New & Better Permanent Girth Injections
Do you want to keep your bigger size forever?
Did you get great hyaluronic acid girth enhancement results elsewhere (or here at REJUVALL®) in the past and want to make your bigger size permanent safely and excellently with PMMA?
To safely transition from a hyaluronic acid girth enlargement to a permanent larger size, REJUVALL® offers our new FusionThick™ PMMA penis enlargement by injecting Bellafill® beneath your already existing hyaluronic acid (H/A) girth enlargement layers.
When used in combination with already established H/A, and in conjunction with the MacroSculpting™ technique that’s exclusive to REJUVALL®, this permanent injectable (PMMA / Bellafill®) has a stellar safety and consistency record when administered off-label using the special MacroSculpting™ technique invented by renowned board-certified urologist Kenneth J. Carney, MD, PHARM, FACS.
FusionThick™ is the newest and easiest way to make the switch from temporary to permanent girth injections.
Make the Easy Switch to Permanent Girth Injections
Transitioning from temporary to permanent girth injections was nearly impossible. . . Until now.
When it comes to permanent girth injections, patients may find it challenging to transition from H/A girth injections to permanent PMMA filler for girth at other clinics. By precisely administering and placing long-lasting PMMA in precise locations, REJUVALL®’s cannula-free MacroSculpting™ technology has changed all of that.
Patients can now easily transition from semi-permanent to permanent treatment without losing their larger new size or increasing their risk of developing granuloma nodules (bumps on penis).
What is MacroSculpting™ at REJUVALL®?
When it comes to a hassle-free course adjustment REJUVALL® cannula-free MacroSculpting™ revolutionized the game.
Introducing REJUVALL® FusionThick™
REJUVALL® FusionThick™ is a non-surgical injection of the only FDA-approved version of PMMA (polymethyl methacrylate) for off-label permanent girth injections, in patients who have already had a hyaluronic acid girth enlargement and want to make their hyaluronic acid girth enhancement results permanent with Bellafill®.
Smooth, round polymethyl methacrylate microbeads floating in a bovine carrier make up this synthetic injectable, which encases polymer beads too big for the body to naturally reabsorb while also stimulating tissue inflammation and collagen formation to replace the bovine agent.
FusionThick™ increases penile thickness or circumference in both flaccid and erect states. Penile thickness is increased more slowly than with H/A using the three-step FusionThick™ technique.
1. The inflammatory response is started by collagen carriers.
2. PMMA microspheres are surrounded by collagen development.
3. Dissipation of the injected carrying agent.
Although no patient’s erection or sensation has ever been confirmed to change, our patients’ sexual partners have seen notable improvements.
One of the top reconstructive urologists in the US, Kenneth J. Carney, MD, PHARM, FACS, performs all REJUVALL® surgeries.
Advantages of adding PMMA to H/A
Achieving a long-lasting quality enlargement is directly tied to the basic foundation.
When an injectable filler is administered beneath the skin for the first time, the body’s immune system frequently reacts most strongly, causing more edema than in subsequent treatments.
We insist that new non-surgical girth enlargement patients begin with at least one layer of hyaluronic acid (H/A) as the starter foundation, even if they are certain from the outset that all they want is a permanent result from PMMA injections. We recommend at least two rounds of H/A to help ensure an even, uniform finish within the penile shaft.
We discovered that beginning augmentation with PMMA almost always results in the immediate formation of granuloma, which makes for a less than ideal foundation to establish symmetrical penile thickness.
This is because the main challenge of using PMMA in the penis shaft is its tendency to clump together and form granuloma, or bumps on the penis.
Also, if the penile shaft is uneven from prior H/A injections, it’s essential that we first achieve a smooth even finish with H/A injections. Why is that? The permanent Bellafill injections will gravitate to the uneven areas of H/A filler. Thus, once the hyaluronic acid reabsorbs, that means the remaining permanent PMMA will also be uneven.
Patients can continue to add thickness based on their desired size once a good foundation of H/A has been formed, or they can decide to stick with their current larger size.
How do I know that this isn’t silicone?
Whether it’s FDA-approved formulations or illegal injections, silicone is, in our opinion, the worst substance available for enhancing penile performance, though the price and durability of injectable liquid versions draw some people in.
In contrast to injected PMMA, which can be extracted chemically or surgically in case the patient is not happy with the outcome, injected silicone stays in the body forever.
Additionally, once you start with silicone, there’s no way to go back to a different method of enhancing penile girth, making silicone quite literally permanent girth injections.
Also, silicone obstructs sonography, meaning that should the necessity arise, a urologist will never be able to assess the interior health of your penis. Keep in mind that “everlasting” can also mean that you’ll probably have troubles for the rest of your life.
