Nonsurgical Phalloplasty

Avanti Derma’s nonsurgical phalloplasty is an outpatient, minimally invasive procedure developed by Dr. Luis Casavantes and designed to give patients a more prominent, heavier penis. Temporary or permanent results? It’s your choice.

Depending on the filler used, the girth increase can be temporary, long term, or permanent.

Avanti Derma offers the four most prevalent soft tissue fillers used for phalloplasty.

Our nonsurgical phalloplasty procedure is an outpatient treatment performed in our medical office.

The process takes less than two hours from the arrival to the patient’s release, it doesn’t involve general anesthesia, surgical cuts, or drains, and downtime is minimal.

Although patients can leave our facility immediately after the procedure, we recommend remaining in the area for at least 24 hours to supervise their post-care understanding and minimize the possibility of imperfections.

Our soft tissue fillers are always available for the patient’s inspection while in their original, sealed packages. Patients receive detailed, hands-on post-care instructions before they leave the premises, and they are provided with the official manufacturer’s label of the product containing its brand, lot number, and expiration date.


How does it work?

There are two different techniques to augment the volume of the penis: nonsurgical and surgical.


• Nonsurgical Phalloplasty
An in-office procedure consisting of soft tissue filler injections under local anesthesia; downtime is minimal, results can be temporary or permanent, and there are no residual scars. Avanti Derma’s physicians Dr. Luis Casavantes and Dr. Palmira Morales, are amongst the world’s pioneers in nonsurgical phalloplasty that is rapidly gentrifying and displacing most of the old surgical methods.

• Surgical Phalloplasty
It is a group of procedures performed with silicone prosthesis implants, degradable biological membranes, free fat transfer, or dermal fat grafts that require general anesthesia, degloving of the penis, hospital time, stitches, and drains which associate with long and painful downtime.
Most of these techniques are obsolete due to their prolonged downtime and high possibility of side effects such as permanent, often unsightly scars or deformities.

Comparing different phalloplasty techniques.


Is it time for a bigger, thicker you?

Your choice of temporary or permanent results

Zoom & Skype consultations available

Am I the right candidate for nonsurgical phalloplasty?

The ideal candidate for nonsurgical phalloplasty should meet most of the following conditions:

  • Circumcised.
  • Small to large penis size (longer than 7 cm or 2.75 inches while in a full erection).
  • Non-retractive or moderately retractive penis during relaxation.
  • Lean individuals with a regular pubic fat pad.
  • Psychologically stable.
  • No previous implants or surgeries other than the circumcision.

Special populations

• Circumcised vs. Uncircumcised

Even though the ideal candidate for phalloplasty is a circumcised individual, uncircumcised prospects can always be considered. The injection of soft tissue fillers is more stable in circumcised patients because the skin is tight, and its movement is restricted.

Implanting any filler under an uncircumcised patient’s loose skin is challenging, and the possibilities of migration and product clumping are high.

The implanted fillers should never involve the foreskin to preserve its aesthetics and dynamics.

Non-circumcised patients are generally accepted but treated conservatively, with limited volume and low product concentration if available.

The use of large amounts of tissue fillers in the uncircumcised patient elevates the risk of developing the “accordion effect” or product and tissue clumping at the base of the penis when retracting the skin.

Uncircumcised patients seeking more significant volume are encouraged to have a “low, tight” circumcision three months before their penile enhancement procedure; “low” means that the circumcision scar should be closer to the neck of the penis.

  • Small penis syndrome

Some individuals believe that they have a small penis when, in reality, their size is average, above average, or even large; it is a psychological condition known as the “small penis syndrome.” Although psychological support rarely works, these patients obtain a real benefit from a objective size increase after our phalloplasty procedures.

• Small penis, micropenis, and buried penis

The mean length of the erect penis is around 13 cm (5.25 in). A small penis measures less than the average size but is larger than 7 cm (2.75 in) during erection; individuals with an objectively small penis are considered good candidates for phalloplasty.

Unlike a small penis, the micro-penis is an abnormally tiny penis that measures less than 7 cm (2.75 in) during erection; these patients are not good candidates for nonsurgical phalloplasty. The buried penis (or hidden penis) commonly associates with obesity or other conditions that increase the volume of the pubic fat pad. The buried penis can be of average size, making these patients good candidates for phalloplasty after their pubic fat pad’s liposuction.
An uncircumcised patient with micro-penis and buried penis is the least desirable candidate for phalloplasty.

• Psychological Disorders

As a body alteration, phalloplasty can have both good or bad psychological consequences.

Although it is almost impossible to predict a particular psychological outcome after the procedure, years of experience and thousands of patients treated help us identify some risk factors and make recommendations or deny services.

It is expected that after a phalloplasty procedure, patients associate independent symptoms with the product implanted and occasionally want it reversed; even though we do not have any cases of patients with a medical indication for surgical removal of soft tissue fillers after phalloplasty, a tiny number of them have requested it for personal reasons.

Prospective patients must understand that removing the implant should not be considered part of the decision to have a nonsurgical phalloplasty.

• Previous penile procedures

Prospective patients with previous procedures are taken based on the results and nature of their past treatments: Autologous fat transfer typically results in irregularities but develops a light degree of fibrosis that facilitates soft tissue fillers’ implants. These patients are good candidates for phalloplasty. Biological membranes (Alloderm™, Veloderm™) are implanted through invasive surgical procedures, including degloving of the penis. While being reabsorbed by the body, they leave the skin firmer due to residual scar tissue. These patients are good candidates for phalloplasty, although some areas may be problematic due to surgical scars and skin adherences. Patients with soft silicone scaffoldings on site are not taken because of the excessive risk of complications. Once their silicone implant is removed through a second surgery, they must be assessed because they are less-than-ideal patients for nonsurgical phalloplasty.

Rigid and inflatable implants placed inside the corpora cavernosa do not alter the superficial tissues, and they can qualify for phalloplasty with soft tissue fillers.

Patients with a history of previous surgeries or implants need to provide all medical records, along with a brief summary of the current condition of the area.

Failure to disclose any and all previous procedures may disqualify candidates, and all incurred expenses will be the patient’s responsibility.

History of unknown products or materials implanted in the penis disqualify most patients for phalloplasty at Avanti Derma.

Is it time for a bigger, thicker you?

Your choice of temporary or permanent results

Zoom & Skype consultations available