Hyaluronic Acid Phalloplasty
Dr Kim says:
One of my materials of choice for injection phalloplasty are Hyaluronic Acid (HA) derivatives.
It is also the most popular penis enlargement procedure for Korean men in Seoul. Why?
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 natural carbohydrate polymer in the 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.
There are dozens of hyaluronic acid filler products the in Korean market with various particle sizes and durability.
More than a decade ago, the strongest in the market was Restylane from Sweden. Currently, domestic products command the top positions.
Different particle sizes 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.
Strong competition in the Korean market has pushed the price of HA down. Domestic products are available for very reasonable prices with customized products for 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 bio-tech product gets the best result, lasts the longest, and has the greatest amount of retention — about 50% after 18-24 months.
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 United States 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 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.
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 hypotensive reactions after intravascular injection of lidocaine” is possible if the doctor is inexperienced, unskillful or poorly-trained.
Patients can resume exercising two days after HA injections. HA treatment requires no significant change in lifestyle.
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.
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.
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.
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 HA which will decrease in volume over time.
Older and less specialized varieties of HA decreased faster with less “permanent” gain — about 39% of the original HA volume.
One current variety of HA specifically for penis enlargement is more durable, resulting in retention of about 50% of injected HA volume. It is the most effective ever and is continually being improved.
Many men consider that an acceptable 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 volume decrease.
Dr Kim uses “Ultra Volume Butyris” by Dong ST because it has the greatest viscosity and elasticity and is the best brand and type of hyaluronic acid (HA) for penis enlargement by injection.
Dong ST produces three varieties of "Butyris", a highly purified form of HA produced by microbial fermentation to minimize immune and inflammatory responses. Only “Ultra Volume Butyris” is appropriate for penis enlargement.
The result of penis enlargement using “Ultra Volume Butyris” is slightly softer than the tissue created using a MegaFill scaffold.
Dr Kim recommends patients getting HA injections remain in Korea a week or more for regular medical examinations.