Comparison table
| HA filler | Fat transfer | Graft surgery (tissue sheet) | Liquid silicone / oil | |
|---|---|---|---|---|
| What it adds | Girth | Girth | Girth | Girth |
| How long it lasts | 12–18 months | Partly permanent (30–70% of fat survives) | Permanent | Permanent, but forms lumps over time |
| Reversible | Yes, with an enzyme | Difficult | Very difficult | No, surgical removal only |
| Procedure time | 60–90 minutes | 2–3 hours | 2–4 hours | Should not be done |
| Recovery | No sex for 14 days | 2–4 weeks | 4–6 weeks | - |
| Main risks | Lumps, unevenness (correctable) | Fat lumps, unevenness | Infection, scarring, change in skin feel | Fibrosis, tissue death, skin breakdown |
| Approximate starting price | 24,900 THB / 10 cc | 80,000–150,000 THB | 150,000–300,000 THB | Cheap, but repair costs are very high |
HA filler: for men who want to try first and be able to reverse it
The most important advantage is that it is reversible. If you do not like it or there is a problem, it can be dissolved with an enzyme within a day. It is done in the examination room under local anaesthetic, you go home straight away, and the volume can be adjusted gradually. The limitation is that it needs topping up every 1–1.5 years, and the cumulative cost over 5 years may come close to surgery.
Fat transfer: partly permanent, but hard to predict
Fat is suctioned from the abdomen or thighs, processed, and injected under the skin of the penis. The fat that survives and takes is permanent, but the proportion that survives varies a lot between men and between spots, so there is a risk of unevenness, fat lumps or uneven shrinkage. It is much harder to correct than HA, has to be done in an operating theatre, and recovery is longer. It suits men who do not want repeat top-ups and can accept the uncertainty.
Graft surgery with a tissue sheet: permanent, but real surgery
A surgeon places a sheet of tissue (from your own body or a medical material) around the shaft beneath the skin. The result is permanent and the increase can be large, but it is surgery under general anaesthesia, with a wound and 4–6 weeks of recovery. The infection risk is higher than with injection methods, and if the result is poor, correction is complex. It suits men who have decided firmly and have time to recover.
Liquid silicone, oil and Vaseline: why every doctor says no
Cheap and immediate, but the body cannot break them down and surrounds them with fibrous tissue for life. Problems usually appear 2–10 years later as hard lumps, darkened skin, inflammation or tissue death. The only fix is surgery to remove the affected tissue, which is more painful, more expensive, and never looks as good as if nothing had been injected. If you have already had these injections, read the foreign substance repair page.
Do traction devices, pills and creams work?
Traction devices have limited evidence of a small gain in length when worn for several hours a day over many months. Pills and creams that claim to increase size have no medical evidence, and some contain drugs that are dangerous for men with heart disease. If your goal is length rather than girth, talk to the doctor about expectations before spending money.
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