Our Bellafill® PMMA comes directly from the manufacturer, Suneva Medical, Inc. We welcome our patients who are worried about the current silicone oil scam in penile enlargement to request to see the unopened packaging before their procedure as proof of a safe and authentic product being used for their Bellafill® penile enhancement procedure.
We also think it’s a bad idea to enlarge the penis with a silicone implant. In an attempt to maintain the natural penile length, producers of penile prosthesis implants for severe erectile dysfunction made this endeavor decades ago.
They discovered that this led to an unacceptable number of cases of infection and many men who developed a fibrotic buildup at the base of their organ (a result of intense sexual intimacy), and in some cases, severe Peyronie’s disease.
Silicone implants which are used to enhance breasts rest comfortably on top of the rib cage. A penis’s experience, from intercourse to masturbation, is noticeably more aggressive. We think that the risks and difficulties are greater than the advantages.
Best Girth Enlargement Options
All new REJUVALL® patients are highly encouraged to start with procedures that provide the most choices for follow-up should they decide to change their minds later on.
Because of this, we do not recommend using Bellafill®, the only PMMA product with FDA approval for off-label girth enhancement, for beginners.
Several other possible girth-enhancing procedures, like a fat tissue transplant or dermal graft transplant, are no longer possible once PMMA is injected into the subcutaneous tissue surrounding the penis organ.
This is because PMMA permanently limits the blood supply required in the outer shaft tissue to support any kind of transplant.
Furthermore, it makes it more difficult for a urologist to use duplex Doppler ultrasound equipment to view inside your penis in the event that you have a penile health event in the future or need PGE injections to maintain function as you age.
Injections of H/A are usually given in the Areolar Tissue, directly beneath the epidermis and the Dartos fascia of the penis. The fundamental anatomical structures of the penis are shielded by areolar tissue by Buck’s fascia.
Bellafill® PMMA injectables are positioned below the H/A layers when a patient chooses to switch to a permanent filler.
Using a dissolving agent to soften, rectify, or dissolve practically any irregularity is a big advantage of starting with hyaluronic acid filler, as opposed to needing to create a small incision to address migration, nodules, and granulomas (unsightly bumps on penis) linked to permanent thickening agents.
Get the world’s best results with the nation’s top reconstructive urologic surgeon
Kenneth J. “Jeff” Carney, MD, PHARM, FACS, has accomplished remarkable things to rank among the top reconstructive urologic plastic surgeons in the country.
Having received the greatest patient evaluations and being named a Best Atlanta Urologist, he is also included in WebMD’s 2023 and 2024 choices.
Dr. Carney started his career serving his country as an aircraft artillery systems specialist in the Air Force while attending night classes at college, which is not like most future doctors.
After being honorably discharged from the Air Force and earning a degree from Okaloosa-Walton College (now Northwest Florida State College, Fort Walton Beach/Niceville, Florida) summa cum laude in 1984, Dr. Carney received his PhD in pharmacy from Mercer University in Atlanta in 1988.
Upon graduating from the Medical College of Georgia in 1993 with a medical degree, Dr. Carney went to Eastern Virginia Medical School.
During his final two years there, he served as chief resident in the urology residency, having previously served as a resident in plastic and general surgery. Dr. Carney worked as a fellow at the Roswell Park Cancer Institute for the next two years, following his certification as a board-certified urologist.
After determining that oncology was not his greatest urologic love, Dr. Carney went on to finish a two-year fellowship in Traumatic and Reconstructive Urology at the University of California, San Francisco in 2001.
Dr. Carney began a significant tenure as an assistant professor of urology at Emory University in 2001 in addition to joining the faculty at Grady Memorial Hospital in Atlanta, one of the most prestigious Level I trauma centers in the country.
After serving as Grady’s Chief of Urology for twenty years, he developed a keen interest in trauma and reconstructive surgery.
According to U.S. News, Dr. Carney is among the top urologists in terms of patient satisfaction. He was also awarded the Patients’ Top Choice Award and has a 5-star rating.
Dr. Carney established a fellowship in reconstructive and plastic urology in 2012, and he continues to serve as the program’s director. The fellowship is certified by GURS (The Society of Genitourinary Reconstructive Surgeons).
Following his departure from Emory, he joined REJUVALL® and went on to lead three important discoveries in the field of penis enlargement: penile lengthening, penis enhancement for patients who are obese or overweight, and a crucial “cannula-free” method for non-surgical penile augmentation. Dr. Carney later developed this cannula-free non-surgical girth enhancement method into the current MacroSculpting™ technique that’s exclusive to REJUVALL®.
