Girth Enhancement 102: Beyond the Basics

Girth Enhancement Beyond the Basics

Let’s continue our discussion from Girth Enhancement 101, answering more questions about hyaluronic acid girth enhancements.

Want to know more about what to expect after the procedure, how much male enlargement injections cost, whether or not you can combine this method with other penile treatments, and how to find a good quality provider? Keep reading to get a leg up on hyaluronic acid (HA) dermal filler penis treatments.

Time commitment

An HA dermal filler appointment typically takes about 45 minutes to one hour for the initial treatment. Subsequent treatments can often be done in 30 minutes. Compared to other surgical and non-surgical methods of penis enhancement, HA dermal fillers are the most effective and efficient in terms of time, cost, and results.

What to Expect from Treatments


Expect a girth increase of ¼ to ⅓ of an inch per treatment. Many patients have a girth goal of ½ to 1-inch increase. That takes about two to four treatment sessions spaced at least three weeks apart.

The Immune Response

The immune system tries to fight against foreign bodies injected into it. Substances injected into the penis may or may not cause inflammation from the immune response. Inflammation can lead to granulomas or hard growths in the shaft.

HA dermal filler has the best success rate of less than a 1% occurrence of granulomas in patients. That’s because the body readily receives hyaluronic acid (HA), a natural substance found in the body, without perceiving it as a threat.


No one has reported lost sensitivity in the genitalia due to HA treatments. Generally, because the skin gets stretched out, men feel greater sensation and pleasure during sexual activities after treatments. Even sexual partners report feeling greater sensation because of increased girth.

You can expect tenderness during the healing period. However, throbbing pain or any pain that makes it uncomfortable to do routine tasks is not typical.

Down Time

There is minimal physical or social downtime after an HA filler treatment for girth. Patients may exercise using light weights or engage in light cardio that doesn’t result in much sweat.

Abstain from sex or self-pleasuring for ten days after treatment. Ten days is recommended to help the filler stay in place with little or no migration.


Expect some temporary bruising after an HA filler. It’s normal and nothing to be alarmed about.

You may respond differently from one treatment to another. You might have little to no bruising on your first and second rounds of treatment but a lot of bruising on the third round. Nothing is wrong. The penis has many tiny vessels, and the hair-like needle used might not have touched any during rounds one or two but did during round three. It will heal.

Bruising can look extremely bad one day due to gravity’s effects and lack of lymphatic drainage in the area. That lack of drainage is also why this treatment lasts longer in the phallus than in the face.

Also, the penis could turn completely black and blue, or bruising could start at the base and travel down the shaft to the head. Rest assured; it will look completely healed within a few days.

Stretching and Retracting

There’s no need to worry about the skin of your penis stretching too much and hanging loose years after an HA treatment. Experts lay down thin layers of penile dermal filler during treatments. The skin easily stretches to compensate for the filler without being overstretched.

Your anatomy may prevent you from going further than 1.5 inches in circumference. Most patients don’t desire to grow larger than that.

HA filler can give the appearance of a longer penis. The filler becomes a stronger “scaffolding” for the penis, making it hang longer in the flaccid state, which men really like.

Additionally, the “scaffolding” can actually help prevent your manhood from becoming extremely retracted, as is typical when you’ve been in frigid water or taken certain medications.

Healing Hacks

To decrease bruising, stop using fish oil supplements and over-the-counter NSAID pain medicines five to seven days before the procedure, if possible. Acetaminophen or Tylenol is safe to continue taking. Discuss this plan with your primary care physician first. Let your provider know if you bruise easily.

Oral arnica or oral bromelain can help bruises heal faster. You can pre-treat with these natural elements (Bromelain is a pineapple enzyme.) and post-treat at 500 mg three times a day.

Effects on Erectile Functions and Dysfunctions

HA treatments neither cause nor correct erectile dysfunction (ED). That’s because HA treatments don’t touch the erectile cylinders.

A knowledgeable penile dermal filler provider can help you with HA treatments for girth, even if you have ED or penile implants. It works along with many other interventions one might pursue.


Pricing varies based on where you live, but conservative estimates of a single treatment (four to six units) range between $2,800–$4,350. This adds about ¼ to ⅓ of an inch of additional girth.

Some treatment centers offer ways to finance the costs and provide price breaks (discounts) for buying filler units upfront. For example, ten units might range between $5,500–$6,250. A 10-unit package would likely provide two treatments and can add a noticeable ½ to ⅔ of an inch of girth.

Buying 20 units can result in a more significant discount and cost $9,900–$10,900, providing three or four treatments and culminating in one inch of extra girth.

You don’t have to use all your units during the first several treatments. You can use them for touch-ups or maintenance over many years without the units expiring while locked into the same price.

Picking a Provider

A good provider can fill just enough during each visit to help you reach a satisfactory state.

Not all providers or HA fillers are created equal. Do your research. Ask to see testimonials and information on adverse events. If they can’t show you a low number of adverse events for their HA filler, keep looking. If they don’t have extensive experience in working with male genitalia (like a urologist), extend your search.

Use these three criteria when picking a treatment and provider. Make sure their treatments are:

  1. Safe
  2. Effective–They work and are aesthetically pleasing.
  3. Affordable

Calming the Nerves

You don’t need to take a nerve pill, like Xanax, before an HA dermal filler appointment. You’ll likely want the ability to drive yourself to and from the appointment. Besides, patients typically relax once they receive the lidocaine injection.

Feel free to bring headphones and your handheld smartphone to watch videos to relax.

In addition to girth, HA dermal fillers help men perform better in the bedroom by giving them increased confidence. A decrease in anxiety decreases adrenaline and improves anxiety-related sex issues like premature ejaculation.

Ask Questions

Ask your important questions before a doctor injects you down there with anything. A knowledgeable provider will take the time to answer your questions openly, honestly, and non-judgmentally.