“Hi, this is [my nurse] from the office of Dr. Agullo from Southwest Plastic Surgery. I was calling regarding your consultation for the penile enlargement. Do you have time right now?”
Nobody asks me about this in the waiting room. They ask on the phone, usually from a parked car, after sending photos to a private text line, and the person who calls them back is one of my registered nurses. She has stood next to me for these procedures for years and she places the local anesthetic before I inject.
I had three of those calls transcribed and scrubbed of every patient detail. The full version, with the fee table and my clinical notes, is on my practice site: the penile enhancement phone consult, in my nurse’s words. What interests me here is the conversation itself: what men ask when they think nobody is listening, and what a good nurse says back.
They Ask for Length. She Hears Girth.
“What is it that you’re trying to achieve?”
“So for this procedure, it’s more to add girth. Because we’re adding volume, sometimes it elongates it a little bit, but it’s more for girth.”
“So we have two procedures that we can help you with what you’re trying to achieve. We have the penile enlargement that is done with hyaluronic acid.”
She does not argue with the wish. Men come to me for four different reasons, girth, length, erection, and drive, and I sorted them in an earlier post. Filler answers the first one, with a small bonus at rest.
The Question Every Man Is Thinking
“Wouldn’t it be better if it was erect?”
“No, because when it’s erect, any penis, when it’s erect, it’s not symmetric. It can erect from one side more than the other. So if he injected erect, it can be very asymmetric.”
“So if he injects it like that, and the penis is not like that when it’s normal, it can make it look like that when it’s relaxed.”
I could not have said it better.
How She Talks About the Product
“The hyaluronic acid, it’s a biocompatible substance that is naturally found in the body. So it’s safely injected beneath the penile skin. He uses a cannula, where the cannula, it’s round. So when he’s injecting the filler, he doesn’t cut any blood vessels or anything like that.”
“It is injected in the shaft of the penis and in the crown. If it’s not injected in the crown, the penis can look different.”
“If you kind of take care of the filler, like you don’t wait the whole time, you kind of do it every 9 months. You don’t have to do as many as you do the first time, depending on the results that you want.”
“If you don’t like it, we have medicine to revert it.”
The product is hyaluronic acid filler, Voluma, Volux, Defyne, or a mix, my pick. It lasts up to two years here, and the “crown” is the corona, the ridge under the head.
She Will Not Sell You Two Syringes
A caller wanted to spend about two thousand dollars. She put him on hold, checked, and came back with the truth.
“Two syringes, you will not notice a difference. It is doable, but it’ll be like a very minimal change.”
“Of course, the more that you get, the better results that you have. I would recommend for you to start kind of like in the medium, so you can notice a very good difference.”
“The small, which is only 5 cc of Voluma, it costs you $3,500. The medium, it’s 10 Volumas, which is $6,750. We have the large, which is 15, which is $9,750.”
Ten syringes is the average for a visible result. That was the quote on that call. I changed the fees on October 21, 2026, so her numbers are old now. As of this writing every man hears two prices at every size. HA filler, or Lipoderma. Lipoderma is processed donor fat, long-lasting with the potential to be permanent, no PLLA foreign body response, and it runs $1,100 per cc:
| Size | Volume | HA filler | Lipoderma |
|---|---|---|---|
| Small | 5 cc | $4,500 | $5,500 |
| Medium | 10 cc | $8,500 | $11,000 |
| Large | 15 cc | $12,000 | $16,500 |
| Extra Large | 20 cc | $15,500 | $22,000 |
Every fee is on my practice site, and the phone quote matches it.
Where I Tighten the Phone Version
On the calls, filler is for girth and Botox in the penis, which patients call Bocox, is “for length.” Close, but here is the medicine. Bocox goes into the corpora cavernosa, the two erectile bodies in the shaft. It relaxes the smooth muscle there and lets more blood in. The first thing men notice is a harder erection. The second is about a centimeter more length at rest, because relaxed tissue hangs fuller. It lasts three to four months. So it is an erection-quality treatment with a resting-length bonus, and many of my patients stack it with filler because the two do different jobs. I went into the full combination after Playboy asked me about it.
“Does It Hurt?” Asked Twice Per Call
“The only thing that you feel is when we do the local anesthetic, when we do the penile block. After the penile block, you don’t feel anything.”
“We do a lot of them a week, and the patients are very, very comfortable. They don’t feel the procedure at all.”
To a nervous caller, in Spanish: “It is a very, very safe procedure. It is done by Dr. Agullo, who is a double board-certified plastic surgeon. We do between two and three a week and we have not had major complications. Sometimes it is riskier to put you under anesthesia than the procedure itself.”
“You can drive yourself. If you want to bring somebody with you, they can go ahead and do so. The whole thing is approximately between 45 minutes to 1 hour.”
What She Tells Them About Afterward
“The results are immediate. They’re immediate. You just have to have some postoperative care: you’re going to have to avoid sexual activity for 1 to 2 weeks after the procedure. You also have to avoid strenuous exercises at least for 48 hours. You do have to massage after, because at the beginning the penis does get swollen, and you have to massage it.”
“The anesthesia probably wears off in 4 hours. Then you can use Tylenol, not ibuprofen, because we do need the swelling process to take effect.”
“At the beginning, there might be some asymmetries, but we monitor you for everything.”
The Photos Problem
“If you log in into his actual website, because all the other social media platforms, Instagram, Snapchat, Facebook, they will close his accounts if he shows before and afters. But if you go into his actual website and you go to the menu, he has a photo gallery. He has photos of doing 10, 15, 20 syringes so you can see the difference.”
“For the Bocox, no, because we don’t take pictures when the penis is erected.”
She is right about the platforms, and it is why so much of what men find online about this is a forum or a scam. The gallery is on my sites under male procedures.
Why I Let Her Take the Call
“I’m usually the one that goes in with Dr. Agullo to the procedure, and the results are very, very good. We have a lot of patients from out of town, and they are very, very happy with the results.”
I am a double board-certified plastic surgeon, a Mayo Clinic fellowship alum, and I teach plastic surgery at Texas Tech University Health Sciences Center. I do every one of these injections myself. The first conversation is still better coming from her. A man who will not say the word out loud to a surgeon will say it to a nurse in the car, and by the time he reaches me the only thing left to decide is whether he wants it. #StayBeautiful
Ready to Talk?
Call my office at (915) 590-7900, text the consult line at 1-866-814-0038, or book a consultation at agulloplasticsurgery.com. Photos can be sent privately through the text line before your call.
@RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook.