This patient has had previous treatments and is now adding volume to the head using Volux, a thicker hyaluronic acid filler.
The patient shows visible length increase compared to earlier sessions, and the dip at the base is gone, which indicates the length gain. Dr. Emer explains that length enhancement was not the original expectation of this procedure, but 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.
He treats the head and the corona to balance the head with the shaft and maintain proportion. The result is visible immediately, and the patient is instructed to avoid sex or masturbation for one to two weeks to allow the filler to settle.