Penis Enlargement: Expert Advice and Realistic Expectations

Dr. Fena Milhouse, a urologist from Chicago, discusses penis enlargement, emphasizing realistic expectations and the importance of seeking a qualified professional for enhancement procedures.

### Dr. Fena Milhouse: The Truth About Penis Enlargement
* 🍆 Dr. Fena Milhouse, a board-certified urologist, specializes in cosmetic genital enhancement, including **penile enlargement**.
* 👫 Patients seek penile enhancement for both **personal satisfaction** and to **please their partners**.
* 🩺 Micropenis is a legitimate medical condition, but most individuals seeking penile enlargement do not fall into this **category**.
* 📸 "Retracted penis" or "buried penis" is a condition where the penile shaft is hidden by surrounding skin and fat, often due to **excess weight**.
* 💉 Penile enhancement options include fillers (temporary and permanent), implants (e.g., Penuma), ligament release surgery, and **grafts**.
* 🏥 Dr. Milhouse recommends **hyaluronic acid fillers** and the **Penuma implant** as the most credible options within the urology community.
* 🩸 Common filler complications include **bruising, swelling, nodules**, and very rarely, **vascular occlusion**.
* 🍆 Girth enhancement is the most **immediate and guaranteed outcome**, while lengthening is **more challenging**.
* 🙋 Dr. Milhouse debunks the myth that race determines penis size, emphasizing that **size is not a measure of one's worth or ability in bed**.
* ⏳ Hyaluronic acid fillers can last up to **three years** and typically require **multiple sessions for optimal results**.
* 💬 Dr. Milhouse encourages open conversations about **pleasure** and **realistic expectations for genital enhancement**.
* 🌐 You can find Dr. Fena Milhouse on Instagram (**@dr.milhouse**), TikTok (**@dr.milhouse**), and YouTube (**Down There Urology**). Her practice is based in Chicago and offers **virtual and in-person visits**.

do the sex today's locker room talking shot's topic is how to make your penis bigger. It's all about penis enlargement. I dropped an episode several weeks ago that was the truth about sex with small penises, and boy did you all listen, and I have received a lot of feedback, a lot of feedback from men and people with penises, some of it very heartbreaking messages from men who really had struggled with insecurity around their size conditions that affected them, and concerns, big concerns. I also received a lot of messages from men who were very proud of their large size and not at all happy that the people on my podcast, basically we all said we didn't really much care about size, we care about the skills you bring to the bedroom, so I decided it was time to bring an expert in to talk about penis size and options for people who would like to be bigger. I felt like this was a very important sensitive topic, and so I wanted a true expert on the topic, and boy did I luck out. I got the best of the

best for y'all, and I'm so excited to introduce her to you. Her name is Dr. Fena Milhouse. She is a board-certified, fellowship-trained urologist and co-founder of Down There Urology. She specializes in female pelvic medicine and reconstructive surgery. Dr. Milhouse treats all adult individuals with a focus on sexual dysfunction, cosmetic genital enhancement, girth enhancement, labia majora surgery, and G-spot enhancement, just to name a few. She works out of Chicago. Dr. Milhouse is a distinguished recipient of the 2023 Healthcare Impact Award by Top Docs and was named top urologist in Chicago by Women in Medicine. I'm not messing around, folks. This is a real expert. So, Dr. Milhouse, I am super excited to have you here. Can you tell my listeners more about you? Yeah, thank you for having me. I am really excited to talk about this, Annette, and to introduce this concept to your listeners. I am, like you said, a

board-certified. Your OL is fellowship-trained in pelvic floor reconstruction, and I really started along the path of like sexual dysfunction treatment. And even cosmetic genital enhancement probably about four or five years into being in practice. I started to hear a lot of need and a lack of availability in that area from patients who would see me. As you said, I have pivoted and started my own practice, which is only just over a year old, based in Chicago. Very proud of that. I wanted to create a place that was very comfortable for patients. There was no judgment where things around genitalia and sex were normalized. Where patients of all demographics of all gender and gender identities. I love this about my practice. Doesn't matter what your gender gender is, doesn't matter your sexual orientation. We can treat any adult human that comes through our door. And we want you to feel seen and heard. And so that is very near and dear to the core of who I am as a urologist.

