Eben Nel, MD

Thank you for your question. Many men share similar concerns about size and sensitivity, so you are not alone in exploring possible options. Your current measurements (13 cm erect, 5 cm flaccid) are within the average range for adult men globally. Still, I understand that the goal of enhancement is often more about personal confidence than statistics.

For increasing girth, non-surgical dermal filler injections (such as hyaluronic acid) can provide visible thickening of the shaft. This procedure is generally well tolerated when performed by a qualified and experienced provider, using sterile technique and appropriate aftercare. Risks include temporary swelling, bruising, irregularities, infection, and—less commonly—vascular or tissue complications. These risks are significantly reduced when the treatment is done by a practitioner with expertise in male aesthetic procedures.

For increasing length, fillers will not meaningfully change the erect length, but some procedures can improve the visible length in the flaccid state. Options may include ligament release surgery or reduction of the pubic fat pad (via liposuction or surgical lift). These are more invasive and carry higher risks, including scarring, changes in erection angle, and variable results. Any surgical lengthening procedure should be carefully weighed against its potential complications.

Enhancement procedures are not designed to increase sensitivity; in some cases, fillers may temporarily alter sensation due to swelling or changes in skin tension. If sensitivity changes are significant or bothersome, a thorough evaluation by a healthcare provider is recommended before pursuing any cosmetic procedure.

In summary, girth enhancement with fillers can be safe in expert hands, but it will not substantially lengthen an erection or directly improve sensation. Your first step should be a consultation with a board-certified urologist or cosmetic physician who has extensive experience with male genital procedures, so you can discuss your goals, possible treatments, and realistic expectations.

Disclaimer: This information is for general educational purposes only and should not be taken as personal medical advice. Every individual’s anatomy, goals, and health history are different, and only an in-person consultation with a qualified medical professional can determine the safest and most effective approach for you.

Thank you for your question — it’s very common for young men to experience insecurities about penile size, particularly in an age where social comparisons are widespread and often unrealistic. It’s commendable that you’ve already sought consultations and are approaching this with caution and a desire to fully understand the procedure.

Penile filler procedures typically involve the injection of hyaluronic acid (HA) into the subdermal layer of the penile shaft to increase girth. These are non-surgical treatments performed under local anesthesia, and recovery is generally straightforward, with most patients resuming regular activity within a few days, excluding sexual activity or direct pressure for a short period (around 2 weeks).

Regarding your concern about unevenness, while minor asymmetries or irregularities can occasionally occur, particularly during the early healing phase, they are usually mild and correctable. Experienced practitioners use specific techniques to ensure even distribution of the filler and will often guide you through appropriate aftercare, including massage protocols, to help maintain a smooth and natural appearance.

As for whether others will be able to tell you’ve had the procedure, the answer is generally no. When performed correctly, penile fillers should not result in any visible scarring or artificial appearance. The penis will typically appear thicker and more proportional. Sometimes, some firmness or subtle changes in texture may be noticeable to a partner in an intimate setting, particularly early on, but these usually soften over time as the filler integrates with the tissue.

At a younger age, it’s also essential to consider the psychological component of body image and self-perception. While cosmetic enhancement may offer an improvement in confidence for some individuals, it’s vital to ensure that expectations are realistic and that the decision is made for personal well-being, rather than external pressure. If anyone is feeling persistently distressed about their body, I would also encourage speaking with a professional who specializes in men’s health or body image concerns.

IMPORTANT: The information provided here is for general educational purposes only and does not constitute medical advice or a diagnosis. Individual outcomes may vary based on anatomy, health status, and practitioner experience. Anyone considering this or any cosmetic procedure should consult directly with a qualified, board-certified medical professional for a personal evaluation and tailored treatment recommendations.

If your nurse is currently using a 1.0 mm depth setting for PRP scalp treatments, your concern is entirely valid. PRP needs to reach the dermal layer of the scalp, where the hair follicles are located, to stimulate hair growth effectively. Most medical literature and expert consensus recommend injection depths between 2 mm and 5 mm, depending on the region of the scalp and individual anatomy.

Studies have shown that effective PRP delivery for hair restoration typically involves injections at around 2–3 mm, and sometimes deeper, particularly when using mechanical injectors. For example, one clinical study found that PRP injections delivered at 5 mm depth showed significant improvement in androgenetic alopecia, while another review confirmed that 1.5–2.5 mm is an effective range when using manual syringes. These depths allow the PRP to reach the vascular plexus surrounding the follicles — a key area for promoting regrowth.

At 1.0 mm, PRP is most likely staying in the upper dermis or even the epidermis, which may be suitable for microneedling procedures but is generally too shallow for follicular stimulation. If your nurse is performing microneedling with PRP rather than injections, the shallow depth might make sense — but if the treatment is being marketed as PRP injection therapy for hair loss, this depth may not be effective.

