Diamond XL 360 Procedureā¢
for Penile Enlargement
If you are considering the Diamond XL 360 Procedureā¢, we provide physician-led penile girth enhancement using injectable dermal fillers, such as hyaluronic acid (HA), RadiesseĀ®, and BellafillĀ®. The Diamond XL 360ā¢ is designed primarily for penile girth enhancement, with treatment planned around your anatomy, goals, filler selection, and expectations. Stuart M. Diamond, MD, FACS, is a board-certified urologist with more than 30 years of experience and a background in urologic and sexual health care.
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What Is the Diamond XL 360 Procedureā¢?
The Diamond XL 360ā¢ Procedure is an injectable penile enhancement treatment designed primarily to increase penile girth. Rather than using surgery, the procedure uses dermal filler
Filler selection and volume are important parts of treatment planning. We discuss the available options, including HA, RadiesseĀ®, and BellafillĀ®, during consultation and determine whether the procedure is appropriate based on your anatomy, expectations, and overall treatment objectives.
What Does the Diamond XL 360ā¢ Address?
Penile filler treatment uses injectable material placed beneath the skin to add volume and increase girth. The filler selected, amount used, and placement strategy depend on the patient's anatomy and the treatment plan developed during consultation.
The Diamond XL 360ā¢ Procedure is intended primarily to enhance penile girth. The amount and distribution of filler used can vary according to individual anatomy and the patient's desired degree of enhancement.
The procedure does not address every concern related to sexual function or penile appearance. During consultation, we discuss whether penile filler treatment is appropriate for your specific goals and whether other options should be considered.
How Does Injectable Penile Enhancement Work?
Penile filler treatment uses injectable material placed beneath the skin to add volume and increase girth. The filler selected, amount used, and placement strategy depend on the patient's anatomy and the treatment plan developed during consultation.
Different fillers work in different ways. HA fillers add volume directly. Biostimulant fillers such as RadiesseĀ® provide initial volume and also stimulate the body's own collagen production over time. PMMA-based fillers such as BellafillĀ® provide long-lasting volume. Because of these differences, the choice of product is an important part of the discussion, and we review the available options and their characteristics before treatment.
Who May Be a Candidate for the Diamond XL 360ā¢?
Suitability for the Diamond XL 360ā¢ Procedure depends on individual anatomy, treatment goals, medical history, and expectations. A consultation is necessary to determine whether penile filler treatment is appropriate.
We also discuss the limitations of treatment, the type of filler being considered, the amount that may be needed, and the potential risks. Patients should have realistic expectations about the degree of enhancement that can be achieved.
Depending on your circumstances, the evaluation may consider:
A private consultation gives you an opportunity to discuss your goals and learn what the Diamond XL 360ā¢ can and cannot reasonably accomplish.
Dr. Diamond can evaluate your anatomy, discuss filler options, explain the expected treatment process, and review potential benefits and risks. Treatment planning can also address how much filler may be appropriate and whether a staged approach makes sense.
This individualized process matters because penile anatomy and patient expectations differ. More filler does not automatically mean a better result. The amount, placement, tissue response, and distribution of filler can all influence the final appearance.
The consultation is also the appropriate time to discuss previous filler injections, surgical procedures, medical conditions, allergies, medications, and any concerns about sexual function.
The Diamond XL 360ā¢ Procedure may involve different types of dermal fillers, including hyaluronic acid (HA), RadiesseĀ®, and BellafillĀ®. These products have different characteristics and are not interchangeable in every treatment plan.
HA fillers are based on hyaluronic acid and are commonly used for volume enhancement. RadiesseĀ® is a biostimulant filler made of calcium hydroxylapatite (CaHA) microspheres suspended in a gel carrier. The gel provides initial volume, and as it is absorbed, the microspheres act as a framework that encourages the body to produce new collagen, which can create gradual, longer-lasting improvements in girth and tissue support. BellafillĀ® is a longer-lasting filler with different properties and considerations.
| Feature | HA fillers | RadiesseĀ® | BellafillĀ® |
|---|---|---|---|
| Material | Hyaluronic acid gel | CaHA microspheres in a gel carrier | PMMA microspheres in a collagen gel |
| How it works | Adds volume directly | Adds initial volume and stimulates collagen production | Adds long-lasting volume and structural support |
| Duration | Temporary; gradually absorbed | Longer-lasting than HA; gradually absorbed over time | Long-lasting; microspheres are not absorbed |
| Reversibility | Can generally be dissolved with hyaluronidase | Cannot be dissolved with hyaluronidase | Cannot be dissolved with hyaluronidase |
Dr. Diamond may use a single filler or combine materials within a customized treatment plan. We discuss the characteristics of each option during consultation and determine which product or combination, if any, is appropriate for the individual treatment plan.
The choice of filler can also affect the overall cost of treatment.