Dr. Carney has had a remarkable influence on penile enhancements recently, having developed or enhanced many of the enlargement methods that REJUVALL® currently provides. Additionally, he contributed to the simultaneous development of two significant enhancements to ExoSurge®, REJUVALL®‘s ground-breaking non-surgical Peyronie’s disease treatment method.
In other words, Dr. Carney is redefining what constitutes a successful outcome and altering the guidelines for cosmetic penile enlargement.
How does Bellafill® for girth enhancement work?
The clinical evidence supporting our belief that Bellafill® PMMA is essentially permanent is ongoing.
As of right now, Bellafill® distributor Suneva has released the results of a five-year study involving 1,008 patients, in which the retention rate for patients was 87 percent, indicating near permanency.
It is getting harder and harder to produce the ongoing ten-year research as patients move on, lose interest, or stop communicating. Over five years have passed since the last clinical evaluation of any kind of PMMA.
Polymethyl methacrylate (PMMA) is the active ingredient found in Bellafill® microspheres. It is a synthetic material that holds the skin in place and replenishes lost volume by acting as a structural support, much like the scaffolding of a building.
Bellafill® microspheres have a diameter of 30 to 50 microns. Homogeneous microspheres larger than 20 microns are thought to be too big to be reabsorbed or broken down by the body as part of regular metabolic processes like hyaluronic acid does.
Our clinical opinion is that PMMA injections should be essentially permanent when given adequately around the penis. We think that the biggest danger to the PMMA microspheres’ loss is the mechanical action of intense sexual activity or masturbation, which has the potential to dislodge them.
Consequently, we advise PMMA patients to develop the habit of using a “flesh light”-style device for masturbation. It is better suited for the penis by design and enhances penile function during vaginal sex.
Bellafill® for Girth Enhancement Cost
with FDA-Approved Bellafill® PMMA and MacroSculpting™
REJUVALL® FusionThick™ includes off-label injections of FDA-approved Bellafill® PMMA injectable filler.
We advise patients who have achieved their desired new thickness with hyaluronic acid to then convert to permanent PMMA when they (and their partner) are satisfied with the size and appearance.
However, even for males who are 100% certain they want permanent from the beginning, we always require that they begin with H/A filler. This makes patients who have already gotten a hyaluronic acid girth enlargement the perfect candidates for REJUVALL® FusionThick.™*
The tendency of PMMA filler to clump together and produce granuloma nodules (bumps on penis) is one of its disadvantages. We found that if the first agent injected is H/A, the likelihood of this complication is greatly reduced.
After two sessions of PMMA filler at REJUVALL®, patients can receive a discount on all follow-up sessions in our clinic.
*for patients who also meet all other medical requirements
How Circumcision Affects Bellafill® Penile Enhancement
When the leftover circumcised scar line is significant enough to form a barrier preventing post-surgical edema fluids from exiting the area behind the scar line, this is the most common obstacle to healing from an infant circumcision.
In essence, the scar line blocks the lymphatic drainage necessary for the healing process.
Usually, this ailment presents as a narrow, “pinched” line between the glans and the circumcision line surrounding the penile shaft.
Frequently, the thick neck area around the glans is the result of residual retained fluid from swelling that cannot be adequately reabsorbed by the body.
Because non-surgical methods result in less swelling than surgical thickening procedures, issues with non-surgical enhancements from a heavier circ scar line are usually easier to cure.
This is also the reason we insist on conditioning the inner prepuce with 10ML of the chosen dermal filler before starting the first treatment.
This is particularly true with Bellafill® PMMA because the injection causes an inflammatory reaction that lasts for four to eight weeks, resulting in continued growth.
This has not been an issue since we changed to utilizing only five PMMA syringes per administration.
FusionThick™ PMMA Girth Results
A lot of men say, “I want permanent,” but then once they get there, they don’t. Regretfully, once something is permanent, it can’t be undone.
Just like the majority of our customers, we at REJUVALL® are value seekers. “Why should I buy something that isn’t permanent if I’ll have to spend more money later to make it permanent?” a guy may ask. “I’d like my manhood to be bigger. It should always be bigger, in my opinion.” We comprehend this logic completely.
But experience has taught us that there’s more to the story, especially when it comes to penile thickness.
For instance:
- Which specific increased measurement would you like to see maintained permanently?
- Are you happy with how proportionate your larger size looks when flaccid and erect in respect to the shaft and glans?
- Is your significant other content with your present size?
A number of patients reached a point where these and other permanent problems became unmanageable, and they realized that the only option to change the course of their new circumstances was to undergo time-consuming and financially even more expensive surgery.
Finally, PMMA produces a superior result when it is started with H/A filler instead of PMMA alone.
The tendency of permanent injectable fillers such as PMMA to clump together and form tiny nodules called granulomas inside the penis shaft, is one of the main problems with using them.