physician and who my practice is. I'm very proud of having this um to be able to create this. I feel like there are not so many safe spaces in medicine for for individuals. That's a whole another um episode, yeah. Women, um, LGBT, trans, black, you name it, um. And so, um, and especially when it comes to sex and genitalia, that's really who I am. I am really big on social media because I love what I do. I love destigmatizing things and moreover, I want to show representation. As you can see, I'm a urologist. I happen to be also a black woman. I am, I am inherently a unicorn, as urologists are seldomly black and are seldomly women. And so, um, I want to kind of give voice to the others, um, while destigmatizing and combating myths in my specialty. And I'm so honored to have you here, and this is a very sensitive topic, uh, so I feel like having this discussion with you, uh, it's a discussion that's in safe hands, and I'm so honored.

to be able to have the discussion so we're going to do it. I have no idea about any uh any of this. I actually don't know much about genitalia enhancement at all but we are very much focusing on penises today. Maybe if I'm lucky we'll be able to have future conversations about other things that were mentioned earlier because I'm very curious uh but for right now I I decided to have a little whne for this conversation and I'm ready to talk about penis enhancement. Cheers let's do it cheers. All right let we're just going to dive in there is no tiptoeing into the subject um so I want to know what are the motivators that typically bring patients to you who are like I want I want to make my penis bigger you know I tell people that penis enhancement is a new frontier in cosmetic procedures uh it's the same motivations that we see individuals who want breast enhancement who seek out bbls they want a little bit more in a

certain area of the body because it makes them feel better about themselves. Number one, um, and you know some of them are motivated by giving their partner or, um, you know their dating persons something else, you know, so some of them, some of the motivation is what others think about them, but a lot of it is just hey, I want to do this for myself when I want to when I look in the mirror. I want to look at something that looks a little bit better, better to me than what I currently have, and I think that just as breast enhancements have become the norm, we don't shame them, um, that we will one day see penal enhancement as the norm, like not as the norm, but as an acceptable thing for a well-rounded adult who understands the benefits and risk and is making that own decision. I think it's important that we stress that there isn't a standard of beauty or a standard size that is it and is, you know, we don't want to, um, we don't

want to create this undo pressure, but I think it's perfectly acceptable and okay. And more and more that people want enhancement, yeah, yeah, it's interesting how breast enhancement and even I, I mean I heard of of labia surgery long before I've heard of penile enhancement. So it's interesting that that's so easily accepted when it comes to female uh parts, but when it comes to the penis, it's like the, I mean everyone flinches and they're like, Oh my God, no. So I find that kind of funny. Now are there actual conditions where it's needed or more necessary than just one, you know, to look better? Certainly there is a condition called micropenis, which is an actual urologic diagnosis, and it is defined as less than two and a half um from the standard deviation um of size of penis that puts you at about two, two and a half inches um size penis. Majority of men, even the ones that think they have a small penis, even the ones who think they have a micropenis.

don't actually meet that definition, uh micropenis. We have known about neurology forever and ever and ever before cosmetic penile enhancement became a thing. Surgery for micropenis was it, um, was available and still is available. We'll talk about that when we talk about options, um, but that is a legit medical diagnosis. Vast majority of individual ual who seek P enlargement aren't in this category. Okay, so I have not shared this with anyone yet, but somebody, and please don't do this, folks, but somebody surprised me with a, uh, penis photo in my email, and it's worth bringing up. Please don't do this, folks, or you're going to ruin my, my intimate life 'cause it's not what, what I want right now, um, but welcome to my life. I was so, I was so shocked Ed when I opened it up. I was like, people think I get things like that all the time because of what I talk about, but frankly my listeners have been really polite. However, this one is worth mentioning because it was a shot of what

appeared to me to be balls and what almost looked like an inverted penis. Maybe is that a thing? I mean there was no explanation with this picture either. If you're going to send me a picture like that, please give me your condition. Uh, so can you speak to that? Sure, they may not even know, but there's retracted penis, okay, or buried penis, or hidden penis, and that is where the penile shaft is actually being hidden or buried, usually surrounded by surrounding skin and fat, okay, especially in the area of the suprapubic or kind of the pooch areas, what we call that, okay? And so I talk about this, um, that the more weight an individual has, especially in the belly, um, in the pubic area, the more their shaft of their penis is going to get covered up. So one great way to enhance your penis is to lose weight, um, because then the shaft comes out, but you can see it can be as bad as where the penis is actually inverted, that you don't see a shaft, you see the scrotum.

