We have been approached repeatedly by prospective patients interested in girth enhancement with PCL (Ellansé).
Ellansé is a micro-sphere based soft tissue filler, just like PMMA (Linnea Safe) and CaHA (Radiesse); the three products have a couple of resemblances:
- Same micro-sphere size (between 25 and 50 microns)
- Same vehicle (carboxy-methylcellulose) that absorbs quickly leaving the microspheres in the tissues.
- Same grafting technique (whatever technique that your physician uses).
The differences between them are listed below:
- PMMA (Linnea Safe): Non-absorbable 40-micron microspheres of polymethylmethacrylate which form a permanent implant.
- PCL (Ellansé): Absorbale 25 to 50-micron microspheres of polycaprolactone with reported longevity of one to four years.
- CaHA (Radiesse): Absorbable 25 to 45-micron microspheres of calcium hydroxylapatite that offers the shortest longevity of the three.
Many patients opt for the non-absorbable products to avoid the up and down effectivity curves; some choose absorbable, which is a good idea since the body modification will reverse.
A good number of patients that like their results with temporary fillers, eventually move to non-absorbable PMMA to have a stable, finished and permanent result.
Ellansé is the new kid on the block. My best wishes, but I'm waiting to see if the manufacturer's reported longevity will be real; my skepticism comes from almost 30 years of history on soft tissue fillers showing that published results and clinical results are very different oftentimes.
Some of you have noticed the absence of a big player in this posting: Hyaluronic Acid (Juvederm Voluma)
The latest is a totally different soft tissue filler, a gel that remains like that in the tissues and absorbs in months. In my experience, the longevity of HA and CaHA are similar.
And how about the final clinical results when comparing the mentioned tissue fillers? (better said: "how is my penis going to look and feel at the end?"). Results are very similar; the penis will look good when the volume of the filler is moderate and will look terrible if the volume is exaggerated. My advice will always be to play safe and maintain normalcy; it's not just about the size... it's about shape as well.
Dr. Morales and I offer phalloplasty with the four fillers mentioned in this posting.