How to Make Your Penis Bigger: The “Down There” Doctor Tells All!

After I dropped The Truth About Sex with Small Penises episode, the questions and requests came rolling in so I reached out to the Your favorite Urologist the incredible Dr. Milhouse she sat down with me to talk about how men and people with p*nises can increase their size. She walks viewers through all of their options and you'll be surprised at what you learn. I was! In this episode you'll learn the following:

• Meet the doc
• What motivates patients to seek enlargement 
• Are there conditions that make enlargement necessary?
• Retracted condition
• Enhancement options 
• Which options are best? 
• Where does the filler go?
• Enlargement myths
• Average size according to the doc
• What is the realistic outcome of enhancement?

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Transcript

Speaker 1: 0:28

Hi, this is Annette Finnadetti, your hostess for a locker room talk and shots, the podcast that likes to think of itself as the queer NPR of raunchy women's sex talk. You are about to sit in on the kind of conversations women have on their girls' nights out or behind closed doors, while enjoying delicious drinks and dishing about sex, think fun, honest and feminist as fuck, and always with the goal of fighting the patriarchy. One orgasm at a time. Welcome to the locker room. Today's locker room talk and shots topic is how to make your penis bigger. It's all about penis enlargement.

Speaker 1: 1:17

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.

Speaker 1: 2:29

Her name is Dr Fenwa 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 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 and Dr Milhouse is a distinguished recipient of the 2023 health care impact award by Top Docs. She 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?

Speaker 2: 3:23

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 a, like you said, a board certified urologist, fellowship trained in pelvic floor reconstruction and I really started along the path of like sexual dysfunction treatment and even cosmetic genital enhancement. Probably 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 that was very comfortable for patients. There was no judgment, where things around genitalia and sex were normalized. We're 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, as a physician, and whom I practice is.

Speaker 2: 4:58

I'm very proud of having this, to be able to create this. I feel like there are not so many safe spaces in medicine for individuals. That's a whole nother episode. Yeah, women, lgbt, trans, black, you name it, and so, 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 de-stigmatizing 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 inherently a unicorn, as urologists are seldomly black and are seldomly women, and so I want to kind of give voice to the others while de-stigmatizing and combating myths in my specialty.

Speaker 1: 6:02

And I'm so honored to have you here, and this is a very sensitive topic, so I feel like having this discussion with you. 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 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, but for right now, I decided to have a little wine for this conversation and I'm ready to talk about penis enhancement. Cheers, let's do it All right, we're just going to dive in. There is no tiptoeing into the subject. So I want to know what are the motivators that typically bring patients to you who are like I want to make my penis bigger.

Speaker 2: 7:06

No, I tell people that penis enhancement is a new frontier in cosmetic procedures.

Speaker 2: 7:16

It's the same motivations that we see individuals who want breast enhancement who seek out BBLs.

Speaker 2: 7:24

They want a little bit more in a certain area of the body because it makes them feel better about themselves Number one and some of them are motivated by giving their partner or their dating persons something else. 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 look in the mirror, I want to look at something that looks a little bit 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 that we will one day see penile enhancement as the norm, like not as a norm, but as an acceptable thing for a well-rounded adult who understands the benefits and risks 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. We don't want to create this undue pressure, but I think it's perfectly acceptable and okay, and more and more, that people want enhancement.

Speaker 1: 8:57

Yeah, it's interesting how breast enhancement and even I mean I heard 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 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 wanting to look better?

Speaker 2: 9:35

Certainly, there is a condition called micro penis, which is an actual urologic diagnosis, and it is defined as less than two and a half from the standard deviation of size of penis. That puts you at about two, two and a half inches size penis. Majority of men, even the ones that think they have a small penis, even the ones who think they have a micro penis, don't actually meet that definition Micro penis.

Speaker 2: 10:09

we have known about urology forever and ever and ever before cosmetic penile enhancement became a thing, Surgery for micro penis was available. It still is available. We'll talk about that when we talk about options. But that is a legit medical diagnosis. The vast majority of individuals who seek penile enlargement aren't in this category.

