PenisFill (p-fill®) Penile Augmentation

Bigger isn't always better, but for some it can really make a difference in self-esteem and intimacy.


Often Dr. Leonardo is approached by patients who would like to increase the size of their penis. Most are insecure about how they look in the locker room or how they are perceived by their partner. Some simply want to be larger. Most men typically have to accept genetics, but now, we have ways to non-surgically enhance the male genitalia. Dr. Leonardo now offers a few noninvasive options.


Traditional Therapies

Penile Augmentation has traditionally been a surgical option involving incisions to release the suspensory ligament of the penis and placement of a graft whether it is collagen, fat, or another substance. Surgery typically involves general anesthesia, missed workdays, and prolonged recovery.


Our Alternatives

We now offer nonsurgical options. We have seen increases in dimensions for our Priapus Shot (P-Shot®) patients in the order of 10-20% original size. This is contingent upon pumping exercises during the first 6 weeks post-procedure. If further increase in girth is desired, we can offer augmentation using our penisfill (p-fill®) procedure.


What is p-fill®?

The p-fill® procedure is a nonsurgical penile augmentation procedure using a blend of Radiesse® and Hyaluronic Acid (HA) dermal filler. It is performed under the comfort of local anesthesia without any incisions during a 2hr appointment.


Dr. Leonardo co-authored an aesthetic textbook all about Radiesse®. He contributed the penile augmentation chapter but has since improved upon his technique to what is now penisfill (p-fill®).


One component of the p-fill® blend is Radiesse®, calcium hydroxylapatite, a semi-permanent implant, that stimulates the body to form collagen. Unlike, other injectable implants like PLLA and PMMA, Radiesse® has never been found to cause granulomas. When blended with Normal Saline or HA, the product is softer, more malleable, and not lumpy. Because new collagen will be formed, the results tend to last over 1 year.


HA Filler, on the other hand, is better for bulking the penis. It is also more forgiving than Radiesse® as it is completely dissolvable in case one reconsiders or becomes too large for the partner. When used exclusively though, the penis takes on a spongy quality.


The p-fill® procedure uses a blend of Radiesse® and HA - takeing on the best characteristics of both. It is bulky but feels like flesh. It has longevity but is dissolvable to a degree. Clients are highly satisfied with their outcomes.


What gains can I expect?

Most men attain a 1/2” girth increase in the shaft from an initial 7mL of product. That is the minimum amount placed during the initial procedure. It may not sound like much but there is a noticeable enlargement. It will also feel bigger to you and your partner. Patients may add more girth during the same procedure or a second stage at a later date. 1” increase may be possible after 14mL of product and so on.


Can the glans be enlarged?

Absolutely! We recommend a minimum of 3-4 syringes of filler. It is also a treatment for premature ejaculation.


How long does the product last?

Clients tend to top off their results every 4-6 months with 2-4mL as opposed to allowing their dimensions to completely return to baseline after one year.


Is it safe?

As with any injectable filler, our biggest concern is vascular occlusion. As aesthetic injectors, ideally most of us have received training to practice safe medicine. There are danger zones throughout the face that could lead to tissue necrosis and even blindness, but we are able to provide these aesthetic services in a safe manner by using blunt tip cannulas (BTC). Hence, our penile augmentation procedure is performed using BTCs under the guidance of AccuVein which allows us to visualize the vasculature during the procedure.


Bleeding, bruising, and swelling are always to be expected after any injection technique. Dr. Leonardo will discuss other rare complications during your consultation. No matter what arises, Dr. Leonardo will be able to manage your concern.


Downtime and Aftercare?

We would like you to rest your penis for 2 weeks to allow the filler to settle into place with minimal migration. We ask that you avoid intercourse and masturbation during that time. Do not submerge under water i.e., bath or pool until the entry sites have closed. Keep the area as clean and dry as possible during that time to prevent infection.


Why Dr. Leonardo?

For an ideal outcome, your provider should be well-versed in injecting the male genitalia along with being proficient in medical aesthetics. Dr. Leonardo has been a pioneer in both fields. He has perfected his technique and trains other providers.


Can I see Before and After Photos?

Absolutely! Check out our gallery below.