---
title: "Question on Bellafill timeline - PhalloBoards - Phalloboards"
description: "Hi all - I searched the threads a little bit but couldn't seem to find any definitive answers. I had Bellafill injected about 35... - Page 2"
url: "https://www.j4.phalloboards.info/forum/general-discussion/10155491-question-on-bellafill-timeline.html?start=15"
date: "2026-08-06T23:56:36+00:00"
language: "en-GB"
---

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#  TOPIC: Question on Bellafill timeline

##  Re: Question on Bellafill timeline

   2 years 7 months ago [\#1308714997](#1308714997)

- **[Skeptical\_One](https://www.j4.phalloboards.info/forum/user/1704847-skeptical-one.html "View Skeptical_One's Profile")**
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> PmmaFan wrote: Yes mine was many years ago. Maybe the technique changed.
>
> [ @Skeptical\_One](https://phalloboards.info/forum/user/1704847-skeptical_one.html)
> What is PRP for a technique? Its like shockwave therapy?

PRP stands for platelet rich plasma and there are a lot of different uses for it (example: aging athletes will use it in areas like of their body that are more prone to injury). It's made from your own blood and there is a bunch of different information about it on the web -- I implore you to Google it as there is an abundance of knowledge regarding its many uses and legitimacy.

It should be noted that PRP alone does not increase penis size, however there are some who believe it can improve erection quality, and in the case of penis enlargement, aid in the recovery of whatever procedure or protocol you employ. Also, because it's extracted from your own blood, it's very safe all things considered, and I'm of the camp that believes "what harm can it do if added to my PE procedure or protocol (especially if the costs are negligible) in the grand scheme of things?"

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##  Re: Question on Bellafill timeline

   2 years 6 months ago [\#1308715444](#1308715444)

- **[Girther](https://www.j4.phalloboards.info/forum/user/5943410-girther.html "View Girther's Profile")**
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> Dr_Sullivan wrote: The approach to managing lumps or irregularities after Bellafill (PMMA) injections depends on their cause:
>
> 1. Uneven Placement, Pressure Areas, or Uneven Collagen Formation: If the lumps or irregularities result from factors like uneven placement of the filler, pressure areas created post-procedure, or irregular formation of collagen, it's advisable to wait approximately three months before taking action. This time allows for the natural settling of the filler and the body's adjustment, which can resolve many of these issues.
>
> 2. Granulomas Formation: If the lumps appear to be granulomas (inflammatory reactions that can form around foreign bodies like fillers), it's important to address this as soon as possible. Granulomas can be a more serious complication and require prompt attention.
>
> Treatment approaches vary based on the scenario:
> - For issues related to placement, pressure, or collagen, the treatment might involve injecting more filler to even out the area.
> - For granulomas, the recommended treatment is usually intralesional, involving direct treatment of the granulomas themselves.

Is it easy to differentiate between the two - lumps and granulomas?

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##  Re: Question on Bellafill timeline

   2 years 6 months ago [\#1308715446](#1308715446)

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> Girther wrote: > Dr_Sullivan wrote: The approach to managing lumps or irregularities after Bellafill (PMMA) injections depends on their cause:
> >
> > 1. Uneven Placement, Pressure Areas, or Uneven Collagen Formation: If the lumps or irregularities result from factors like uneven placement of the filler, pressure areas created post-procedure, or irregular formation of collagen, it's advisable to wait approximately three months before taking action. This time allows for the natural settling of the filler and the body's adjustment, which can resolve many of these issues.
> >
> > 2. Granulomas Formation: If the lumps appear to be granulomas (inflammatory reactions that can form around foreign bodies like fillers), it's important to address this as soon as possible. Granulomas can be a more serious complication and require prompt attention.
> >
> > Treatment approaches vary based on the scenario:
> > - For issues related to placement, pressure, or collagen, the treatment might involve injecting more filler to even out the area.
> > - For granulomas, the recommended treatment is usually intralesional, involving direct treatment of the granulomas themselves.
>
>
>
> Is it easy to differentiate between the two - lumps and granulomas?

