WHAT NOT TO DO

• Do not leave your barriers off more than the specified barrier break times, which are 30-45 minutes every 4-6 hours while awake unless instructed otherwise.

• Do not sleep on your stomach/belly, try to sleep on your back or side, and pillow between legs if necessary.

• Do not consume/drink alcohol while taking your antibiotics.

• Do not perform squats or sit-up motions for 30 days.

  • Kneel on one knee if needed as an alternate posture for squatting, and slouch while driving. While sitting at a desk, you can either slouch in your chair or drop a knee and spread the legs while sitting. These altered postures will prevent the penis from pulling inwards, preventing the penis from retracting, and disrupting the wrap.

​

​

Question: what should I do if I am not getting a reply to my follow up questions in a timely manner?

• Answer: Please call the office and the secretaries will assist you to bring this to our attention.

Question: when can I have sex?

• Answer: No sex for 30-35 days after your procedure. This includes vaginal, anal, oral, and/or masturbation. If sex occurs before the 30-35 day set date mark, there is an increased risk of undesirable penile shaping due to shifting of the filler material. To further prevent any complications, after day 35 when you resume intercourse and until day 90, we recommend the use of a prophylactic barrier (condom) and a generous amount of an oil-based lubricant. Micro-cuts in the skin could be an entry point for bacteria if you are not completely healed.

Question: is there anything special I should be doing before having sex?

• Answer: Yes. Since you are ‘bigger’ after the procedure you must use a generous amount of an oil-based lubricant (silicone-based lubricants preferably, baby oil, coconut oil for example, NOT water-based) during intercourse to prevent the dragging of the surfaces (the skin), that could cause skin micro-tears or cuts.

Question: what do I do if the glans (the head of the penis) submerges under the wrap?

• Answer: Remove the half-fold underneath the glans, then fold down the bandage and attempt to pull the glans out. After the glans is out of the bandage, place the half-fold back on with mild-moderate tension.

Question: when can I work-out or go to the gym?

• Answer: It is mandatory to wait 21 days for an intense workout. On day 7 you can start a light (50% intensity) lower and upper body work out. A week after, on day 14, you could resume upper and lower body full activity, but still no deep squatting or abdominal crunches until day 40. Understand that more activity while the bandages are on, causes skin irritation and more pain and discomfort.

Question: when will I see the results of the Treatment?

• Answer: Days 35 - 40 after treatment, then the size you see should remain constant/stable.

Question: what if the wrap gets wet with urine?

• Answer: Try to wash with soap and water then blow dry, or re-wrap if necessary (but only after day 3 of procedure if extremely needed, not earlier).

Question: what if I see some bleeding, what do I do?

• Answer: some spot bleeding in the bandage is normal. Include that in your regular photos for evaluation.

Question: what if I have pain in the pubic and/or scrotal (testicular) areas?

• Answer: Some swelling, or tenderness is normal during the first couple of days post-procedure. Place ice on pubic/scrotal area for 15-20 minutes every hour.

Question: what if I have swelling in the pubic and/or scrotal areas?

• Answer: If you experience even minor swelling in the pubic and or scrotal areas, you will need to increase the tension on the half-fold at the base of the penile shaft. This is done by first removing the rubber band, then removing the half-fold, then placing it back on with higher tension.

Question: what if I see blisters on my glans (the head of penis) or shaft skin?

• Answer: This is expected, do not attempt to pop the blisters. Keep them covered with triple antibiotics until they pop by themselves.

Question: what can I do if my glans is very sensitive or begins to hurt?

• Answer: Apply lidocaine-prilocaine (EMLA) cream every 3-4 hours as needed. Also cover the glans with white gauze to protect it from rubbing on your clothes causing pain/discomfort.

Question: if I see some cuts on the skin at the base of the penis, what do I do?

• Answer: Always maintain the area moist with triple antibiotic ointment and covered, you can also add lidocaine-prilocaine (EMLA) cream to help with discomfort or pain.

Question: I ran out of medication; do I need more?

• Answer: No, unless instructed otherwise by a Carolina Men’s Clinic physician, assuming that you took all the medications as prescribed.