Speaker 1: 10:37

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 penis photo in my email. It's worth bringing up. Please don't do this, folks, or you're going to ruin my intimate life, because it's not what I want right now.

Speaker 2: 10:59

Welcome to my life.

Speaker 1: 11:02

I was so shocked 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.

Speaker 2: 11:22

Maybe is that a thing, I mean, there was no explanation with this picture either.

Speaker 1: 11:29

If you're going to send me a picture like that, please give me your condition, so can you speak to that?

Speaker 2: 11:35

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 super pubic or kind of the pooch area is what we call that. Okay, and so I talk about this that the more weight an individual has, especially in the belly, in the pubic area, the more their shaft or their penis is going to get covered up. So one great way to enhance your penis is to lose weight, because then the shaft comes out.

Speaker 2: 12:22

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 need a combination of weight loss and potentially like major reconstructive surgery to remove significant excess fat and skin around that area.

Speaker 1: 13:02

Wow, 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. So, yeah, I'd like to talk about the overview of options for enhancement penile enhancement because there's more than one way. Is that correct?

Speaker 2: 13:32

That is absolutely correct. There's more than one way. Penile enhancement and I want to be clear we're talking about cosmetic enhancement, not like medically necessary, which is very rare to even be in that category. So penile enhancement options include fillers and even within fillers there are temporary and permanent fillers. They include implants. So there is an implanted device called the PANUMA that can be implanted to enlarge. It was designed specifically for cosmetic penile enhancement.

Speaker 2: 14:11

There are other surgeries that are more involved that include removing suspensory ligaments. So the penis hangs close to the pubic bone in an individual and a man and by cutting that ligament 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 grafts 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. Wraps are commonly used as a way for gender affirmation in female to male gender affirmation procedures, less commonly used for pure cisgendered penises that want enhancement.

Speaker 2: 15:21

Let me go back to fillers, because fillers is the most common way and I alluded to there being temporary and permanent fillers, but really I 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. These same fillers, 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. That's one type of penile filler.

Speaker 2: 16:10

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 liposuction from some other part of your body and then they inject that around your penis. Then there are more permanent. Things like Sculpture is a brand of a permanent filler. There are even people getting silicone liquid silicone built into their penis.

Speaker 1: 16:38

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 aesthetic enhancement? Then, after we talk about that, I want to talk about the different fillers and what you suggest.

Speaker 2: 17:01

I'm a board-certified urologist. To date no society has outright completely endorsed any method. But I will say that within the sexual medicine subspecialty of urology the two most legitimate ways that other board certified neurologists 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. I tell patients that any other options beside hyaluronic acid fillers may require cutting into your penis.

Speaker 2: 17:50

So you have to make the decision is your cosmetic surgery or cosmetic enhancement worth you cutting into your penis? Even the PANUMA implant is. It's a surgery we have to. They have to cut the glove and put this implant and this separates a lot of individuals into. It was like, yeah, I want my penis bigger, but I don't want a knife taken into it.

Speaker 2: 18:13

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 a complication, then you need to. Then the answer is always hyaluronic acid penile 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 penile 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 hyaluronidase that can be injected to dissolve it, should we need to, whether you, 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.

Speaker 2: 19:16

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 get silicone or permanent dermal filler injected into your penis and I've seen these complications and I have, and you 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. Pneuma Pneuma again. It's a legitimate option within the subspecial to urology, sexual medicine, 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.

Speaker 1: 20:13

Can you talk about some of the complications? What are the risks?

Speaker 2: 20:17

Yeah, fillers. Most commonly the small but not more benign complications that can happen is bruising, swelling. Almost all fillers will cause an initial swelling. I tell individuals, your probably, your penis is probably gonna be bruised. It's gonna look like somebody used it as a punching bag. That's acceptable and we'll go away with time. Some people will have some slight discomfort, but most patients aren't even in that much pain.

Speaker 2: 20:47

There is a rare risk of reacting negatively to the filler product. So there's a rare risk of allergic reaction, especially with hyaluronic acid or some sort of site reaction. 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 the penis. Major bleeding should almost never happen. So those are the most benign complications.

