Every treatment begins with a private consultation and a personalized treatment plan built around your anatomy, aesthetic preferences, and personal goals.
Why Men Consider Penile Enlargement
Men seek penile enhancement for many reasons — and most of them are more common than you might think:
Body confidence issues. Many men simply want to feel more confident in the locker room, in intimate situations, or in how they see themselves. Psychological factors like self-esteem play a major role in sexual satisfaction, and for the right candidate, enhancement can meaningfully improve psychological well-being.
Naturally smaller anatomy. A small percentage of men have a clinically defined micropenis, while many more fall within the normal range but wish for added girth.
Penile retraction ("buried penis"). Weight gain, aging, or loss of skin elasticity can cause the penis to retract and appear shorter.
Peyronie's disease and penile scar tissue. Scar tissue can change the shape of the penis, cause curvature, and reduce apparent size.
Medical causes of reduced penis size. Prostate surgery, an enlarged prostate treated with certain medications, hormonal disorders such as low testosterone, and some medications causing penis shrinkage can all reduce size or firmness over time.
Erectile dysfunction and reduced sensitivity. Men experiencing ED, impotence, reduced libido, or decreased sensation often explore regenerative options like the P-Shot alongside or instead of fillers.
An important note on penile dysmorphic disorder (PDD). Some men experience intense distress about penis size despite being within a completely normal range. During your consultation with a qualified health professional, we take time to understand your motivations. If concerns appear rooted in PDD, psychological counseling may be a more appropriate first step than a cosmetic procedure — and we'll tell you honestly.
Non-Surgical Penile Enlargement Methods: Know Your Options
Penile girth enhancement has evolved significantly. Here's how today's non-surgical and minimally invasive procedures compare:
Hyaluronic Acid Dermal Fillers (Our Primary Treatment)
Hyaluronic acid fillers use a naturally occurring substance found in the body, injected evenly along the shaft — and optionally into the head of the penis (glans penis augmentation) — to produce a marked, measurable girth increase. Results are immediate, natural to the touch, and fully reversible if desired. This is the same class of medical-grade filler used across our dermal filler treatments.
You may have come across branded filler programs such as PhalloFILL® or Big Shot™ offered by some U.S. providers. These are proprietary protocols built on the same core principle: gradual girth enhancement using hyaluronic acid fillers delivered by an experienced injector.
Platelet-Rich Plasma (PRP) — The P-Shot
The Priapus Shot (P-Shot) is a PRP procedure that uses growth factors from your own blood. Platelets are concentrated and injected to stimulate tissue rejuvenation at the cellular level — aiming to support firmer erections, improved sensitivity, and better sexual performance. Because it's derived from your own blood, there's no risk of allergic reaction.
Other Approaches You May Have Researched
- Calcium hydroxylapatite fillers — a thicker filler used by some clinics; unlike hyaluronic acid, it is not reversible.
- Penis pump / vacuum erection device (VED) — creates a temporary size increase and is sometimes used to support P-Shot results. Regular penis pumping does not create lasting enlargement.
- Penile extender (traction) devices — may produce very modest length gains over months of daily use; results vary widely.
- Neuromodulators — occasionally used by some practices to reduce penile retraction.
- Unregulated topical creams and enlargement pills — we strongly advise against these. Many contain toxic ingredients, none are proven to work, and some cause real tissue damage.
How Does This Compare to Surgery?
Penile lengthening surgery (ligament release), fat transfer, silicone implants, and penile prosthesis implantation are surgical options that carry general anesthesia, scarring, revision-surgery risk, and weeks of downtime. Penis enlargement surgery costs also run considerably higher than filler-based treatment. For most men focused on girth and confidence, minimally invasive procedures deliver the results they want with far less risk — no stitches, no scars, no revision surgery needed.
