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Jason Emer, MD, FAAD, FACS

Extra skin requires a different plan.

Girth Enhancement For Uncircumcised Men: HA Plus PMMA With Cannula Technique

How Dr. Jason Emer approaches penile girth enhancement for uncircumcised patients using hyaluronic acid blended with PMMA, creating a plane that accommodates extra skin and builds toward natural, symmetric results.

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THE DETAIL IS THE DIFFERENCE.See the results ↓

Dr. Jason Emer MD · FAAD · FACS

Uncircumcised penile girth enhancement requires cannula placement to bind filler to tissue, circumferential filling to prevent top-heavy bunching, and staged sessions to account for the extra skin that doubles the treatable surface area.

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From the filmed session

Inside the treatment. With Dr. Emer.

Uncircumcised Penis Girth Enhancement: HA + PMMA Cannula Technique | Dr. Jason Emer

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What Dr. Emer did · PHALLONOX

Every procedure. In order.

  1. 01

    Cannula plane creation PHALLONOX™

    Blunt-tip cannula used to create a smooth plane under the skin, binding hyaluronic acid blended with PMMA (Bellafill) to tissue, working 270 degrees circumferentially from the top half down to prevent bunching as the foreskin moves.

    “The reason I'm using a canula, which you see I usually never do, is when you first start, if you have a lot of extra skin, actually using the canula is great because it helps create a plane that the skin kind of gets bound to and allows me to get a better symmetric and even increase in length results.”

    Dr. Emer, in the film
  2. 02

    Circumferential girth filling PHALLONOX™

    HA and PMMA blend placed around full circumference, approximately 270 degrees, to create natural thickness rather than isolated width or top-heavy hump, working from top half down the sides.

    “We want it to be natural. We want it to have more more of the full girth that we're talking about, which is all the way around. You also don't want it to be too topheavy.”

    Dr. Emer, in the film
  3. 03

    Needle blending of lateral zones PHALLONOX™

    Needle technique used to blend sides after cannula plane is established, working down from treated areas to create smooth transitions and avoid irregular settling.

    “Now what I'm doing is going down to the sides to blend the sides right now. So, it's not just all on the top or by the base.”

    Dr. Emer, in the film
  4. 04

    Z-Wave shock wave therapy

    Immediate post-injection shock wave therapy applied to improve circulation, reduce lumps or bumps, and encourage even settling of the filler material.

Why patients fly in

What Dr. Emer does differently.

Cannula plane creation for uncircumcised anatomy

Dr. Emer uses a blunt-tip cannula to create a binding plane under the foreskin, a technique he reserves specifically for uncircumcised patients with significant extra skin to prevent bunching and irregular settling as the skin moves.

“When you first start, if you have a lot of extra skin, actually using the canula is great because it helps create a plane that the skin kind of gets bound to and allows me to get a better symmetric and even increase in length results.”

270-degree circumferential filling, not isolated width

Most providers inject only the dorsal width, creating a top-heavy hump. Dr. Emer fills nearly the full circumference to deliver natural thickness and heaviness that can contribute to perceived length.

“Most people will just do a little bit on the width and it's not as natural. Also, you're not going to get that full thickness. You're also not going to get that heaviness that can sometimes give you length.”

Staged building process for realistic volume

He plans multiple sessions when skin surface area is double the penile size, often requiring 100 cc or more total. The first session establishes the plane and blend rather than attempting full correction at once.

“If we pull the skin back and pull, there's equal amount. Look, this amount that can be filled. So this is a significant amount that could be filled in terms of probably 100 cc's of filler that could be based on the amount of skin that he has.”

Immediate shock wave and comprehensive aftercare protocol

Z-Wave therapy is applied immediately post-injection to improve circulation and prevent lumps. His aftercare includes red light therapy, arnica, bromelain, PRP and peptide injections (SOURCE:CODE), and specific skin care to prevent pigmentation changes.

“We have very specific afterare because you want to maintain one you don't want to get you want to get the bruising and swelling down quickly and so that requires certain things like red light therapy arnica bromelain also even doing uh certain peptides and doing our source code injections of PRP and and peptides and stem cells helps you heal much more quickly.”

Realistic expectations set at consultation

Dr. Emer tells patients that penile enhancement is never perfectly symmetric from the start, that some asymmetry and lumps are normal, and that more filler is always required than anticipated, especially for uncircumcised anatomy.

