Penis enlargement with polylactic acid (PLLA)
Penis enlargement with poly-L-lactic acid (PLLA) is an aesthetic urology method based on biostimulation. PLLA stimulates the body to produce its own collagen, resulting in gradual and natural thickening of penile tissue. Unlike an HA filler, the effect is not immediate and develops over approximately two to three months, but it may last for several years. The procedure is performed on an outpatient basis under local anaesthesia.
A qualification consultation is required before the procedure. Reception: Mon–Fri, 9:00 a.m.–5:00 p.m.
| Method | PLLA biostimulation |
| Anaesthesia | local |
| First results | after several weeks |
| Full result | approximately 2–3 months |
| Duration | up to several years |
| Price | price list → |
Jakub Krukowski, MD, PhD · Jakub Kłącz, MD, PhD
the body’s own collagen — not a filler
an LGBT+-friendly clinic
Mon–Fri, 9:00 a.m.–8:00 p.m.
What is PLLA and how does it work?
Poly-L-lactic acid, abbreviated as PLLA, is a biocompatible and biodegradable biostimulator used in aesthetic medicine. Unlike conventional fillers such as hyaluronic acid, PLLA does not increase tissue volume directly by adding an external filling substance.
Its mechanism of action is based on biostimulation. The preparation is administered intradermally and subcutaneously, where it is gradually absorbed and stimulates fibroblasts to produce the body’s own collagen. The result is gradual and natural thickening of the tissue without the sensation of a foreign body.
Because collagen production is a gradual process, the first results become visible after several weeks, while the full result is assessed approximately two to three months after the procedure.
PLLA compared with other penis enlargement methods: PLLA is a biostimulator. The body produces its own collagen, and the result develops gradually and may be long-lasting. Hyaluronic acid (HA) works as a filler and provides an immediate result, but it is absorbed more quickly. Lipofilling uses the patient’s own fat tissue. The choice of method is discussed with the doctor during the consultation.
Who may be suitable for a PLLA procedure?
The procedure may be considered by men who wish to increase penile girth or improve its proportions while preferring a method that stimulates the production of their own collagen rather than the use of a conventional filler. PLLA may be particularly considered by patients seeking a gradually developing and potentially long-lasting result.
The doctor determines whether the patient qualifies after taking a medical history and assessing their health. Not every patient will be eligible for this method.
How is the procedure performed?
The doctor takes a medical history, assesses the patient’s health and discusses expectations, possible results and risks. On this basis, the doctor decides whether the patient qualifies and prepares an individual treatment plan.
The PLLA preparation is prepared by the doctor according to the relevant procedure. The treatment area is then thoroughly cleaned and disinfected.
A local anaesthetic is used to reduce discomfort during the procedure.
The biostimulator is administered by the doctor through a series of precise injections. During the procedure, the doctor evaluates the distribution of the product and adjusts it if necessary.
After the procedure, the doctor provides individual instructions. A follow-up appointment after approximately four to six weeks allows the doctor to assess the biostimulation process and determine whether another session is required.
Results and recovery
PLLA is a biostimulator rather than a conventional filler, so the intended results are not visible immediately after the procedure. Collagen production develops gradually over approximately two to three months, and the final result can only be assessed after this period. The body’s response to biostimulation is individual and may vary between patients.
Mild swelling, tenderness or discomfort at the injection site may occur immediately after the procedure. These symptoms usually subside within several days. A return to light daily activities is generally possible after one to two days.
Recommendations after the procedure
- Avoid sexual intercourse and strenuous physical exercise for 7–10 days.
- Avoid hot baths, saunas and swimming pools immediately after the procedure.
- Follow the individual instructions provided by the doctor.
- Attend a follow-up appointment approximately four to six weeks after the procedure.
- Contact the clinic if concerning symptoms develop.
Contraindications
Every patient undergoes an individual medical assessment before the procedure. Possible contraindications include:
- active skin or genital infections in the planned treatment area,
- certain autoimmune diseases and immune-system disorders,
- active cancer,
- blood-clotting diseases and disorders,
- a confirmed allergy to poly-L-lactic acid or other ingredients of the preparation.
The above list is indicative only. A complete assessment of whether the procedure can be performed takes place during the medical consultation. The doctor may also recommend additional tests.
Doctors performing the procedure
A specialist in urology and Fellow of the European Board of Urology. Andrology and aesthetic urology, including regenerative, aesthetic and reconstructive procedures. Contributor to EAU guideline publications.
A urology specialist with more than 13 years of experience and Fellow of the European Board of Urology. Reconstructive surgery of the penis and scrotum, uro-oncology and andrology. CMR Versius trainer and University of Cambridge lecturer.
Book a consultation — PLLA penis enlargement in Gdańsk
During a discreet urology consultation, the doctor will discuss how PLLA works, the possible range of results and any contraindications.
Frequently asked questions
How does PLLA differ from hyaluronic acid?
PLLA is a biostimulator. It stimulates the body to produce its own collagen instead of directly filling the tissue with an externally administered substance. The result develops gradually over approximately two to three months and may last longer than the result obtained with HA. Hyaluronic acid works as a filler, so the effect is visible immediately but gradually diminishes over several or more than a dozen months. The choice of method depends on the patient’s individual expectations and health and is made together with the doctor during the consultation.
When are the first results visible?
PLLA does not provide an immediate result because it works through biostimulation. The first changes may become visible after several weeks, while the full result develops over approximately two to three months after the procedure.
How long do the results of PLLA biostimulation last?
The results may last for several years, depending on the individual characteristics of the body, metabolism and the tissue’s ability to produce collagen. The procedure may be repeated if necessary. The doctor determines the schedule of any further procedures after assessing the results obtained so far.
Is the procedure painful?
The procedure is performed under local anaesthesia. Some discomfort may be felt during the injections. Mild tenderness or swelling may persist for several days after the procedure and usually subsides spontaneously.
How many sessions are required?
The doctor determines the number of sessions individually. Depending on the expected result and the body’s response, one or more procedures may be required. A follow-up appointment approximately four to six weeks after the first procedure allows the doctor to assess the biostimulation process and plan any further treatment.
When can sexual activity be resumed?
Patients are advised to avoid sexual intercourse for approximately 7–10 days after the procedure. Strenuous physical activity should also be limited during this period. The doctor provides precise individual recommendations.
What are the risks of a PLLA procedure in the penile area?
Poly-L-lactic acid is a biocompatible and biodegradable material used in medicine. As with every invasive procedure, appropriate medical qualification is required, and individual reactions such as swelling, tenderness or discomfort may occur afterwards. A complete assessment of the possible risks and contraindications is performed during the qualification consultation.
Related aesthetic urology methods
HA filler — immediate increase in penile shaft girth.
Details →The patient’s own fat tissue — without synthetic material.
Details →HA enlargement of the glans only, not the penile shaft.
Details →PRF plasma — revitalisation and contouring of the glans.
Details →All aesthetic procedures — services and price list.
Details →PLLA penis enlargement in Gdańsk
Jakub Krukowski, MD, PhD · Jakub Kłącz, MD, PhD · 15 Toruńska Street, Gdańsk
The information on this page is intended for general educational purposes and does not replace a medical consultation. The procedure is a medical intervention requiring individual qualification and the patient’s informed consent. The results and duration of biostimulation vary between patients. Wyspa Medycyny Przyjaznej, 15 Toruńska Street, unit AU1, Gdańsk. Tel.: +48 600 006 913.
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