Using this technique, patients routinely reported HA dermal filler retention at 3 – 4 years and sometimes longer. To date, no patient has returned with a complete loss of filler. Since initially studying the girth enhancement technique, most patients have reported considerable long-term retention. Any minor loss of filler can be regained at any time with a simple touch-up treatment, which requires a minimal amount of filler compared to the initial treatments where most of the bulking is done. It is important to remember that every human body metabolizes HA filler differently. Follow-up treatments of 4 to 6 units may be necessary every 12 – 18 months depending on the patient’s lifestyle, sex life, and the rate at which their body metabolizes the filler. The PhalloFILL enhancement is highly customizable, so it is important to identify and communicate your goals from the beginning with your PhalloFILL provider to help determine the best package for your individual needs. During your PhalloFILL enhancement the filler is layered and sculpted into place for optimal aesthetic results while also blending with your natural tissue. If you notice any abnormalities in shape or asymmetry along the injection plane following your PhalloFILL treatment do not be alarmed, this will improve as the filler is layered from one session to the next while the desired increase in girth is achieved. Should you want to remove the filler for any reason, a simple solution can be injected that will dissolve the hyaluronic acid or any portion causing a visible irregularity to your dissatisfaction. This is rarely the case, in fact most men add more over time. After the first treatment, an average of 10% in filler reduction can be expected due to the inflammatory process, however the majority of filler will remain and could last up to 6 years or longer. The proven PhalloFILL enhancement and the optimal placement of filler allow for minimal absorption and maximum retention while maintaining the aesthetically pleasing results you desire within the limitations of your individual anatomy.