Frequently Asked Questions About Penis Enlargement

The Upsize Procedure is a non-surgical penile enhancement procedure using hyaluronic acid dermal fillers (FDA-approved for facial cosmetic use; used off-label for penile enhancement). The procedure is performed by Urosculpt™ Certified physicians using a proprietary cannula injection technique designed to deliver even, natural-looking girth enhancement.

The procedure typically takes about 30 minutes from start to finish, not including your consultation. Many patients have the procedure done on the same day as their initial consultation.

Most patients report minimal discomfort. Local anesthesia (a field block) is used to numb the treatment area completely before the procedure begins. Patients typically describe the sensation as mild pressure.

Girth enhancement runs to up to 2 inches, depending on volume, with gains up to 0.75 inches in flaccid length. Results vary based on your anatomy and the amount of filler used. With over 3,000 procedures performed and a 4.9★ average across 162 Google reviews, our physicians deliver natural, proportionate enhancements. We discuss realistic expectations during your free phone consultation.

Results last about 18–24 months, though individual duration varies based on metabolism, activity level, and filler type used. Many patients choose touch-up treatments to maintain their enhanced size.

Yes. Hyaluronic acid fillers can be dissolved with hyaluronidase if needed. This is rarely requested — and when a correction is wanted, it is usually a minor touch-up rather than a full reversal.

Our technique is designed to distribute filler evenly. The HA filler integrates seamlessly with your tissue, maintaining natural movement and sensation. Men and their partners generally tell us the result feels natural. Individual experiences vary.

Every Upsize procedure is performed by a licensed physician who has completed the Urosculpt™ Certification Program — a standardized procedural certification in non-surgical penile enhancement. Upsize operates physician-led clinics focused on this procedure.

Firm-X is a penile neuromodulator treatment (Botox/Xeomin/Dysport) designed to improve erectile rigidity and reduce performance concerns. It involves injecting neuromodulator into the corpus cavernosum to relax smooth muscle and improve blood flow.

Yes. About 20–30% of patients add Firm-X to their Upsize procedure for comprehensive enhancement — increased girth plus improved erectile performance. Your physician will recommend the optimal approach and timing.

Results typically last about 6 months. Firm-X is a one-time injection — ongoing use is not required, though some patients choose to repeat treatment.

Most healthy adult men are excellent candidates. During your consultation, our physicians evaluate your medical history, current health, and enhancement goals. We provide completely honest assessments about expected results based on your anatomy. If you have certain medical conditions, your physician will discuss whether the procedure is appropriate for you.

The hyaluronic acid fillers we use are FDA-approved for facial cosmetic indications (e.g., facial wrinkles, lip augmentation). Their use for penile enhancement is off-label: the FDA has not evaluated them for that specific use, so the facial safety data does not transfer to it directly. Your physician will go through what is known about it at your consultation.

As with any medical procedure there are risks. Common effects are mild swelling, bruising and tenderness for two to three days. Less often, filler can settle unevenly or form a firm nodule you can feel. Rarely, there can be an allergic reaction or a vascular occlusion, where filler blocks a blood vessel and needs urgent treatment. Infection is possible, as with any injection. Our cannula technique is chosen to reduce clumping and migration compared with older needle methods. The HA filler can be dissolved with hyaluronidase if needed. Your physician will discuss all of these risks with you during your consultation.

Most patients return to normal activities within 24–48 hours. Sexual activity should be avoided for 7 days post-procedure. The filler is gently moldable for 3–5 days, which allows fine-tuning of shape.

Most patients return to desk work the next day. Physically demanding jobs may require 2–3 days off. Your physician will provide specific guidance based on your situation.

You will receive a prescription for antibiotics and detailed aftercare instructions — tell your physician about any drug allergies at your consult. The filler is moldable for 3–5 days — your physician will explain any shaping techniques if needed. A follow-up appointment is included.

The Upsize procedure starts at $3,990 for the Large package (6ml). Most patients spend between $5,990 and $8,900 depending on how much filler is used. More filler is not automatically the right answer for every man — your physician recommends a range at the consult. This all-inclusive price covers phone consultation, procedure, anesthesia, filler, antibiotics, and follow-up. Compare this to surgical alternatives costing $15,000–$25,000.

Yes. We partner with CareCredit, Cherry, and United Credit to offer flexible payment plans. Monthly payments start from $142 — a $3,990 amount financed at 17.00% APR over 36 monthly payments of $142, total of payments $5,121. 0% APR for up to 12 months (6 or 12 depending on the office) is also available to qualified applicants. Subject to credit approval; your terms may differ. Visit our financing page for details.

Yes. Your initial phone consultation is completely free with no obligation. You will speak with an Upsize™ expert who will go through your goals and outline a personalized treatment recommendation.