A detailed walkthrough of the Upsize procedure experience—what happens at your consultation, during the treatment, and throughout recovery.
Knowing exactly what to expect reduces anxiety and helps you prepare for any medical procedure. This guide walks you through the complete Upsize experience, from initial inquiry through full recovery, so you can approach your decision and treatment with confidence.
Before Your Procedure: The Consultation Process
Initial Contact
Most patients begin with a phone consultation to discuss their goals, ask initial questions, and determine if the Upsize procedure might be right for them. This conversation covers the basics of the procedure, typical results, and whether your situation makes you a likely candidate.
If you decide to move forward, you’ll schedule an in-person consultation with an Upsize-certified physician.
The In-Person Consultation
Your consultation typically lasts 30-45 minutes and includes:
Medical History Review: Your physician will review your health history, current medications, allergies, and any previous procedures. Certain conditions may affect candidacy or require modification of the treatment plan.
Physical Examination: A brief examination allows the physician to assess your current anatomy, skin quality, and tissue characteristics. This informs recommendations for filler volume and technique.
Goal Discussion: You’ll discuss what you’re hoping to achieve, and the physician will explain realistic expectations based on your anatomy. This is the time to ask questions and ensure your expectations align with likely outcomes.
Procedure Explanation: The physician will explain exactly how the Upsize procedure works, what filler is used, the injection technique, and what to expect during and after treatment.
Risk Discussion: A thorough review of potential risks and complications, including common side effects and rare but serious possibilities. You’ll have the opportunity to ask questions and receive honest answers.
Cost and Logistics: Clear pricing discussion, payment options, and scheduling considerations.
Same-Day Treatment Option
In most cases, if both you and the physician agree you’re a good candidate, the Upsize procedure can be performed immediately following your consultation. This means many patients complete both consultation and treatment in a single visit.
However, you’re never pressured to proceed the same day. If you prefer time to consider your decision, you can schedule the procedure for a later date.
Preparing for Your Procedure
The Days Before
If your procedure is scheduled for a future date:
- Avoid blood-thinning medications (aspirin, ibuprofen, fish oil) for 5-7 days if medically safe, to minimize bruising
- Avoid alcohol for 24-48 hours before treatment
- Stay hydrated
- Get adequate sleep the night before
- Wear comfortable, loose-fitting pants for your appointment
Day of Procedure
- Eat a normal meal before arriving (don’t come fasting)
- Shower and ensure the treatment area is clean
- Bring identification and payment method
- Allow adequate time—don’t schedule important activities immediately after
During the Procedure
Pre-Treatment Preparation
The procedure room is set up with sterile equipment and supplies. Your physician will:
- Clean and prepare the treatment area
- Apply topical anesthetic cream (allowing 15-20 minutes for numbing)
- Mark injection sites if needed
- Review the plan one final time
The Injection Process
The Upsize procedure uses a microcannula technique rather than traditional needle injection. A microcannula is a thin, flexible tube with a blunt tip that causes less trauma to tissue than sharp needles.
After creating tiny entry points, the physician threads the cannula beneath the skin, depositing filler in precise amounts along the shaft. This technique:
- Reduces bruising compared to needle injection
- Creates smoother, more even distribution
- Minimizes risk of vascular complications
- Allows greater control over final contour
The actual injection process takes approximately 20-30 minutes.
What You’ll Feel
With topical anesthesia, most patients report:
- Pressure and mild discomfort rather than sharp pain
- Occasional brief stinging
- Awareness of the procedure without significant distress
Pain tolerance varies individually. Most men find the procedure far more tolerable than anticipated.
Immediate Results
Results are visible immediately after injection. You’ll see the girth increase before leaving the office. Some initial swelling may exaggerate the appearance slightly; this settles over the first few days to reveal the true result.