“I always tell people penis injection is never perfect. If you're if you need perfection, then don't do it because you're always going to get some sort of lumbar bump, some sort of asymmetry, and you're always going to require more filler than you think.”

THE THINKING BEHIND THE TREATMENT

The story.
The decisions.
The details.

Follow Dr. Emer’s approach through the stages described in this case.

Back to the video ↗
  1. 01Before

    The starting point

    Extra skin means more area to fill, more movement during placement, and a higher risk of irregular settling.

    The patient in this video is uncircumcised, which requires a different approach than circumcised anatomy. Dr. Emer uses a cannula to create a plane under the skin first, binding hyaluronic acid blended with PMMA to the tissue in a way that reduces bunching as the skin moves.

  2. 02The plan

    What Dr. Emer decided to do

    Cannula placement first, then needle blending, then shock wave therapy to help the material settle evenly.

    “The reason I'm using a canula, which you see I usually never do, is when you first start, if you have a lot of extra skin, actually using the canula is great because it helps create a plane that the skin kind of gets bound to and allows me to get a better symmetric and even increase in length results.”DR. JASON EMER · FROM THE VIDEO
  3. 03The session

    In the room, in order

    The treatment starts at the top half, working circumferentially around about 270 degrees, then moves down the sides with a needle. The goal is to fill the full circumference so the result reads as natural thickness rather than a top heavy hump.

    • Create the plane with a cannula
    • Fill circumferentially, not just width
    • Blend the sides with a needle
    • Shock wave therapy to settle the material
    “So my goal initially is to blend this and create this plane that makes it so that it doesn't bunch as much. And we utilize going from like the top half or so first and then work our way down.”DR. JASON EMER · FROM THE VIDEO
  4. 04The result

    What changed

    This is a building process. The session shown is a starting point, with additional treatments planned to achieve the final result. When Dr. Emer pulls the skin back in the video, the amount of area that could be filled becomes visible: as much as 100 cc's of filler based on the skin this patient has. The session uses a fraction of that, which is why realistic expectations and staged planning are part of the consultation.

    “So, this is where we are now. Obviously, I told you this is the lidocaine on both sides, so you got to ignore that. But in general, this is the blend now that we have.”DR. JASON EMER · FROM THE VIDEO
  5. 05What comes next

    Recovery and what to expect

    Shock wave therapy is used immediately after placement to help circulation, reduce the chance of lumps or bumps, and encourage even settling. The device used in the video is a Z-Wave, and the treatment is described as loud but not painful.

    Aftercare includes red light therapy, arnica, bromelain, and in some cases PRP and peptide injections to speed healing. Skin care is also part of the protocol, especially for lighter skin tones, to prevent pigmentation changes.

    “I always tell people penis injection is never perfect. If you're if you need perfection, then don't do it because you're always going to get some sort of lumbar bump, some sort of asymmetry, and you're always going to require more filler than you think.”DR. JASON EMER · FROM THE VIDEO
Explore the full treatment details +

Girth enhancement built for uncircumcised anatomy / Patient story

Uncircumcised anatomy changes the technique.

Extra skin means more area to fill, more movement during placement, and a higher risk of irregular settling.

The patient in this video is uncircumcised, which requires a different approach than circumcised anatomy. Dr. Emer uses a cannula to create a plane under the skin first, binding hyaluronic acid blended with PMMA to the tissue in a way that reduces bunching as the skin moves.

The treatment starts at the top half, working circumferentially around about 270 degrees, then moves down the sides with a needle. The goal is to fill the full circumference so the result reads as natural thickness rather than a top heavy hump.

This is a building process. The session shown is a starting point, with additional treatments planned to achieve the final result. When Dr. Emer pulls the skin back in the video, the amount of area that could be filled becomes visible: as much as 100 cc's of filler based on the skin this patient has. The session uses a fraction of that, which is why realistic expectations and staged planning are part of the consultation.

Why uncircumcised anatomy requires a different approach

The patient in this video is uncircumcised, which changes how filler is placed and how much is needed to achieve a natural result. Extra skin means more surface area to fill, more movement during placement, and a higher risk of bunching if the material is not distributed evenly.

Dr. Emer uses a cannula to create a plane under the skin first, binding the filler to the tissue in a way that reduces irregular settling. This is the foundation: a smooth, even layer that the skin can glide over without creating lumps or asymmetry as it moves.

Building the result in stages

The treatment starts at the top half, working circumferentially around about 270 degrees, then moves down the sides with a needle. The goal is to fill the full circumference, not just the width, so the result reads as natural thickness rather than a top heavy hump.