The primary purpose of the Diamond XL 360ā¢ Procedure is penile girth enhancement without surgical implantation. Depending on the treatment plan, patients may pursue changes in overall girth or enhancement in particular areas.
Other considerations may include:
- No traditional surgical incision
- Treatment tailored to individual anatomy and goals
- Choice of filler characteristics in appropriate patients
- Potential for staged treatment depending on the treatment plan
- HA's potential reversibility
- Collagen-stimulating properties associated with RadiesseĀ®
- Longer-lasting characteristics associated with PMMA-based filler
At the same time, penile filler treatment is a medical procedure, not a risk-free cosmetic service. The decision should account for both the desired result and the potential for complications.
Published research on penile filler augmentation has reported complications ranging from temporary swelling and bruising to nodules, irregularities, infection, inflammation, and other adverse events. Serious complications, although uncommon, have also been reported.
Temporary swelling, bruising, tenderness, redness, or discomfort can occur following injections. These effects may improve as the treated tissue heals.
Other potential complications associated with penile filler procedures can include:
- Lumps or nodules
- Uneven or irregular distribution
- Filler migration
- Inflammation
- Infection
- Changes in skin appearance
- Persistent pain or tenderness
- Asymmetry
- Unsatisfactory cosmetic results
- Tissue injury or other uncommon complications
The specific risk profile depends on the filler, injection technique, patient factors, and other circumstances. Fillers that cannot be dissolved with hyaluronidase, such as RadiesseĀ® and BellafillĀ®, may be more difficult to correct if an irregularity or nodule develops.
The medical literature also describes more serious complications following penile filler injections, including abscesses and severe inflammatory reactions. Prompt medical evaluation is important if significant pain, rapidly increasing swelling, fever, drainage, skin discoloration, or other concerning symptoms develop after treatment.
No provider can guarantee that a procedure will produce a particular cosmetic outcome or eliminate the possibility of complications.
Recovery varies according to the filler used, treatment volume, individual anatomy, and how the body responds to treatment. Temporary swelling, tenderness, bruising, or other localized effects may occur after injections.
We provide individualized post-treatment instructions based on the procedure performed. You should follow those instructions and contact our office if you have concerns during your recovery.
Aftercare may include instructions regarding:
- Keeping the treatment area clean
- Managing temporary swelling or discomfort
- Avoiding activities that could interfere with healing
- Monitoring the treated area for unusual changes
- Attending recommended follow-up appointments
- Following specific instructions regarding sexual activity and other physical activity
Do not rely on a generic recovery timeline when planning your return to sexual activity or exercise. Your provider should give you individualized instructions based on your treatment.
The longevity of penile filler results depends in part on the product used. HA, RadiesseĀ®, and BellafillĀ® have different properties and expected durations, and individual results can vary.
During consultation, we discuss the characteristics of the selected filler and what may be involved in maintaining the desired result over time.
HA fillers are gradually broken down and absorbed by the body, so the enhancement is not permanent. The duration of visible results can vary from patient to patient and depends on the product, treatment amount, tissue characteristics, metabolism, and other factors.
RadiesseĀ® works in two phases. Its gel carrier provides initial volume and is gradually absorbed, while the CaHA microspheres stimulate new collagen and are broken down by the body over time. Because the collagen response develops gradually, the final appearance may take time to become apparent. RadiesseĀ® cannot be dissolved with hyaluronidase, which is an important part of the risk-benefit conversation.
Bellafill contains non-resorbable PMMA microspheres and is intended to provide long-lasting volume in its FDA-approved facial applications. When discussed for penile enhancement, its permanence is an important part of the risk-benefit conversation because the material cannot simply be dissolved in the way HA can.
Maintenance decisions should therefore be based on the specific filler used, your response to treatment, and your long-term goals. Additional treatment should not be assumed to be necessary or appropriate for every patient.
Several factors can influence the outcome of penile filler treatment, including:
- Individual penile anatomy and starting dimensions
- The filler selected
- The amount of filler required
- The areas being treated
- The patient's desired degree of enhancement
- Individual response to the treatment
These same factors can influence treatment planning and overall cost.
The Diamond XL 360ā¢ Procedure can provide penile girth enhancement, but the degree of change varies between patients. Treatment planning takes individual anatomy and the desired degree of enhancement into account.
No specific result can be guaranteed. A consultation is necessary to determine what may be appropriate for your anatomy and goals.
Published studies of penile HA augmentation have reported increases in penile circumference, but research methods, products, injection protocols, follow-up periods, and patient populations vary. A recent meta-analysis also emphasized that additional research is needed, particularly for long-term outcomes and permanent materials.
A consultation allows you to determine whether your goals are medically and aesthetically realistic and whether the potential benefits justify the risks for you.
Why Choose Center for Advanced Urology?
