Patient question

Can I get filler if I have a penile implant?

Often yes. Filler sits under the skin, outside the erectile chambers where an implant lives, so the two do not compete. The physician needs to know which device you have, when it was placed and how the tissue looks before saying whether it is a good idea for you.

Where does the filler go, relative to the implant?

An implant — inflatable cylinders or malleable rods — is placed inside the corpora cavernosa, the two erectile chambers. Girth filler is placed above them, in the layer between the skin and the tunica that wraps those chambers. The filler never enters the implant space, and the cannula technique places it without a needle passing through the chamber wall.

Why do men with implants ask?

Two reasons come up more than any other. Girth: an implant restores rigidity but does not add circumference, and some men feel thinner than before surgery. The head: with an inflatable device the glans does not fill the way it did with a natural erection, so it can feel cool or look smaller. Filler addresses circumference along the shaft; the head is treated separately in smaller amounts and usually over more than one visit.

What does the physician need to know?

Which device you have and the year it was placed; who placed it, if you have the record; whether you have had any infection, erosion or revision since. Bring that to the consult. It changes where the filler goes and how much is sensible in a first session.

Can filler replace an implant, or an implant replace filler?

No, in either direction. An implant treats erectile dysfunction by supplying rigidity. Filler adds circumference and, for many men, up to 0.75 inches of flaccid length; it does nothing for erection quality. For firmness without surgery the relevant treatment here is Firm-X™, a penile neuromodulator that lasts about 6 months — a different question, discussed at the same consult if you want it.

What are the risks specific to an implant?

The same as for any penile filler — swelling, bruising, lumps that need smoothing, infection, and the rare vascular occlusion — plus one that matters more with a device in place: infection. An implant is a foreign body, and an infection near it is taken seriously, so the physician will be more conservative about volume and timing and will want any prior implant complication on the table before treating. Hyaluronic acid can be dissolved with hyaluronidase if it needs to be reversed.

What happens at the consult?

The free phone consultation is with an Upsize™ expert and covers your device history first. The physician then examines you in person before anything is booked, and gives you a volume range and a price — from $3,990, depending on volume — rather than a promise.

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