Radiesse® Penile Augmentation

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 their genetics, but now, we have ways to non-surgically enhance the male genitalia. Dr. Leonardo now offers a few noninvasive options.


Penile Augmentation has traditionally been a surgical option involving incisions to release the suspensory ligament of the penis and injection of a filler whether it is collagen, fat, or hyaluronic acid. 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 Radiesse®.


Radiesse® is 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 hyper diluted/blended with Normal Saline, the product is more fluid, malleable, and not lumpy. Because new collagen will be formed, the results tend to last 1.5-2yrs. This is an advantage over the typical HA Fillers.


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). Because BTCs are blunt, they tend not to puncture blood vessels.


With safety in mind, our penile augmentation procedure is performed using blunt tip cannulas under the guidance of AccuVein which allows us to visualize the vasculature during the procedure. Hence, we can minimize the risk of cannulation of penile blood vessels. Patients will have close follow up afterwards. We keep Sodium Thiosulfate in stock as a dispersing agent, just in case. We also have GAINSWave® to pulverize potential nodules or occlusions.


The end result is dependent on the client’s starting dimensions, budget and goal. Those with adequate girth may not require as much product as those with thinner starting dimensions. Most will see an adequate increase in girth using 3-4 syringes. More can always added at a later date. Often treatments are staged 2 months apart to assess how the collagen has developed and what girth remains. The penis will appear thicker in its flaccid and erect state. When combined with Grotox, the penis tends to appear longer in the flaccid state as there is more weight and less retraction to allow the penis to hang better.