Hyaluronic acid (HA) penile injections—sometimes called penile fillers—aim primarily to increase penile girth, not length. The goal is aesthetic enhancement, improvement in self-confidence, and occasionally the perception of increased penile size during both flaccid and erect states.
Unlike surgical augmentation (e.g., fat grafting, suspensory ligament release), HA injections are minimally invasive, reversible, and performed under local anesthesia.
• The filler is injected under the penile skin, in the subcutaneous or subdartos plane, but superficial to Buck’s fascia (which surrounds the corpora cavernosa).
• This allows HA to expand the soft tissue envelope without interfering with erectile function or vascular structures.
1. Preparation: Local anesthetic (penile block or topical cream) is applied.
2. Injection: HA filler is injected using a cannula or fine needle, typically circumferentially around the shaft to ensure even distribution.
3. Molding: The penis is gently massaged to achieve a smooth contour.
4. Post-procedure care: Patients are usually advised to avoid sexual activity and vigorous physical activity for about a week.
The procedure typically takes 30–60 minutes.
• Average increase in circumference: 2–4 cm (varies with volume injected; typically 10–20 mL total).
• The enhancement is immediate and generally natural-looking if done properly.
• Results last 9–18 months depending on:
• Filler type and cross-linking
• Injection technique
• Individual metabolism
• Repeat sessions can maintain or enhance results.
d. Patient Satisfaction
• Reported satisfaction rates range from 70–90%, with improvements in:
• Self-esteem and body image
• Sexual confidence
• Partner satisfaction (subjective)
6. Safety and Complications
When performed by trained professionals, HA penile injections are generally considered safe and reversible, but they are not without risk.
• Significant increases in girth and high satisfaction rates
• Low incidence of major complications
Hyaluronic acid injections for penile enlargement are a minimally invasive, effective, and reversible option for men seeking girth enhancement.
One of my clients actually went for this treatment in Kuala Lumpur last year and he was very satisfied with the results. You need to however do a course – of 5 sessions- once or twice every month. He paid about MYR3,000.

