What’s the ideal filler for phalloplasty?

We have almost two decades of experience with the daily use of soft tissue fillers for any indication, from crow’s lines to Brazilian lift. We are amongst the world’s busiest medical practices dedicated to soft tissue fillers.

All right. You have decided to go for it; you have picked the filler that you consider your best option, chosen the doctor, and made your appointment. Awesome!
If you know everything about the filler of your choice, read no more; you nailed it. But wait a minute!

If you are going for an “incredible” new filler that they offer, but you don’t know anything about it or about the practice that uses it, please run away and take your time until you do your research. Do you also know about the “others”? Do you dare to choose one when do you don’t know the alternatives?

Can you make a comparison chart with the main characteristics of the -let’s say- four most common fillers? Do you know the main pitfall of each soft tissue filler?
Do you know that the “perfect soft tissue filler” doesn’t exist? Well… you do now. Most factors that make a filler “not perfect” are the possibility of adverse reactions, so please keep that in mind.

Whether you know it all or know nothing, I encourage you to keep reading… who knows? I may have some other small contributions to help you with your decision. Let’s get to the bottom of this.

There are three basic varieties of soft tissue fillers depending on their physical characteristics: Gel, Solid microspheres and Oil.

For obvious reasons, a water-based gel will not work the same as solid microspheres, and none of the above will work as an oil. Let’s see the main differences:

  • Gels are made of a water-retaining substance that remains as a well tolerated but soft substance in the tissues.
  • Microspheres are made of solid, spheric particles that once in the tissues act like a pearl in an oyster: each microsphere gets surrounded by the body’s collagen. There are permanent (non- absorbable) and temporary (absorbable) variants.
  • Oil is liquid silicone; it remains in the tissues as is, and is not well tolerated by our body that consists mostly of water.
  • Gels are absorbed quite quickly. Manufacturers typically claim that they will last more than they do, but in our experience, these implants disappear before the first anniversary of the injections.
  • Microspheres are a different story. The permanent ones will stay in the tissues forever, and their effect is perpetual. The absorbable variants typically last more than the gels, from one to four years, based on the claim of one manufacturer.
  • The oil will never be absorbed and has no anchorage in the tissues, so expect shifting and a lifetime presence. High volume implants will migrate with gravity and will end up in the lower areas. It typically travels down to the foreskin or the distal shaft, creating a bell-shaped penis.

There is no way to point at the “best” filler. Cost and presence in the market should never be taken blindly like a good asset. Manufacturers inflate the value of cosmetic products just because they can. Some use the most expensive packaging and advertising that insanely balloons the cost of the original substance. On the other hand, newer is not necessarily better; actually, most experienced physicians look at the new boys on the block with real caution.

Gels and microspheres are well tolerated and can be used with confidence. Gels can be reversed with injections, and absorbable microspheres will eventually fade away.
Non-absorbable microspheres (PMMA) will remain in the tissues, and there are no injections that could dissolve them.

Silicone oil has been found to be well tolerated if used with a particular injection technique and in low volume.

  • Gels are always a version of Hyaluronic Acid. The most common one is VolumaTM but there are hundreds of different brands.
  • The microsphere family is formed by different products: Non-absorbable or permanent PMMA is sold under two main brands: Linnea SafeTM and MetacrillTM; the absorbable products are RadiesseTM for calcium hydroxylapatite, and EllanseTM for polycaprolactone. This is kind of a new arrival.
  • Oil is always silicone, and is comercialized as SilkinTM and SilikonTM 1000

So, what do you think now?

Only four questions and I cannot be straightforward with one answer, at least for the first three. This is a puzzling matter, guys; it cannot be taken lightly because SOMETHING is going to be injected into your penis!

Unmistakably, I can write 100+ questions and have 1,000+ responses.
It has taken me almost 700 words to get to one conclusion: your first and most important step is to do your consultation with a trusted and (soft tissue filler) EXPERIENCED physician.

Remember! Most doctors don’t know a thing about soft tissue fillers, and many of them will reject them just because all they see is a foreign body being inserted into human flesh!
Do not ask a cardiologist or a GI doctor for soft tissue fillers!!!
Do not rely on your Google search or your favorite blog to make the critical decision about the best tissue filler that will suit your needs.

At Avanti Derma, we have almost two decades of experience with the daily use of soft tissue fillers for any indication, from crow’s lines to Brazilian lift. We are amongst the world’s busiest medical practices dedicated to soft tissue fillers. We will give our best opinion whether you are planning on coming to see us or not.

Are you interested in Avanti Derma’s Penis Enhancement procedures? Send us an email to make an appointment.