Who is P-Volution for?
Most guys just want to feel comfortable and confident with the appearance of their penis and their ability to please their partner. Our patients have ranged from 20 – 65 years and from widely varying backgrounds. There are no generalisations,P-Volution may be an effective solution for any man who lacks confidence as a result of their current penis size or shape, who would like to enhance sexual pleasure for their partner or who simply wishes to be larger. We understand your reasons and we respect your discretion.
P-Volution is designed to noticeably increase flaccid and erect penile girth, often up to 0.5-1 inch extra width, which is the primary means of partner stimulation. The more product, the bigger the increase. With volumes over 10ml, most patients will also notice increased flaccid length due to the weight of the product, which helps maintain length when cold or embarrassed. Patient requirements and results do vary and this will explained during your confidential Doctor consultation.
The P-Volution technique has been performed since 2015 and all our Doctors have been personally trained and certified by Dr Lowe . The area is numbed and the procedure involves the painless injection of well known dermal fillers just below the skin, via a couple tiny injection points using a micro-cannula. Each P-volution session takes about one hour and has no downtime (a few days rest will be recommanded). The product can be massagable over 2 weeks and, if required, symmetry and size can be enhanced during your review.
P-Volution only uses safe and well known dermal fillers that are naturally and slowly resorbed by the body. The standard P-volution penis augmentation using HA will generally last up to 18 months before slowly resorbing and small top ups will help to extend the results, indefinitely. There is evidence that larger volumes and repeat injections will have longer duration due to the stimulation of natural collagen. We continue to research and trial other safe and longer-lasting dermal filler products, up to 4 years or longer, which can be discussed and explained during your Doctor consultation.
Penis Enlargement In 1 Hour
Would you consider enlarging your penis if it was safe, provided immediate results, had no downtime and was performed by experienced and certified doctors? Just like all cosmetic procedures have improved over the last decade, cosmetic enhancement of the penis has improved too!
Men Function Enhancement
Platelet Rich Plasma (PRP) Natural, highly concentrated platelets extracted from patient’s blood and immediately reinjected. Growth factors trigger tissue and skin repair along with regeneration of collagen elastin, muscles, nerves and blood vessel.PRP is resorbed quickly but healing process continues for months with results lasting up to 15mths.2 session every 12mths.
1. What is average size?
This is one of themost frequently asked questions. A comprehensive study was published in 2014 in The British Journal of Urology by David Veale, Professor of Psychology at King’s College, London Medical School.Professor Veale reviewed published studies of adult males (over 15,500 men), with the following “average” results:
• Flaccid length of 9.2cm (3.7 inches)
• Erect length of 13.1cm (5.25 inches)
• Flaccidcircumference of 9.3cm (3.75 inches), and
• Erect circumference of 11.7cm (4.7 inches).
These figures were slightly smaller than what were previously quoted in some studies. More importantly, the vast majority of men’s erect length was between 10 and 16cm (4-6.4 inch) and an erect circumference of between 9.5cm to 14cm (2.8-5.6 inch).
2. How much product do I need?
The amount of product required to achieve a specific increase will depend upon your natural erect length and girth. The product is a volumizer so 1ml product = 1 ml increase, but this needs to be placed evenly around the full length of the shaft. The recommended volume of product will be discussed and explained during your confidential consultation.
With a 15ml augmentation, it is common to achieve a 1-inch increase in the flaccid circumference, which results in around 0.5 to 0.7 inches increase in erect circumference. It is possible to have further top-ups every month after the initial procedure if additional size is desired.
* Patient results will vary based upon unique circumstances and should be discussed with your consulting doctor.
3. Where is P-Volution prodcuts injected?
The dermal filler is injected into the Areolar Tissue of the penis, just below the skin and Dartos facia. This can be seen as the outer yellow ring in the image below. The Areolar tissue is external to the main anatomical structures of the penis, which is protected by the Buck’s facia.
P-VOLUTION injection into the shaft is performed exclusively with a blunt tipped micro-cannula, via a small access point created with a small needle first. The penis is vascular and it is not a good idea to cut or occlude a blood vessel or other important organ such as the urethra – this can lead to infection and/or tissue death. A blunt tipped micro cannula is bendy and cannot penetrate a major blood vesselsmeaning it is much safer than using a needle.We may use a needle for injecting into the rim of the glans (head). The glans has a much thicker skin over erectile tissue. There are no major blood vessels to obstruct in this area.
4. Are P-Volution results instant?
Yes, the products used for P-VOLUTION are volume fillers so for each 1ml injected you get 1ml of volume increase and the results are immediate. You may have some initial swelling, which can be impressive, but this will subside over a few days.It takes a couple weeks for the dermal fillers to stabilise, absorb water and look its best.
5. Is P-volution Painful?
An important factor in developing the P-VOLUTION procedure was for minimal discomfort. It is possible to perform P-VOLUTION as a 1-hour, in-clinic procedure with only numbing cream for anesthetic. The dermal filler is also laced with lignocaine. The procedure is not painful.
