Company Overview

Upsize LLC is a pioneering medical practice at the forefront of men’s health, specializing in non-surgical penis enlargement. Founded in 2023 by Dr. Joel Pash and Dr. Jack Friedlander, the company has quickly grown from its California roots to a team of 20 physician afilliates as of April 2025. Headquartered in Roseville, CA, Upsize delivers a safe, minimally invasive solution for men seeking penile enhancement. The UpsizeTM Procedure uses a proprietary dermal filler technique that increases penile girth by approximately 1–1.5 inches per session (results lasting around two years). Unlike surgical alternatives, this in-office procedure avoids general anesthesia and lengthy recovery, making it a trusted choice for over 1,200 clients to date​. Upsize is uniquely positioned in the rapidly expanding men’s health and wellness market, offering a credible medical service in a space that has historically lacked safe options.

Our Founders’ Story

Dr. Joel Pash (Co-founder & CEO) is a Stanford-trained anesthesiologist with a background in management consulting and business. He combined his medical expertise with an entrepreneurial vision to address a long-ignored need in men’s health. Dr. Jack Friedlander (Co-founder & Medical Director, Roseville) is a veteran surgeon who has run a successful cosmetic surgery clinic in Roseville for years. A graduate of Rush University’s surgical program, Dr. Friedlander has over two decades of surgical experience and is renowned for his work in advanced body contouring. The two doctors were introduced by Dr. Friedlander’s brother – a longtime friend of Dr. Pash – and they quickly realized they shared a common goal: to develop a safe, effective method for male enhancement that would give men more confidence without the perils of surgery. In 2023, they teamed up to launch Upsize LLC, blending Dr. Pash’s expertise in injectables with Dr. Friedlander’s surgical insight to create a new kind of men’s health clinic.

“We created Upsize to provide men with a safe, effective alternative to the risks inherent in surgical procedures. Our goal was to offer a solution that delivers real results without the dangers or complications of more invasive options.”Dr. Jack Friedlander, Co-founder

This vision has guided Upsize from day one. What started as an idea between two friends (and now business partners) has rapidly grown into a multi-city practice setting a new standard in male enhancement.

Medical Innovation & Procedural Advantages

Upsize’s core offering is a groundbreaking non-surgical enlargement procedure refined over the course of 1,000+ treatments. The technique centers on a proprietary hyaluronic acid dermal filler formula and injection method that the co-founders created and perfected through extensive experience​.  Over time, they have innovated a special micro-cannula injection approach, virtually eliminating the issue of filler migration (a common complication in other filler techniques) and ensuring smooth, uniform results. The procedure is performed under local anesthetic and typically takes under an hour, with minimal downtime – patients often return to normal activities the same day.

Key advantages of the Upsize™ procedure include:

  • Minimally Invasive, In-Office Treatment: A quick 45-minute procedure done with only local anesthesia and no incisions or stitches, so risks are greatly reduced compared to surgery. Patients walk out of the office with no hospital stay and minimal discomfort.

  • Immediate and Significant Results: The filler adds substantial girth instantly – most patients see around a 1-inch or more increase in circumference before leaving the clinic. In some cases, a modest length increase is also noted. Results are long-lasting (up to ~2 years) yet adjustable with touch-up treatments over time.

  • Proprietary Technique = Smooth, Natural Look: Upsize’s unique technique ensures even distribution of the filler for a natural appearance without lumps. This approach, exclusive to Upsize, prevents filler migration and other issues that have plagued earlier enlargement methods​. The result is a smooth enhancement that feels and looks natural.

  • High Safety Profile: The procedure uses FDA-approved dermal fillers off label, that have been widely used in cosmetic medicine for decades, ensuring a strong safety record​. Because there’s no surgery, patients avoid the significant risks associated with implants or ligament-cutting operations (such as infections, scarring, or loss of function)​. Upsize’s doctors are all specially trained in this technique, and the practice reports extremely high satisfaction rates and no serious complications to date.

  • No Downtime, No General Anesthesia: Unlike surgical approaches, the Upsize procedure requires no general anesthesia or sedation – only a local numbing. Patients typically resume normal daily activities immediately or within hours of treatment, a major convenience factor.

Through continuous improvement and medical innovation, Upsize has established itself as a leader in safe male enhancement. The procedure offered cannot be easily replicated elsewhere due to Upsize’s proprietary know-how, procedural experience and training program for its physicians.

Market Opportunity & Growth

The launch of Upsize comes at a time of surging interest in men’s health and wellness. In the past decade, there has been a notable cultural shift – more men are openly pursuing cosmetic and sexual health enhancements, and doing so with greater acceptance​ (plasticsurgery.org.) Men are increasingly taking charge of this aspect of their health, whether it’s in hormone optimization, hair restoration, or physical enhancement. This broader trend has created a rapidly expanding market for services like Upsize.

