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Q: I did some research and most people say it takes three weeks to notice results but you said you saw it immediately. Please explain? Could it be that everyone reacts differently to it?

A: If you read the numbers on the PRP research that I posted above, then you will see something similar to what I have observed. The initial volume is the combination of the platelets and the serum (or water) in the blood plus all the growth factors in the water that the activated platelets are starting to release.

Then over the next three days, some of the water is absorbed by the body. Then there is the growth of new tissue that continues for at least 12 weeks–bringing the volume back up to close to where it was with the initial injection.

So, volume goes up IMMEDIATELY, then goes down to various degrees but slowly over the next three days. In some people this decrease in volume is very small, in others, it is a more noticeable decrease. In some, I’m seeing a growth back to where it was with the initial injection or better. In others, there is growth but not quite back to where we started. Smokers have the least amount of growth.

Again, I am speaking mostly from my experience with injecting the face. I see no reason why the same would not happen with the penis, but my experience there is less.

Q: How much growth can I expect?

A: 10 to 20% increase in length and girth. An inch in length (a little more) and in girth was seen in the first two patients in the first month. Girth came first (with the injection), then length (with continued growth). I do not yet know if the second injection at 4 to 8 weeks will cause another growth spurt.

Q: Where is the injection put?

A: Directly into the corpus cavernosum with a small needle, and into the head of the penis–in a way almost exactly as done with those who use injections for erectile dysfunction. (Don’t worry, it won’t be nearly as painful as it sounds, we use a strong topical numbing anesthetic and many patients express that they don’t feel the needle stick at all.)

Q: What about scar tissue?

A: If you look at men who inject 3 to 5 times a week over many years for treatment of erectile dysfunction, there is about a 10% incidence of scar tissue formation. This is with multiple injections for years. With this procedure, there is only one injection, so the chances of scar tissue should be almost nothing. In the face, there has not been the report of any fibrosis or scar tissue formation.

Q: Does it hurt?

A: I use a lidocaine cream (a much stronger version of what you might find in a spray to kill the pain of sunburn). It’s the same cream we use on the face before injecting the lips or other areas with Juvederm.