The Penis Podcast Episode 1 | Follow on Spotify | Follow on Apple iTunes
DR GAV: Hi everybody, I’m Dr. Gavin Scriven, people call me Dr. Gav, and with me is the founder of the non-surgical penis augmentation procedure we call CALIBRE, Dr. Jayson Oates.
DR JAYSON: Thanks Dr. Gav, together we are the dick doctors and we are going to be talking about all things penis. Our area of expertise is injectable penis augmentation. There’s a lot to talk about penises and together, myself and Dr. Gavin, will be doing that.
DR JAYSON: Well, welcome back to the penis show, I’m Dr. Jayson and with me is Dr. Gavin. Together we are the dick doctors, and we’re here to talk about CALIBRE and the ideal penis for penis augmentation. How are you Dr. Gav?
DR GAV: I am very well, thank you, Dr. Jayson. Yeah, thanks for having me again, and great to be here to talk about the CALIBRE procedure. We’ve got a good topic today to talk about, a really interesting one again, and a question that we get asked all the time. One of my patients today asked me who’s the ideal candidate for this procedure? Am I the right candidate? So, is there an ideal candidate for the Calibre procedure? That’s our question for today.
DR JAYSON: So I guess to make it really simple for guys, I’d say there are five sort of characteristics that I think about when I’m thinking of the ideal penis for CALIBRE procedure, and that’s basically being of normal size, being circumcised, not being too much of a ‘shrinker’, maybe having a bigger head than the shaft and then not being overweight. So those are the five things, that when I’m looking at a guy, I’m thinking how good are they as a candidate for the CALIBRE procedure.
DR GAV: Ok, great, so that’s really interesting and I’d have to say the same. So let’s break it down and go back to those five things and talk about why they matter, those things for the CALIBRE procedure. The first one I think was..
DR JAYSON: normal size.
DR GAV: normal size, okay.
DR JAYSON: You’ll find exactly the same as me, that the vast majority of the guys that you treat have a normal sized penis.
DR GAV: Oh, yeah. Which is always a shock I think, to the patient sitting in front of me. They’re not going around comparing their penis size with any other males, that’s probably the first reason why. But they just expect that they’re somehow smaller, or not average. I tend to objectively look at the penis, measure it and tell them no, you are pretty much the average size.
DR JAYSON: And in fact, I’m surprised how many of the guys that I see are just that little bit above average. When we look at the best studies that were done out of Kings College by Professor David Veale, he looked at fifteen thousand men’s penises in these studies and looked at what the averages are. You know, in fact, he didn’t like the term average, he liked having a graph showing the distribution. But yeah, most guys have an average sized penis.
DR GAV: Yes.
DR JAYSON: What Calibre isn’t for is a medical condition called micro penis. A micro penis is, well the scientific sort of definition is, more than two standard deviations below the length of an average erect penis, which is about five and a half inches long, and usually length is what we’re looking at. So basically being less than seven and a half centimeters long erect, CALIBRE really isn’t for those guys. That is the time to see urologist and look at options for surgical augmentation.
DR GAV: Yeah, and that’s obviously quite a rare condition. It’s not exactly a common condition and there may be other factors influencing that that outcome. So it may not be in isolation is what I’m trying to say.
DR JAYSON: Yeah.
DR GAV: I can’t say I honestly see that many people coming with that condition, a micro penis, thinking back in the last five years.
DR JAYSON: Yeah. I don’t think I’ve seen somebody who really makes that definition of micro penis. I’ve seen guys with smaller ones and I’ve seen some guys with bigger ones.
DR GAV: And falling within the normal range, as you say.
DR JAYSON: That sort of bell curve that we describe, the vast majority of the guys are in that sort of middle. I guess the useful thing for a guy is, if your penis is really on that slightly smaller side, then you don’t actually need as many mls of product to make a noticeable difference as a guy who perhaps does have a bigger penis. So you’ve got that working in your favour. So size is the first thing, but of course that’s why they’re coming in, because they’re concerned about the size.
DR GAV: Correct yes. But I guess what we’re just trying to say is there’s a condition out there known as the micro penis, which is more of a medical condition that needs to be addressed with other means, but not something that we typically see anyway.