Very, especially for a Physician. One (i.e. lump or large Nodule) is an aesthetic irregularity (clumping of filler and associated bodily fluids/tissue due to any number of reasons), and the other (granuloma) is an actual immune response that may require medical intervention well beyond "breaking up the Nodule/lump."

That said, both lumps and granulomas don't appear to present any major issues with respect to penile function &amp; health as far as I've seen (assuming of course, these issues are being addressed by a Health Care Professional, especially those with insight into these potential complications, like Dr. Sullivan).

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##  Re: Question on Bellafill timeline

   2 years 6 months ago [\#1308715464](#1308715464)

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 Usually it is fairly easy. Granulomas are firmer and well defined.

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##  Re: Question on Bellafill timeline

   2 years 5 months ago [\#1308715890](#1308715890)

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 Hello [ @Dr\_Sullivan](https://phalloboards.info/forum/user/6769476-dr_sullivan.html) , I have had approximately 42ml of HA, (10ML of Voluma and 32ml of Restylane Lyft) over an 8 month period. My last procedure was April of last year and I had about 10ml. Is hasn't degraded all the way, I would say about 75% left but I need to get it touched up. Could I continue with Bellafill at this point instead of HA? If so, how would the degradation of the existing HA impact the formation of the Bellafill and would I be prone to more irregularities?

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##  Re: Question on Bellafill timeline

   2 years 5 months ago [\#1308716246](#1308716246)

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 Would love to hear your thoughts on this as I am in a similar situation

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##  Re: Question on Bellafill timeline

   2 years 5 months ago [\#1308716249](#1308716249)

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 This is a question frequently arises in consultations: Can patients who have had a satisfying experience with HA fillers transition to polymethyl methacrylate (PMMA) for a more enduring result?
The most common scenario is : a patient tries HA and is happy with the results and now they seek a more permanent option with PMMA. Is this transition feasible? The short answer is yes.
Some doctors suggest it is problematic and want you to dissolve all your HA before proceeding with PMMA. Their concerns are as follows:
1. Risk of Complications:
They argue that the presence of HA might interfere with the PMMA integration process, potentially leading to unevenness, granulomas (inflammatory reactions), or even more severe complications due to the unpredictable interactions between the two substances.
Response:
There is no inherent reaction between HA and PMMA that would preclude their sequential use. It is important to remember that hyaluronic acid is a naturally occurring in the skin's dermal matrix. When PMMA fillers are injected into the dermal or subdermal layers where natural HA resides, they typically do not provoke adverse reactions. This is because PMMA microspheres are designed to be biocompatible and, when used correctly, should not interact negatively with HA or other dermal constituents. Injecting PMMA in areas previously treated with HA-based fillers should theoretically be as safe as injecting it into the untreated dermis, which already contains HA. The key is the technique used during the procedure:
2. Unpredictable Outcomes:
The concern is that the temporary HA filler could alter how the PMMA settles, potentially leading to asymmetry or dissatisfaction with the aesthetic outcome.
Response:
The injector must employ precision when injecting PMMA to ensure the microspheres are evenly distributed and to avoid the formation of granulomas or nodules just as they would when injecting into a penis with no HA. PMMA should be carefully injected to avoid disrupting the uniformity created by the HA fillers
4. Gradual Transition:
Some practitioners advocate for a gradual transition from HA to PMMA, allowing the HA to partially metabolize naturally over time. This approach can provide a smoother transition and reduce the risk of complications associated with immediate layering.
Response:
I fully agree with this. If you are at a size, you are happy with why not just slowly replace your HA with PMMA over time. It allows you to have more precise placement of the PMMA.

5. Time Interval: It's sometimes advised to allow sometime between the HA filler dissipation and the PMMA injections. This gap can help the practitioner assess the natural anatomy of the penis without the influence of the HA filler.
Response:
This not necessary if the original HA filler was well placed and has been well integrated into the tissue. This might be desired however if the original HA was poorly placed.

