Glans enlargement using hyaluronic acid involves a non-surgical approach to increase the size of the glans penis. This outpatient procedure has gained interest as an alternative for individuals seeking aesthetic enhancement or a potential reduction in glans sensitivity.
Hyaluronic Acid as a Dermal Filler
Hyaluronic acid (HA) is a substance found naturally throughout the human body, including in the skin’s dermal layers and connective tissues. This polysaccharide plays a role in hydration and providing volume due to its ability to absorb and retain water. Because of these properties, HA is widely utilized as a dermal filler in various cosmetic procedures, such as filling wrinkles and augmenting lips or cheekbones.
HA is suitable for glans enlargement due to its biocompatibility, meaning it is well-tolerated by the body and less likely to cause allergic reactions compared to synthetic fillers. The substance is also resorbable, meaning it can be naturally broken down and absorbed by the body over time. This characteristic allows for reversibility if desired and contributes to a natural feel after injection.
The Enlargement Procedure
The glans enlargement procedure begins with a consultation to determine suitability and discuss expectations. Prior to injection, a topical anesthetic cream containing lidocaine and prilocaine is applied to the glans for approximately 30 minutes to ensure local numbing. This helps to minimize discomfort during the procedure.
Once the glans is adequately numbed, hyaluronic acid gel is carefully injected into the superficial intradermic layer using a fine-gauge needle. Techniques like the “fan technique” or “multiple puncture technique” are employed to distribute the filler evenly. Injections are placed in areas like the proximal one-third of the glans, near the coronal sulcus, and potentially under the frenulum. The total volume injected can range from 1 mL to 2 mL, depending on the desired outcome and the glans’ elasticity. The procedure is performed in an office setting.
Anticipated Results and Duration
Following the procedure, patients can anticipate an increase in glans circumference, with studies reporting an average increase of about 10-20%. The goal is to achieve a natural appearance and feel, although achieving perfect symmetry in a single session might be challenging due to underlying tissue bands.
The volumizing effect of hyaluronic acid in the glans lasts for an extended period, ranging from 12 to 24 months. While HA fillers used in other facial areas might be absorbed within 4-5 months, the unique structure of the glans allows for a longer retention of volume. Over time, the injected volume may gradually decrease, though effects on sensitivity may persist. Touch-up treatments can be performed to maintain the desired size.
Safety and Post-Procedure Care
After glans enlargement with hyaluronic acid, some temporary side effects are common. These can include swelling, bruising, and tenderness at the injection sites, which usually resolve within two weeks. Residual swelling may persist for up to a month, particularly with larger volumes of filler.
Rare complications can occur, such as the formation of subcutaneous nodules (lumps), which may appear weeks or months after the procedure. These nodules can be managed with massage or may require dissolution of the filler. Infection is also a rare possibility. Vascular compromise, a rare but serious complication, can lead to tissue necrosis if not promptly managed. Allergic reactions to HA are rare.
Post-procedure care involves specific instructions to promote healing and optimize results. Patients are advised to avoid sexual activity for a period, around one to two weeks, to allow the filler to settle and reduce the risk of complications. Maintaining good hygiene is important. Gentle massage may be recommended by the practitioner to help ensure even distribution of the filler and prevent nodule formation. Patients should seek medical attention if they experience excessive pain, prolonged swelling, persistent redness, or any signs of infection. Selecting a qualified and experienced practitioner is important to minimize risks and ensure appropriate management of any potential complications.