In the video Dr. Emer explains that trying to fill the entire area at once without enough product leads to irregular results. Instead, he blends what is placed in this session and plans for additional sessions to build the final outcome, especially when the patient has significant extra skin.

How the technique works

Four stages. One session.

Cannula placement first, then needle blending, then shock wave therapy to help the material settle evenly.

  1. 01

    Create the plane with a cannula

    A blunt tip cannula is used to create a smooth plane under the skin, binding the filler to the tissue and reducing the chance of bunching.

  2. 02

    Fill circumferentially, not just width

    The material is placed around the full circumference, about 270 degrees, so the result reads as natural thickness rather than a hump on top.

  3. 03

    Blend the sides with a needle

    After the top and base are filled, the sides are blended with a needle to create a smooth transition from the treated area to the untreated area.

  4. 04

    Shock wave therapy to settle the material

    Immediately after placement, shock wave therapy is used to help circulation, reduce lumps or bumps, and encourage even settling.

The treatment, explained

What is penile girth enhancement?

Also called penis filler, uncircumcised penis enlargement, PMMA penis injection, Bellafill penile augmentation, hyaluronic acid penis filler, male enhancement injections, penile augmentation.

What it is
Penile girth enhancement for uncircumcised men uses hyaluronic acid blended with polymethylmethacrylate microspheres (PMMA, brand name Bellafill) to increase circumference. The procedure is performed with a cannula to create a smooth plane under the foreskin, then blended with a needle along the sides. Uncircumcised anatomy presents more surface area to fill and more movement during placement, requiring a different technique than circumcised enhancement. The treatment is staged over multiple sessions to build natural, even thickness.
How it works
Dr. Emer uses a blunt-tip cannula to create a plane that binds the filler to the underlying tissue, working circumferentially around approximately 270 degrees from the top half down. This prevents the filler from bunching as the foreskin moves. After the cannula establishes the plane, a needle is used to blend the lateral zones and create smooth transitions. Immediately after injection, Z-Wave shock wave therapy is applied to improve circulation, reduce lumps, and encourage even settling. The filler blend combines immediate volume from hyaluronic acid with long-term collagen stimulation from PMMA microspheres.
Who it is for
Candidates are men seeking increased penile girth who understand that uncircumcised anatomy requires more product, more sessions, and realistic expectations about asymmetry during the building process. The procedure is appropriate for men with retracted or smaller penises who have significant foreskin, as the extra skin increases the treatable surface area. Ideal candidates are willing to commit to staged treatments and comprehensive aftercare. Men seeking perfection or immediate final results are not candidates. A consultation determines whether your anatomy, goals, and timeline are realistic for this approach.
Recovery
Bruising, swelling, and some asymmetry are normal immediately after treatment. Red light therapy, arnica, bromelain, and in some cases PRP and peptide injections (SOURCE:CODE) are used to speed healing. Specific skin care is required to prevent pigmentation changes, especially in lighter skin tones. Shock wave therapy is performed immediately after injection to reduce lumps and improve circulation. Recovery timeline and activity restrictions are discussed at consultation and vary by individual response.
When results show
Results from hyaluronic acid are visible immediately, with some settling over the first two weeks. PMMA microspheres stimulate collagen production over three to six months for longer-term thickness. Uncircumcised patients typically require multiple sessions to achieve their final result, as the extra skin can require 100 cc or more of total filler depending on anatomy. Some asymmetry, lumps, or irregularities are expected in early sessions and are refined over time. Final girth increase depends on starting size, skin, and total volume used across all sessions.

Signature procedures

Only at Emer.

Male enhancement

PHALLONOX™

Penile enhancement with filler or the patient's own fat, staged and performed personally by Dr. Emer, with private consultation.

Book PHALLONOX™Explore

Peptides / biologic optimization

RECODEX™

Peptide and biologic protocols for recovery, body composition and longevity, with epigenetic testing. RECODEX™ peptides are available to purchase through the practice after consultation.

Book RECODEX™Explore

Face / jaw

MAX-JZ

Dr. Emer's male jaw and face sculpting: a sharp mandibular line and defined angles, built with structural filler, debulking liposuction with internal heating, and hidden-scar neck lifting when the anatomy calls for it.

Book MAX-JZExplore

Body / AETHRAFORM top tier

MAXORIS™ APEX

The top tier of MAXORIS™ body sculpting: high-definition liposculpture, fat grafting and internal tightening, planned as one masculine geometry rather than separate areas.