Benefits and Expected Results
What Penile Fillers Can Do
- Immediate, visible girth increase in both flaccid and erect states, scaled to the volume of filler injected
- Natural look and feel — properly placed hyaluronic acid filler is smooth and natural to the touch
- A fuller flaccid appearance, which is what most men notice day to day
- Enhanced confidence and self-esteem, in and out of the bedroom
- Improved intimacy and partner satisfaction — many couples report increased contact stimulation during sexual intercourse due to added girth
- No downtime — most patients return to normal daily activities immediately
What the P-Shot Can Do
- Support stronger, firmer erections and improved sexual performance
- Improve sensitivity and libido
- Help address erectile dysfunction and the effects of penile scar tissue
- Early effects can appear within 24 hours, with new tissue growth continuing over about 12 weeks; best results typically follow a series of 3–6 treatments
Setting Realistic Expectations
Honesty matters more to us than hype. Fillers reliably increase girth; no non-surgical treatment dramatically lengthens the erect penis, though a fuller shaft often creates a modest improvement in flaccid hang and overall appearance. Results from hyaluronic acid fillers are long-lasting but temporary — typically 12–24 months — and can be maintained with periodic touch-ups. During your consultation, we'll show you what's achievable for your anatomy so you can make an informed decision with realistic expectations.
Who Is a Good Candidate? (Patient Assessment)
Ideal candidates for non-surgical penile enlargement are healthy adult men who:
- Want a minimally invasive method for increasing the size of the penis
- Have realistic expectations about girth-focused results
- Are bothered by any of the concerns above — from body confidence to penile retraction, scar tissue, or the effects of prostate surgery
- Want a customizable treatment they can build on over time
The P-Shot is well suited to men experiencing erectile dysfunction, anatomical concerns of shape and size, reduced libido, decreased sensitivity, or scar tissue affecting penis shape.
What Your Assessment Includes
Candidacy is always confirmed through a consultation with a qualified health professional. Your assessment includes:
- A full medical history — including diabetes, bleeding disorders, heart conditions, and any history of an enlarged prostate or prostate surgery
- A medication review — blood thinners and certain other medications may need to be timed around treatment
- A physical exam to evaluate anatomy and skin quality
- A private discussion of your aesthetic preferences and personal goals
- Screening for psychological factors, including penile dysmorphic disorder (PDD), with referral for psychological counseling when that's the healthier path
Men with active infections, certain autoimmune conditions, or unrealistic expectations may be advised to postpone or reconsider treatment.
The Treatment Procedure: What Happens Step by Step
Penile Filler Procedure
- 01 Consultation. We review your goals, assess your anatomy, and build your personalized treatment plan, including the volume of filler recommended. Ask us about same-day consultation and procedure availability.
- 02 Numbing. A topical numbing medicine is applied, followed by a local anesthetic nerve block using a very fine needle. Most patients report minimal to no pain. If you're anxious about the procedure, mention it — we'll walk you through comfort options.
- 03 Injection. Using precise dermal filler injections — often via a blunt-tip cannula technique that minimizes bruising and protects blood vessels — hyaluronic acid filler is distributed evenly along the shaft. Glans penis augmentation can be added for a proportionate result.
- 04 Shaping. Your provider gently molds the filler for a smooth, even, natural contour.
- 05 Done in about an hour. The treatment session takes approximately 1 hour, performed on an outpatient basis, and you walk out with immediate results.
P-Shot Procedure
- 01 A small blood sample is drawn — just like routine lab work.
- 02 Your blood is spun in a centrifuge to concentrate the platelets into PRP.
- 03 After topical numbing medicine and a nerve block, the PRP is injected into targeted areas of the penis.
- 04 The PRP procedure itself takes about 30 minutes; plan to be in the office for about an hour. A vacuum erection device (VED) may be recommended afterward to enhance results.
How Much Does Non-Surgical Penile Enlargement Cost?
- The honest answer: cost varies, and it depends primarily on the volume desired.
- Key factors that determine your quote:
Amount of filler injected. Girth enhancement uses substantially more product than facial treatments. Many patients begin with roughly 8 to 10ml of filler in a first session, while men seeking a more dramatic girth increase may build to 14 ml or more across staged sessions.
Treatment areas — shaft only vs. shaft plus glans augmentation.
Number of sessions. Gradual building over multiple visits is common and often produces the most natural result. P-Shot pricing is typically per treatment or as a package of 3–6 sessions.
Maintenance. Periodic touch-ups extend your results over time.
What's included: your initial consultation and assessment, numbing, the procedure itself, aftercare instructions, and follow-up guidance.
Is it covered by insurance? Cosmetic penile enhancement is elective, so it is not covered by OHIP or private insurance plans.
Because pricing is volume-based and every plan is personalized, the most accurate way to get your number is a consultation. Contact us to book — and ask our team about virtual consults by phone, Zoom, or telehealth if you'd prefer to start the conversation from home.
