Girth Maxx – Non-Surgical Penile Girth Enhancement in Europe and the UAE
Сontent
Today, injectable girth enhancement is one of the most popular and well-established non-surgical methods of increasing penile circumference, offering a predictable result with a short recovery period.
What Is Girth Maxx?
Girth Maxx is a combination injectable technique for penile girth enhancement that brings together the unique properties of two different materials:
Hyaluronic acid (HA) provides the initial increase in volume.
Poly-L-lactic acid (PLLA) creates a supportive internal framework while stimulating the body’s own collagen production.
When hyaluronic acid is used alone, the filler remains relatively soft and may gradually redistribute within the tissues over time. As larger volumes are injected, the risk of uneven contouring, filler migration, and variations in firmness increases.
The addition of PLLA helps organise and stabilise the hyaluronic acid by creating a supportive scaffold around it. This internal structure reduces filler movement, improves its distribution, and provides greater long-term stability.
As a result, the HA + PLLA combination allows larger treatment volumes to be used safely, producing more substantial penile girth enhancement while maintaining a smooth, symmetrical contour and a natural feel.
Priapus Girth Maxx: Hyaluronic Acid, Poly-L-Lactic Acid and PRP
Priapus Girth Maxx is an advanced three-component protocol that combines hyaluronic acid and poly-L-lactic acid with the patient’s own platelet-rich plasma (PRP).
Platelets release a variety of biologically active growth factors, including vascular endothelial growth factor (VEGF), which plays an important role in tissue repair and the formation of new microvascular networks.
PRP does not replace the filler and is not intended to create additional volume on its own. Instead, its role is to support the biological processes surrounding the implanted scaffold by:
- promoting local tissue regeneration;
- supporting the development of new blood vessels;
- improving integration of the filler with the surrounding tissues;
- creating favourable conditions for more natural tissue remodelling;
- potentially contributing to longer-lasting preservation of part of the achieved volume.
As a result, Priapus Girth Maxx combines three complementary mechanisms:
- Volume — provided by hyaluronic acid.
- Structural support — provided by poly-L-lactic acid.
- Regenerative support — provided by PRP.
Why Isn't Hyaluronic Acid Alone Enough?
Hyaluronic acid is widely used for non-surgical penile girth enhancement. It provides an immediate increase in volume and, when injected correctly, produces a natural-looking result.
However, hyaluronic acid alone has several important limitations.
Limited Treatment Volume
As larger amounts of soft gel are injected, achieving uniform distribution throughout the penile shaft becomes increasingly challenging. This is particularly relevant when treatment volumes exceed 20 mL.
Risk of Uneven Distribution
Over time, hyaluronic acid may shift within the tissue layer, potentially resulting in areas of varying thickness, localized filler accumulation, or visible contour irregularities.
Soft Gel Consistency
When large volumes of hyaluronic acid are used on their own, the tissues may feel excessively soft. The addition of poly-L-lactic acid (PLLA) helps create a firmer, more elastic structure that more closely resembles the natural consistency of underlying tissue.
Gradual Resorption
Depending on individual metabolism, the properties of the filler, and lifestyle factors, hyaluronic acid is gradually absorbed by the body. With conventional HA-based treatments, a noticeable reduction in volume may occur within 6 to 12 months.
Girth Maxx was specifically developed to address these limitations by stabilising hyaluronic acid, improving filler distribution, extending the longevity of the result, and creating a firmer, more natural tissue structure.
How Does Poly-L-Lactic Acid Stabilise Hyaluronic Acid?
In the Girth Maxx protocol, poly-L-lactic acid (PLLA) serves both a structural and a biostimulatory role.
PLLA particles help organise the hyaluronic acid into a more stable internal structure. Rather than allowing the filler to remain as a soft, freely moving gel, they create a supportive scaffold that helps maintain its shape and distribution.
This internal framework:
- helps limit the spread of hyaluronic acid within the tissue;
- supports maintenance of the desired contour;
- reduces the likelihood of filler migration;
- facilitates more even shaping and modelling;
- improves long-term volume stability;
- stimulates gradual production of the body’s own collagen.
As the tissues mature, their consistency gradually changes. The initially soft gel becomes firmer and more elastic, developing a texture that more closely resembles natural tissue or muscle beneath the skin.
The goal is not to create the sensation of a firm implant. When the mixture is properly distributed, it forms a smooth, uniform layer around the penile shaft while preserving the natural flexibility and mobility of the surrounding tissues.
How Does the Result Change Over Time?
The results of Girth Maxx develop gradually through several distinct stages.
The First 24 Hours
Immediately after the procedure, the increased volume is already visible. During the first day, the penis may appear slightly larger due to temporary swelling and the ability of the injected materials to retain water.
