Medspa Board Certified · 2026

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.

Penile Girth Enhancement treatment at Tulua Aesthetics

— 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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.

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 45-minute consultation. We'll perform a 3D skin analysis, answer every question and design a personalised plan. Skin/filler consult $150 · virtual $100 — applied toward your in-clinic service and waived if treatment is performed the same day.

Or call (480) 485 — 4975

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Shantel White, DNP on the cover of WomenMag — May 14, 2026

— As Featured In

WomenMag · Cover Story

"Shantel White is leading the future of luxury wellness — with integrity, innovation, and authentic patient-centered medical expertise."

Read the Feature →

Google Reviews

5.0

Based on verified Google reviews

Nicole Harms

2 reviews

2 days ago

Shantel White has been absolutely amazing throughout my medical weight loss journey with GLP-1 treatment. She is incredibly knowledgeable, supportive and personalized every step of…

Holli Longwell

2 reviews

5 days ago

Tulua and Shantel, DNP work hard to evaluate each patient's needs. Telehealth is amazing and was convenient for me. — Josh Longwell

Gwyneth Walla

5 reviews

1 week ago

I came to Tulua Medical in Gilbert, Arizona feeling frustrated with under eye skin laxity that made me look constantly tired. Shantel, DNP's detailed approach completely changed my…

Mikayla Nowell

10 reviews

1 week ago

My experience from the consult, to the treatment, and the after care was flawless. Shantel is so well educated in her craft and I felt little to no pain while getting a CO2 treatme…

Melissa Davis

7 reviews

1 week ago

I had an exceptional experience doing my CoolPeel in Gilbert, AZ with Shantel! She is so unbelievably knowledgeable and made me feel completely at ease.

Robyn Beadles

3 reviews

1 week ago

I was told I was "fine." But I knew I wasn't. Shantel, DNP actually listened, ran the right labs, and helped me feel like myself again.

Shauna Hensley

Local Guide · 14 reviews

2 weeks ago

Shantel, DNP is amazing!!! I am so grateful that I found her. She is helping me get back on track with my hormone health and I finally feel heard.

Stephanie Chaffin

1 review

2 weeks ago

I had an amazing experience getting lip filler in Gilbert, AZ at Tulua Medical! I was looking for natural lip filler and that's exactly what I got.

Amanda Keenhold

5 reviews

7 weeks ago

Shantel White, DNP is an absolutely amazing aesthetic and wellness provider. She is incredibly kind, caring, personable, and her results speak for themselves.

Juan Arias

Local Guide · 15 reviews

12 weeks ago

I went to Tulua in Gilbert, AZ for "Brotox" and some jawline filler with Shantel, DNP and honestly had a really good experience. She listened and the results look natural.

Lindsey Brogdon

9 reviews

29 weeks ago

Shantel is the best. I have been her patient for over five years and she is truly the only one I trust for my aesthetic care.

Christina Dinnall

7 reviews

33 weeks ago

Shantel is amazing — she knows exactly what my skin needs! I actually fly from Seattle to Gilbert, Arizona, just to see her.

Medspa Board Certified 2026 — Tulua Medical

— A first for Arizona

Arizona's first
Medspa Board Certified practice.

Tulua Medical is officially Medspa Board Certified (2026) — the first and only certified med spa in Arizona, and only the second on the entire West Coast. The certification recognizes practices that meet rigorous standards for clinical safety, transparent licensure, and evidence-based care.

— Financing

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Shantel White, DNP, FNP-C — founder of Tulua Medical

— Founder

Shantel White,
DNP, FNP-C.

Vanderbilt-trained, doctoral-prepared nurse practitioner (DNP, FNP-C) and one of the few Level II Acne Specialists in the country. Her work spans medical aesthetics, regenerative medicine, hormone optimization, and holistic weight loss — always rooted in evidence-based, science-backed care.

Trained through BHRT University, HRT University, and a member of The Menopause Society.

Read her story →