The consultation typically lasts 30–60 minutes, including a full medical history review, physical exam, and goal discussion. If you proceed with the procedure, allow 120 minutes total for consultation, anatomical mapping, procedure, and post-care briefing.

1. Preparation & Numbing: Local anesthetic block of the entire penis and cannula access sites. Minor pinches, then complete numbness. You remain awake throughout.

2. The Procedure: 1–3 tiny entry points for blunt-tipped microcannulas. You may feel pressure but not pain. Filler deposited into precise anatomical layers. You often see the girth increase before leaving the table.

3. First 48 Hours: Mild soreness, heaviness, or tightness is normal. Light walking and office work are fine immediately. Avoid strenuous lower-body exercise for 48–72 hours. No sexual activity for 2 weeks.

4. Critical Moulding Phase (First 72 Hours): Daily manual moulding techniques to smooth filler and ensure symmetric integration. Your active participation directly determines the quality of your final result.

5. Follow-Up (Weeks 2–4): Once swelling subsides and filler has set, minor asymmetries can be touched up to fine-tune results.

Comfort is a top priority. We use local anesthetic combined with the blunt microcannula technique. Most patients report a sensation of pressure rather than pain and are surprised by how comfortable the process is.

Yes. We use premium FDA-approved HA and CaHA fillers. While their use for girth enhancement is "off-label," these products have been used in millions of procedures worldwide. Minor lumps or irregularities post-procedure are common and typically resolve through moulding. More persistent irregularities may require Kenalog and 5-FU injections.

Surface (HA): Up to 1.5 years. HA undergoes isovolumetric degradation — it maintains volume until just before the end of its lifespan. 100% reversible with hyaluronidase ($150/vial).

Deep (HA/CaHA Hybrid): 2+ years. The CaHA stimulates your body's own collagen; that collagen remains even after the filler itself is absorbed. Partially reversible.

Surface (HA): Best immediate bulk per ml — the best bang for your buck. Great entry-level "test drive." Fully reversible.

Deep (Hybrid) — Provider's Choice: Recommended for most patients. Immediate HA bulk plus long-lasting CaHA collagenesis. Semi-permanent with the peace of mind from partial reversibility.

Both options may require follow-up maintenance treatments. Some men achieve their desired result in a single session; others benefit from additional volume over time.

Measurable Girth: Immediate increase in thickness visible in both flaccid and erect states. Every 5ml provides approximately 0.5 inch girth improvement.

Flaccid Hang: The added weight of filler allows the penis to hang lower and heavier.

Corrective Sculpting: Natural voids, dips, or curves can be filled for a more symmetrical, aesthetic appearance.

Note on Erect Length: The procedure does not affect erect length — it focuses on bulk and presence, not extending internal erectile tissue.

Visualize your projected gains with our interactive tool →

Absolutely. We have built a near-specialty practice around uncircumcised anatomy and frequently have men travel from out of state specifically for our expertise. We have purpose-built techniques to keep filler out of the mobile foreskin — a challenge that defeats many other providers. Both the Surface (HA) and Deep (Hybrid) options are available for uncircumcised men.

Results look excellent on circumcised anatomy. The primary consideration is the circumcision scar line, which can act as a "tether" affecting filler distribution. Dr. Tonthat personally examines skin mobility and scar tissue position during your consultation to ensure a smooth, balanced enhancement that works with your anatomy.

Most patients choose between 10ml and 20ml for their initial treatment. Every 5ml provides approximately a 0.5 inch improvement in girth. Larger anatomy requires more filler for the same visible gain. Your precise recommendation will be based on anatomy and goals discussed during consultation.

Want a preview before your consult? Try our free Filler Visualizer — enter your measurements and see projected girth at every volume.

Yes. Dr. Tonthat frequently consults patients dissatisfied with other clinics — due to lumpiness, asymmetry, or poor placement. The process involves anatomical evaluation, material and layer analysis, an honest assessment of what's achievable, and a custom recovery plan.

Yes — we are a destination clinic for patients across the country. Our Chico clinic is in the heart of Downtown Chico, surrounded by boutique hotels, fine dining, and local attractions.

Highlights: walkable coffee shops and restaurants, Bidwell Park (one of the largest municipal parks in the US), and highly-rated hotels within a few blocks. We share local recommendations during your initial virtual or phone consultation.

This covers a dedicated medical evaluation to ensure you're a safe candidate for the procedure. If you proceed with treatment on the same day, the full $95 is credited toward your procedure cost.