DR JAYSON: So the second thing is, being circumcised. And I’m sure you’re finding the same as me, that technically it’s somewhat simpler, quicker and easier to augment a circumcised penis than somebody who’s got a normal foreskin.
DR GAV: Yes, I agree. That doesn’t mean to say that we can’t non-surgically augment a penis that is uncircumcised, it’s still very possible, and still you can end up with a good outcome, a good aesthetic outcome. But it is a little bit trickier because we are taking into account a plane that’s continuous with the foreskin.
DR JAYSON: Yes and what you don’t want is the product sort of ending up in the foreskin. I say to guys, you don’t want to have a cricket ball in a sock sort of effect.
DR GAV: haha..That’s a good visual, I need to start using that one myself. But yes, I often like to draw in my consults and I draw an example of bulging filler in the foreskin and that’s a risk for guys who come in who are uncircumcised. If the product is placed too far distally, it can end up in the foreskin, which often isn’t that much of a problem when it’s erect, but when it’s flaccid, the foreskin sits often just over the penis. If you’re going to the bathroom and you have difficulty retracting the foreskin because there’s a lot of filler in the foreskin, you can have trouble passing urine. Aesthetically when it’s flaccid and there’s a lot of filler in the foreskin, it may not be as pleasing. It’s not a bad situation from a medical point of view, but aesthetically, it may not be that pleasing.
DR JAYSON: Yeah, yeah. As you’re saying, we have ways of putting the product in to try and to avoid that as a circumstance. The other thing with a penis that’s got a foreskin on it, you can have the flaccid penis with the foreskin sort of over the head or over the glands, and generally, it’s pretty easy to get the penis to look good in that condition. When the penis is erect, it stretches it all out, and generally with our experience you can get a penis looking good when it’s erect. It’s when it’s flaccid and they retract the foreskin – so you’ve got some skin which doesn’t really have product in it, and you’ve got the lowest skin which does have product in it. That’s when it’s the hardest to get that looking really good and really natural. But sometimes it’s just what you have to accept if you want to have a penis, which is an inch bigger in girth.
DR GAV: Correct, that’s right. There are some things you have to accept. Where it’s looking good 90 percent of the time in very particular situations, it may not look as good, doesn’t cause any problems from a functionality point of view, but just may not be as aesthetically perfect as they would imagine.
DR JAYSON: And of course nowadays, the vast majority of our younger patients are uncircumcised and the older guys are more likely to be circumcised. So now we’re dealing with lots of guys who have their natural foreskin, and that’s just part of the job. Even being circumcised, there are issues there as well, because in circumcision there’s a scar and it’s not just a scar on the surface, but the scar attaches deeper down and has fibrous sort of bands that go down deep, and that’s obviously where we’re placing the product. The circumcision scar can be closer up to the head, to the glands, or can be lower down and I’ve seen it all the way down the middle of the shaft. Then they’ve got that very thin skin, that sort of between the circumcision scar and the glans, and it’s much harder to get that nice and smooth – you just want the product going from that really thick shaft then blending in towards the head and it just takes a little bit more effort. So even with a circumcised penis, there are technical issues that you’ve got to work with.
On Monday I had a guy who came back and he just had a little bulge on one side, past the circumcision scar. He’d had a product, the usual product that we use, which is a hyaluronic acid filler and I used a medication that obviously you’re very familiar with. Two little dots of that, and then I spoke to him on Wednesday, it smoothed it all out, and it’s all fine. So that is the advantage of using that kind of product.
DR GAV: Yeah. And look, at the end of the day, where it’s not a surgical procedure, we can make adjustments, because it’s a non-surgical procedure, there’s not much downtime. I tell all of my clients, that I’ll probably will be doing the procedure over a couple of different treatment sessions for this reason – whether you’re circumcised or uncircumcised, so that we can make minor adjustments to get that really nice symmetry that you’re after, and that works really nicely. Funnily enough, I saw a guy who was uncircumcised just last week, and he had one of the best symmetrical outcomes I’ve seen after one treatment. We happened to hit the perfect plane and did the perfect amount of filler with a nice gradient. We’ll probably talk about it in some later penis shows, about the aftercare and how you can really get that perfect symmetrical outcome with some good techniques. But even though theoretically, a defined space, a circumcised penis is much easier for us, we can still get a good outcome over a couple of different treatment sessions.