This initial appearance should not be considered the final result.
The First Few Days
Swelling gradually subsides as the filler settles within the tissues. If necessary, additional contouring and modelling can be performed by the physician on the second or third day to optimise symmetry and shape.
The First Few Months
Hyaluronic acid continues to provide the primary increase in volume, while poly-L-lactic acid (PLLA) supports the internal structure and stimulates the gradual formation of the body’s own collagen matrix.
When PRP is included in the protocol, tissue regeneration and the development of new microvascular networks occur simultaneously.
After 2–3 Years
Over time, the hyaluronic acid is gradually absorbed by the body. However, part of the collagen matrix and the vascularised connective tissue formed during the healing process may remain long after the filler itself has been resorbed.
Following Priapus Girth Maxx, a thin layer of newly formed tissue—approximately 2–3 mm on each side of the penile shaft—may potentially persist. In terms of overall circumference, this may correspond to a residual gain of up to approximately 1 cm.
The degree of long-term volume preservation varies from patient to patient and depends on individual healing characteristics, baseline anatomy, the amount of material injected, and the total number of procedures performed.
How Is Girth Maxx Different from Conventional Hyaluronic Acid Fillers?
With conventional hyaluronic acid enhancement, nearly all of the initial volume is created by the filler itself. As the hyaluronic acid is gradually absorbed, the enhancement progressively diminishes.
In Girth Maxx, the initial volume is also provided by hyaluronic acid. However, the addition of poly-L-lactic acid (PLLA) offers several important advantages:
- stabilises and supports the filler within the tissues;
- helps maintain a smoother, more even contour;
- stimulates the body’s own collagen production;
- contributes to longer-lasting tissue firmness and structural support.
Priapus Girth Maxx further expands this concept by incorporating platelet-rich plasma (PRP), which supports the formation of new blood vessels and promotes integration of the newly formed tissue matrix with the patient’s own tissues.
Rather than functioning as a simple filler injection, Girth Maxx is a combined treatment protocol designed to create volume, stabilise it structurally, and encourage gradual tissue remodelling over time.
Key Advantages of Girth Maxx
Significant Girth Enhancement
A single procedure can increase penile circumference by approximately 1–1.5 cm up to 3 cm, depending on the patient’s baseline anatomy and the volume injected.
More Even Filler Distribution
Poly-L-lactic acid helps stabilise and organise the hyaluronic acid, reducing the likelihood of filler migration or localized accumulation.
A More Natural Tissue Feel
Over time, the treated tissues become firmer and more elastic, rather than retaining the soft, gel-like consistency associated with hyaluronic acid alone.
Longer-Lasting Results
The combination of HA and PLLA remains stable for longer than conventional hyaluronic acid fillers. In addition, part of the result may be maintained through the patient’s own newly formed collagen.
Regenerative Support with Priapus Girth Maxx
When PRP is included, the protocol supports tissue regeneration, promotes the formation of new blood vessels, and enhances integration of the augmented area with the patient’s own tissues.
No Surgical Incisions
The procedure is performed using injections under local anaesthesia and does not require hospitalisation.
Fast Recovery
Most patients can return to office-based work the following day. Normal activities are generally resumed after 5–7 days, with only minimal temporary restrictions during the recovery period.
How Much Girth Enhancement Can Be Achieved?
The final result depends on both the amount of material injected and the patient’s baseline penile circumference.
The relationship between injection volume and girth gain is not strictly linear. As penile diameter increases, each additional centimetre of circumference requires a progressively larger volume of filler because a greater tissue volume must be created.
On average, within the most commonly used treatment range, every 12–13 mL of the HA/PLLA mixture provides approximately 1 cm of additional penile circumference.
| Injection Volume | Expected Girth Increase |
|---|---|
| 15–20 mL | Approximately +1 to +1.5 cm |
| 25 mL | Approximately +2 cm |
| 30 mL | Approximately +2 to +2.5 cm |
| Up to 45 mL | Up to approximately +3 cm These figures are intended as general guidelines rather than guaranteed outcomes. The actual increase depends on penile length, baseline circumference, tissue elasticity, individual anatomy, and how the material distributes within the tissues. The increase in circumference is maintained both in the flaccid and erect state. |
How Is the Injection Volume Selected?
For most patients, 20 mL serves as the standard starting volume. This typically provides a noticeable yet balanced increase in penile girth.
For men with a longer and relatively slender penis, a treatment volume of around 30 mL is often recommended, as smaller amounts may not provide sufficient coverage along the entire shaft.
The average volume used during the first procedure is approximately 20–25 mL.
