Gatit

Hi Guys!

I’ve had Voluma injected for the last 5 years now. At first I was thrilled but then with time the squishy side of it got me to the point that I started to not liking it so much. 

we all talked about it the more harder you get with Voluma the more noticeable to the touch it is.

About 2 months ago I got injected 2 cc’s of Ellanse M. it was injected with a cannula closer to the shaft as possible.

In the past my Voluma touch ups were injected within the Voluma that I already have rather than under it closer to the shaft bone. 

And I can report that I’m very very impressed with Ellanse M.

When you are not hard it is soft but when you get hard it gets hard!

something that I haven’t experienced for a long time, Years!

I now have about 6 cc of Ellanse strategically placed, at the base and a
little in the middle.

Mind you I’m what you would call « overfilled with Voluma »

My questions is:

Can Ellanse M be injected up to the glans? Meaning closer to the glans?

my experience will Voluma is that it created a thick foreskin over time. And I’m originally cut.

Volbella has been used for that area since it happened and it is much better.

Ellanse M can not be reversed so I prefer to be cautious.

Ellanse M is thick and hard, can it still be injected closer to the glans? 

For the guys that have had more than 10 cc did you get it close to the glans or did the doctor use something else?

Any guys in NYC had Ellanse done? I would love to compare the results.

 

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OmeGa 5 705
@Gatit Can you confirm how much HA you originally had again? I remember you saying you had 40CCs; so you had Ellanse layered on top of the existing HA? I'm assuming you mean you mostly had Voluma but then Volbella towards the top mear the glans? 

Did the doc express any concerns about mixing Ellanse and HA? (eg, the HA will dissolve sooner and your penis maybe be lumpy because of the uneven absorption ?) 

Very interested in Ellanse as I have similar concerns about HA squishiness, though I'm likely not as dissatisfied as you are (would never go back to.my original size if I have a choice)
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think
You need to be careful getting too close to the glans. Doctor Carney found this out early on, and now tapers away from the glans. The area around the circ scar can be prone to swelling (guys with pmma also experienced this), and you can have too much migration into that area. 
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think
I was an early ellanse patient, and this did happen to me, despite excellent adherence to the after care routine. I was lucky because unrelated to ellanse, I had doctor Carney remove a bulging vein right in that area and he removed the small amount of ellanse that migrated there along with the vein. 
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Gatit

OmeGa 5 705 wrote:
@Gatit Can you confirm how much HA you originally had again? I remember you saying you had 40CCs; so you had Ellanse layered on top of the existing HA? I'm assuming you mean you mostly had Voluma but then Volbella towards the top mear the glans? 

Did the doc express any concerns about mixing Ellanse and HA? (eg, the HA will dissolve sooner and your penis maybe be lumpy because of the uneven absorption ?) 

Very interested in Ellanse as I have similar concerns about HA squishiness, though I'm likely not as dissatisfied as you are (would never go back to.my original size if I have a choice)


yes over the years I had 40 + cc injected. Building a solid base (the base of the shaft) takes lots of cc’s. 

Those are not necessary visible to the eyes but to the touch yes. You don’t want a gap where the base of the shaft meets the testicules. And to perfect this area it requires a lot. Not injecting there could be a giveaway. 

Last june I was missing some Voluma next to the glans, this is when the Doc said that Volbella would be perfect for that area so he injected 4 cc.

I have had 6 cc of Ellanse placed under the Voluma sticking to the bone shaft, done in two times a month apart. 

from what I understood layering it within the Voluma wouldn’t have been beneficial. 

So the doc that injected me went under the layer of Voluma to place Ellanse on the shaft as close as possible to the bone.

Ellanse says that they do not recommend mixing their filler with other fillers but the doctor said that there won’t be any issue. And he was right.

What is very strange is the following:

I had lot of Voluma, very squishy like I mentioned before.

Adding Ellanse diminished the squishyness without adding volume.

in other words, my shaft feels less squishy now, and hard where Ellanse was injected. 

I aslo would like to point out that possible cosmetic irregularities from Ellanse have been concealed by the Voluma on top of it. To the touch I don’t feel irregularities other than could be shaft bone or veins, but it’s Ellanse.

And like you, even if It was squishy I would never go back to my original size. 

 

 

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Gatit

think wrote:
I was an early ellanse patient, and this did happen to me, despite excellent adherence to the after care routine. I was lucky because unrelated to ellanse, I had doctor Carney remove a bulging vein right in that area and he removed the small amount of ellanse that migrated there along with the vein. 