You might consider having a transparent discussion with your provider about your concerns and ask why 1.0 mm is being used. It may be an overly cautious setting, or there may be confusion between microneedling and injection techniques. In any case, you deserve to have the procedure performed in a way that aligns with evidence-based practices.

Lastly, this guidance is based on medical research and clinical norms, but it should not replace personal medical advice. Every scalp is slightly different in thickness and sensitivity, so a trained provider should assess your case individually. If you’re not confident in the depth or method being used, it’s entirely reasonable to seek a second opinion — ideally from a board-certified dermatologist or hair restoration specialist experienced in PRP therapy.

It’s completely valid to want to address the pubic fat pad if it’s reducing visible penile length — many men find that even a modest buildup in that area can affect both appearance and confidence. At your height and weight, you appear to be in a healthy range overall, which suggests that localized fat in the mons pubis or around the penile base is likely genetically or hormonally influenced, rather than related to general obesity. The good news is that there are surgical options that may help reduce the fat and improve the visible length.

Yes, it is typically possible to reduce the fat pad thickness to around 1 cm or less using a combination of mons pubis liposuction and skin tightening or excision techniques. In more significant cases — especially when skin laxity or fullness extends lower into the groin — procedures like mons lift or pubic lift (sometimes categorized under panniculectomy or body contouring) can also be used to remove excess skin and elevate the pubic area for better exposure of the penile shaft.

Some aesthetic or reconstructive urologists or plastic surgeons may incorporate these techniques alongside penile enhancement or penopubic ligament release surgery if more exposure is desired.

However, it’s essential to understand:
• Liposuction alone may not remove all fullness if there’s dense fibrous tissue or loose skin.
• Results can vary based on your anatomy and skin elasticity.
• Surgical treatment comes with typical risks (swelling, bruising, asymmetry, scar formation).
• No non-surgical treatment (like Kybella or fat freezing) currently offers predictable results for this area in men.

This is a highly specialized area, so it’s critical to consult a board-certified plastic surgeon or urologist with experience in male genital aesthetics and pubic contouring. A full in-person evaluation will determine whether you’re a good candidate for liposuction alone or if skin tightening/excision is also needed.

Finally, while I can offer general information, this post is not a substitute for medical advice. Each case must be evaluated individually by a qualified medical professional due to important differences in every individual case.

It’s understandable that you’re looking to correct the soft, persistent area left behind from a prior fat graft, especially since you’ve had a positive outcome from your PMMA enhancement with LinneaSafe. Many men in similar situations find that earlier fat transfers can leave uneven results, particularly when one area fails to integrate or resolve properly. It’s not uncommon for PMMA to avoid settling in regions where residual fat or scar tissue is present, as these tissues may lack the vascular structure needed for optimal collagen stimulation and long-term filler stability.

When it comes to the question of which PMMA product is “harder,” LinneaSafe typically contains a higher concentration of PMMA microspheres compared to Bellafill and is formulated for use in body contouring. Bellafill, by contrast, is FDA-approved for facial use and contains a lower concentration of microspheres suspended in a collagen gel. In general, LinneaSafe tends to create firmer, more substantial outcomes, which may be more suitable in cases where stronger tissue reinforcement is desired. However, product choice should always be guided by a skilled provider who understands the specifics of your anatomy and goals.

Regarding your idea of using shockwave therapy or Kybella to prepare the area: while your thinking shows good insight into tissue behavior, these interventions carry important caveats. Shockwave therapy is sometimes used to improve circulation and tissue quality, but its use in this context is largely theoretical and not well studied. Kybella, which is designed to break down fat cells, is used off-label in some body areas but has not been studied for use in penile tissue. It may carry risks such as inflammation, fibrosis, nerve irritation, or contour irregularities—especially in such a delicate and functionally important area. Approaching this kind of revision without a full understanding of the underlying tissue structure could lead to further complications rather than resolution.

Because your situation involves multiple prior procedures, the safest and most effective next step is to consult with a urologist or enhancement specialist who has specific experience in PMMA revisions and post-fat graft corrections. Ideally, imaging (like ultrasound) should be used to assess the current state of the tissue, including any remaining fat, fibrosis, or vascular status. This will help determine whether PMMA can now be successfully placed in the area or whether additional steps are needed beforehand.

Ultimately, this response is not medical advice but general information meant to support informed discussion with a qualified provider. Each case is unique, and outcomes depend heavily on individual anatomy, procedure history, and the skill of the practitioner. Your attention to detail and long-term thinking are both valuable—just be sure to move forward with the support of someone experienced in managing complex enhancement histories.