Men’s Health Boom: The category of men’s health – from clinics treating erectile dysfunction to aesthetic procedures – is experiencing rapid growth. What was once a niche or stigmatized area is now a mainstream segment of healthcare. Upsize is at the forefront of this wave, addressing a specific yet significant need: many men desire increased confidence in the bedroom and the locker room, but until now their options for enlargement were either ineffective “gimmicks” or risky surgeries. Upsize fills that gap with a legitimate medical solution. The strong demand for non-invasive enhancement has been evident in Upsize’s patient volumes and expansion plans.

Rapid Growth of Upsize LLC: Since its founding, Upsize has achieved several key milestones. The practice quickly grew from the original Sacramento/Roseville location to serve patients in the San Francisco Bay Area within the first year. As word spread and results spoke for themselves, the company expanded its network of trained physicians. By April 2025, Upsize has grown to 20 physicians across multiple clinics, with a pipeline of new locations in development. [Currently, Upsize has affiliate clinics in Anchorage, Austin, Baltimore, Beverly Hills, Calgary, Cleveland, Dallas, Fair Lawn, Fullerton, Fort Lauderdale,  Long Island, Manhattan, Omaha, Panama City, Phoenix, Sacramento, San Francisco, Sarasota, South Jersey (Gibbsboro), Syracuse, Tampa and Toronto] with plans to extend to other major cities. This growth reflects both the efficacy of the UpsizeTM Procedure and the sizable market opportunity.

The co-founders also emphasize patient education and satisfaction as drivers of growth. Upsize’s focus on safety and results has led to positive reviews and high referral rates. The company is building one of the largest dedicated male enhancement clinic networks in the world, positioning itself as a leader as the industry evolves. Investors have taken note of the strong demand and scalable clinic model. With men’s wellness spending on the rise year-over-year, Upsize is well positioned to capture a significant share of this emerging market by continuing to innovate and expand its reach.

Media Coverage & Public Interest

Upsize’s unique story and breakthrough procedure have garnered significant media attention, reflecting a broader public interest in male enhancement trends. The practice and its founders have been featured in numerous media outlets and interviews, helping to demystify the topic of penis enlargement and highlight Upsize’s safe approach:

  • The San Francisco Standard (March 23, 2024): Upsize was profiled in an in-depth article on the rise of men seeking non-surgical enhancements​ (sfstandard.com). The piece noted that in just two years, Dr. Pash alone had performed around 600 enlargement procedures in the Bay Area, and it described Upsize as a “nationwide penile enlargement” provider headquartered in Sacramento. The article highlighted how patients opt for Upsize’s injections to achieve noticeable size increases (about 1 to 1.5 inches in girth) without surgery, and it positioned the company at the cutting edge of a new biohacking-driven trend in Silicon Valley. (See: “Junk science: Why Bay Area men are using Botox to enlarge their penises,” SF Standard​.)

  • Podcast Appearances: Dr. Pash has been a guest on over 15 podcasts and YouTube interview shows, where he shares medical insights and addresses common questions about the procedure. For example, he appeared on the Finding Genius Podcast to do a deep dive into the science and outcomes of penile filler treatments​. He has also been interviewed on shows like The Joel Evan Podcast, “The Optimal Life” and “The Victory Men’s Health Show“, discussing the Upsize procedure and debunking myths around male enhancement. These media appearances have helped educate the public and normalize the conversation around men’s sexual health.

  • Other Press & Recognition: In addition to the above, Upsize has been featured in lifestyle and health publications and various online health blogs and even on unconventional platforms (the co-founders did an interview on the irRational Moms podcast, showcasing the widespread curiosity about their work). The practice’s rapid rise has also drawn interest from industry observers, noting Upsize as a promising startup in the sexual wellness space. Public curiosity remains high, as evidenced by thousands of views on YouTube interviews and a steady influx of inquiries from potential patients every week.

This media coverage not only underscores Upsize’s credibility but also highlights a shifting public dialogue: men’s intimate health is no longer a taboo subject but a mainstream topic of discussion. Upsize’s team welcomes this dialogue and has embraced opportunities to speak openly about the procedure’s benefits, safety, and results. The attention has further cemented Upsize’s reputation as the go-to expert in non-surgical male enhancement.

Contact & Media Inquiries

Upsize is committed to transparency and welcomes engagement with the media, investors, and the public. For press inquiries, media interviews, or additional information about our story and services, please reach out to our media relations contact below:

Media Contact: Gen Marina, Operations Manager – gen@upsizematters.com

We are happy to provide expert commentary on topics related to men’s health, demonstrate our techniques, or arrange interviews with Dr. Pash, Dr. Friedlander, or other members of our medical team. High-resolution images and additional background information are available upon request.

To learn more about Upsize or to schedule an interview, please contact our press team. You can also visit our website at upsizematters.com for detailed information on our procedure, patient testimonials, and recent news updates.


Upsize is redefining male enhancement with a focus on safety, innovation, and patient confidence. Founded by physicians and driven by results, we are proud to lead the conversation on men’s wellness. Whether you’re a journalist covering emerging health trends, a potential patient seeking answers, or an investor looking at the growing men’s health market, Upsize offers a compelling story of medical innovation and growth.