DR JAYSON: Yeah. So that’s the second thing. The third thing is having a bigger glans than the shaft. So if the shaft is thinner and then the head of the penis is bigger (sometimes they describe it as being like a mushroom head, the stalk of the mushroom and the mushroom cap) that’s an advantage as well. You get the best bang for your buck, so to speak, by putting filler into the shaft of the penis. When you thicken that shaft up and it then matches the bigger glans, that works really well and I’m sure you find the same.
DR GAV: Yeah I do. It’s important I talk to all of my guys about the aesthetic approach about that exactly, but also the functional aspect. When it’s erect, when having sex with a penis, the head being a little bit larger makes way for the rest of the penis. So you don’t want a situation where the head is very small, making way for a much larger shaft and then getting stuck a little bit with the shaft when you’re having sex. So it actually matters both as aesthetically and functionally.
DR JAYSON: And it is possible obviously, to put filler into the glans as well, but you don’t get that bang for your buck as much. You put five mls into a shaft and you’re getting this really noticeable difference, then you’re putting five mls into the glans which is so much smaller and you think that’s going to make a huge difference and then it only makes a more moderate sort of difference. That I’m sure has to do with the spongy erectile tissue that the glans is made of, and they see it more, I guess when they’re erect then when it’s flaccid.
DR GAV: Yeah I often say it’s in the name, the corpus spongiosum. It’s a sponge, it takes up a lot of filler and doesn’t expand like the shaft does. But having said that, we can augment the glans, especially around the part that mushrooms up, the carona border, which seems to augment quite nicely, often like the border of the lips in the face. Not your standard comparison that people usually make, but for injector doctors, I’m sure they understand that it’s easy to augment that that sort of edge, that border, if you like.
DR JAYSON: And then of course you get the problem where you put 15 mils into a guy’s penis and he’s got a one inch, maybe three, maybe four centimeter increase in circumference, and they love it. Then they come back and want like another ten mls and they want the biggest, they want to get a six inch, seven inch circumference. Yes, it’s doable and I’ve done it, but eventually you start getting that shaft which is much fatter than the head and it looks like a sausage in a bun, a hot dog sort of thing. Some guys are totally happy with that because they’ve got the thickest shaft around, but aesthetically it doesn’t look as nice, it doesn’t look as natural.
DR GAV: Yeah, exactly right, it doesn’t look as natural. It’s really interesting how some guys I find are really happy with that massive increase in size and there are other guys who come back and are worried about the increase in size. They didn’t realise how effective it would be and are thinking, gosh, this is as big as I want it, I don’t want it any bigger. It’s really interesting how different all the guys are in their responses.
DR JAYSON: Ok, the fourth thing about the ideal penis for augmentation is shrinkage. Obviously shrinkage is a reason why guys come to see us, because a guy looks at his penis and it’s shrunk up. They have all kinds of names for it like turtling, but I think shrinkage is the easiest. Some guys are showers, it just hangs out and it doesn’t matter if they’re jumping into a freezing cold pool, it just doesn’t shrink up. Other people, as soon as the thought that their penis is going to be on show or they’re going swimming, it just wants to shrink up. How many guys have said to you “it’s normally a lot bigger than this”, when they’re showing it to you for the first time? 90 percent of guys I tell you, as soon as they have to drop their pants and show me, it shrinks up. Too much shrinkage is an issue because it can fold the penis and fold the product in those early few days and early week or so, when the product is settling into the tissue of the skin. So the straighter the penis is, the less folds and bends in it, the easier it is to keep it straight. Guys who get a lot of shrinkage, that can be more of an issue, and I’m sure you’re finding the same sort of thing.
DR GAV: Yeah, definitely. There’s always going to be a certain amount of shrinkage that almost every guy has in different situations and some guys have worse shrinkage than others. There are ways we can get around it a little bit, I know that you and I both use the same type of medication to actually help relax the penis and help it stay out a little bit more.
