“Shantel's detailed approach completely changed my results.”
Penile Girth Enhancement
Discreet enhancement. Medical precision.
Hyaluronic acid filler used to safely and reversibly increase penile girth — performed in a private clinical setting by a medical provider. Our protocol pairs filler with neurotoxin pretreatment, the most comprehensive approach available.
— Your privacy
Handled with total discretion.
This is a private topic and we treat it like one. Nothing on your phone lock screen, nothing in your inbox that gives anything away, and no marketing follow-ups you didn't ask for. You control every touchpoint from the moment you fill out the form.
- 01Unmarked contact — texts and emails come from a person, not a brand. No preview of the treatment ever appears on your lock screen or in your inbox subject line.
- 02You choose the channel — text only, email only, encrypted (Signal) or phone call. Tell us how to reach you and we contact you exactly that way, nothing else.
- 03One conversation, one provider — you speak directly with Shantel or her medical team. Your name and details do not sit in a shared front-desk queue or a mass-marketing list.
- 04Private treatment room, private entrance flow — no waiting-room announcements, no shared consult space, no chart visible to non-clinical staff.
- 05Unmarked billing — receipts and card statements read as a general medical visit, never the specific procedure.
- 06Zero re-marketing — we never sell, share, or re-target your data. No ads will follow you around after you visit this page or fill out the form.
If you'd rather not leave a phone number or real email at all, use the form to request an encrypted-only consult and we'll respond however you specify.
— Understanding
The science
behind it.
Penile girth enhancement using hyaluronic acid filler has become an increasingly common, well-studied procedure. It is performed in-office, in roughly 60 minutes, with topical and injectable numbing for comfort, and minimal downtime.
We use the same FDA-approved fillers used in facial aesthetics, placed in the appropriate tissue planes to add even, natural-looking and natural-feeling girth. Results are visible immediately and last 12–18 months. Because the product is hyaluronic acid, it is also reversible if ever needed.
What makes our protocol different: most clinics only inject filler. We require neurotoxin (Botox) pretreatment two weeks before filler — this relaxes the penile smooth muscle, prevents post-treatment retraction that can shift filler and cause an uneven 'accordion' result, and improves blood flow. Blood always flows from high to low resistance, so relaxing the smooth muscle decreases resistance, increases inflow, and can improve both flaccid appearance (giving the look of added length) and erectile quality. This is why we view tox + filler as one comprehensive treatment, not two add-ons.
Discretion and respect are non-negotiable. Treatment is performed in a private treatment room by a medical provider, with full clinical safety standards. Virtual or in-clinic consultations are both available.
— What it does
Designed
for results.
- 01Visible girth increase immediately
- 02Even, natural-looking and feeling result
- 03Improved blood flow and erectile quality (from tox pretreatment)
- 04Appearance of added length at rest (smooth muscle relaxation)
- 05Fully reversible (HA filler)
- 06Short downtime, return to normal activity within days
— The visit
How it
unfolds.
- 01
Private consultation (virtual or in-clinic)
Shantel walks you through the entire process — what to expect, how the two-step protocol works, candidacy, pricing and timing. Roughly 30–45 minutes.
- 02
Same-day Botox pretreatment
If you choose to move forward, neurotoxin is administered the same day as your consult. Full payment for the enhancement is required at this visit.
- 03
Filler enhancement — 2 weeks later
Filler is placed 2 weeks after the tox so the neurotoxin is at peak effect. Even, layered placement — typically 6–10ml depending on goals.
- 04
Optional second treatment
Most men who want additional girth schedule their second filler ~2 months after the first. Subsequent rounds can be done every 2 months until your goal is reached.
— Aftercare
What follows
the visit.
- —No sexual activity for 14 days
- —No strenuous exercise for 7 days
- —Mild swelling 1 week
— Questions
Frequently
asked.
Don't see your question? Bring it to your complimentary consultation — we love the curious ones.
- Do you offer P-Long, P-Shot or penis hyaluronic acid filler in Arizona?
- Yes. Tulua is one of the few medical practices in Arizona offering a complete male enhancement program — including hyaluronic acid (HA) penile filler for girth, the P-Shot (PRP injection) for performance and sensitivity, and P-Long protocols that combine treatments for long-term improvement. All performed in a private clinical setting by a medical provider in Gilbert, AZ.
- What is the consultation process like?
- Shantel walks you through the entire process — start to finish, exactly how the two-step protocol works and what to expect. Consults can be virtual or in-clinic. If you decide to move forward, we administer the Botox pretreatment the same day as your consult (full payment for the enhancement is required at that visit), then the filler enhancement is performed 2 weeks later once the tox is at peak effect.
- Why is Botox required before filler?
- Botox relaxes the penile smooth muscle. Without it, natural retraction can shift the filler and create an uneven, accordion-like look. Relaxing the smooth muscle also lowers vascular resistance — blood flows from high to low resistance, so inflow improves, which supports erectile quality and gives the appearance of added length even at rest. The 2-week wait ensures the tox is at peak effect before filler is placed.
- How is your approach different from other clinics?
- Most clinics only inject filler for girth. We add neurotoxin pretreatment as part of the standard protocol. The result is a more even, natural appearance, improved blood flow, support for erectile function and — for many men — the visual benefit of added length at rest from the relaxed smooth muscle. It's the most comprehensive enhancement protocol available.
- Can I do more than one treatment?
- Yes. Many men purchase the 2-treatment package up front and we typically perform the second filler ~2 months after the first. If you want additional girth, treatments can technically be repeated every 2 months until you reach your goal.
- Is it permanent?
- Results last 12–18 months. The procedure can be safely repeated annually for maintenance.
- Will it affect function?
- No — when properly placed, function is unaffected. With our tox + filler protocol, many patients report improved function.
- How much does it cost?
- Single enhancement is $6,000. The 2-treatment package is $11,000 — saving $1,000 vs. paying per session. Glans add-on is $2,500.
— Your next step
Ready to begin
penile girth enhancement?
Start with a private consultation — virtual or in-clinic. You pick the channel (text, email, encrypted or phone) and we contact you only that way. Nothing on your lock screen, unmarked billing, zero re-marketing. One provider, one conversation.
Or call (480) 485 — 4975
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