Speaker 2: 21:27

Now, more serious complications of fillers can include aesthetic issues. So there's clumps and bumps. 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 ways because we can easily dissolve that. You get a subcutaneous nodule and I've seen a penis that was littered with nodules along the entire tire shaft and it was filled with liquid silicone. I can't dissolve that, it's not dissolvable. I have to like take that out so. But subcutaneous nodules that are not only not appealing but can be just kind of uncomfortable.

Speaker 2: 22:10

There is a very rare risk of ischemia so rare we can. 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 ischemia. And if you get it into a blood vessel where that skin, where that blood vessel supplies, can necrosse or die off and what you will find is a patient who not it's not just a bruise, it like turns black, it's cold, it's crusted, that sort of stuff. That is an emergency and that filler needs to be removed. Again, hyaluronic acid it can dissolve it pretty easily and reverse that effect. But that's a more serious, fortunately very rare complication. Very rare complication, but potential.

Speaker 2: 23:01

I've heard of a complication, of a death by a silicone, I think penile filler that embolized in the patient. I don't know how they were injecting it. I got to be honest, that's gnarly, whatever was happening, I 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, 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, what could require removal?

Speaker 1: 23:43

Do any of the procedures come with a risk of less function or less feeling?

Speaker 2: 23:50

So there was a study done and presented at the Sexual Medicine Society of North America 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. The part of the penis that gets erect, called the corpora, 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 and so there should never be a loss of function from filler and plant injected. Even with the panuma, the risk of erectile dysfunction is 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 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 Messy with the glands all bits are off.

Speaker 1: 25:14

Where are you putting the filler?

Speaker 2: 25:16

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 glands 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. The shaft expands instantly with filler, the glance 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 in the glance.

Speaker 1: 26:05

So is this just a girth enhancement or also length?

Speaker 2: 26:09

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 like lengthifying stuff is harder in general in cosmetic, 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 it'll be a 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 coming out, lengthening is possible. Girth is absolutely guaranteed and I tell people that girth is greater than length. I mean especially, especially, if you are penetrating a vagina.

Speaker 1: 27:18

I'm 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.

Speaker 2: 27:28

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.

Speaker 1: 27:38

Yes, you know, guys, you won't listen to me, you won't listen to the ladies I invite out. Can you listen to the doctor?

Speaker 2: 27:49

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'm a stick it in your gut I'm going to hit your kidneys like first of all. Even those of us that can orgasm vaginally don't really want that, 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 other lecture and then the outer part, that girth, can provide more contact to that Ooh, that's where it's more enjoyable.

Speaker 1: 28:32

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, and it's weird, like you can tell us this, dude this over and over again and they will not stop because it's their ego, it's not about my pleasure and it's the same thing with the whole link thing.

Speaker 1: 29:03

You know, I'm sure that there are some bull, the owner, 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.

Speaker 2: 29:17

And I think the ones who really like it, just like the look of it, you know I'm saying, but like the feel of it, like okay, come on Now, like literally the feel of it, I, we're gonna keep it real. I'm gonna keep it real. I rather have a short, fat stump, been a long, been long been one like I'm. You know what I'm saying. Give me the girl versus the, the length, any day of the week.

Speaker 1: 29:50

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 and I talk about sex a lot, a lot more than the average person, and we're all saying the same thing. And then men watch my, my, 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.

Speaker 1: 30:23

Anyways, I love you all just say penetrators.

Speaker 2: 31:14

Yes, if you're penetrating a vulva, the clitoris, the clitoris, the clitoris, the clitoris, the clitoris, the clitoris. What are you doing with the clitoris? Is that engaging the clitoris, the clitoris is the holy grail for orgasms, okay, yes, Please please listen.

Speaker 1: 31:30

All right, really quickly. What are some myths common myths that you have to overcome when it comes to penis enlargement?

Speaker 2: 31:38

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 shot to find out what the average. So the average size of an erect penis erect, if we know penises can grow 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 it's not erect, it's only 3.6 inches, okay, so that should comfort, hopefully, a lot of individuals. Average is not what we see in porn, okay, not what we see on TV, all right.