Why Not Dissolve the Existing HA?
Dissolving HA is not cheap, hyaluronidase is expensive, and a significant amount is needed for full reversal. Why incur this expense if it is not needed. Also why reverse the gains that you have already paid for? Dissolving the existing HA just seems like an unnecessary expense.

Conclusion
From a biochemical standpoint, there's no reason to expect that PMMA cannot be safely injected into areas where HA fillers have been previously placed.
Through my clinical experience, I have found that both hyaluronic acid (HA) and polymethylmethacrylate (PMMA) fillers can be safely employed for penile augmentation, whether they are used together or in a sequential approach, to meet the preferences and objectives of my patients.

[ getmoregirth.com/blog/](https://getmoregirth.com/blog/)

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##  Re: Question on Bellafill timeline

   1 year 8 months ago [\#1308719491](#1308719491)

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> Dr_Sullivan wrote: Bellafill can be a roller coaster.
>
> 1. Initial Results and Reduction: After Bellafill injection, there's an immediate improvement due to the filler's volume. However, within the first month, a reduction or 'deflation' in the treated areas is common. This decrease is the result of the body absorbing the collagen in which Bellafill's polymethylmethacrylate (PMMA) microspheres are suspended. As the initial collagen is absorbed the volume is reduced.
>
> 2. Collagen Production and Final Results: Bellafill works by stimulating collagen production, a process that takes time. The amount of time varies from person to person. I would say usually the result is maxed at 6-8 weeks, but it can take as long as three months to see the full effect. During this period, the body gradually produces new collagen around the microspheres in the filler, leading to longer-lasting results. The “full effect’ is never as much as it was right after the procedure so you either want to slightly fill at the visit or plan on repeat treatments.
>
> 3. Individual Variation: The exact timeline can vary significantly among individuals. Factors such as the treated area, the amount of filler used, age, skin type, and lifestyle (smoking is a big impediment to collagen formation) can influence the effectiveness of Bellafill. Bellafill is great but less consistent than The HA fillers.
>
> Dr. Sullivan

Thanks Dr Sullivan for this explanation -in your experience does the max effect ever pass the initial post surgery size? If not what is generally the range you see the max level at vs the initial post surgery size (I.e. if they started at 5, swelled up to 5.75 then reduced down to 5.25 after swelling as example) in other words how much growth actually happens during collagen rebuild phase

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720006](#1308720006)

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 Bumping this! Would love to hear others chime in here on their timelines and the changes they have experienced between post procedure through 6+ months. Just got Bellafill done myself and wanted to see what I can expect!

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720024](#1308720024)

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 It’s been about 44 days since my filler and hardness is about 80-90% what I had pre-surgery

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720029](#1308720029)

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 Have you noticed any areas in which the original bovine has deflated some? Were you injected above the circ scar? I’m about 3 weeks post filler and curious of your healing pattern vs what I am seeing too

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720071](#1308720071)

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 [ @Woodworking714](https://phalloboards.info/forum/user/6773961-woodworking714.html)
How you mean that ? So *the first 44 days* your erection quality was less hard or harder than your original erection ?

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720072](#1308720072)

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 Sorry my wording was confusing - I mean my EQ has been about 85-90% of what it used to be prior to surgery. Could be there was less mass so it felt harder?

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720095](#1308720095)

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> Woodworking714 wrote: Sorry my wording was confusing - I mean my EQ has been about 85-90% of what it used to be prior to surgery. Could be there was less mass so it felt harder?

The Bellafill should have no impact on your EQ -- what it very well could be is that the firmness/texture/contour of your shaft skin possesses slightly more *"give"* than originally (pre-op), and you're adjusting to not having an immediate grip of your corpora when squeezing the shaft -- the EQ (unless impacted by other factors, like diet, smoking, etc) should remain the same.

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##  Re: Question on Bellafill timeline

   1 year 7 months ago [\#1308720103](#1308720103)

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 How many cc‘s is 1 syringe at Dr Rupeka?

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