and you see an area where the penis should be, but it's almost like it's inside. It's almost like they're uncircumcised, and going in their body, but they're really not. They can be circumcised. It just is. It's just buried and hidden those penises. Um, need a combination of weight loss and potentially like major reconstructive surgery to, um, remove significant excess fat and skin around that area. Wow. Okay. Okay. Yeah, that's exactly what I saw. Fascinating. Never heard of it. So I didn't want to reward this person for their photo, but now you got whatever answer you were looking for. We all did. And it's good to know about because I'm sure that there are other people out there who have this experience. Um, so yeah, I'd like to talk about the overview of options for enhancement, uh, penile enhancement because there's more than one way. Is that correct? That absolutely correct. There's more than one way penile enhancement and I want to be clear. We're talking about cosmetic.

enhancement um not like medically necessary, which is very rare to even be in that category. Um so penal enhancement options include fillers, and even within fillers, there are temporary and permanent fillers. Uh they include implants, so there is an implanted device, uh called the panuma, that can be implanted to enlarge it. It was designed specifically for cosmetic penile enhancement. There are other surgeries that are more involved that include removing suspensory ligament so the penis hangs close to the pubic bone in an individual and a man and um by cutting that li, and we call that the suspensory ligament, and by cutting that, you can bring out the penis elongating it a bit, bringing it out. It does lose some of its stability that way, but that is a way that is infrequently done for cosmetic enhancement. There are graphs where you can use part of another part of the body like a skin of the arm or the leg and graft it onto the penis to enlarge it. Graphs um are

commonly used as a way for gender affirmation in male, female to male gender affirmation procedures. Less commonly used for pure cisgendered penises that want enhancement. Let me go back to fillers because fillers is the most common way, right? And I alluded to there being temporary and permanent fillers, but really think of fillers. There's the traditional hyaluronic acid dermal fillers. These are the fillers that are most commonly used in cosmetic surgery. These are the fillers that are used very commonly in lips, in the face, in the jawline, by all sorts of professionals. And these same fillers, they're the common thread is their hyaluronic acid, which is a product that our body knows already. We have commercialized that into a filler substance that can be used to fill and volumize areas. So that's one type of pile filler. And then the other types of penile filler are different. So then

there's fat fat can be used as a penile filler. This is likened to the BBL where they use fat from your lipos suction from some other part of your body, and then they inject that around your penis. Then there are more permanent things, um, like sculpture is a brand of a permanent filler. Um, there are even people getting silicone liquid silicone built into their penis. I guess I always thought silicone wasn't super safe, but why don't you talk to us about preference on surgical versus non-surgical when it comes to just, uh, aesthetic enhancement. And then after we talk about that, I want to talk about the different fillers and you what you suggest. So I'm a board-certified urologist, and to date, um, no Society has outright completely endorsed any method. But I will say that within this, the sexual medicine Subs specialty of Urology, the two most legitimate ways that other board-certified urologists who are in this community will say are either hyaluronic acid fillers or the panuma.

implant. All other methods are usually looked and frowned upon generally by a most credible urologist. Okay, I tell patients that any other options beside hyaluronic acid fillers may require cutting into your penis, so you have to make the decision: is your cosmetic surgery or cosmetic enhancement worth you cutting into your penis? Even the Penuma implant is... it's a surgery. They have to cut the glove and put this implant, and this separates a lot of individuals into individuals like, Yeah, I want my penis bigger, but I don't want a knife taken to it. Okay, and if you don't want to risk a knife being taken to your penis either as a result of doing the enhancement or complication, then the answer is always hyaluronic acid penal fillers. Okay, that is the only option where you should ideally never have to have a knife being taken to your penis. Even if complications arrive, it's the safest way. It truly is the safest way to do penal

enhancement surgery primarily because there's an antidote that we can inject, and all the derms and plastic surgeons who do fillers all over the face, they know this too. If you have hyaluronic acid injected anywhere in your body, there is an antidote called Hyaluronidase that can be injected to dissolve it should we need to, whether if you don't like the Cosmetic result or some other reason, okay, and that is a great safety to have for something that is done purely for cosmetic reasons, okay. All other options, there is no antidote that's quite that simple. You get fat injected into your penis and it doesn't look as good, you need that probably taken out, okay. You get certainly you get silicone or permanent dermal filler injected into your penis, and I've seen these complications, and I have, and it may require a drastic de-gloving, de-gloving meaning we strip the skin off the penis and removing all that product on the