Thank you for your input. I experienced lots of swelling even at the base for 2 to 3 days. 

Being a non dissolvable filler my doctor was not confortable injecting closer to the glans. 

But I had a dent about 1 inch away from the glans and he used a tiny bit of Ellanse to the area and I like the result and firmness. 

 

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Gatit

When I said:

« Adding Ellanse diminished the squishyness without adding volume »

Ellanse made it that now I feel that my own shaft is thicker under the Voluma. 

So it definitely added volume but no squishy volume. 

Does that make sense? 😂  

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think
Gatit wrote:

When I said:

« Adding Ellanse diminished the squishyness without adding volume »

Ellanse made it that now I feel that my own shaft is thicker under the Voluma. 

So it definitely added volume but no squishy volume. 

Does that make sense? 😂  


I was amazed at how natural ellanse felt in both flaccid and erect states. Like it's not there, and especially rock hard when erect which is most important. 
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Gatit

@think Exactly! And honestly I really thought that PMMA would have been the only avenue left for me. 

I contacted Dr C. About two years ago with a photo. They replied to me saying that I would need to dissolve everything I had in order to get PMMA which I understand. But I was not ready for it. 


have you had any other fillers injected before Ellanse? 

I forgot to mention that I also tried the new Juvederm filler called Volux (FDA approved for the chin). I’ve had high expectations but It’s identical to Voluma. I only had 2 cc’s and it’s super squishy like Voluma 

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think
@Gatit, no I never tried anything else and had no desire to try HA. Initially the thought was tempting, but I just could not stand the idea of spending that much $$$ on something that had potential to be "squishy".
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Bloke
I am considering ellanse over the coming months, although does ellanse come with the same risks as PMMA??  As their are some really concerning stories on here from PMMA..... Are they a similar product? What seperates them with regard to their make up and risk factors / issues listed on this site??
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OmeGa 5 705
@Gatit Thank you for the informative reply! Your response regarding injecting the Ellanse underneath (near the shaftbone) the Voluma is very intriguing. Perhaps this combination of Voluma and Ellanse could be a technique used to "mask" imperfections with Ellanse (not sure what @Androfill thinks about this). I understand you said that that the Ellanse is not squishy while adding volume, but would you say that overall you are firmer now than before? 

So, let's say a naturally hard penis is 100% firm, a penis with Voluma is maybe 75% firm, your penis with Voluma and Ellanse is now above 75% firm, or remains at 75% firm? 

In my case, I am considering dissolving part of my Voluma (maybe the equivalent of 3ccs Voluma), because it really does feel overly squishy (particularly towards the bottom near the base), and then just adding Ellanse to add back the volume and even more. To be bigger and have a firmer feel. I was also considering Teosyal Ultra Deep, as its supposedly the hardest HA there is. I definitely think the upper limit of adding Voluma HA (could be different with others) to a penis is approx 0.8~1".Right now I'm roughly 4.9" near glans to 5.5~5.7 near base (getting bigger from top of oenis to bottom).  I started at 4.3~4.5" girth, and so the part of my penis that is now 5.5~5.7 (idk, sometimes I just measure wrongly) does feel a bit "clumped up" with material, if that description makes any sense, but the part that is like 5.3" still feels OK. I am aiming for between 5.5" (near glans) to 6" girth (base) no matter what. 

Are you considering adding more Ellanse or replacing some of the HA with Ellanse at all? 
What are your pre and post stats? Which doctor did you go to? 
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Skeptical One
Bloke wrote:
I am considering ellanse over the coming months, although does ellanse come with the same risks as PMMA??  As their are some really concerning stories on here from PMMA..... Are they a similar product? What seperates them with regard to their make up and risk factors / issues listed on this site??


Ellanse produces collagen (and thus girth) by a similar (if not identical) physiological mechanism. So in theory, complications that can arise from PMMA could conceivably arise in Ellanse. The only key difference is that Ellanse will eventually dissipate (whether that complication will dissipate with it, I don't know).

I think it's important that you seek out a skilled & experienced practitioner who is using authentic product (you can ask to check box/seal/serial#/etc) to get both the best results and minimize complications.

"Risks and complications" are also relative. If you look at phalloplasty as a whole, you'll see that "major complications" are historically resistant-infections, severe scarring, length retraction (which is likely caused by the scarring), loss of sensation or erectile function due to nerve damage, necrosis and loss of significant penile shaft skin, implant protrusions, and stuff you would lose your dinner over if I posted some pics. Dermal fillers on the other hand (assuming medical grade product injected by a skilled & experienced doctor) seldom (if ever) deal with complications as severe as the ones I listed. Sure, improper sterilization, not taking antibiotics after the procedure, hiring a back alley injector, being lied to and filled with silicone, all can potentially have the aforementioned complications... but when in the care of an expert, there is no equal to dermal fillers when it comes to their efficacy and consistency.

