A reversible approach to size enhancement

The patient in this video has had previous treatments and is now adding volume to the head of the penis using Volux, a thicker hyaluronic acid filler. Hyaluronic acid is a sugar water substance that the body metabolizes over time, which makes it reversible if needed.

Dr. Emer explains that this is not an FDA approved procedure for this area. There are no clinical trials, so outcomes are based on physician experience. He emphasizes the importance of finding a provider whose work you can verify through live video and patient results, not just claims made online.

Why the head is treated differently

The head of the penis is like a sponge: it can absorb a significant amount of hyaluronic acid. Dr. Emer places the filler more superficially to avoid losing volume when pressure is applied, the way a sponge loses water when squeezed.

He treats the corona, the ridge around the head, to balance the head with the shaft and maintain proportion. This area can be bloodier and may have temporary lumps or bumps for a couple of days to a few weeks. Shockwave therapy and massage help smooth the result.

Length came from treating the suspensory ligament area

Dr. Emer notes that length enhancement was not the original expectation of this procedure. As he and other physicians started injecting the suspensory ligament area and using Botox in that region, patients began gaining measurable length in addition to girth.

The patient in the video shows visible length increase compared to earlier sessions, and the dip at the base is gone, which indicates the length gain.

Downtime and maintenance

Patients are instructed to avoid sex or masturbation for one to two weeks after treatment to the head. Dr. Emer recommends daily Cialis or PT-141 peptide to improve blood flow to the area, which helps the hyaluronic acid hold more water and enhances the result.

Volux is a higher G prime filler, meaning the body has to work harder to break it down, so it lasts longer than standard hyaluronic acid fillers. Touch-up sessions are used to balance the sides and maintain proportion as the top of the head tends to store more hyaluronic acid over time.

Circumferential volume versus side injection

Some providers inject only from the sides to make the penis look wider from above, but Dr. Emer treats the area 360 degrees. This creates true circumferential volume, better sensation, and a more natural look.

The procedure shown in the video is called Phallonox, and it is performed in Dr. Emer's Manhattan and West Hollywood offices.