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Glans penis enhancement is an important component of penis enlargement surgery to help maintain symmetry of the glans penis and penis shaft following widening with Belladerm. Our preferred technique for glanular enhancement is the use of hyaluronic acid gel which is injected over the entire glans penis.

In 2003, the procedure was initially reported by Dr. Kim et al from Korea who concluded that “injectable hyaluronic acid gel is a safe and effective material for augmentation of the glans penis.” In a subsequent study, they concluded that “glanular augmention with HA gel … is a promising treatment for hypersensitivity of the glans penis in premature ejaculation patients.”

In 2008, a 5 year follow-up study confirmed its continued safety and efficacy.

In 2005, we were the first center in the United States to perform this procedure using Restylane HA gel. We currently are using Juvederm® HA gel which reportedly has a smoother consistency.

The procedure takes about an hour and is often performed together with penile lengthening and/or widening. The injection is done using a small 30 gauge needle.
The typical gain is about 20% in circumference. The results have been observed to last up to 2 years.