I've been following the dermal filler scene for nearly a decade and the fiercest complication I've seen are foreign body granulomas (FBGs), while a serious matter, isn't necessarily penis-ending or life-threatening. There have been cases on the forum of men who've reported discomfort, pain, hardening of some nodules and lumps who ultimately opted for removal of PMMA. I was not in their shoes so I cannot know the impact it had on their overall health and wont pretend to know because what is done is done. I make sure to cite this because there is no reason for me to withhold the fact that a handful of members here have been so dissatisfied or adversely affected by their situation that they went the extra step and got it removed. I also wanted to cite these cases to point out that despite the instances of adverse reactions, no one till this day has reported complications as severe as the ones I listed above that was directly attributed to a medical-grade dermal filler (of the likes commonly discussed on the forum). That's an important distinction, it tells us that the field of phalloplasty is in-fact improving and evolving.

A good rule of thumb is if you aren't at risk for losing shaft skin, at risk for disfigurement (e.g. peyronie's), or in constant and/or severe pain, that you ought to take a step back, breathe, and explore less invasive treatment options. De-gloving & removal should be a last resort for a couple of reasons. Firstly, given the infrequency of complications and the rarity (perhaps total absence) of the severe complications I listed above, you may end up finding that giving it time and/or seeking out a prescribed treatment plan by your performing physician could end up being all that is necessary. Secondly, the very nature of de-gloving and tissue/product removal in it of itself presents a whole host of things that could go wrong during surgery; the reason you want this to be your last "nuclear" option is that whatever you're dealing with from a bad reaction to a dermal filler isn't nearly as severe as the nature of complications that accompany full-blown surgery. This is why it's crucial to exhaust all treatment options before making any hasty decisions.

Not to downplay anyone's tribulations, the vast majority of guys who've got work done via dermal filler (HA, PMMA, Ellanse, etc) post less and less as the years go on because they're generally happy and move on with life. All you need to do is go to the Progress Reports section, and if you have the time, flip page by page, maybe skip a few and go to 2017, 2016, and further back. You'll see by & large generally successful work being performed. Of course no procedure is without risk, but if you're set on getting girth enhancement, have it performed by only the very best in the field via the dermal filler that best suits your outlook. The ONLY surgical option I'd recommend if someone was opposed to fillers would be a dermal matrix graft (not stacked or layered!) implanted by an experienced plastic surgeon one time.

I generally don't advocate penis enlargement for men who are average or above-average, but going 8+ years with PMMA inside of me with zero instance of complication, I'm becoming more open & comfortable recommending to men on the average side who are in a good place in their lives, in a healthy state of mind. This is no hate to the hung brothers of PhalloBoards, I don't judge ya even if I don't get it haha.

If Ellanse was available to me when I got PMMA 8+ years ago, and cost wasn't an issue, I probably would have opted for Ellanse first. I would have test driven it for the 3 to 4 years it's supposed to last while assessing everything from how it felt flaccid & erect, if partners ever noticed, and if any improvements were made in my sex life and/or confidence. If they were all check marks (which I believe they would have been), I would have switched to PMMA, especially since by then the forum consensus would have had made a strong case for its efficacy.

Ellanse, Radiesse, PMMA, HA, all thumbs up from me. Some have their nuances, pros & cons, but are relatively safe and abundantly reviewed for girth enhancement.

Good luck!


PSA: There are brands of dermal fillers (NOT associated with medical-grade PMMA, PCL, CaHA, or HA) and volume fillers that have shown to possess troubling issues. Among them, the most dangerous "popular" filler is silicone and I can't begin to stress the importance of staying far away! ANYTHING silicone for the purposes of penis enlargement should be avoided (e.g. silicone oil, gel, rigid or semi-rigid implants, etc). Silicone devices used for erectile dysfunction is a completely different matter and doesn't pertain to aesthetic medicine.

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Bloke
Thanks for your response skeptical one. I appreciate your time.
Has there been any severe outcomes from ellanse described on this forum other than nodules???
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think
Bloke wrote:
Has there been any severe outcomes from ellanse described on this forum other than nodules???

Technically a granuloma, but definitely not severe:

https://phalloboards.websitetoolbox.com/post/ellanse-in-the-uk-9784646?pid=1310107740
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