6. What prodcuts are used for P-Volution?
We have trialed a variety of TGA approved dermal filler products since 2014 in developing the P-VOLUTION technique. Our goal was to identify the safest dermal filler suitable for penile augmentation, with sufficient longevity to justify the financial spend.
After our trials, we selected a biodegradable, highly bound volumizing product (within the hyaluronic acid “HA” family) that can be quickly ‘dissolved’ in the event of any complications or asymmetry. This product is a sugar-based gel already present in skin and tissue, which is broken down naturally by the body over 18-24+ months. Various viscosities of HA are available to address different areas of the penis shaft, neck and glans, as required.
We continue to trial other biodegradable dermal fillers with longer duration e.g. 3-5 years. These products may be more appealing for some patients and should be available for P-VOLUTION in the near future, however, they have different properties and risk profiles. They may also be a more expensive option given the higher cost price.
We do not mix different dermal filler types due to the uncertain interaction and potential risk of infection.
Note – we do not support use of permanent fillers for any cosmetic purpose. We have seen terrible complications with permanent fillers over the years and consider these too high a risk for penile augmentation.
7. How long does P-Volution lasts?
Most men won’t notice a significant reduction in the size of their P-VOLUTION augmentation over the initial 9-12 month period and then a gradual resorption over the next 12 months. A Korean study showed preservation of 90% of Hyaluronic Acid (HA) penis augmentation after 18 months, see this link: https://www.ncbi.nlm.nih.gov/pubmed/20233296
However, HA resorption rates do differ between patients depending upon their metabolism and how much Hyaluronidase enzyme is naturally in their penile tissue. Given the large volumes injected (10 ml+), the studies by Allergan have shown 80%+ retention after 18 months, with gradual full resorption up to 30 months. Please refer to the graph below, which measured resorption in the face.
Other reports indicate that repeat injection of HA tend to last longer, most likley due to the stimulation of collagen where the filler is placed, which is called fibrogenesis.
We are generally seeing a slightly slower resorption in penile tissue. So far, our patients are showing good retention after 12 months and most only come back within this time frame because they wish to be larger. However, we anticipate most patients will want a top-up of 5-10 ml every 18-24 months, to maintain the size.
8. Recovery after P-VOlution
There is minimal downtime with P-VOLUTION, most patients return to work the next day.
After the procedure, a stretchy bandage will be wrapped around the penis to minimise swelling and assist with product placement. We ask that you leave this on for 24-48 hours and you may re-wrap if the bandage comes off sooner.
With HA’s, there is some initial malleability to the product for 2 weeks after injection. You may use this time to massage any bumps or smooth irregularities, but please don’t over do it. The dermal filler will integrate with penile tissue after 2 weeks, so any residual bumps after this time will need to be dissolved or naturally resorb over time.
Post Care: we advise patient’s to keep the area clean for a week, avoid sexual activity for 3 days (and unprotected anal sex for 7 days), shower daily and after exercise, take any prescribed medications and follow our post-care instructions carefully.
We provide after-hours support line if anything concerns you and ask that you return after 3-4 weeks for review.
9. Complications with P-Volution
Whilst complications are rare, you may experience:
• Some bruising and tenderness. Avoid Vitamin E, blood thinning medications, anti-inflammatory drugs, steroids and St John’s Wort for a week before and after the procedure.
• Swelling for a few days that may be quite impressive, but will settle. If excessive swelling remains beyond a few days, please contact your treating doctor or clinic.
• Due to natural tissue bands under the penile skin that are difficult to identify, we may not achieve perfect symmetry in a single session. For this reason, we prefer to inject in a 2-phase program, with corrections made during the 2nd session.
• Possible hardening of product forming a lump (granulomas). These can occur after a few weeks/months and it is important to resolve quickly. Please contact your treating doctor or clinic for review and advice.
• Possible infection, which is the most serious concern. We perform P-VOLUTION in a sterile field and we may prescribe you precautionary antibiotics after P-VOLUTION, please ensure you complete the full course. If you feel any significant pain, heat or difficulty passing urine, please call and speak to your doctor or clinic as soon as possible.
10. Return to Sex
We advise patients to abstain from sexual activity for at least 3 days and from unprotected anal sex for one week to allow the tiny injection points to fully heal and minimize the risk of infection.
11. Is P-Volution noticeable by partner?
We initially thought the P-VOLUTION procedure would be a “locker room” confidence boost as the biggest change was seen in the flaccid penis girth. Further, men get less “shrinkage” so it looks longer in the flaccid state too.
However, what we have found that (especially with larger volumes > 15ml), the sexual partner will definitely feel the increase in girth. Girth is generally believed to be more important than length in satisfying a partner because the vast majority of the sensory nerves are at the opening rather than at the depth of the vagina or anus.
12. Will my penis function normally?
There are no reported changes in erection, sensation or orgasm after the P-VOLUTION procedure.
