FAQ

Silicone filler injections are safe when performed by a Board Certified Surgeon with experience in using this type of permanent filler and the proper technique for injections. The preparation of the silicone oil mixture is also crucial to its success as a lasting filler. Endurafill was developed as a patented silicone oil permanent filler formula that promotes the generation of new collagen. As a result, the enlargement of the penile shaft, glans, or scrotum is not only due to the silicone oil itself but also from the stimulation of natural collagen production in the body.

Fillers have been a part of cosmetic surgery for more than 70 years. When injected beneath the skin, whether for the face, hands, penile area, or other parts of the body, they trigger a predictable production of your personal collagen.

The Permanent Dermal Filler Injection Technique offers numerous benefits. One major advantage is that it does not require general anesthesia, which comes with its own set of risks. The technique involves only a small needle puncture—no scalpel or stitches—which reduces the risk of infection and complications that can arise from opening the skin and exposing the penile tissue. Since no scalpel is used, there is no risk of severing arteries or nerves, which could result in significant penile tissue damage. Additionally, the procedure avoids cutting through other vital penile tissues, including the spongy blood-filled chambers essential for erection function.

Another benefit is the ability to sculpt the area with precision using the Endurafil Filler, which allows for significant girth enlargement of the penile shaft, glans (head of the penis). Temporary fillers frequently leave lumpy or spongy areas along the penile shaft.  Temporary fillers can also become very pricey due to the ongoing procedures required to keep your desired size.

Dr. Zebrowski uses the Endurafil Permanent Filler for Penile Shaft & Glans Girth Enlargement, this offers a significant advantage over invasive penile enhancement surgeries, as it is a minimally invasive injection technique. Unlike surgical procedures, the Enduafil Girth Procedure avoids the risks associated with cutting and stitching, which are common in many male enhancement surgeries today, such as Fat Transfer, Alloderm or Belladerm grafts, Dermal Grafts, and large silicone implants. These traditional surgeries carry considerable risks and potential side effects, including nerve damage, changes in sensation, vascular damage, superficial skin tissue necrosis, excessive scarring, and complications with erectile function. Additionally, altered urinary and semen flow may occur.

Dr. Zebrowski and team also developed the newest lengthening procedure, a minor surgical option for penile shaft enlargement, both erect and flaccid. This procedure involves lengthening the penile shaft through a Suspensory Ligament Release Technique. While it is a surgical procedure and thus carries some inherent risks, these are generally less severe compared to more invasive methods. Potential risks include infection (though rare), scarring, minor bleeding, temporary swelling and bruising, and occasional superficial nerve damage. Although most of these are very rare.

The risks associated with Penile Enlargement Surgery for Shaft and Glans Girth enhancement, as mentioned earlier, are similar to those of most major surgical procedures. However, the minimally invasive Permanent Dermal Filler Injection Technique significantly reduces these risks. Unlike traditional surgery, this technique requires no cutting with scalpels, no sutures or stitches, and no scarring. It also eliminates the need for general anesthesia. The procedure only involves a tiny needle puncture, through which the filler material is safely and effectively delivered beneath the penile skin. As a result, the Permanent Dermal Filler Injection Technique is one of the safest and most effective minimally invasive Collagen Layered Activation procedures for penile enlargement available today.

Liposuction Fat Transfer involves extracting fat from one part of the body, such as the abdomen, using a large cannula or needle-like instrument, and then injecting that fat into the penis. This procedure typically requires either local or general anesthesia. However, there are several drawbacks to this technique. First, the texture of the penis after fat transfer can feel unnatural, especially when erect. The penile shaft can become “squishy” or soft, which is not typical for a natural, firm erection. Additionally, not all of the transferred fat will “take,” leading to fibrosis, lumping, and an uneven, unnatural feel.

In contrast, the Endurafil Injection Technique offers more precise sculpting, providing a firm, natural-feeling result for the penile shaft, even when erect. Since this technique involves no fat transfer from other parts of the body, it eliminates the need for multiple surgical procedures and reduces the risk of complications like infection. It is a safer, minimally invasive procedure that avoids many of the issues associated with fat transfer, ensuring a more predictable and natural outcome.