inside konuma konuma again it's a legitimate option within the subs specialty urology sexual medicine um but it's an implant that needs to be surgically put in and an implant that if something happens it gets infected the patient doesn't like it it's causing pain needs to be surgically removed and so on and so forth can you talk about some of the complications what are the risks yeah fillers most commonly the small Ben more benign complications that can happen is bruising um swelling almost all fillers will cause an initial swelling I tell individuals you're probably your penis it's probably going to be like bruised it's going to look like somebody used it as a punching bag that's acceptable and will go away with time some people will have some slight discomfort but most patients aren't even in that much pain um there is a rare risk of reacting NE negatively to the filler product so there's a rare risk of allergic reaction especially with hyaluronic acid um um or

some sort of sight reaction. Um, you're sticking needles into a part of the body that's actually quite vascular, has a lot of blood vessels, so there's a rare risk of bleeding. Again, in the space that we're putting this filler in, it's not deep into the penis, it's underneath the skin but not deep into penis. Major bleeding shouldn't be, uh, should almost never happen, but, um, so those are the, like, the most benign complications. Now, more serious complications of fillers can include aesthetic issues, so there's clumps and bumps, okay, there's something called subcutaneous nodule formation that can happen with any filler. Again, this is where hyaluronic acid filler is kind of the easiest and safest way is because we can easily dissolve that, okay, you get a subcutaneous nodule and I've seen a penis that was littered with nodules along the entire shaft and it was filled with liquid silicone. Well, I can't dissolve that, it's

not dissolvable. I have to like take that out so um but subcutaneous nodules that are not only not appealing but can be just kind of uncomfortable. There is a very rare risk of eschea so rare we can in if you inject filler into a blood vessel and this is by the way a risk of filler anywhere in the body even in your lips there's a risk of esea and if you get it into a blood vessel where that skin where that blood vessel supplies can necrose or Diop and what you will find is a patient who not it's not just a bruise it like turns black gets cold gets crusted that sort of stuff um that is an emergency and that filler needs to be removed again hyaluronic acid you can dissolve it pretty easily and reverse that effect um but that's a more serious fortunately very rare complication very rare complication but potential I've heard of a complication of of a death by a silicone I think penile filler that embolized um in the patient.

I don't know how they were injecting it. I got to be honest, that's gnarly, whatever was happening. So, feel rest in peace that individual. I don't know about any fatal complications personally. Then, with panuma, there's a risk of infection. It's a device, so your body can it can infect it whenever we put a foreign body. Even with breast implants, there's a risk of infection, there's a risk of pain. P um, there's a risk of erosion of the device either through the skin or other parts of the body. So, on any of these complications would could require removal. Do any of the procedures come with a risk of less function or less feeling? So, there was a study done um and presented at the Sexual Medicine Society of North America um recently, and it looked at almost 500 men who had hyaluronic acid filler injection, and none, 0%, reported erectile dysfunction or loss of sensation. So, that's a big biggie that people ask about, yeah um, the part of the penis that gets erect.

called the corpa is different than the area that these fillers are being put in. If it's done correctly, because to be honest, anything's possible if you have somebody who doesn't know what they're doing doing the procedure. Um, and so there should never be a loss of function from a filler implant injected, even with the panuma. The risk of erectile dysfunction is like negligible, very very low. There is a potential risk of decreased sensation with both, although probably greater with the panuma just because we have to use incisions and cut most of the like the intense sensation for an individual. The penis is in the glands or the head of the penis and unless you're putting fillers in the head, the risk of noticeable loss of sensation should be close to zero. Messing with the glands, all bets are off. Where are you putting the filler? The filler should be put in the shaft. Putting fillers in the glands isn't as easy. Number one, it's not the

same tissue as the shaft. The gland has tons more nerves. It's full of like spongy tissue that does not expand and doesn't have space like the shaft to take in filler. So what you'll find if you start to try to put filler in your glands is it won't expand like the shaft does. The shaft expands instantly with filler, the glands not so much. Not only that you are risking loss of sensation for sure, and then there is an increased risk of bleeding, an increased risk of skin changes, so the risks are amplified when you put filler in the glands. So is this just a girth enhancement or also length? So in general it is way harder to increase length in any method that we have. If you think about it, where are we going to grow this penis? We can kind of expand it, volumize it, but lengthening stuff is harder in general in the Cosmetic world. So to answer your question, it can

girth is the most immediate, most guaranteed result. Length may happen in individuals because if the penis hangs more, it'll be longer. If that makes sense. Whether it hangs more because it's fuller and more volumized, it can hang more. Whether it hangs more because it has this implant that's kind of coming out, lengthening is possible. Girth is absolutely guaranteed. And I tell people that girth is greater than length. Especially, especially if you are penetrating a vagina. I know, telling you, I know they won't listen to me. They won't listen to me. We don't care about the length so much. I want to get a shirt that says girth greater than length. And then on the back, it says like, like, leave my cervix alone. Yes, you know, guys, you won't listen to me. You won't listen to the ladies. I invite, oh, can you listen to the doctor? 86% of women need clitoral stimulation to orgasm. They cannot orgasm any other way. They cannot.