Immediately After: The First 24 Hours
Leaving the Office
After the procedure:
- You can walk out and drive yourself home (no sedation is used)
- Mild swelling, redness, and tenderness are normal
- You’ll receive written aftercare instructions
- Emergency contact information will be provided
The First Night
- Expect some swelling and possibly mild bruising
- Tenderness at injection sites is normal
- Apply ice packs wrapped in cloth for 15-20 minutes as needed for comfort
- Sleep on your back if possible to minimize swelling
- Take over-the-counter acetaminophen (Tylenol) for discomfort if needed—avoid aspirin and ibuprofen
Recovery: Days 1-7
What to Expect
Days 1-3: Peak swelling period. The penis may appear larger than the final result due to swelling. Bruising, if present, is typically most visible during this time. Tenderness continues but should be manageable.
Days 4-7: Swelling begins to subside. Bruising fades. Tenderness diminishes. You’ll start to see what the final result will look like.
Activity Restrictions
Sexual Activity: No sex or masturbation for 7-14 days (your physician will provide specific guidance). This allows the filler to integrate properly and prevents displacement.
Exercise: Avoid vigorous exercise for 48-72 hours. Light walking is fine. Avoid activities that cause significant blood pressure increases or put pressure on the treated area.
Hot Tubs/Saunas: Avoid for 48 hours to reduce swelling risk and infection potential.
Work: Most men return to desk jobs the next day. Jobs requiring physical labor may need 2-3 days off.
Recovery: Weeks 2-4
Settling In
By week 2, most swelling has resolved and the result stabilizes. The filler integrates with surrounding tissue, creating a natural look and feel.
By week 4, the result represents your true outcome. Minor adjustments can be made at follow-up if needed.
Resuming Normal Activities
- Sexual activity typically resumes at 7-14 days (follow your physician’s specific instructions)
- All exercise restrictions lift
- No special ongoing precautions needed
Long-Term: Months to Years
How Long Results Last
The Upsize procedure uses hyaluronic acid fillers that are gradually metabolized by the body. Results typically last 2+ years, though this varies based on:
- Individual metabolism
- Amount of filler used
- Specific filler product
- Activity level
Results don’t disappear suddenly—they diminish gradually over time.
Maintenance Treatments
Most patients return for maintenance treatments every 18-24 months to preserve results. Maintenance treatments typically require less filler than initial treatment since some residual product remains.
Follow-Up Care
Upsize Clinic provides free lifetime follow-ups. You’re encouraged to return for assessment at 4-6 weeks post-procedure, and anytime you have questions or concerns thereafter.
Potential Complications and How to Handle Them
Expected Side Effects (Not Complications)
- Swelling (resolves within 1-2 weeks)
- Bruising (resolves within 1-2 weeks)
- Tenderness (resolves within days to weeks)
- Mild asymmetry during healing (usually equalizes)
Uncommon Complications
- Lumps or irregularities: Can often be massaged smooth or dissolved with hyaluronidase if needed
- Infection: Rare; treated with antibiotics if it occurs
- Vascular occlusion: Very rare but serious; requires immediate treatment
When to Contact Your Provider
Contact your Upsize physician immediately if you experience:
- Severe pain that worsens rather than improves
- Signs of infection (fever, increasing redness, pus)
- Skin color changes (blanching or darkening)
- Unusual swelling or hardness
Frequently Asked Questions
How painful is the procedure?
With topical anesthesia, most men describe mild to moderate discomfort—pressure and brief stinging rather than significant pain. Most find it more tolerable than expected.
Can anyone tell I’ve had the procedure?
Results look and feel natural. Partners report that enhanced girth feels normal during intimacy. There are no visible scars or signs of treatment.
What if I’m not happy with the results?
HA fillers can be dissolved with hyaluronidase enzyme if needed. Results can also be adjusted with additional filler. This reversibility is a key advantage of the Upsize approach.
Can I combine Upsize with Firm-X?
Yes, many patients combine girth enhancement with Firm-X neuromodulator treatment for comprehensive enhancement. See our article on combining Firm-X with Upsize.
