more affordable and more precisely matched to specific uses.
Different particle sizes, elasticity and viscosity are advisable for different parts of the human body. For fine wrinkles, the small size is better. For deep wrinkles, the bigger size is better. For penile enlargement or breast augmentations, the biggest particle size and greatest viscosity is the best choice.
Viscosity means the ability of the HA molecules to pass each other which is affected by the size and weight of the particles. Elasticity measures the bond stength of the hyaluronic acid — how much it can stretch, expand and contract under stress without breaking.
Why is Hyaluronic Acid substantially more affordable in Korea than other countries? Is Korean HA inferior in some way? Will it degrade faster than the very expensive HA from a local doctor in your country?
In addition to the fact that the price of a product varies depending on location of it sale and level of freedom of access to a market, intense competition in the Korean market has pushed the price of HA down. Domestic products are available for very reasonable prices with customized products for extremely specific uses.
More than US$80 million worth of HA filler is sold in South Korea each year so Dr Kim is extremely experienced with it's use and knows which biotech product gets the best result, lasts the longest for penis enlargement, and will give you the best return on your investment.
Dr Kim says:
The important consideration during selection of filler material is HA particle size. I usually select bigger particle size for penile augmentations, because I prefer long term volume maintenance. For the longest volume maintenance, in 2018 I usually use “Cutegel ULTRA” from BNC Korea because of its particle size. More than 50% of injected volume will remain after five (5) years. The reason for selection of a material is its quality only in the hands of experienced physician. Fame and respect is much important than small benefits in the long term.
Study the video guide below to easily and accurately calculate girth gain resulting from any amount of injected filler — if the penile shaft length is carefully and correctly measured.
MilliLITERS are not milliMETERS. They are an absolute measure of volume, not distance. The absolute volume of HA is irrelevant to the amount of blood in a penis at any given moment. The filler volume does not vary depending on flaccid or erect state.
Cost of penile girth enhancement using HA:
- 20 ml US$2500
- 25 ml US$3000
- 30 ml US$3500
- 35 ml US$4000
- 40 ml US$4500
Prices include Dr Kim's surgical fee/technical fee. Compare that to US$6500 in the USA which comes with a disclaimer that you should plan to come back and get revisions.
If you need those supplemental revisions because of “asymmetries or unevenness” (ugly shape) and you also have the misfortune of the American doctor hitting you with a US$500 “surcharge”, real cost will be US$8900.
Dr Kim never injects fillers into the corpora cavernosa.
Canula are always used.
Injections for volume enhancement must always be done very precisely between the Dartos and Buck's fascia over the neurovascular bundle.
For that reason, the chance of trauma to lower layers in the penis is almost zero.
Hyaluronic acid injections are safe.
Stresses and risks are low.
It has been USA FDA approved for over a decade.
What are possible side effects of HA injections?
The most common side-effects of hyaluronic acid injections are pain and redness at the injection site.
It produces no severe adverse reactions if administered by an extremely well-qualified and experienced surgeon, such as Dr Kim. However, “acute hypo-tensive reactions after intravascular injection of lidocaine” is possible if the doctor is inexperienced, unskillful, or poorly-trained.
Hyaluronic acid interacts negatively with Vitamin E, anti-inflammatory drugs, St John's Wort and aspirin, possibly causing bleeding and bruising. Do not take those before, during and after penis enlargement using HA.
The bond between HA particles is destroyed by the enzyme hyaluronidase.
Dr Kim says:
Another possible immediate side-effect could be an allergic reaction, which can be handled my anti-histamines and local low-dosage steroid injections.
Possible delayed side effects would be eccentric or asymmetrical placement of HA fillers. It can be prevented by manual massages during the pre-fixation period of two (2) weeks after treatment and managed in the long-term by tumescence injection and redistribution of eccentrically located HA fillers.
How much downtime should be expected after hyaluronic acid injections for penis enlargement?
Patients can resume exercising two days after HA injections. Refrain from masturbating for two weeks and abstain from sex for four weeks. Otherwise, HA treatment requires no significant change in lifestyle.
Hyaluronic acid injections increase penis size by adding volume to the penile tissues. It is naturally integrated into the tissue and will undergo isovolumic degradation in the long term.
In the past, using previous varieties of HA, degradation was approximately 4% per month. With Cutegel ULTRA® it now as low as 0.83%
It takes about 40 ml of HA (or other filler) for a noticeable increase in the volume of a 6-7 inch penis.
It is possible to get a perceptible increase in the volume of a 4-inch penis with only 20 ml.
In absolute terms, the penis volume increases in direct relation to the volume of filler.
How permanent is penis enlargement using Hyaluronic Acid?
Note: nothing about your body is “permanent”. Every part changes over time. We define “permanent” as a result that changes very little over a very long period of time such as enhancement by MegaFill.
We define “temporary” as a procedure such as Cutegel ULTRA HA which will undergo a volume decrease of about 50% over a few years.
Older and less specialized varieties of HA were absorbed faster with less “permanent” gain — not more than 39% of the original HA volume.
Cutegel ULTRA hyaluronic acid was specifically created for penis enlargement. It is more durable, resulting in retention of about 50% (or more) of injected HA volume.
All HA is NOT the same. It varies tremendously by brand and manufacturer. And a manufacturer can market as many as seven varieties of their own hyaluronic acid, each for a very specific medical purpose.
Many men consider a 50% volume increase to be an acceptable amount of cumulative and “permanent” gain. You never go back to the starting point.
Dr Kim explains:
After injection of HA filler, the human body makes micro-capsules (microfibrosis) around HA filler particles. That is the reason HA filler material maintains its volume within a couple of years and does NOT completely degrade after some initial volume decrease.
Since the start of 2018, Dr Kim has used Cutegel ULTRA from BNC Korea more than Ultra Volume Butyris. His current professional medical opinion is that Medical Device Class IV Korean FDA approved Cutegel ULTRA has the most appropriate viscosity and elasticity and is the only “cross-linked” filler, making it the best brand and type of hyaluronic acid (HA) for penis enlargement by injection. Cross-linked HA lasts longer and gives greater patient satisfaction. It is administered using a 23G cannula.
But Dr Kim is flexible and pragmatic. If you think you know better than him, you can specify the HA to be used such as Juvederm Voluma
These special varieties are highly purified forms of HA produced by microbial fermentation to minimize immune and inflammatory responses. Only large-particle size HA is appropriate for penis enlargement.
The result of penis enlargement using Hyaluronic Acid filler is slightly softer than the tissue created using a MegaFill scaffold.
Is there a maximum amount of HA that can be injected in one session?
Dr Kim explains:
It depends on penis size.
Hypothetically speaking and for example: if penis length is 13 cm and the girth is 11 cm, the patient can receive about 40 ml maximum. If penis length is 16 cm and girth is 12 cm, the patient can receive about 50-60 ml maximum.
Maximum thickness of HA injected into the penis is 5 ml.
So it depends on the available area over which the HA can be injected, excluding the glans (3-4 cm2) and urethral area (3 cm2). We can only roughly estimate because glans size varies from person to person.
There can be no second injection session for at least two weeks.
The doctor recommends patients getting HA injections remain in Korea a week or so for regular medical examinations which are free.
Dr Kim is obsessed with patient safety, providing good aftercare, and giving patients recommendations that are in their best interests. But patient compliance with the doctor's professional medical advice and recommendations is always voluntary. Patients are free to disregard the suggestions of Dr Kim and take personal responsibility for the results of their choices, such as quickly leaving Seoul instead of staying for the recommended period of observation by the doctor.