This is more likely to occur early in the thickening phase when the body’s reactive inflammatory activity is at its peak. Once H/A filler has been used for at least one cycle, this danger is significantly decreased.
After achieving the ideal size with H/A, we can then apply the PMMA filler to produce a smooth transition. This is a REJUVALL®-only procedure.
Furthermore, less PMMA can be safely injected at the beginning of the foundational structuring process overall in milliliters, which lessens the excitement of growing larger.
When a non-surgical patient wants to focus on permanence, we always advise them to adjust their procedure after achieving their desired thickness with H/A. We require that they have their first round of H/A at the very least in order to lower their risk of developing granuloma.
Who is FusionThick NOT for?
Remember that some patients are not well suited for a non-surgical enlargement:
- Circumcision is required for patients. The normal process of foreskin retraction during an erection is nearly always disrupted when girth is added to an uncircumcised penis. This can lead to phimosis, infections, and a number of troublesome urologic diseases. For $3,900, we provide non-surgical cosmetic circumcisions that leave excess skin in place for males who desire to elongate their penis. A new circumcision must be healed for at least three months before a non-surgical penile enlargement can be performed.
- Girth enlargement without surgery is not a good option for guys who have enlarged suprapubic fat pads above the base of their penis. They will nearly always appear smaller than they were before this augmentation. These men should be thinking of having our single surgical treatment to remove the fat pad, shape the stomach, and extend the penis.
- Patients with a micropenis usually don’t get fulfilling results starting with a non-surgical girth enhancement. They should first start with either non-surgical or surgical lengthening. Adding thickness to a shorter penis doesn’t create a positive outcome and will almost always cause the penis to appear smaller.
Conclusion
Injections of the sole FDA-approved off-label form of “PMMA,” or polymethyl methacrylate, are used in the non-surgical REJUVALL® FusionThick™ cosmetic medical procedure.
Off-label use of this injectable synthetic, which replaces the bovine agent and encases polymer beads that are too big for the body to naturally reabsorb, increases collagen formation and tissue inflammation. Bellafill® is made of smooth, spherical micro-beads of polymethyl methacrylate suspended in a bovine carrier.
Both flaccid and erect penile thickness are significantly increased with REJUVALL® FusionThick™. Because FusionThick™ requires three steps to enhance penile girth, it takes longer than H/A to do so.
1. Collagen carriers initiate an inflammatory response.
2. The PMMA microspheres are surrounded by collagen.
3. The injected carrier dissolves.
The patients’ erection or sensation have never been documented to change, despite the fact that our patients’ sexual partners have noticed significant improvements in their pleasure.
To achieve ideal enhancement with a smooth, symmetrical, and larger penis, a thorough understanding of non-cannula injection techniques, product viscosity gradient, and penile anatomy and function are all necessary.
One of America’s top reconstructive urologists, Kenneth J. Carney, MD, PHARM, FACS, performs all REJUVALL® surgeries.
Although the clinical data for Bellafill® PMMA is still developing, we believe it to be largely permanent. Bellafill® distributor Suneva recently released the results of a five-year, 1,008-patient study, showing an 87% retention rate—a sign of near permanence—for users. After five years, no PMMA type has undergone clinical evaluation.
The active component of Bellafill® microspheres is polymethyl methacrylate (PMMA). It’s a synthetic product that provides the skin with structural support, much like scaffolding does for a building, to hold the skin up and replace lost volume.
The diameter of Bellafill® microspheres varies from 30 to 50 microns. Uniform microspheres larger than 20 microns are thought to be too big to be absorbed again or broken down by the body normally (as hyaluronic acid does).
Our clinical opinion is that when PMMA injections are administered correctly around the penile organ, they should be generally permanent.
We think that the mechanical action of intense sex or masturbation poses the greatest risk to their loss since it can potentially dislodge the PMMA microspheres. Therefore, we suggest that PMMA patients make it a habit to use a device similar to a “flesh light” for their masturbation. By design, it fits the penis better and even produces superior penile function during vaginal sex.
Bellafill® expects to publish the findings of a ten-year experiment in 2025. Such long-term investigations are exceedingly challenging to manage. Quality long-term data collection is hampered by patient moves, waning interest, and changing therapies.
Our qualified, experienced, male case consultant will be pleased to assist you in getting the information you need. John, who was a REJUVALL® patient himself, can answer all of your questions and vouch for your suitability for the procedure path of your choice.
Following that, and prior to us determining the precise date of your initial treatment, our surgeon must perform a quick urologic check.
The majority of men use the same secure, HIPAA-protected Telehealth platform that we use to treat patients in our urologic clinical practice to finish this phase.