orgasm by vaginal penetration. So all these penises that are like, I'mma stick it in your gut, I'm going to hit your kidneys, like, we first of all, even those of us that can orgasm vaginally don't really want that. Um, and majority of us, the norm is that we can't even orgasm like that. And so if you have greater surface area contacting the inner part of the clitoris, because there's an inner part of the clitoris, that's a whole another lecture, and then the outer part, that girth can provide more contact to that, that's where it's more enjoyable. And I have said one of the things that will make me instantly angry during sex is somebody nailing my cervix and then thinking it's like, it's like their pride is like, Oh yeah, look at what I can do. I rage. It just sends me into a rage. And it's weird, like you can tell a CIS dude this over and over again, and they will not stop because it's their ego. It's not about my pleasure.

it's the same thing with the whole uh link thing thing. You know, I'm sure that there are some vulva owners, some women who really want that, but I do not believe. You cannot convince me. It's even half. It's, it's got to be. No, it's not. And I think the ones who really like it just like the look of it, you know what I'm saying, but like the feel of it, like, okay, come on, like literally the feel of it. I, if we're going to keep it real, I'm gonna keep it real. I'd rather have a short fat stump than a long thin, uh, long thin one. Like, I'm, you know what I'm saying, give me the, the, the girth versus the, the length any day of the week. Yeah, I think that that's absolutely true, and I think that's what most, all, all of the women I know, all of the vulva owners I know. I know that's not a study, but I know a lot of people, people, and I talk about sex.

lot a lot more than the average person, and we're all saying the same thing, and then men watch my podcast, and they're like nope, not true, not true. I'm like all right, keep going with that man, keep disappointing us, keep disappointing us in bed. Um, anyways, I love y'all, just listen, penetrators. Yes, if you're penetrating a Volvo, the clitoris, the clitoris, the clitoris, the clitoris, the clitoris, the clitoris. What are you doing with the clitoris? Is the engaging the clitoris. The clitoris is the Holy Grail for orgasms, okay, yes, please, please listen. All right, really quickly, what are some myths, common myths that you have to overcome when it comes to penis enlargement? I think the biggest myth is like, what is average size, like what's the normal, you know? Oh my gosh, I must be micro because I'm not average, and people are shocked to find out what the average, so the average size of an erect penis, erect, we know penises can grow, um, is

about five to five and a half inches, she said it, the average size. I know the average size of a flaccid penis, that means it's not erect, it's only 3.6 inches, okay, so that like should comfort hopefully a lot of individuals. Like the average is not what we see in porn, okay, not what we see on TV, all right. The other myth is that does penal enlargement automatically mean I'm better in bed, and and I tell PE, and I'm really real, I love doing penal enlargement, I love doing penal fillers, it's really satisfying, a lot of my patients will come back and say, yeah, my partner really liked it, they like, they'll say their partner kind of wants them to have more, but I also tell patients who are consulting, like you got to know the way around the neighborhood, okay, you, this can't, you know, like your, like with your segment about the small penises, like at the end of the day, the motion in the ocean is critical, critical, okay.

got to know the anatomy a lot of people don't know or understand the anatomy. And so, it, it, if, if, if pleasing your partner is important, then you need to like kind of understand that Anatomy a little bit. Another one is don't judge a book by its cover, like the myth that certain big shoes or big feet big dick or you know this this demographic of people big dick. It's don't judge a book by its cover. I can say that I'm a urologist. I've probably seen about a million penises in all sorts of different individuals and never judge a book by itself. All right, so I'm gonna have you answer this question because it has been coming across again and again to me and I am not comfortable with it. I don't like it. I, I'm I would say my response is like no but I'm going to let you are the perfect person to answer this question. I get lots of question about um race and size. I really feel uncomfortable with it. I'm like I am not touching that. I think

it's I I I don't know how I can answer that. I feel like it's yeah a little bit fetishizing and gross but I'm going to ask you to can you take care of that one so I can put it to bed. You're you're giving me this job [ __ ] yeah I am. I was like nope no not not answering it. First of all I love my brothers but black doesn't equal big dick all automatically okay. I didn't say it. I didn't say it not me guys not me I didn't say it. There's plenty of black and white and all other classifications with small and big penises okay so you cannot. This is a again going back to don't judge a book by its cover. I'm telling you I'm telling you there be there's some white white men I've seen that I'm like well D me too well okay my response is what do you think I'm going to do with that like put it away put it away you're just going to.

