TOPIC: Round 2 with Rupeka

So I had 30 syringes of Bellafill in Sept 2025 with Dr Jason Rupeka and now heading back for another 30 (round 2). I have few pre round 1 pictures im happy to share along with current round 1 results (pre round 2).
I tripped over PhalloBoards in January 2025 while diving down some rabbit holes with my post menopausal wife and we quickly started educating ourselves about pe and everything to do with it. Ive read tons of people's experiences here and on few other sites which opened up our eyes to whats potentially achievable along with the risks ect. I owe alot to the people on PhalloBoards and Im happy to give back and share my past experiences and my new current ones as they unfold and answer any questions as well. . Im 50 years old and my wife and I have been exclusive to each other for 30 years. We are madly in love and have sex more than most. Its literally the glue thats held us together through everything but wife having few large babies (natural birth) and then becoming post menopausal and suddenly what worked before for 25 years(size of my Dick)just didn't come close anymore. Thats why im here.
Pre round 1 BPEL 6 1/2" eg was even 4 3/8"
Late Sept 2025 - 30 syringes PMMA with Rupeka along with p shot, neorotoxin and red light therapy.
Post rd 1 results 7 months later.
BPEL 6 3/4" BEG 5 1/2" Meg 5 1/4" behind glands 5"

Cant forget to mention my wife received the o shot as well and we both are heading back out this week and getting the exact same protocol again.
I have logged 400 hrs in an ads since round 1 along with 140 - 20 min sessions since mid March 2026 with compression Hanger currently at 11 lbs.
Im definately heading in the right direction but still have a ways to go and so looking forward at getting round 2 behind me.

Just wanted to get this out there for anyone that might be interested before slips through the cracks so to speak.

pre round 1 BPEL at 6.5"
Pre round 1 eg 4 3/8"
It looks like 4 1/2 but trust me its not lol
See pictures

Post round 1 7 months later pre round 2
BPEL 6 3/4-7/8
Bpeg 5 1/2" Meg 5 1/4"
Flacid hang
Im 6'4 220lbs so even an average bigger Dick would look small on me let alone a smaller one lol

I appreciate you sharing this online and congrats on a successful round 1! A few questions if you don't mind.
Did you have any success with the ADS? Do you continue to do it or use any PE devices?
Do you feel 30 syringes is the right amount initially for you or that you should have done more or less in round 1?
Did you develop any nodules or any other sides?
What's your goal size?
Again congrats man!

Yes i had success with the ads. 3/8" ti 1/2" from July to Sept. Newbie gains though. Im really preferring the compression Hanger now.
My goal per my wife if she could wave a magic wand is 7x6.5. Ill try and shoot for that long term but am fully aware that it really may not happen for whatever reason. After this next round im going to give it 8-10 months to settle in. It seems like my compression Hanging for this last month is making me gain again.

If I could do over i probably would of done more initially but 30 works. Its enough to put me in the direction I want to be and also to see how I respond. Zero nodules bumps ect as of right now but did have a few small ones early on but they self corrected or at least by our standards. Wife says all good just needs to be bigger if possible without the taper lol.

I tried the compression hanger- male hanger, and was doing about 12lb for 20-25 min at a time.

Now I just use hog stretcher vac extender from honestpe. I do about 10lb of resistance for 30 min, but most people should stop after 20 min to avoid blisters. Lately I've been able to go 45 min before having to take a short 2 min break.

www.reddit.com/r/TheScienceOfPE/comments...ing_the_why_and_how/

I also have the phalback inspired pump mentioned there, I added a sleeve so I can use higher pressure. Of course though I waited 2 months after my procedure before doing any PE but I really do think it makes all the difference in results. I'm waiting about a year before I go back to Avanti for my 4th and final procedure.

What a ton of info, thanks for the link . Time to buy a sleeve! I have an automatic pump that I like but have not been using since starting compression Hanging while I condition my tissue for the weight increases. Its a TM hangar which works and is convenient but at the higher weight im not liking how it grips. Different wrapping techniques help but I feel like its to narrow without enough surface area.. Im going to try Bib Hangar after this second round settles in and see how that works out. It seems to have more gripping area along with different adjustments to help accommodate different sizes ect. Also Bibs forum seems to have every possible problem scenario answered and how to work through it with regards his hangar.

Man. Nice looking results.

Our starting stats are incredibly similar and your current size is about my end goal.

Nice to have a realistic idea of how many syringes I'd need.

Excited for the newest results.

Hey man thanks. On my way home from round 2 with Dr Rupeka right now. What an excellent visit and cant wait for everything to settle in. Ill post a picture later when I get home and I honestly cant say enough positive things about this latest round with Dr Rupeka and his staff.

How much was it?

All his prices are listed on his website.

Ok so here's today 5am pre round 2 and 5pm post round 2 with Dr Rupeka. See attached pictures

Lol I thought I got a lot with Rupeka, I only did 25 syringes. I remember someone saying it's slightly less at .8 per syringe.

But roughly if Bellafill is 20% concentration of PMMA x30 that's 600 microspheres.

Versus what I got at Avanti which was Linneasafe at 8x30% and 4x10% or 580 microspheres.

Still I think I had to pay for Rupeka with two credit cards. Both hit the spending limit. I wonder how people that get 60 syringes at a time pay for it.

Anyway I would say try to keep the entry points clean until they close and maybe try to keep your penis out of the toilet bowl until all the wounds are healed. I also had better luck doing manual stretches grabbing the head and pulling and also using a noose stretcher rather than a vacuum stretcher since that could cause dents. Specifically I used the noose weighted ball hanger that Avanti gives with two ball weights.

I used the male hanger for a year but after reading through countless threads on reddit, more weight does not necessarily need more gains. I figured if I could get up to 20 to 25lb I would cause enough trauma to the tunica to cause elongation, but others have said just steady time under tension 6 to 10lb so I do 10lb of force about 40 minutes at a time with 2 min breaks to avoid blisters. Other people probably should do 20. I've also gotten injuries from hanging a few times I guess because of the high weights, some kind of ruptured blood vessel so I dont bother anymore. I was actually worried I might cause a deformation even after waiting 2 months so just doing vac extending was easier for me to watch TV and use a redlight heat pad while extending.

Here is one of the instructional videos for male hanger where he's using the max weight of 24lb. I used it for a year but stopped once I got my first PMMA procedure:
www.pornhub.com/view_video.php?viewkey=63e665f22f47d

Its definitely not cheap to do thats for sure lol. Avanti is in Mexico correct? If so im assuming thats a big reason why they are cheaper and I'm sure there is some built in costs associated with Rupeka using Bellafill and it being FDA approved compared to Linneasafe not being so.

I did manual stretching the entire 4hr car ride home while my wife drove. Then at home I put the Penimaster ads on with the leg strap. See attached picture.

Im not necessarily trying to hit heavy weights while Hanging but more following and maintaining my fatigue level and letting that dictate how much weight I use per Bibs forum. Also was Hanging btc to try and maximize my ligs stretching. It was definitely doing something for me because my wife started commenting. The TM hangar works but like I said previously it feels skinny and I can definitely understand how you could get an injury especially if it was overtightened a bit. After this last round settles in I plan switching to the Bibs hangar and hopefully avoid what you experienced. Ill also continue to use the ads as much as can and forgot to mention i do use heat blanket as well.