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Dr Oates
number22 wrote:
Hello Dr. Oates. I'd like to ask about the effect on erect size with HA. I can imagine a significant enough effect on flaccid size, but is there a significant effect on erect size also, or does the HA spread too thinly to make anything noticeable? Is HA another 'locker-room phalloplaster' and mainly for flaccid show?

Is it possible to guesstimate the increase in diameter/circumference when erect? (i.e. when the penis is erect, not the guesstimator). For example, a normal size penis (mine!) of 6.5 x 5 ... would 10 ccs increase the erect girth to any significant degree?

Also (if you don't mind!): it's interesting that you inject HA into an erect penis. Why do you do this please? Other doctors not doing this do you put down to everyone sort of winging it in these early days and seeing what turns out best? 

Cheers, Doc!


Hi 22,

My initial feeling was that injecting HA was more of a locker room procedure - but patients report their partners definitely notice a difference. One guy had some rods/balls inserted under the skin previously and wanted them out after HA injection because his partner no longer could accommodate him.
10 ml, on a regular size penis would usually give 0.5 - 0.75 of an inch increase in circumference.

I started of not using Caverject for an erect penis to inject. I found sometimes a guy with lots of shrinkage it was hard to spread the product along the full length of the shaft. Also it is slightly easier to get it smooth and even over all the shaft when erect.
One reason i did not use Caverject originally was that I did not know anything about it and thought I would keep it simple to start with. I think it is OK to do it that way, but not as good.

Regards,


What ever you do, make sure it is safe.

Google calibreclinic

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Dr Oates
growely wrote:
I would like to ask, if being circumcised important for injecting HA?


Growely,

Being circumcised I find easier to know where to stop going towards the end, but it is not such a big deal since we started using Caverject.
What ever you do, make sure it is safe.

Google calibreclinic

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hoddle10
@ Dr Oates,

Could you briefly outline some of the possible complications that could occur with HA, even when using a micro cannula? Basically what are the risks, other than a poor aesthetic outcome? Having actually felt a micro cannula, I'm struggling to really see what could go wrong, but at the same time, I'm aware there are usually possible complications that we as potential patients don't really think of.

Thanks
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Toolman
Doc Oates-
Have you tried to use a very flexible silicone sleeve after the procedure to keep the shaft extended for a few days?   Silicone sleeve.JPG 
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neverendingjourney
I wish Dr. C would consider using Caverject.  Many of my problems are much more visible in an erect state.  Has anyone asked about this possibility?
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jogift
Wish Dr Oates was not so far away in Australia ...
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Dr Oates
Hi Toolman,

No we have never used a silicone sleeve and not sure if we have really seen the need too. But maybe it is a good idea. Not sure where to get something like that either.

Regards
What ever you do, make sure it is safe.

Google calibreclinic

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Dr Oates
hoddle10 wrote:
@ Dr Oates,

Could you briefly outline some of the possible complications that could occur with HA, even when using a micro cannula? Basically what are the risks, other than a poor aesthetic outcome? Having actually felt a micro cannula, I'm struggling to really see what could go wrong, but at the same time, I'm aware there are usually possible complications that we as potential patients don't really think of.

Thanks

Hi Hoodle10,

The most common is to get a small temporary bruise. We have had 1 guy who had swelling and movement of the product and have had to dissolve some of the HA.

The advantage off the microcannula (it is still 70 - 90mm long, just thin) is reduced chance to get obstruction of a vital structure. Those being the dorsal penile artery and the urethra. Both of these are deeper structures so difficult (but maybe not impossible) structures to get too with a cannula.

There are occasional inflammatory reactions to even HA fillers. More common in people with autoimmune diseases - which are more common in women.

Again the big advantage of HA is the ability to dissolve it if you need too, so even if it is a rare problem there is a quick way of dealing with it.
What ever you do, make sure it is safe.

Google calibreclinic

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sexy beast
hi there Dr. Oates,
my question is do u have a a video of your HA procedure, my wife is a physician(practicing over 20 years, 15 of those with injectables) and we have been utilizing PRP the last year or so and have seen some great results with it. we have seen some of the other videos out there and to say at best, they were poorly managed. i would like to c if the combo can make a big difference.
PRP in conjunction with pumping is great for rejuvenation but only has a small increase in size. 
thank u...
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Dr Oates
sexbeast wrote:
hi there Dr. Oates,
my question is do u have a a video of your HA procedure, my wife is a physician(practicing over 20 years, 15 of those with injectables) and we have been utilizing PRP the last year or so and have seen some great results with it. we have seen some of the other videos out there and to say at best, they were poorly managed. i would like to c if the combo can make a big difference.
PRP in conjunction with pumping is great for rejuvenation but only has a small increase in size. 
thank u...


Hi Sexbeast,

We have recently taken a video and will probably soon have it on YouTube and one of our websites - http://www.academylaserclinics.com.au

We have also considered doing training courses - I have a history in training and my wife runs the largest truing organisation for therapists/nurses and doctors of cosmetic procedures such as IPL/lasers/injections in Australia. There is a bit more to it than what might be seen in a 2 minute video.

We have considered using PRP but it seems to be of more benefit for the quality of erection rather than increase in size.

Regards
What ever you do, make sure it is safe.

Google calibreclinic

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Konino
Dr qates why are you not answering pm?
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smalljay
Hi Dr. Oates,

I'm sorry if somebody has asked you this before, but what specific type of HA do you prefer to use on the glans? (Juvederm XC, Juvederm Ultra, Voluma, Restalyne, etc etc etc?)

And what is your technique aka where are the injection points and how deep do you insert the needle, typical # of cc's?

Finally I was wondering if you have had any cases of necrosis from HA to the glans so far that you know of?
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Toolman
Dr Oates wrote:
Hi Toolman,

No we have never used a silicone sleeve and not sure if we have really seen the need too. But maybe it is a good idea. Not sure where to get something like that either.

Regards


AB Silicone has some that are white, and between the yellow and blue ridgetity from Autoextender.  But I've found Autoextender to have better ones as they have three different levels of hardness.  The photo shows the softest kind, yellow.  The blue is the middle rigidity, while the red is the most ridged.
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Herbert West

Hi Dr. Oates!

How many cc's of HA is needed to gain 1.5" if starting girth is about 4.5" (goal is 6") and erect length is about 7" to 7.5"?

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Dexterphall
How long does HA last?
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