Nicole Harms
2 reviews
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…
Medspa Board Certified · 2026 — Arizona's first & only certified med spa
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.

— Understanding
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
— The visit
Shantel walks you through the entire process — what to expect, how the two-step protocol works, candidacy, pricing and timing. Roughly 30–45 minutes.
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.
Filler is placed 2 weeks after the tox so the neurotoxin is at peak effect. Even, layered placement — typically 6–10ml depending on goals.
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
— Questions
Don't see your question? Bring it to your complimentary consultation — we love the curious ones.
— Your next step
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
— Also in Men

— As Featured In
WomenMag · Cover Story
"Shantel White is leading the future of luxury wellness — with integrity, innovation, and authentic patient-centered medical expertise."
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— A first for Arizona
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
Flexible monthly payment plans for any treatment at Tulua — checking your rate takes 60 seconds and won't affect your credit score.
Powered by PatientFi · No impact to credit

— Founder
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 →