Five Things a Qualified Girth Enhancement Provider Will Never Do

There are many girth enhancement providers in the Miami area and around the country, but only a select few can offer safe, reproducible, and effective results. When selecting your provider, be aware of five things a qualified provider won’t do.

• Pressure you into treatment: A qualified provider understands that men may feel both interested in girth enhancement and apprehensive about undergoing injections. They should give you time to ask questions, understand the risks, and decide whether treatment is right for you. Pressure has no place in that decision.
  
  
• Treat specialized medical training as optional: The UroFill Clinic’s Dr. Paul Perito only selects board-certified urologic surgeons with extensive knowledge of penile anatomy to train in the girth enhancement technique he developed. Dr. Perito has coauthored published research examining the safety and efficacy of the UroFill® technique, its complications and their management, and the broader use of hyaluronic acid in urology. 
  
  In contrast, the founder of one the more widely known UroFill® imitators was quoted on a podcast as saying his technique was developed via experimenting on his friends during COVID: “I called my friends and I said, I have a way to make your penises thicker if you’ll let me experiment on you… And so I teach the urologists that are our providers how to do this procedure.”
  
  Said founder had no prior medical experience and said procedure has since been linked to a lawsuit alleging a patient death following a girth enhancement procedure performed by a non-medical professional. The lesson is clear: Medical expertise is essential to protecting patient safety.
• Restrict your ability to discuss your experience : NDAs are often requirements of sensitive business negotiations or employment situations to avoid the loss of intellectual property and have no place in a medical office. The sole purpose of an NDA from a girth enhancement is to prevent embarrassing or unflattering results from impacting their business; patients are protected under standard medical privacy protections and contractual agreements with third-parties.
  
  A qualified, ethical girth enhancement provider is willing to stake their professional reputation on their results if needed, and will work to address complications, not put a gag order on their patients.
  

• Promise more filler is always better : Men undergoing girth enhancement will often be eager to get as much done as quickly as possible. While this is understandable, it’s the girth enhancement provider’s responsibility to both set patient expectations and prioritize patient health.
  
  There are many reasons for taking a multi-session approach to girth injections. First and most importantly: There’s a physical limit as to how much hyaluronic acid can be safely injected into a patient before introducing health risks or even death. Second, performing girth enhancement over multiple sessions allows the provider to shape and sculpt the penis and address any issues with its appearance.
  

• Skip your medical history and screening : While properly administered hyaluronic acid-based girth injections carry minimal health risks, patient selection is important for a number of reasons, especially including patient safety. A provider needs to take into consideration factors such as active infections, known allergies, bleeding disorders, and others before injecting into the penis.
  
  This is both a question of patient safety as well as the quality of outcome: In our clinical experience, some patients recovering from surgery or injury appear to lose filler volume sooner. Although this observation has not been confirmed in controlled studies, research shows that oxidative processes can break down HA fillers, providing a possible explanation that warrants further investigation.

Aesthetic clinics will often either fail to ask important questions or not have anyone on staff capable of interpreting the answers to them. 

Choosing a girth enhancement provider means trusting someone with your health as well as your results. At the UroFill Clinic in Miami, Dr. Paul Perito carefully selects the providers he trains in the UroFill® technique and has established a code of conduct to guide their practice. Those standards reflect a clear commitment: Patient safety, attentive care, and quality results should never be compromised for convenience or a sale.

To schedule your consultation, visit https://calendly.com/urofill-info/ or contact us via the form below.

Sources and Further Reading

1. Suarez-Sarmiento A Jr, Perito P, Cisneros JB, Levitt B, Pomar HA. Safety and Efficacy of Hyaluronic Acid Injections Using the UroFill™ Technique for Penile Girth Enhancement. The Journal of Sexual Medicine. 2024;21(Supplement 1). Conference abstract.
2. Penile Hyaluronic Acid Injections Using UroFill Technique: Complications and Their Management. The Journal of Sexual Medicine. 2024;21(Supplement 7). Multicenter retrospective study reported as a conference abstract.
3. Roth BJ, et al. Hyaluronic Acid and Urology: A Systematic Review and Meta-analysis. Sexual Medicine Reviews. 2025;13(1):52–61. Published online September 6, 2024.
4. Investigation of the Degradation-Retarding Effect Caused by the Low Swelling Capacity of a Novel Hyaluronic Acid Filler Developed by Solid-Phase Crosslinking Technology. Annals of Dermatology. 2014;26(3):357–362. Laboratory study examining enzymatic and oxidative degradation of HA fillers.
5. Hong GW, et al. Decomposition and Changes in In Vivo Post-HA Filler Injection: A Review. Journal of Cosmetic Dermatology. 2025;24(1):e16652. Review of HA filler degradation and tissue responses.
6. Your Mom’s House, Episode 747: “Size Matters w/ Rory Scovel & William Moore”. Third-party transcript hosted by Podscripts.
7. Reporting on a Texas patient’s death following penile filler treatment. The Dallas Morning News.