Injection volumes of up to 45 mL may be appropriate for selected patients with favourable anatomy, particularly those with greater penile length. However, when a more substantial increase is desired, it is generally safer to divide the treatment into two stages—for example, performing two 30 mL procedures rather than injecting an excessive volume during a single session.
The recommended treatment volume is determined individually after assessing:
- penile length;
- baseline penile circumference;
- soft tissue thickness;
- the patient’s aesthetic goals;
- the proportions between the glans and the shaft;
- any previous enhancement procedures;
- the capacity of the tissues to accommodate the planned injection volume.
Who Is This Procedure Suitable For?
Girth Maxx may be an appropriate option for men who:
- wish to increase penile girth without undergoing surgery;
- want to achieve a noticeable result immediately after the procedure;
- have a naturally slender penile shaft;
- feel that their penile circumference is insufficient, regardless of their baseline size;
- would like to improve the overall proportions and visual fullness of the penis;
- are looking for a firmer and more stable result than can typically be achieved with hyaluronic acid alone;
- have previously undergone injectable penile enhancement and require correction of contour irregularities;
- wish to increase penile girth after completing the recovery and traction phase following ligamentotomy.
The procedure can be performed in men with a naturally small penile circumference as well as in those with average or above-average dimensions, provided that additional enhancement is anatomically appropriate and the patient’s expectations are realistic.
Can Girth Maxx Be Performed After Other Penile Enhancement Procedures?
After Ligamentotomy
Girth Maxx can be performed following surgical penile lengthening (ligamentotomy).
However, the procedure is not recommended during the active traction phase, while the patient is using a penile extender or another traction device.
The recommended treatment sequence is:
- ligamentotomy;
- a traction period of approximately 2–4 months;
- stabilisation of the achieved length;
- Girth Maxx to increase penile girth.
This approach allows penile length to be established first, followed by girth enhancement without placing unnecessary stress on the injected material.
After Hyaluronic Acid Fillers
Yes. In selected cases, Girth Maxx can be performed after previous hyaluronic acid filler treatments.
The denser HA + PLLA combination may help stabilise the existing filler, improve its distribution, and correct areas of uneven thickness or contour irregularities.
Before treatment, the physician should assess the amount, location, and condition of any previously injected filler.
After Fat Grafting
Performing Girth Maxx after penile fat grafting is generally not the preferred approach, as transplanted fat may have an uneven structure and can interact unpredictably with injectable materials.
In selected cases, however, Girth Maxx may be used to improve pronounced depressions, lumps, contour irregularities, or asymmetry following fat grafting.
The decision is made individually after an in-person examination or a comprehensive pre-treatment assessment.
After Penuma or Peniflex
As a general rule, additional filler injections are not recommended after placement of a Penuma or Peniflex implant.
These implants already provide substantial volume enhancement, and combining them with injectable fillers is usually neither anatomically appropriate nor clinically justified.
How Is the Procedure Performed?
Before the procedure, the physician evaluates the patient’s anatomy, tissue quality, symmetry, and the desired degree of enhancement.
During the consultation, the following are determined:
- the most appropriate treatment protocol — Girth Maxx or Priapus Girth Maxx;
- the required injection volume;
- the planned distribution of the filler;
- whether correction of previous enhancement procedures is needed;
- the expected increase in penile circumference.
The procedure is performed on an outpatient basis and consists of several steps.
1. Preparation and Local Anaesthesia
The treatment area is disinfected with an antiseptic solution. Local anaesthesia is then administered to ensure that the injections are performed comfortably.
2. Preparation of the HA/PLLA Mixture
For Girth Maxx, the physician prepares a customised mixture of hyaluronic acid and poly-L-lactic acid (PLLA). The proportions are adjusted according to the planned injection volume and the desired tissue characteristics.
For Priapus Girth Maxx, a small blood sample is first collected from the patient to prepare platelet-rich plasma (PRP), which is then incorporated into the mixture.
3. Filler Injection
The prepared mixture is injected into the predetermined tissue plane and carefully distributed along both the length and circumference of the penile shaft.
4. Manual Contouring
Immediately after the injections, the physician manually shapes the material to create a smooth contour and achieve uniform thickness throughout the treated area.
5. Follow-Up Assessment
In most cases, only one dressing change is required. If necessary, the patient returns on the second or third day so the physician can assess filler distribution and perform additional contouring if needed.
Home massage is generally not required.
Recovery After Girth Maxx
Girth Maxx is an outpatient procedure with a relatively short recovery period.
Returning to Work
Most patients can return to office-based work the following day, provided their job does not involve strenuous physical activity.
Exercise
Intensive physical exercise should generally be avoided for approximately 5–7 days.
Masturbation
Masturbation can usually be resumed after 5–7 days, provided there is no pain, significant swelling, or other individual restrictions.