admire it, like, look at it, be like, good, that's all it's good for. No, but you, seriously, I'm so, I'm so serious. And you can ask any urologist, they will confirm that, you know, it is a bit of a myth. Like, black men are well hung automatically, and white people are well, are well hung. Asians can be well hung, like, that's all, it's all over the Spectrum, so please, let's put that to bed, yeah, you guys, that's it. I'm not touching this one ever again. This is all I needed. Every time I, I read that question, I'm just like, oh dear God, make it stop, just please, don't. I cannot talk about it, um, and that would have been my guesstimate about it anyways, uh, but I am not a size queen, and I like. My argument is if you are worried about being good in bed, it's not your size you should be worried about. It's your technique when it comes to sensuality, touch, how you use your fingers, your

tongue like no understanding what pleases a vulva owner, and woman's body like the penis is great, but it is not the whole show. It's like this much of the well, depending on whatever much of the show. So, but I do understand that we can all be um insecure about these things. Oh, I would add something, yes, if you don't know like, and you're in a relationship, like ask your partner. It's okay to ask. That's the other thing we should normalize, like conversations about pleasure. Like, what do you, my husband and I do this, like what do you like me to do? Do you like when I do this, that way? Do you like, do you not like when I do this? I think we need to be comfortable saying what feels good and asking our partner what feels good and hearing them say, okay, I like this, but I don't like that. It's not about, it's not a personal thing. This is going to help you, and truly when you can, when the beauty of like sex is not not just the

pleasure you get from it, but like seeing the other person enjoying the pleasure you're giving them too, and that's the like Zenith when you can both get to that point. What is the realistic outcome, and let's stick with the fillers like someone's hope versus like here's the reality. Like your dream is this, but let's set your expectations uh straight first. Can you clarify are the fillers they're not permanent, there's something you have to keep having redone, is that correct? That's what the hyaluronic acid fillers, which are the safest way to do it. There are permanent dermal fillers, um, there are SK silicone fillers, like I said, that are permanent. Yes, the you are getting something that is permanent at the disadvantage of also getting something that is permanent that is hard to undo, so you know it's a double-edged sword. But hyaluronic acid fillers, which are by and large the most common way fillers are done, um, for sure in the penis, are not going to last forever.

can last up to three years, though um, that's good, yeah, that's solid. Y- yeah, that is solid, got to do that for like Botox and the other fillers people are using on their face like what the [ __ ] you can get, keep the, the dick big for 3 years but the Botox for three months, come on. Anyways, uh, all right, so someone who is considering penis enlargement right now, they're in that battle with themselves, is this something I want to do, just let's sum this up with your advice, what would you say to that person in this moment, they've watched it, they've listened to what you've said, what I've said, and they're, they're at that critical decision-making point, what is your best advice for them? Okay, so fillers for penis, just to get to your point, with the hyaluronic acid fillers, it, number one, realistically, it's going to be sessions, it's a journey, it's not like lip fillers where you come

in for one session, and I don't see you for another 6 to 12 months with the panel fillers because we are doing it's a lot more fillers. We're using. We need to do it in segments. We can't just dump a ton of fillers in the penis at one time. It's somebody's doing that. They don't know what they're doing. And they're going to cause they're going to increase like um aesthetic complications and possibly other complications. So it is a journey the way that it is done by the um Phil method, which is the method of fillers that I use. Is that it's usually done and broken up into sessions between five to six syringes. So typically, a lip like our lips might take one syringe. Some people may do two, two syringes in the penis. You can easily do five to six syringes at a time. And that gets about a quarter of an inch in girth immediately. Okay. And so if somebody wants an inch in girth, they're

looking at four sessions three to four sessions um it gets at least a quarter of an inch in girth oftentimes just a little bit more and then and then that's girth whether it's flaccid or erect when win um and then some of those individuals will also get some increase in length um as well um and so one I would say it's a journey and be prepared for that but that's the best way to maximize the life of the filler again if you dump a ton of filler in the penis all at once it actually creates a system in your body where it wants to uh dissolve it uh even faster so it increases the life longevity it increases aesthetic results and and just it's more tolerable on your body and I would say that they should start exploring options and talk to somebody who has a lot of experience in it or who is a credible um physician or um specialist like myself ask them about complications ask them what they do about complications if the person you're