13. Will my penis feel normal?
Yes, when erect, most patients will not notice any substantial difference in the firmness of the penis.
However, some patients say that when flaccid the penis feels slightly more “squishy” than normal. This is generally related to the starting size and the volume of filler used.
14. Will I have lumps/bumps?
The P-VOLUTION technique has been refined and improved over 3 years using different products and injection methods/programs.
So long as patient’s follow their treating doctor advice and return for reviews, the P-VOLUTION technique produces consistently reliable and smoothly distributed product throughout the penis with no lumps or bumps.
* The results do vary between patients, so if any asymmetry or lumps are observed, please return for a review with your treating doctor who may be able to resolve.
15. Can the product migrate?
For P-VOLUTION we generally use a highly cross-linked, dense hyaluronic acid called Voluma(by Allergan). This is injected with a very precise technique and the product is carefully placed and moulded for even symmetry and to minimise the chance of pooling or migration towards the base or glans. Our Doctors also like to inject larger volumes in 2+ sessions to optimise product placement.
Whilst Voluma is soft enough to gently massaged for up to 2 weeks after injection (which is useful to smooth any residual bumps), it will integrate with penile tissue after this time and remain in place.
However, we have had one early patient with product migration issues, which we believe was due to a combination of too much product, medications and excessive swelling. With changes to the technique and limits per session, we have not seen this occur again.
To minimise swelling/bruising, please stop taking Vitamin E, anti-inflammatory drugs, St John’s Wort, Aspirin and other blood-thinning medications at least 1 week before the procedure.
16. Can you inject glans/head?
Yes, it is possible to inject the glans (“head” of the penis), however, it does not respond quite as reliably as the shaft of the penis. In the glans, the erectile tissue is bonded directly to the skin of the glans. Injecting into this thicker skin can cause some compression of the erectile tissue so although it may feel firmer, it might not get he same proportionate increase that we see in the shaft.
P-VOLUTION tends to focus on augmenting the glans corona (rim of the head), which creates the impression of a larger glans size.
17. Can P-Volution assist with Premature Ejaculation?
There are some positive studies showing injection of HAs into the glans can assist with premature ejaculation symptoms and we have observed this with our patients. However, this is a specific procedure and less focused on aesthetic results. Clinical study results can be read here:
18. Can I fly in for P-volution?
Yes, you may fly-in for P-VOLUTION treatment and it is possible to complete the 2-phase injection program within 7 days so long as all swelling has subsided. However, we request that you avoid flying for 24-48 hours after the final injection session and stay in contact with your treating clinic between sessions.
19. Can I have gradual top-ups?
Yes, it is fine to gradually increase the size of the penis with progressive P-VOLUTION sessions, every month or so. However, this can make the overall program more expensive given the repeated preparation and post-care follow-up by doctors and staff.
20. Is there a limit?
Yes, there are limits! It is important to ensure the penis looks normal and in proportion with the glans (or “head”). Whilst it is possible to augment the glans too, your doctor will endeavor to keep everything in proportion. The primary purpose of P-VOLUTION is to increase the circumference of the shaft for personal confidence and sexual satisfaction. We are not trying to produce abnormally large “porn-star” members.
We also limit each injection session to max 15 ml. The more product, the more swelling, which makes it difficult to ensure even product placement and risks product migration post-procedure.
21. Who performs P-volution?
P-VOLUTION was developed over a several year period by Dr.Jayson Oates FRACS, based in Western Australia. Only doctors who are personally trained by Dr. Oates and certified P-VOLUTION Clinicians may perform the P-VOLUTION procedure.
22. What is Hyaluronic Acid?
Hyaluronic Acid (HA) is a naturally occurring chain of sugars found in the skin and tissue of all animals, which is broken down and regenerated relatively quickly by the body.
HAsthat are used for cosmetic purposes have been replicated in a lab. They are generally cross-linked to extend duration once they are injected. The more cross-linking, the firmer the product and the longer it tends to last.
Body tissue has natural Hyaluronidase, the enzyme that breaks down Hyaluronic Acid into carbon dioxide and water. Other factors such as natural metabolism, excessive exercise and medications may also affect how quickly HAs are broken down.
Given the premium HA products used in the P-VOLUTION procedure, most men won’t notice any significant change in the size of their augmentation over a 12 month period but this does vary
23. Any Risks with Hayluronic Acid?
As HA is a sugar and contains no protein there is very low risk of allergic reaction, however, there does remain a small risk especially for people with an underlying autoimmune disease.
Hyaluronic Acid has a great ability to hold water to itself (in fact 10,000x its own weight). Occasionally, this can cause issues with swelling and product migration.
There is always a small risk with any injection of vessel occlusion (if using needles, not with cannula), infection or delayed granuloma (hard lump). However, these risks can be mitigated or managed with sterile procedures, antibiotics or dissolving product with synthetic Hyaluronidase.
In the event of any abnormal result or complication, please contact your P-VOLUTION doctor or clinic immediately. The sooner you seek review, the easier it will be to resolve complications effectively.