Recovery and Aftercare
One of the biggest advantages of non-surgical treatment is how easy the recovery is.
What to Expect After Penile Fillers
- No downtime — most men return to work the same or next day
- Swelling and possible bruising are normal and typically settle within days; the final, refined result appears within 2–4 weeks as the filler integrates with tissue
- Mild tenderness is easily managed with over-the-counter pain medication if needed
- Immediate results you can see right away, with healing and tissue integration continuing quietly in the background
Doctor's Orders — Post Procedure Protocol
- Avoid sexual intercourse for 1 week after filler treatment (sexual activity restrictions after the P-Shot are shorter — abstain for a couple of days)
- Stick to light activities and limit intense physical exercise for a couple of days
- Keep the area clean and wear comfortable, loose-fitting clothing
- Follow your provider's post-care instructions exactly, including any gentle massage technique you're shown
- Attend follow-up appointments so we can confirm smooth, even healing and plan any follow-up treatments
After a P-Shot, swelling and possible bruising are normal, there's no downtime, and effects can be seen as early as 24 hours — with new tissue growth developing over roughly 12 weeks and best results after a series of 3–6 treatments.
Risks and Safety Considerations
- No medical procedure is risk-free, and you deserve straight answers. In experienced hands, non-surgical penile enlargement has an excellent safety profile — but here's the full picture:
- Common and temporary: swelling, bruising, tenderness, and minor temporary unevenness while filler settles.
- Uncommon: infection, bleeding, filler movement (migration) or lumps, and fibrosis (firm tissue) — risks that are greatly reduced by proper injection technique, sterile protocol, and appropriate aftercare.
Rare: scarring, loss of sensation, painful erections, tissue damage, or loss of function. These outcomes are strongly associated with unqualified injectors, unsafe substances (such as free silicone), and unregulated products.
Two important safety advantages of our approach:
- Hyaluronic acid is reversible. If filler ever migrates or you're unhappy with the result, it can be dissolved with an enzyme — something that's impossible with permanent fillers or surgical implants.
- The P-Shot uses your own blood, effectively eliminating allergy and rejection risk. Because your own platelets are used, there is no limit to the number of P-Shot treatments you can safely receive.
A serious warning: avoid unregulated topical creams, enlargement pills, and injections performed outside medical settings. Many contain toxic ingredients and have caused permanent damage. Choosing a clinic with trained professionals, extensive experience, and a doctor on site is the single most important safety decision you'll make.
Filler-based girth enhancement is cosmetic — it does not treat impotence or erectile dysfunction on its own. If ED is part of your concern, tell us; the P-Shot, hormone assessment through our testosterone replacement therapy program, or a referral to your primary care physician may belong in your plan.
Talking About It: Partners, Relationships, and Confidence
- Penile enhancement is a deeply personal decision — and for many men, one of the hardest parts is simply talking about it.
- You don't need anyone's permission. Many men pursue treatment purely for their own confidence and well-being, and that's completely valid.
If you have a partner, consider the conversation. Intimate conversations about desires and insecurities are uncomfortable, but couples who discuss enhancement openly often find it strengthens relationship health rather than straining it. Partners are frequently more supportive than expected — and many report their own increased satisfaction and stimulation after treatment.
Confidence compounds. Men consistently tell us the biggest change isn't physical — it's mental. Reduced anxiety during intimacy, improved self-esteem, and greater presence with a partner have real effects on sexual performance and overall well-being.
And if the struggle runs deeper — persistent distress about your body, avoidance of intimacy, or symptoms of penile dysmorphic disorder — the most caring recommendation may be psychological counseling or a conversation with your primary care physician first. We'll always be honest with you about which path serves you best.
Your privacy is protected. From your first phone call to your follow-up visit, everything is handled as a discreet, private discussion.
Frequently Asked Questions
The following are the questions we hear most from patients at our offices. If you still have questions, comments, or concerns, feel free to contact us.
Is penile enlargement treatment painful?
How long does the treatment session take?
Are the results immediate?
How long do penile fillers last?
How many treatments will I need?
Will it look and feel natural?
Does penile enlargement increase length?
Can fillers and the P-Shot be combined?
Is there an age requirement or limit?
Is everything confidential?
Why Choose Rejuuv
Book your private consultation (905) 695-6956
This page is for educational purposes and is not a substitute for medical advice. Individual results vary. Candidacy for treatment is determined at consultation.