Sexual Intercourse
Vaginal and anal intercourse is generally permitted 5–7 days after the procedure, following medical review and provided healing is progressing normally.
Oral Sex
Oral sex is typically possible after approximately 3 days, provided there are no skin injuries, tenderness, or other restrictions advised by the physician.
Dressings
In most cases, only one dressing change is required. Your physician will provide personalised postoperative care instructions following the procedure.
Massage
Self-massage is generally not necessary. If additional contouring is required, it is performed by the physician during the follow-up visit.
Recovery recommendations may vary depending on the volume of material injected and the individual’s tissue response.
What Is Considered Normal After the Procedure?
During the first few days after treatment, it is normal to experience:
- mild to moderate swelling;
- minor bruising;
- tenderness at the injection sites;
- a sensation of tissue tightness;
- temporary irregularities in contour;
- slight asymmetry;
- an initially larger appearance due to postoperative swelling.
Swelling may increase during the first 24 hours before gradually subsiding over the following days. As excess fluid is absorbed, the treated area begins to stabilise and the contour becomes more consistent.
The final result should not be assessed immediately after the procedure. An initial evaluation is performed once the swelling has decreased, while the definitive outcome can only be assessed after the tissues have stabilised and completed the remodelling process.
If necessary, the physician may perform additional contouring on the second or third day to optimise the final shape.
To reduce the risk of inflammatory complications, a short course of anti-inflammatory medication and antibiotics for 1–2 days may be prescribed, depending on the individual treatment plan.
Potential Risks and the Need for Additional Correction
Contraindications
Can Girth Maxx Be Repeated?
Girth Maxx or Priapus Girth Maxx: Which Option Is Right for You?
Procedure Cost
The final result depends on far more than the choice of injectable materials.
Key factors include:
selecting the correct tissue plane for injection;
a thorough understanding of penile anatomy, including its vascular structures and fascial layers;
accurate calculation of the appropriate injection volume;
even distribution of the material;
precise contouring and shaping;
experience in correcting previously injected fillers;
early recognition and management of potential complications;
careful postoperative follow-up during the first days after treatment.
Injecting a larger volume does not automatically produce a better outcome. In many cases, a staged approach provides a smoother contour, a more natural tissue feel, and a more predictable increase in penile circumference.
Frequently Asked Questions (FAQ)
When Will the Results Be Visible?
The increase in penile girth is visible immediately after the filler is injected. However, additional swelling is present during the first 24 hours, so the final contour should be assessed only after the swelling has subsided and the material has stabilised.
How Much Girth Increase Can Be Achieved?
The increase depends on the amount of material injected and the patient’s baseline anatomy. On average, the increase ranges from approximately 1–1.5 cm to 3 cm.
Is the Increase Maintained During an Erection?
Yes. The additional volume is present both in the flaccid state and during erection.
Will the Result Feel Like a Soft Gel?
During the first few days, the treated area may feel softer. As the mixture stabilises and collagen forms, the tissues become firmer and more elastic.
Can the Filler Migrate?
Is Self-Massage Necessary After the Procedure?
Self-massage is generally not necessary. The primary contouring is performed by the physician immediately after the procedure. If needed, additional contouring is carried out on the second or third day.
When Can I Resume Sexual Activity?
In most cases, sexual activity can be resumed after 5–7 days, provided that healing is progressing normally and there are no individual restrictions.
Can Irregularities from a Previous Filler Be Corrected?
In some cases, yes. Girth Maxx may be used to correct uneven tissue density, depressions, and certain irregularities following hyaluronic acid fillers or fat grafting. The possibility of correction is determined after a clinical examination.
Can 45 mL Be Injected in a Single Procedure?
Such a volume is suitable only for selected patients with appropriate anatomy. In most cases, it is safer to start with 20–30 mL or divide a more substantial enhancement into multiple stages.
How Does Priapus Girth Maxx Differ from Girth Maxx?
In Priapus Girth Maxx, PRP is added to the protocol. It contains platelet-derived growth factors that support tissue healing, the formation of new blood vessels, and tissue integration.
How Much Girth Increase Can Be Achieved?
The increase depends on the amount of material injected and the patient’s baseline anatomy. On average, the increase ranges from approximately 1–1.5 cm to 3 cm.
The appropriate injection volume and treatment option are determined individually.
During the consultation, the physician assesses the patient’s baseline measurements, proportions, tissue condition, previous procedures, and desired result. The patient then receives a personalised treatment plan, an estimated outcome, and the exact cost.
Book a consultation to find out which volume and which protocol—Girth Maxx or Priapus Girth Maxx—is best suited to your individual case.
Before & After Photos of Non-Surgical Penile Girth Enhancement
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