DR JAYSON: I reckon we’ll come back and do a specific show just on something like this. But yeah, this idea that there is a medication that makes your penis bigger, it doesn’t really make your penis bigger, but it reduces shrinkage a bit and it’s useful. There are certain kinds of bandaging that you can use that can help just hold it out a little bit, to prevent shrinkage. Then we’ll talk about this, as you say in aftercare, doing massage and stuff can just help make sure that the product is sitting where it needs to be. Then you get some guys who’ve got really severe shrinkage, when they come to show you and it’s like an innie not an outie, like a belly button sort of thing. Calibre isn’t for those guys I don’t think. I’ve tried it on a guy who’s got that literally, just like nothing showing, and the product is just not strong enough to hold it out. Having the weight of the product in most guys penis actually does help it hold out the weight of it, that gel not wanting to shrink back in.
DR GAV: Yep, they become somewhat of a shower all of a sudden.
DR JAYSON: That’s right, you’re more of a shower than a grower.
DR GAV: And that sort of leads us to that final point, which was someone with a lot of extra weight, especially just above the penis in the supra pubic area.
DR JAYSON: Yep, Yep. So being overweight, they say that for every 10 kilos, you lose half an inch of penis length. I had a guy come and see me and I said “before we do anything to your penis, you need to lose thirty kilos”, there’s no point having a fatter penis under this massive gut, you’re just not going to see it, it’s not going to do the job. The guy that I saw this morning, actually a really thin guy and you wouldn’t have thought, but what we call the supra pubic fat pad, the fat pad that’s really sort of where the pubic hair is below the belt line, so really low down, when you push that in, his penis like grew an inch. I was saying to him yes we can put filler into your into your penis, we can do an augmentation, but I think before we do that, if we did some liposuction here or use one of the other technologies, freezing or whatever, if we can get that fat to just come in a little bit, you can see a big difference. So, yeah, that’s sometimes a useful technique.
DR GAV: And to add to that Jayson, with the guys I see who have that supra pubic fat pad, the guys are a little bit more overweight, where the penis does tend to shrink into the fat, I explain to them that if we do the procedure and even if I use something to induce an artificial sort of erection, then just after the procedure when that erection goes down, the penis shrinks back into the fat and pushes the product forward. I have seen this a few times in the past, having learnt from previous procedures, is that you’ll get the bell shaped penis, which is not ideal, and that’s because the product has been pushed forward by the fat, literally pushed forward. So it’s not ideal, again there are some workarounds that we can try and work around, but it’s not easy.
DR JAYSON: Yeah. Look, there is never anything wrong with losing weight you know, makes your penis look bigger, it makes it function better, it makes you more attractive. So everything about losing weight, getting fitter is better, and if it’s about a confidence thing, then you’re going to feel more confident if you’re fit and thinner than being fat having a bigger penis.
DR GAV: Yeah, definitely. And you know, these are really great points about who’s the ideal CALIBRE candidate, but obviously in real life, and you know as well as I do, we don’t see the ideal CALIBRE candidate walk through the door. So you know, there are different variations and things we’re able to work around and usually get a pretty good outcome. But guys just need to be aware of these factors that influence this procedure, and know the small limitations of the procedure. I guess with a lot of experience, having injected hundreds if not thousands of penises, you begin to learn how to take these factors into account, explain to the patient how it will affect the outcome and what we can do to get a better outcome.
DR JAYSON: Yeah, and that’s what the penis show is all about, is to be able to put this information out there, to help guys know a bit more about it, because otherwise you never get to discuss it, or seriously either. Occasionally guys will be sitting around drinking and having a laugh, but it’s so rare for guys to be able to talk about this sort of thing.
DR GAV: Well, thanks for listening to us guys, I’m Dr. Gav and with me I’ve been speaking with Dr. Jayson, the founder of the
non-surgical penis augmentation procedure CALIBRE and we’ll be talking about lots more interesting topics coming up over the next few weeks, on a weekly basis. It’s all about penises in the penis show, we’re the dick doctors, don’t forget confidence changes everything.
DR JAYSON: Confidence changes everything. Look forward to talking to you guys soon.
For new episodes follow the Penis Podcast on Spotify or Apple iTunes
Or visit the CALIBRE Youtube Channel for new episodes of The Penis Show
Disclaimer – Every patient is unique and results may vary. Surgery and all health regulated services carry risks which need to be discussed with your doctor to ensure you are fully informed and realistic outcomes have been explained. We recommend seeking a second opinion for all medical procedures