Frequently Asked Questions
How much size increase can I expect?
Most patients gain between 0.5 to 1.5 inches in penile circumference. Biostimulators like PMMA are dependent on the health of the patient and the results are subsequently patient-dependent.
Are results permanent?
Yes. The immediate result from the bovine collagen gel matrix will be slowly degraded over time, but the PMMA microspheres will remain in your body permanently. The PMMA microspheres will stimulate collagen long-term.
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How many syringes do I need?
Generally a larger volume of PMMA will yield a more even result initially. As you progress with treatment sessions, patients may reduce the amount used per session as you would be more "fine-tuning" your results. The penis is a dynamic organ and our body is unique, therefore collagen formation is not always predictable. Higher volumes of bovine collagen gel per treatment is usually able to be molded better than lower volumes yielding a more natural and even result.
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How many appointments will I need?
Each session builds upon the last. Most patients typically achieve their ideal results after 2–3 appointments.
How Much Does Penis Enlargement with PMMA Cost?
- $3,000 for the first 5 syringes of Bellafill
-$2,500 for each additional 5 syringes of Bellafill
-Combine a PMMA Girth Enhancement with the P Shot and save $900 off the total treatment
-Combine a PMMA Girth Enhancement with Neurotoxin an save $300 off the total treatment
-Buy a "Package for your Package" and get a courtesy Red Light Treatment
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What verion of PMMA do you use?
In the United States, Bellafill (by Tiger Aesthetics) is the only FDA approved form of Polymethylmethacrylate available to use. Bellafill has been in it's "third generation" since 2006. This generation of Bellafill has a highly uniform microsphere size of 30-50 microns suspended in a water-soluble bovine collagen suspension sourced from a controlled herd. Bellafill is manufactured in the United States through multiple wet sieving and wash processes to ensure a smoother, spherical microsphere surface. This means a more controlled immune response with better tissue integration.
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Is Bellafill FDA Approved?
Bellafill is FDA approved for the correction of nasolabial folds and moderate to severe acne scars on the cheek. It's use on the body would be considered "off-label".
Does this affect erections or sensitivity?
No. PMMA is placed away from the erectile tissues and does not interfere with blood flow or sensitivity. Stimulation is usually increased with the increase in penis size. In addition, utilizing PRP and/or neurotoxin may also improve sensitivity and erection strength.
When can I resume sex or exercise?
As a general rule, patients avoid strenuous sexual activity and exercise for 1–2 weeks. Limited sexual activity and exercise may be gradually advanced based on how the patient is healing.
Are there any risks?
Potential post-treatment risks include swelling, bruising, or small nodules. PMMA is permanent, so there is an ongoing risk of granuloma formation (overactive immune response). These small nodules or granulomas may be more realized in patients who have an overactive immune system (as in a patient with an autoimmune disease) and more noticeable around the injection sites and in any areas where the product may have migrated more superficially.
Why Dr Rupeka?
The success and safety of penile girth enhancements with PMMA is heavily dependent on the precise anatomical placement of the product. Dr Rupeka has refined his penile girth enhancement technique and places the PMMA in a more stable, deeper potential space along the penile shaft. Dr Rupeka's proprietary technique promotes a more uniform and stable result that appears aesthetically natural.
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Do you offer financing?
Yes. All of our procedures and products are able to be purchased in full or you have the option to pay over time. We will help you set this up either via phone or in the office. You can also click on the link above to see examples of these options via our "packages for your package" that are built out for you on here. You are always able to contact us for more specifics at 330-979-2126
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​What should I expect after my procedure?​
Aftercare is just as important as the procedure itself. You will have to be meticulous with your aftercare routine. We have a page dedicated to aftercare on this site!
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Can I see you in Ohio or Florida?
Appointments for this procedure must be made by phone. You can request to be seen in Ohio or Florida. There is not any travel restrictions and you are able to drive or fly directly after.
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Do you help with travel accommodations?
Yes, travel and accommodation recommendations can be found on our website at www.youthologymedspa.com
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Do I need a consultation?
No, you can just book an appointment to treat. We have our patients watch Dr Rupeka's videos on his youTube channel about his penile enhancements. If you would like a consultation prior to your appointment, you may request a consultation through our link. Consultations are $250 credited toward your procedure (non-refundable if you decide to not book).
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What if I already have had penis injections?
Dr Rupeka can inject Bellafill or Hyaluronic Acid fillers on a patient that has already had previous filler. Please note that Dr Rupeka's technique is performed in the deeper layers of the penis and may be "under" previously injected products.
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