talking to can't talk about what they can do about complications because again. I've seen this. I've seen people get stuff done to their penis and then they go back and have a complication. Go back to the person who did it and they're like, I don't know how to do this. I don't know how to take care of it. I saw a patient who had a bunch of um permanent fillers put in his penis by a dermatologist. No poo-pooing dermatologist but then um was having lots of clumps and bumps and dermatologist doesn't feel comfortable cutting into the penis and removing it so then it becomes a urologist problem. Okay so ask your inject you know your whoever like if something happens what would be the treatment and would you be the one who does that. I mean don't you think you should go to a urologist to have the whole shebang done why why would you go to someone who doesn't actually deal with a penis if you're

getting injected anything permanent into your penis, it should absolutely be a urologist. I agree, and I'm not a doctor, but I'm telling you right now, that's like a no-brainer. Again, like I said, with those options to undo it requires surgery, and those and nonurologists aren't going to do surgery on your penis. All right, guys, take that piece of advice. If you want to do this, go to a urologist. Careful if you're getting hyaluronic acid fillers, you may, then you don't have to get by a urologist, to be fair, because that can be undone with an injection. Hyaluronidase doesn't require surgery, so that's the exception, but absolutely permanent fillers, permanent implants in your dick, go to a dick olist, yes, but yeah, yeah, if you're doing something to your dick, go to go to someone who knows their way around a dick, like that would be M, that's what I would di olist, yes, yes, there you go. I like it, uh, any last

thoughts uh before I have you share because guys you're going to want to go and follow Dr. Mous everywhere you can because look I give you some fun stuff here but this woman knows it all about our junk our [ __ ] our dick all that stuff that I like to talk about. She's going to give you the the you know really specific medical sexual function stuff that you need to know and I know that you have a lot of information out there that people can go through and just learn a lot from you but before we get to all that stuff is there any last thought you want to leave with folk folks with. I want to say that I want humans who want to enhance any part of their body to understand that enhancement is a isn't a a replacement for some need or some missing piece. I love enhancement I have enhancements in different parts of my body. I think there's a lot of Shame on E both sides um you know um from people seeking enhancement they can get shamed upon.

which I don't want like to see then also I don't like to see um individuals being taken advantage and using their um kind of dis morphia or whatnot to um to uh to their advantage so just um understand the realistic expectations. Understand the options are there um penal enhancement is here to stay. It is the New Frontier. It's going to be more common. We can do a follow-up episode about volvas too because that is here to stay and that is a thing yes. So also one of the other common comments I've gotten uh and I would love to have have you back to talk about this is of course the uh men who are like how would you like a conversation about vagina size B. I'm like I would love to have that conversation. I would love and I feel like um it would be nice to do it with someone who knows everything about vaginas and I feel like you are perfect for that um. I would love that yeah. So and the men are right the men are right it's only fair it is only fair and I'm

I'm curious about it because I have my own experience um, and I'll be honest with you. We're not going to go into it now, but I'm going to leave you guys with this: among my massive group of girlfriends, I have never had. We've never sat and talked about being self-conscious about our vagina size. I'm sure that maybe some of us are. I am not, but yeah, I want to talk about it. So, for those of you who have messaged me, both in a nice-ish way and a rude way, you're going to get your due dessert. I am going to. I'd love to schedule as soon as we get done with this and have you back to talk about it. So, guys, you're going to get what you want from an expert. Let's do it. The doctor will chime in. All right, I want you to leave everybody with where to find you. Yes, I am on Instagram at Dr. Millhouse. D R M i l h o u s e. That's Milhouse with 1 L.

you just search in Instagram your favorite urologist #y your favorite urologist you will get me. I am your favorite urologist self-unnamed um and certified. I'm also on in on a Tik Tok at that same handle at your favorite urologist. My practice is super easy to remember everybody says down there so it's down there Urology and um we have a great YouTube channel. The YouTube channel is great super informative uh talks about all things privates [__] penises and piss um and that's at down there Urology. So you said it first so I'm just gonna say it too yeah said few word first I say it all the time I say it all the time my type of woman okay um at down there Urology um on YouTube um great super great source of High um yield um education um but yeah I normalize the conversation around the privates around P um and destigmatize these things that so many of us struggle with uh so yeah I

love it, and my practice is based in Chicago. So, if you're in Chicago, or you're visiting Chicago, or you're in Illinois, and or even some of the surrounding states, I'm happy to see you as a patient. I do virtual and in-person visits. That is awesome, and you can also scroll down and sign up for my e-newsletter. I will be sending out this and more information from Dr. Milhous to y'all, so make sure that you do that so you don't miss anything, especially the upcoming episode, which I'm excited to talk to you about. Thank you for joining. This has been a fantastic conversation. I knew it was going to be good, but it exceeded my expectations, so I will be talking to you soon, and to my listeners, until next time, I'll see you in the locker room. Cheers, Ring Loop.