Speaker 2: 32:19

The other myth is that does penile enlargement automatically mean I'm better in bed and I'm really real, I love doing penile enlargement, I love doing penile fillers. It's really satisfying. A lot of my patients will come back and say yeah, my partner really liked it. They'll say their partner kind of wants them to have more. But I also tell patients who are consulting you got to know the way around the neighborhood, okay, this can't like with your segment about the small penises.

Speaker 2: 32:58

At the end of the day, the motion in the ocean is critical, critical, okay, you got to know the anatomy. A lot of people don't know or understand the anatomy, and so if pleasing your partner is important, then you need to 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 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 its cover.

Speaker 1: 33:38

All right. So I'm going to 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 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 race and size. I really feel uncomfortable with it. I'm like I am not touching that. I think it's. I don't know how I could answer that. I feel like it's 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 giving me this job. Fuck, yeah, I am. I was like nope, no, not answering it.

Speaker 2: 34:24

First of all, I love my brothers. But black doesn't equal big dick all automatically Okay.

Speaker 1: 34:29

I didn't say it. I didn't say it. Not me guys, not me. I didn't say it.

Speaker 2: 34:38

There's plenty of black and white and all other classifications with small and big penises. Okay, so you cannot. This is again going back to. Don't touch a book by its cover, I'm telling you. I'm telling you, there are some white, white men. I've seen that I'm like.

Speaker 1: 34:56

Well, they see me. They see me too. Well, oh my, that's what I'm saying. My response is what do you think I'm going to do with that? Put it away, Put it away.

Speaker 2: 35:09

You're just going to admire it.

Speaker 1: 35:11

Look at it and be like I'm good.

Speaker 2: 35:12

That's all it's good for no, but you seriously, I'm so serious. You can ask any urologist. They will confer that you that it is a bit of a myth. Like black men are well hung automatically and white people are well hung, asians can be well hung, that's all. It's all over the spectrum.

Speaker 1: 35:35

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 read that question, I'm just like, oh dear God, make it stop. Just please don't. I cannot talk about it, and that would have been my guesstimate about it anyways, but I am not a size queen. My argument is if you are worried about being good in bed, it's not your size.

Speaker 1: 36:04

You should be worried about it's your technique when it comes to sensuality, touch, how you use your fingers, your tongue, no understanding what pleases a vulva owner and woman's body. 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. But I do understand that we can all be insecure about these things.

Speaker 2: 36:29

I would add something. Yes, if you don't know, like in your inner relationship, like, ask your partner. It's okay to ask, that's the other thing we should normalize. So 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 to, and that's the like zenith, when you can both get to that point.

Speaker 1: 37:19

What is the realistic outcome? And let's stick with the fillers. Like someone's hope versus like. Here's the reality. Like you, your dream is this, but let's set your expectations straight first. Can you clarify are the fillers? They're not permanent. There's something you have to keep having redone. Is that correct?

Speaker 2: 38:28

That's what the hyaluronic acid fillers, which are the safest way to do it. There are permanent dermal fillers, there are skill 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 for sure in the penis, are not going to last forever. They didn't last up to three years though. Oh, that's good, yeah, that's solid.

Speaker 1: 39:00

Yeah, that is solid. Do that for, like Botox and the other fillers. People are just not their face Like what the fuck? You can keep the dick big for three years, but the Botox for three months, come on, anyways, 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? Well, 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 at that critical decision-making point. What is your best advice for them?

Speaker 2: 39:41

Okay. So fillers for penis, just to get to your point with the hyaluronic acid fillers 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 six to 12 months with the penile 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. If somebody's doing that, they don't know what they're doing and they're going to cause they're going to increase like aesthetic complications and possibly other complications. So it is a journey.

Speaker 2: 40:16

The way that it is done by the falafel 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 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. And so if somebody wants an inch in girth they're looking at four sessions, three to four sessions. It gets at least a quarter of an inch in girth, oftentimes just a little bit more, and then that's girth, whether it's flaccid or erect, win-win. And then some of those individuals will also get some increase in length as well, 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 Because, 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 dissolve it even faster.