Many medical penis pumps that claim to enlarge the penis provide only temporary results. If someone uses one of these pumps, do they truly work? When negative pressure is applied to the tissue, including the penis, it causes the tissue to swell, which leads to temporary enlargement. However, there are several drawbacks to this method of enlargement.
First, the effects are short-lived. The swelling typically fades within minutes to an hour after using the pump. Second, the enlargement produced by the pump results in a soft, unnatural feeling rather than the firm, hard sensation of a natural erection.

In contrast, the ENDURAFIL Procedure offers a far more effective and lasting solution. Unlike the temporary swelling caused by pumps, this procedure stimulates your body’s own natural collagen production, providing permanent results. Additionally, the ENDURAFIL Procedure significantly enhances penile girth, and the result feels firm and natural, much like a typical erect penis. The difference between temporary pump effects and the permanent, natural results from the ENDURAFIL Procedure is striking.

This depends on several anatomic anatomical and psychological factors. Example… Women who have a shorter vaginal vault may experience pain during intercourse due to a longer Penis hitting or rubbing against the cervix. This can also happen with certain sexual positions for a woman. In this situation there is no advantage of a longer Penis. In most cases where this occurs, Girth size is far more important than length, if we are talking about her pleasure. Girth size factor is not as critical with a woman with a short vaginal vault since there is greater accommodation by the Vagina (and anal canal) with stretching than Vaginal ( or anal canal) lengthening – which is more fixed. A short anal canal, in men or woman: The same applies as above. Girth size factor is not as critical since there is greater accommodation by the anal canal with girth stretching than anal lengthening which is more fixed. The women with a long vaginal vault: If the vaginal vault can accommodate a longer Penis, there might be an increased element of orgasmic pleasure, or none at all. A larger vaginal vault is much more important for the man’s pleasure, since the vagina can accommodate the entire Penis, causing a greater and more pleasurable experience of full and complete penetration, as opposed to partial penetration, in most if not all sexual positions. A long anal canal in men or woman: The same applies as above – in the lengthy Vaginal canal example. The oral cavity of women, or men: If one enjoys having the whole Penis in the mouth (without extending beyond the back of the throat), the smaller Penis wins. If one enjoys holding the Penis in one’s hands while performing oral sex, then the longer Penis wins. A note on psychological factors: We are bombarded with much propaganda that ‘bigger is better’, however, when one examines this more closely, the psyche is affected and impressionable by outside messages and influence.Bigger might simply be purely a psychological issue for some. Although science does tell us that a larger penis can induce a higher level of stimulation.

This is undoubtedly one of the most complex and often debated questions. The answer is far from a simple “yes” or “no.” To better understand it, let’s first define the terms “bigger” and “better.”

When we talk about “bigger,” we need to consider penile anatomy and the average size of the penis. The penis is a three-dimensional organ, consisting of width, length, and depth. The girth (circumference) refers to the width and depth, while the length is simply the measurement from base to tip.

On average, the erect penis measures between 5-6 inches in length and about 4.5 inches in circumference. A “small” penis would be defined as one that is 4-4.75 inches in length and 4 inches or less in circumference. A “very small” penis would be anything smaller than 4 inches in length and under 4 inches in circumference.

A “big” penis would be one around 7 inches in length and 4.5 inches in diameter, a “bigger” penis would be 8-9 inches in length and 5 inches in diameter, and the “biggest” penis would range from 10-12 inches in length and 5+ inches in diameter.

Next, let’s define what we mean by “better.” For the purpose of this discussion, “better” refers to what is more satisfying, whether that means physically, mentally, or both.

So, like mentioned before, a larger penis is not for everyone. But, if the question is which is more stimulating, then yes bigger is better.

In most cases the patient will go back to normal activities after 30 days. There is a chance for prolonged bruising past the 30 days, but this will have no effect on intercourse.

The answer is no.  These two surgeries involve post-procedure protocols that will not work at the same time.  Also, you will want to allow the body ample time to heal in both locations on the body.