How to Enlarge Your Penis (The "Down There" Doctor Tells All!)

Get ready for a sexual revolution as I share women's knowledge and perspectives on intimacy. Dive into sexpert-backed insights, tips, and sexy discussions aimed at breaking down shame, closing the orgasm gap, and empowering women sexually so people of all genders and sexualities can have life-changing intimacy. Whether you're looking to spice up your sex life or explore new k!nks, subscribe now to start your journey towards a more fulfilling and orgasmic life tonight!

Annette Benedetti

Expert Insights on Penis Enlargement and Cosmetic Genital Enhancement

Fena Milhouse, a board-certified urologist, discusses the motivators for patients seeking penis enlargement, emphasizing the desire for self-improvement and personal confidence.

She aims to normalize genital enhancement procedures, comparing them to breast enhancements, and advocates for individual choice without a standard of beauty.

Milhouse's practice in Chicago provides a safe and non-judgmental space for patients of all genders and sexual orientations, aiming to destigmatize and provide representation in the field of urology.

Penile enhancement is more accepted for cosmetic purposes in women than in men.

Micropenis is a legitimate medical condition, but most seeking enhancement don't have it.

Penile retraction or buried penis can be improved with weight loss or reconstructive surgery.

The options for penile enhancement include fillers, implants, ligament removal, and tissue grafts, mainly for cosmetic purposes.

Penile Fillers for Aesthetic Enhancement: A Urologist's Perspective

Penile fillers are commonly used for gender affirmation and enhancement procedures, with hyaluronic acid fillers and the Penuma implant being the two most legitimate options endorsed by urologists.

Hyaluronic acid fillers are considered the safest option, as they can be dissolved with an antidote if needed, while other fillers like fat or silicone can lead to more drastic complications.

Complications of penile fillers can include bruising, swelling, discomfort, and rare allergic reactions, with the Penuma implant carrying the risk of infection and surgical removal.

Risks and Complications of Penile Fillers

Penile fillers can lead to benign complications such as clumps and bumps, as well as more serious issues like the rare risk of bleeding and potential for infection.

A study showed that men who had hyaluronic acid filler injections reported no erectile dysfunction or loss of sensation, and the risk of these complications is very low if the procedure is done correctly.

Fillers should be put in the shaft of the penis, as putting them in the glands can lead to increased risks and noticeable loss of sensation.

The Importance of Girth Over Length in Sexual Satisfaction

Girth is a guaranteed result and is considered more important than length, especially for vaginal penetration.

Clitoral stimulation is crucial for 86% of women to orgasm, and girth provides more contact and enjoyment.

The average size of an erect penis is 5 to 5.

5 inches, dispelling the myth perpetuated by porn, and sexual skill is emphasized over size for overall satisfaction.

Understanding Male Anatomy and Sexual Health

Many myths and misconceptions exist about penis size and race, but it's important not to judge based on stereotypes.

Penis size is not the most crucial factor for being good in bed, as technique and communication play a significant role in sexual pleasure.

It's essential to normalize conversations about pleasure and openly communicate with partners.

Additionally, when it comes to penis fillers, it's important to understand that hyaluronic acid fillers, the most common type, are not permanent and will need to be redone.

Advice for Those Considering Penis Enlargement

Penis enlargement with fillers is a journey that requires multiple sessions, typically five to six syringes at a time, to achieve the desired girth.

It is important to consult with a highly experienced and credible physician, preferably a urologist, who can address and treat any potential complications.

For hyaluronic acid fillers, the treatment can be undone with an injection of hyaluronidase, but for permanent fillers or implants, it is crucial to seek a specialist, such as a urologist, for any surgical procedures.

Milhous emphasizes the importance of realistic expectations for body enhancement and aims to destigmatize the conversation around private parts.

She is available on Instagram, TikTok, and YouTube to provide informative content and welcomes patients at her practice in Chicago for virtual or in-person visits.