aleksk
So, some of you may remember I have been researching Ellanse due to his properties:

- very long lasting - up to 4 years
- does not gradually dissolve as HA
- relatively less expensive and given it's longevity, much less expensive (even if you go for the 2 year version)
- biostimulator as well as voluminizer 
- everyone agrees it's safe, safe and safe (no negative doctor's opinion found), backed up with some solid research and approved in counties with strict approval processes (Switzerland, Sweden etc)
- a very experienced European doctor in an interview (NOT PE related) says it comes out VERY smoothly and it's firm compared to other fillers (it's popular for example in cases where they need to imitate bone, like jaw angles). 

Anyway, after being told they do use it in Dermavanti, and getting a quote, I tried to get some more information. I only found one doctor online (in Mexico) who writes about it and claims experience. His web site is bi-lingual, but the English version does not mention it.

I wonder what his technique is and whether he uses cannula. He claims he injects it in glans as well as penis body and has seen excellent results. He says he is a pioneer in this field (and he might as well be, as I haven't found anyone else writing about this). 

Naturally, I've written him (I'm fluent in Spanish) with many questions but he hasn't answered in almost a week. I just followed up again with an email. If he answers, I'll post his answers here. 

In the meantime, if you find any information about Ellanse, post it here. It's likely to be in languages other than English, so those of you who speak Portuguese, German, Italian, Russian etc. - please perform google search and let me know if you find something interesting. 

I am considering this option obviously due to the properties and longevity of the filler. I think given that everyone says it's safe, maybe a small quantity could produce aesthetically good result, as it comes out smoothly but yet it's firm. Also, imagine having a long lasting and safe result.  

If you write to Dr Casavantes, the Dr below or any other doctor about this - and I encourage that you do if you're interested in non-PMMA fillers - and find out more, please let me know. I'll share everything I find out. Don't let me fight this battle alone if I am going to be the first one who gets this filler and reports on it. 
 
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aleksk
Sorry I forgot the link
http://www.cirugiaesteticaguadalajara.com.mx/genitales/faloplastia/
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Herbert West
Main question: Ellanse available since 2008 (or even earlier), when European FDA approved it, why there's no reports about European doc's who use this product for PE?
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aleksk
If you're a European, you would know the answer to this question. European culture among medical professionals is different. The doctors tend to be very conservative and protocol oriented - this is especially true of German doctors. If they want to try something like Ellanse for PE, they would probably run a proper research project (very unlikely scenario unfortunately). Those who are braver and venture in something like using fillers for PE will NOT write about it for the simple reason that they are too smart for that - no filler has been approved for PE and it's use for this purpose is strictly off-label. They are cautious about what they write online and rightly so because they may be held liable, repudiated or ostracized by their peers, maybe even looked down on conferences because they will be seen as opportunists trying to make quick money.  

So, the fact that you haven't seen a report does not mean that it's not being done. There may be thousands of men who have fillers like HA injected in their penis EVERY DAY, but where are the reports? This board is the only one that has a little information about this and even less first hand experiences. That doesn't mean that thousands are not doing it every day around the world. 

I haven't seen a first hand account from a single Australian about HA and yet we know it's being done in Australia. Dr Oates is the only one who wrote about it on his web site, and he may be one of the braver, more innovative types. One out of hundreds. 

Valuable information is often unfortunately not always found online. It's sometimes word of mouth. You need to know the right people who know the right people in Europe. You are unlikely to read about it online any time soon. 
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jogift
hunkydory started looking into ellanse some months back but there was no follow-up. This thread has started - also no follow-up or no interest?
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aleksk
So the Mexican doctor I referred to stopped using Ellanse because of the high cost: he says Ellanse was never available for sale in Mexico after the initial promotional period and he couldn't continue to offer it at a reasonable price. 

He uses now Belotero. He offers quantities starting from 8cc for 30,000. He injects 8-12 cc per session. This is a very good price. It's so good it's exciting and it gives me hope that there are option out there even for people like me who are not rich. I'm starting to see it as an option already. Finally I found someone who offers high quality product at a reasonable price. I am sure there are many others - we just have to do the effort to find them. He guarantees the integrity of the product (told me would open in front of you). He also says if I visit him he can show me many before and afters. 

Anyone who has had Belotero on this board or anyone else you know? Belotero has all the advantages of any other HA filler -- you can dissolve it and if you have any issues they are over in 48 hours and you can move on with your life. If you are happy you got a safe girth enhancement for a good price. They also say it lasts long. 

Anyone geographically close to this doctor who can see him for an appointment and see before and afters? I checked the return flight from LA is quite cheap. 



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aleksk
I also should have said that the quoted price is about $1,500
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hoddle10
Belotero lasts about half as long as Voluma from what I understand.

I know 2 guys who had it. Both are/were members here. One had a great result, the other wasn't happy.