Penile enhancement involves anatomy and considerations that extend beyond routine cosmetic injections. At the Center for Advanced Urology, we provide care within the fields of urology and sexual health. Stuart M. Diamond, MD, FACS, is a board-certified urologist with more than 30 years of experience.
We discuss penile enhancement in the context of each patient's anatomy, medical history, treatment goals, and expectations. Our offices serve patients throughout the South Jersey and Philadelphia regions.
The practice's approach to Diamond XL 360ā¢ treatment emphasizes:
The Center for Advanced Urology serves South Jersey and the Philadelphia region, allowing patients to choose the location that best fits their needs.
Our Clinics
The Center for Advanced Urology provides Diamond XL 360ā¢ consultations at two clinic locations, each serving the communities listed below.
Moorestown
Salem
Diamond XL 360ā¢ FAQs
No. The Diamond XL 360ā¢ is a non-surgical penile enhancement procedure that uses injectable dermal filler to increase penile girth. It does not involve a traditional surgical incision.
The primary purpose of the procedure is penile girth enhancement. The amount of visible change varies by patient and depends on factors such as anatomy, filler selection, treatment volume, and tissue response
The terms are often used interchangeably in online searches, but penile enhancement can encompass several different treatment goals and approaches. A consultation can help determine which options are relevant to your specific concern.
Diamond XLā¢ Penile Enhancement generally ranges from $8,000 to $20,000. The final cost depends primarily on the filler selected, such as HA, RadiesseĀ®, or BellafillĀ®, and the volume required to achieve the patient's individualized enhancement goals. Anatomy, starting penile dimensions, desired degree of enhancement, and the amount of product required can also affect the final cost.
The listed range is a general estimate, not a guaranteed final price. Actual pricing is determined after consultation and may vary according to the individualized treatment plan. Pricing is subject to change.
The Center for Advanced Urology discusses hyaluronic acid (HA), RadiesseĀ®, and Bellafill options. The appropriate material, or combination of materials, depends on the patient's goals and treatment plan. HA, calcium hydroxylapatite (RadiesseĀ®), and PMMA (BellafillĀ®) have significantly different characteristics, particularly regarding reversibility, longevity, and how they produce volume.
RadiesseĀ® is a biostimulant filler made of calcium hydroxylapatite (CaHA) microspheres suspended in a gel carrier. It provides initial volume and stimulates the body's own collagen production, which can lead to gradual, longer-lasting improvements in girth and tissue support.
HA filler can be treated with hyaluronidase, an enzyme that breaks down hyaluronic acid, when clinically appropriate. This reversibility is one of the considerations when comparing HA with longer-lasting materials such as RadiesseĀ® and BellafillĀ®.
No. RadiesseĀ® cannot be dissolved with hyaluronidase the way HA filler can. Its gel carrier and microspheres are gradually absorbed by the body over time, but this is not a quick or controlled reversal. This is an important consideration when deciding whether RadiesseĀ® is right for you.
No. RadiesseĀ® is FDA-approved for specific indications, including moderate to severe facial wrinkles and folds such as nasolabial folds, volume loss in the back of the hands, jawline contour (RadiesseĀ® (+)), and dĆ©colletĆ© wrinkles. Penile augmentation is not an FDA-approved indication for RadiesseĀ®. Patients considering this use should discuss the off-label nature of the treatment and its risks with a qualified physician.
No. Bellafill is FDA-approved for specific facial indications, including nasolabial folds and certain facial acne scars. Penile augmentation is not an FDA-approved indication for Bellafill. Patients considering this use should discuss the off-label nature of the treatment and its risks with a qualified physician.
Recovery varies according to the treatment and individual patient response. Swelling, bruising, and tenderness may occur temporarily. Your provider will give you specific instructions regarding activity, sexual activity, and follow-up.6
Yes. Penile filler injections can cause temporary effects such as swelling and bruising, but complications can also include nodules, asymmetry, migration, inflammation, infection, and other adverse events. Rare but serious complications have been reported, making provider experience and appropriate medical follow-up important.
The best way to determine candidacy is through a private consultation. Dr. Diamond can review your medical history, examine your anatomy, discuss your goals, explain filler options, and help you understand potential benefits and risks before you decide whether to proceed.
Center for Advanced Urology offers care to patients throughout the South Jersey and Philadelphia regions. Contact the practice to discuss scheduling a private consultation and determine which office is appropriate for your care.
Center for Advanced Urology provides care for patients across South Jersey and the greater Philadelphia area.
Contact Us
Discuss the Diamond XL 360ā¢ Procedure With Our Team
If you are considering penile girth enhancement, we can discuss whether the Diamond XL 360ā¢ Procedure is appropriate for your anatomy and goals. Contact Center for Advanced Urology to schedule a confidential consultation and learn more about available treatment options, expected costs, potential risks, and recovery.
