Building on previous work

This patient had silicone treatments over the years, and the head was starting to thicken and round. But when filler builds collagen over time, small areas can thicken more than others, leaving uneven spots near the circumcision line and the edge of the head.

Dr. Emer used Alloclae to add volume and smooth those irregularities, then placed silicone microdroplets to build the head further. The entire session was done in the office with nerve blocks, and the patient felt nothing.

What Alloclae does in this area

Alloclae is adipocyte cells (fat cells) plus extracellular matrix cells that tell the body to produce its own fat. It is designed for larger volume work and has a softer, more natural feel than hyaluronic acid filler.

Dr. Emer used a cannula to place it along the shaft, breaking through scar tissue from previous injections and evening out nodules. The material camouflages lumps and bumps while adding girth, and the result is permanent if weight stays stable.

Silicone for the head

The head of the penis is spongy tissue. Hyaluronic acid filler absorbs into it like water on a sponge, so you need a lot to see a difference and it does not hold long term. Silicone is placed superficially in microdroplets, building the corona and the head over a series of two to four treatments.

Dr. Emer limits each session to under two and a half cc's of silicone. Studies on silicone for acne scars show that keeping it under two cc's per session reduces the risk of complications. The body builds collagen around the microdroplets over time, and the final size depends on how much collagen the patient's own tissue produces.

Downtime and what to expect

Patients avoid sex or masturbation while bruised, typically one to two weeks. Dr. Emer does not use wraps or aggressive aftercare. Shockwave therapy at home can help soften the result as it builds.

Some patients see a slightly pebbly texture at first as collagen forms, but that softens over time. The patient in this video already had good length and girth from previous work; this session was about adding evenness and building the head further.

Who this fits

This is a treatment for men who want permanent size and evenness without surgery, and who understand that the result builds over multiple sessions. Candidacy, dosing, and the number of sessions are decided in consultation.

Dr. Emer has seen many complications from other providers recently. This is complex work that requires precision and experience.