I've got to be honest mate, I just don't see how its economically better for you than staying in Australia. I know you are going to the US anyway, but isn't that a one off thing. I suspect Belotero will need refills every 9 months. Once you've factored in the cost of fights and accommodation, I just can't see how it's going to prove to be economically better.

Do you mind me asking how old you are?
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aleksk
I don't know anyone in the 5 million city I live in who does this. And I've done my research, including taking to a top injector who confirmed this. I've heard about someone in Sydney, but I'm not going to run to the first one I find and spend hard earned 5k for a temporary result. As I said, no account from a real person whatsoever about how good any of them may be. You and I have both seen some rather unfortunate results from ha.

I fly to Europe every year without exception. It's perfectly viable for me to go to one of the Spanish or italian docs or even N who confirmed she does ha. I'll still be 2 to 3k better off and get the experience that comes with the price.

For my first time in a few weeks, I'm already flying to California for other business. Wouldn't you in that case go to someone like Casavantes rather than someone completely unknown in Sydney?
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hoddle10
To what extent is anyone "known" for injecting HA?

Of the HA results you've read about, how many were happy with even 2 sessions?

To some extent you are going to be a Guinea Pig no matter where you go. We just don't have that many results to fall back on. Other than the Spanish guy are there any erect HA photos on the forum? A friend of mine showed me a photo of his HA tonight and it looked phenomenal, but he'd had several procedures to achieve that look. Yet just 2 days ago another friend, who was injected by the same person dissolved his result. Basically at the moment results seem unpredictable and even successful results require a few sessions. So is it, at this stage a procedure you want to do on a budget and far from home?

I know you are really keen to get something done, but if I only had to offer one piece of advice that I've learned after several PE disasters, it's to be patient. It's very hard advice to take as for many of us we feel as if penis size issues are virtually consuming us from the inside and therefore the desire to "deal" with it is huge. But is waiting another year to see how things pan out in Aus really the end of the world? I'm not advising you not to go ahead, it's just food for thought.
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aleksk
Yes I appreciate your advice but multiple top ups are not an option in any case. I'm not gonna spend 7 or 8k on a temporary result that will last a year. Things in Aus are not going to change for the better. It's an extremely isolated and uncompetitive market.

Patience is a great advice but I don't see things changing. If new fillers come on the market great. If not, that's why I'm opting for Ha. Live with imperfect results for one year or dissolve it right away if it doesn't turn all right. I honestly think I'm rational about this, 100 times more than people who go for pmma.

With a small quantity and an experienced injector, that result we saw from the Spanish guy is probably the norm with ha. He did say he had a lump he had to massage but he said it's not there any more. I wish he answered my questions about it.
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Poyajierro
aleksk wrote:
Yes I appreciate your advice but multiple top ups are not an option in any case. I'm not gonna spend 7 or 8k on a temporary result that will last a year. Things in Aus are not going to change for the better. It's an extremely isolated and uncompetitive market.

Patience is a great advice but I don't see things changing. If new fillers come on the market great. If not, that's why I'm opting for Ha. Live with imperfect results for one year or dissolve it right away if it doesn't turn all right. I honestly think I'm rational about this, 100 times more than people who go for pmma.

With a small quantity and an experienced injector, that result we saw from the Spanish guy is probably the norm with ha. He did say he had a lump he had to massage but he said it's not there any more. I wish he answered my questions about it.


Who is the Spanish doctor?
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aleksk
Esteban Sarmentero. 
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jogift
Maybe you start another thread "Belotero". Easier for researchers ...
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Dr Oates
aleksk wrote:
Esteban Sarmentero. 


Hi Aleksk,

Ellanse is a lot more expensive than HA (here in Australia). Stimulatory fillers are generally more risky than HA. Only HA is able to be dissolved - so if the worst possible thing happens, such as getting injected into the penile artery, only with HA can it be reversed.

Stimulatory fillers have much more tendency to be lumpy. I have used Ellanse (but much less than HA) over about 4 yrs. It tends to feel harder to start with but over all patients are happy. I have had 1 patient with an auto-immune reaction and granuloma (lump) formation. It was in the face - I really dont think someone would be happy with that in the penis. But women are much more likely to have that issue.

We use Voluma. It tends to last years, definitely more than 1 year - but we are waiting to see how long.

Yes there are a variety of reasons why it is not a better known treatment. Urologists generally dont want to do enlargements and are not familiar with fillers. Most cosmetic doctors dont really want to do enlargements either. There are the fears of doing something new -  the risks to the patient and even moreso how that will affect your otherwise successful career. I think it will change slowly. Also those who are doing it, generally want to build up their own practice before telling  the competition about it.

We are working to increase the conversation on this topic and have a new facebook site that we would value comments, likes and questions on. We will be posting scientific information on the subject to try and get it out there -
https://www.facebook.com/CALIBRE.penile.enhancement
What ever you do, make sure it is safe.
CALIBRE Clinic Australia
Google calibreclinic .com.au
Perth, Melbourne, Sydney
(+61) 1300 105 505
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