Speaker 2: 41:24

So it increases the life longevity, it increases aesthetic results and just it's more tolerable on your body. And I would say that they should start exploring the options and talk to somebody who has a lot of experience in it or who is a credible physician or specialist like myself. Ask them about complications, ask them what they do about complications that 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 permanent fillers put in his penis by a dermatologist no pooing dermatologist but then 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. So ask your inject whoever. If something happens, what would be the treatment and would you be the one who does that?

Speaker 1: 42:34

I mean, don't you think you should go to a urologist to have the whole shebang done? Why would you go to someone who doesn't actually deal with a penis If you're getting?

Speaker 2: 42:41

injected anything permanent into your penis. It should absolutely be a urologist.

Speaker 1: 42:46

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.

Speaker 2: 42:55

It requires surgery, and though the non-urologists aren't going to do surgery on your penis, All right, guys, take that piece of advice.

Speaker 1: 43:04

If you wanna do this, go to urologist careful.

Speaker 2: 43:07

If you're getting hyaluronic acid fillers, you may. Then you don't have to get by 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 dickologist.

Speaker 1: 43:27

Yes, I was gonna say but yeah if you're doing something to your dick, go to someone who knows their way around. A dick Like that would be mine. That's what I would do.

Speaker 2: 43:35

Dichologist yes, yes there you go.

Speaker 1: 43:39

I like it. Any last thoughts before I have you share, because, guys, you're gonna wanna go and follow Dr Milhouse everywhere you can because, look, I give you some fun stuff here, but this woman knows it all about our junk, our pussy, our dick, all that stuff that I like to talk about. She's gonna give you the 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.

Speaker 2: 44:17

But before we get to all that stuff, is there any last thought you wanna leave with folks, with I wanna say that I want humans who want to enhance any part of their body to understand that enhancement isn't 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 both sides From people seeking enhancement. They can get shamed upon, which I don't like to see. Then also, I don't like to see individuals being taken advantage and using their kind of dysmorphia or whatnot to their advantage. So just understand the realistic expectations. Understand the options are there. You know, enhancement is here to stay. It is the new frontier. It's gonna be more common. We can do a follow-up episode about baldness too, because that is here to stay and that is a thing.

Speaker 1: 45:27

Yes, so also, one of the other common comments I've gotten and I would love to have you back to talk about this is, of course, the men who are like how would you like a conversation about vagina size? Blah, blah, blah, blah, blah, blah, blah, blah blah. I would love to have that conversation. I would love and I feel like it would be nice to do it with someone who knows everything about vaginas, and I feel like you are perfect for that.

Speaker 2: 45:57

I would love that. Yeah, so, and the men are right.

Speaker 1: 46:01

The men are right, it's only fair. It is only fair and I'm curious about it because I have my own experiences and I'll be honest with you and we're not gonna go into this among my massive group of girlfriends. I have never, 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 wanna talk about it. So, for those of you who have messaged me, both in a nice-ish way and a rude way, you're gonna 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 gonna get what you want from an expert.

Speaker 2: 46:47

Let's do it.

Speaker 1: 46:48

The doctor will chime in. All right, I want you to leave everybody with where to find you.

Speaker 2: 46:53

Yes, I am on Instagram at Dr Milhouse D-R-M-I-L-H-O-U-S-E. That's Milhouse with one L. If you just search in Instagram your favorite urologist hashtag your favorite urologist you will get me. I am your favorite urologist, self-unnamed and certified. I'm also on TikTok 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 we have a great YouTube channel. The YouTube channel is great, super informative, talks about all things privates, cossies, penises and piss and that's at down there urology. So you said it first, so I'm just gonna say it too.

Speaker 2: 47:45

Yeah, yeah, I'm thrilled.

Speaker 1: 47:47

You said first few words. First. I say it all the time. I say it all the time.

Speaker 2: 47:51

But my type of woman okay. At down there urology on YouTube great, super great source of high-yield education. I normalize the conversation around the privates, around pee and destigmatize these things that so many of us struggle with. 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 or even in some of the surrounding states, I'm happy to see you as a patient. I do virtual and in-person visits.

Speaker 1: 48:29

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 Milhause Tiaul, 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 gonna 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.

Speaker 2: 49:02

Ha ha See ya.