Book MAXORIS™ APEXExplore

From Dr. Emer's Instagram

The work, as he shows it.

@jasonemermd @recodexsystem

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Why Dr. Emer

Precision matters when anatomy varies.

Two decades of results, a global patient base, and techniques that account for individual anatomy rather than forcing a universal protocol.

Dr. Emer built his reputation on outcomes that read as natural and techniques that other physicians study. He personally performs every procedure in his practice, and his approach to penile enhancement is built on the same principles as his body sculpting work: plan for the anatomy in front of you, place the material where it will settle evenly, and build the result in stages when needed.

Patients come to him when the result has to be precise, when previous work needs correction, or when they want a provider who will explain what is realistic before anything is placed.

  • MD, FAAD, FACS: board-certified dermatologist and cosmetic surgeon
  • Former Chief Resident in dermatology, Mount Sinai, New York
  • More than 10,000 patient encounters
  • Male facial sculpting longer than anyone in the United States
  • The highest filler volume on the West Coast
  • West Hollywood and New York
About Dr. Emer Schedule Consultation
EMER METHOD™×RECODEX™

More skin requires more product

Uncircumcised anatomy has more surface area to fill. The amount needed is often significantly more than patients expect, and the result is built over multiple sessions.

Asymmetry is normal at first

Some asymmetry, lumps or bumps are part of the process, especially in the first session. Shock wave therapy and additional treatments help refine the result over time.

Aftercare speeds healing

Red light therapy, arnica, bromelain, and in some cases PRP and peptide injections help reduce bruising, swelling and pigmentation changes.

Candidacy depends on goals and anatomy

Not every patient is a candidate, and not every goal is realistic. A consultation covers what is possible for your anatomy and what the timeline actually looks like.

Asked plainly, answered plainly

What men ask before they book.

Why does being uncircumcised require a different technique?+

Extra foreskin means more surface area to fill and more movement during and after placement. A cannula creates a plane that binds the filler to the tissue, preventing bunching as the skin moves. Circumcised anatomy has less skin and less movement, so the technique and volume requirements are different.

How much girth will one session add for an uncircumcised penis?+

There is no universal answer. It depends on your starting size, the amount of extra skin, and how much product is used. For patients with significant foreskin, the first session is often a starting point that establishes the plane and blend, not a final result. Dr. Emer has treated patients whose skin could accommodate 100 cc or more of filler across multiple sessions.

Will the result be perfectly symmetric?+

No. Some asymmetry, lumps, or bumps are normal, especially in the first session. Penile enhancement is never perfectly symmetric from the start. Additional sessions, shock wave therapy, and time help refine the result. If you require perfection, this procedure is not for you.

What is the difference between using a cannula and a needle?+

A cannula is a blunt-tip instrument that creates a smooth plane under the skin and binds the filler to tissue, reducing the risk of bunching. Dr. Emer uses it for uncircumcised patients with extra skin to establish an even foundation. A needle is then used to blend the sides and create smooth transitions after the plane is set.

What is the aftercare protocol?+

Red light therapy, arnica, and bromelain are used to reduce bruising and swelling. In some cases, PRP and peptide injections (SOURCE:CODE) are administered to speed healing. Specific skin care products are required to prevent pigmentation changes, especially for lighter skin tones. Shock wave therapy is performed immediately after injection to improve circulation and reduce lumps.

How many sessions will I need?+

It depends on your anatomy, goals, and how much skin you have. Uncircumcised patients with significant foreskin typically need multiple sessions to achieve their final result. The first session establishes the plane and blend. Subsequent sessions add volume and refine symmetry. Your consultation will cover a realistic timeline.

Why do some providers only inject the top or width?+

Most providers inject only the dorsal width because it is easier and faster. The result is often a top-heavy hump that does not look natural. Dr. Emer fills nearly the full circumference, approximately 270 degrees, to create natural thickness and heaviness that can contribute to perceived length.

Can fat grafting be used instead of filler for uncircumcised patients?+

Yes. For patients with significant extra skin who need large volumes, fat grafting can be a more efficient option than filler. Dr. Emer discusses both approaches during consultation based on your anatomy and goals.

Find out what is realistic for your anatomy.

A consultation with Dr. Emer covers your goals, your anatomy, and whether penile girth enhancement fits your plan.

Schedule Consultation

West Hollywood and New York City

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