Removal of Penile Fillers

Removal of penile fillers is a specialized cosmetic procedure aimed at reversing the effects of fillers previously injected into the penile area. This treatment is appropriate for individuals who may experience complications from penile augmentation, including undesired aesthetic results or adverse side effects from the fillers used. While penile enhancement can provide temporary improvements in size and aesthetics, some patients find themselves seeking a reversal due to filler migration, stiffness, lumps, or dissatisfaction with their results.

Dr. Mohamed Bidair is one of California’s leading urology experts, and California Adult Circumcision is a well-renowned and trusted practice for men seeking treatment or enhancement to their genitals. If you are experiencing issues or dissatisfaction with penile fillers, then we can help you improve your health and reduce your discomfort.

Schedule a consultation with Dr. Bidair today to begin planning your treatment. If you have any questions, please call our La Mesa office at (619) 486-5005 to speak with one of our expert staff members.

About Penile Filler Removal

Removal of penile fillers is an important procedure that helps patients address complications associated with previous penile augmentation treatments. Aesthetic practices within cosmetic urology have gained popularity, leading to increasingly common non-surgical enhancements designed to elevate penile aesthetics. ⁽¹⁾ Although many patients achieve their aesthetic goals with these procedures, some may encounter unresolved issues such as filler migration or other pronounced side effects. In some cases, patients may have moved past the need for penis augmentation and wish to return to their original state. Life changes, preference changes, medical necessity, and more all influence one’s decision to remove penile fillers. ⁽¹⁾

Benefits of Penile Filler Removal

Undergoing penile filler removal provides numerous advantages, which include:

Candidates

Any man who has received penile augmentation is eligible for filler removal if they wish to do so. Patients who typically seek this treatment are those who experience adverse side effects from previously injected penile fillers, like general discomfort, burning during urination, erectile dysfunction, and more. This may also include men who have concerns about filler migration and now experience an unsatisfactory genital appearance due to their fillers. It is recommended that patients be in good overall health, not smoke, and have realistic expectations for the outcome of their treatment.

Personal Consultation

Your treatment journey begins with a personal consultation with Dr. Bidair at California Adult Circumcision. During this appointment, you and Dr. Bidair will discuss the issues you are facing, your goals, and treatment options. After an examination, Dr. Bidair will determine what method of removal would be the best approach. An individualized treatment plan will be discussed so that you are aware of what to expect.

Preparation

Each patient will receive personalized preparation instructions that are written per their specific needs. As such, the specifics of these will vary for each patient. However, all patients can expect to alter their medication intake to avoid any blood-thinning medicines. Alcohol and nicotine use (especially smoking) should be discontinued for at least two weeks before their scheduled treatment.

Please inform Dr. Bidair and any other California Adult Circumcision staff about any allergies you have so that we can best ensure your safety.

Procedure

Your penile filler removal procedure will depend on what fillers were initially used for your genital augmentation.

Hyaluronic Acid (HA) Filler Removal

The most common method of penile augmentation is with the use of hyaluronic acid fillers. ⁽²⁾ Hyaluronic acid, or HA, is a polysaccharide molecule with a very high molecular weight. This gives it strong hydrophilic properties, meaning it binds with water molecules extremely well. When injected into certain parts of the body, this ability to retain water leads to increased tissue growth in targeted areas. ⁽³⁾

A key benefit of hyaluronic acid injections is their reversibility. These kinds of fillers can typically be removed with an enzyme called hyaluronidase, which binds with and breaks down hyaluronic acid in unwanted areas.

Polymethylmethacrylate (PMMA) Filler Removal

Penile augmentation can also be achieved with polymethylmethacrylate (PMMA), an injectable synthetic material that can add mass below the penis tissue. ⁽⁴⁾ If you received penile augmentation with PMMA, your removal will likely require surgical methods. For these procedures, patients receive local anesthesia for maximized comfort. Dr. Bidair will make small and discreet incisions to remove the filler. He will then carefully remove the solidified PMMA gel from the penis.

Recovery

Patients will receive specific recovery plans that align with their unique case. Most patients will experience some swelling and bruising after their treatment, but this will fade naturally after a few days to a few weeks. Pain and discomfort may occur, and these can be managed by prescribed medications that should be taken as instructed.

All patients should refrain from sex for at least 4 to 6 weeks, especially if incisions were required during their treatment. Vigorous exercise and strenuous activities should also be avoided during recovery. You will schedule follow-ups with Dr. Bidair to monitor your healing progress. If adjustments to your treatment or healing are necessary, these will be discussed at these appointments.

Results

Once healed, patients can enjoy​​ restored penile aesthetics and improved feelings of comfort. Careful planning and successful procedural execution on behalf of Dr. Bidair help patients resolve the issues stemming from their penile fillers. Many report a reduction in discomfort and are satisfied with their penile appearance again. These results of penile filler removal greatly contribute to improved self-esteem and an overall sense of well-being.

Cost of Penile Filler Removal in San Diego

The cost of penile filler removal may vary. Each patient’s penile filler placement is unique, and so is their removal. The total price of your penile filler removal procedure will depend on how much material is being removed, and what fillers were used during your initial augmentation. Dr. Bidair will customize your procedure to ensure your safety while helping you achieve your goals.

When you meet with Dr. Bidair for a consultation, you will receive an accurate cost estimate that reflects everything your personalized procedure entails. If you have any questions, please feel free to call our office at (619) 486-5005 and get the information you need.

FAQ

References

1. Ugo Giovanni Falagario, Piramide F, Pang KH, et al. Techniques for Penile Augmentation Surgery: A Systematic Review of Surgical Outcomes, Complications, and Quality of Life. Medicina. 2024;60(5):758-758. doi:https://doi.org/10.3390/medicina60050758
2. Zhang XW, Zhang CL, Quan Y, et al. Penile augmentation with injectable hyaluronic acid gel: an alternative choice for small penis syndrome. Asian Journal of Andrology. 2022;24(6):601. doi:https://doi.org/10.4103/aja20223
3. Walker K, Basehore BM, Zito PM. Hyaluronic Acid. Nih.gov. Published October 7, 2019. https://www.ncbi.nlm.nih.gov/books/NBK482440/
4. Yang DY, Jeong HC, Ko K, Lee SH, Lee YG, Lee WK. Comparison of Clinical Outcomes between Hyaluronic and Polylactic Acid Filler Injections for Penile Augmentation in Men Reporting a Small Penis: A Multicenter, Patient-Blinded/Evaluator-Blinded, Non-Inferiority, Randomized Comparative Trial with 18 Months of Follow-up. Journal of Clinical Medicine. 2020;9(4):1024. doi:https://doi.org/10.3390/jcm9041024