When considering a P-Shot for individuals who have had a penile implant, the most critical factor is the risk associated with puncturing the implant. Generally, it's not recommended to administer the P-Shot after an inflatable penile implant due to the possibility of damaging the device. Some urologists may selectively inject PRP into areas such as the glans (head of the penis) to address nerve issues, but this is rare and requires a high level of expertise. The main issue is that PRP's benefits in cases with an implant may be limited since the implant itself mechanically supports erections. However, if you're exploring non-surgical options for enhancing size or regaining some girth lost post-surgery, treatments that don’t involve needles or injections, such as vacuum pumps or stretching devices, could be safer alternatives. For a tailored approach, consulting with a specialist in men’s sexual health would be the best way to determine the safest and most effective options for your specific situation.