Frequently Asked Questions About Penis Enlargement
The questions men ask us most before they book, answered the way the doctor would answer them at the consultation. If yours is not here, the free phone consultation is the place to ask it.
The Upsize Procedure
What is the Upsize™ procedure?
Hyaluronic acid filler, placed along the shaft through a blunt cannula to make the penis thicker. It is done in one office visit under a local anesthetic, with no surgery, and the result lasts about two years on average. How the procedure works →
What filler do you use?
Our main filler is Revanesse® Versa+, and other hyaluronic acid fillers such as Voluma® are available. They are FDA-approved for cosmetic use in the face and used off-label in the penis, which means the FDA has not reviewed that use; your doctor goes through what is known about it before treatment.
Does it hurt?
The area is numbed with a local anesthetic block before anything else happens, so most men feel pressure rather than pain, and you are awake the whole time. It is tender afterwards and may bruise for a few days to a week.
How long does it take, and is it one visit?
The visit takes under an hour, and the volume you choose usually goes in at one sitting. Many men have it done the same day as their in-person consultation. Most come back at some point for more because they like the result, and filler added later is $590 per ml, whichever package you started with.
Who will I see?
Your first call is a free phone consultation with an Upsize™ expert, who goes through your goals and books you in. At the clinic you are examined and agree the volume before anything is injected, and each clinic's page names who you will see there. Every Upsize™ doctor is UroSculpt™ Master Certified and trained in the same technique, most of them by Dr. Joel Pash and the rest by Dr. Jack Friedlander. The doctors →
Can I have it if I'm uncircumcised?
Yes. The doctor adjusts the technique to your anatomy, circumcised or not.
Results
How much bigger will I get?
Up to 0.5 inch of girth from 6 ml, up to 1 inch from 10 ml, up to 1.5 inches from 15 ml and up to 2 inches from 20 ml. The same volume adds less to a larger penis, because it spreads over more surface, so the doctor tells you what to expect for yours before anything is injected. How much filler you are likely to need →
Will it look bigger when I'm erect?
Yes. The filler thickens the shaft itself, so the girth is there soft and erect. Erect length does not change; the length you gain, up to 0.75 inch, is in how you hang when soft, because the added volume stops the penis retracting as far.
How long does it last?
About two years on average. The body absorbs hyaluronic acid slowly and at its own pace, so it varies from man to man. If you ever want it gone sooner, the doctor can dissolve it with an enzyme called hyaluronidase.
When will I see the result?
Straight away, although swelling makes it look bigger for the first few days. It settles over two to three weeks, and you lose around 5 to 10 percent of the first-day size as the swelling goes down. For the first three to five days the filler can still be shaped, so anything uneven can be smoothed out.
Will it look natural, and will a partner notice?
Once the swelling has settled, the filler feels like your own tissue. Men and their partners generally tell us the result looks and feels natural.
Can I see before and after photos?
Yes. The before and after page shows real Upsize™ patients, with the volume each one had. Before and after photos →
Candidacy & Safety
Is it safe?
Serious problems are rare. Most men have swelling, bruising and tenderness for a few days to a week. Less often the filler settles unevenly or forms a small firm lump, which the doctor can smooth out or dissolve. Rarely there is an infection, an allergic reaction, or filler blocking a blood vessel, which needs treatment the same day. Because the filler is hyaluronic acid, it can be dissolved if anything goes wrong. Side effects and risks →
What should I watch for afterwards?
Swelling, bruising and tenderness are normal and fade day by day. Pain that gets worse instead of better, skin that turns white or dusky, numbness, spreading redness or a fever are not: call your clinic straight away, and go to an emergency room if you cannot reach them.
Can anyone have it?
Most healthy men can, and our patients range from their twenties to their seventies. If you take a blood thinner or have an infection in the area, you may need to wait, so mention it on your phone consultation; the doctor confirms at your visit. Filler adds size, so it is not a treatment for erectile dysfunction. Firm-X™ for firmer erections →
Cost & Financing
How much does it cost?
$3,990 for 6 ml, $5,990 for 10 ml, $8,900 for 15 ml and $10,990 for 20 ml. The price covers the phone consultation, the procedure, the filler, the numbing, your antibiotics and a follow-up visit. Pricing in full →
What does more filler cost later?
$590 per ml, whichever package you started with. Many men start with a smaller package, live with the result, and add to it when they are ready.
Is the price the same at every clinic?
The packages cost the same at most clinics, and a clinic occasionally runs its own promotion. Your clinic confirms the price before anything is booked.
Can I pay monthly?
Yes. Each clinic offers financing through its own lenders, most often CareCredit, Cherry or United Credit. 0% APR for 6 or 12 months at participating offices is available to qualified applicants, and $3,990 at 17.00% APR over 36 months is $142 a month, $5,121 in total. Approval and terms are the lender's. Financing and disclosures →
How do I pay?
By credit or debit card, cash, or financing, on the day of the procedure.
Does insurance cover it?
No. It is an elective cosmetic procedure, so it is paid for privately or through financing.
Recovery & Aftercare
When can I go back to work and have sex?
You can go back to work the same day. Wait one week before sex, which gives the filler time to settle where it was placed.
What aftercare is there?
Very little. You take a short course of antibiotics, so tell the doctor about any drug allergies, and there are no sleeves, wraps or pumps. For the first three to five days the doctor may show you how to smooth the filler if it needs it, and your follow-up visit is included.
Firm-X Treatment
Does penis botox work?
Yes. In a randomized, placebo-controlled trial of 70 men whose ED pills were not working, one injection improved erections for 65 percent of them, and 53 percent could have an erection firm enough for penetration, against one man on placebo. A second randomized trial, of 176 men, found the effect lasted up to six months. The research →
How much does Firm-X™ cost?
$1,890 per treatment, and most clinics offer monthly payments.
How soon does Firm-X™ work, and how long does it last?
Most men notice a difference within two weeks, and it lasts up to six months. When it wears off you can have it again.
Can I have Firm-X™ with filler?
Yes, in the same visit. Filler adds size and Firm-X™ works on how firm your erections are, and 20 to 30 percent of our filler patients add it.
Does the Firm-X™ injection hurt?
Most men describe it as brief. The injection itself takes a couple of minutes, the visit about 20 minutes, and some soreness or bruising afterwards is normal.
How is Firm-X™ different from ED pills?
A pill works for a few hours and has to be taken each time. Firm-X™ is one injection that works for months, so there is nothing to time. It is not a reason to stop anything you have been prescribed; that is a conversation with the doctor who prescribed it.
Who can have Firm-X™?
Men with erectile dysfunction, including men whose pills have not worked well enough. Men on blood thinners and men with severe ED can usually have it too, and the doctor confirms at your visit. It is not for men with a nerve or muscle disorder such as myasthenia gravis, an infection where it would be injected, or an allergy to botulinum toxin.
Is Firm-X™ safe?
The common side effects are mild bruising and soreness where the needle went in. Less often there is bleeding into the penis, scarring of the erectile tissue, or erections that are softer for a while. An erection lasting more than four hours is a medical emergency: go to an emergency department. Botulinum toxin is used off-label for erectile dysfunction, and it carries an FDA warning that its effect can spread beyond where it was injected; get emergency help if you have any trouble swallowing, speaking or breathing after treatment. The FDA warning in full →
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