Question: what if the wrap becomes wet in the shower, what do I do?

• Answer: Pat it dry or use a blow dryer from a safe distance to dry the wrap, avoid coming too close to the wrap or you may burn yourself.

Question: is it dangerous if some of the filler material goes into the pubic or scrotal area?

• Answer: No, but the area may become tender for a few days or even weeks.

Question: what if my groin lymph nodes are sore or begin to hurt?

• Answer: Call the office and send updated photos to the group message.

Question: after the wrap is removed after 21 days what can I expect?

• Is it normal to see irritated skin? Answer: Yes

• Is it normal to see some changes in the skin coloration? Answer: Yes

• Is the size I see the girth increase result? Answer: Yes

• If there is asymmetry or imbalances in the penile shaft, what do I do? Answer: Follow shaping & sculpting protocol. Several times a day for several minutes to adjust any asymmetry. 

• Why do I need to use the simple retainer wrap for 90-days? Answer: To assist the collagen that is still forming, form correctly and symmetrically (about 5% of collagen could be produced up until day 90).

Question: when can I have another male enhancement treatment done?

• Answer: 5 weeks after your first treatment (35 days), or any time later.

Question: what if I have erections at night and there is discomfort?

• Answer: If you have erections at nighttime during sleep and there is discomfort, it is recommended to take pain medication at bedtime to decrease the discomfort from the erection and the additional swelling it may cause. You can also place some ice packs over the genital area. Erections are beneficial by increasing blood flow into the penis and assist in healing and may help shape the penile shaft.

Question: what if I have fever & chills?

• Answer: During the first 24-72 hours you may experience fever and chills (which is normal). This is due to your body reacting with the filler medication that was injected into the penis. This is not an infection; it is not dangerous, and it will subside.

Question: what if I have swelling of the penile shaft?

• Answer: Swelling is normal and may take up to 21 days to fully resolve. Your penile shaft skin, mainly the thin skin located just under the glans (the head of the penis), may accumulate water, fluid and swell up – this is normal. Aggressive massaging may be needed to shrink this down for contouring and shaping reasons. Use finger pressure for 20-30 seconds several times a day for small bulging areas. If this swelling occurs, your glans may submerge under the swollen skin and not be visible. If the glans submerges, try to ‘pull out’ the glans and tape it, using paper tape, in an attempt to keep it out. Swelling of the skin may find a ‘weak spot’ in the bandage and ‘bulge out’. As soon as a skin bulge occurs, you will first gently and with even pressure squeeze it with your fingertips for 30-60 seconds (or longer if needed), then place the stretch gauze (the half-fold) around it with mild tension to prevent it from bulging out again. You will then as instructed adjust the half-fold brown gauze at the top to cover the bulge and use mild-moderate tension (not very high tension).

Question: what if I have urine ‘leaking’?

• Answer: Since the bandage is placing pressure on the penis, the urethra and urinary bladder will not always empty after urination. This may cause ‘leaking’ or dripping into your underwear during the day. It is recommended to place tissue paper or white gauze over the glans if you leak urine. You may also sit to urinate to avoid spraying.

Question: what if I have pain?

• Answer: Pain in the penile shaft: some pain and discomfort may occur, especially at the base of the bandage area. If there is intolerable pain at the base area, you can apply ice, take the 15–30-minute rubber band breaks every 3-4 hours instead of every 4-6 hours only if instructed to do so, and insert cotton padding (with lidocaine cream and betamethasone ointment) under the tight rubber band directly on the skin. Pain in the glans (head of the penis): some pain and discomfort will usually occur at the glans. This is usually due to the gauze, latex, or rubber band (if glans was treated) putting pressure on the skin of the penis, with the addition of some swelling as well. Apply the lidocaine-prilocaine (EMLA) cream & betamethasone ointment 3-4 times daily if necessary. Pain in the groin or any area other than the penis: if pain occurs in any place other than the penis – including shaft or glans- please call the doctor.  

Question: what clothing should I be wearing?

• Answer: Placing cotton underwear is helpful. General clothing such as jeans or pants, wear loose fitting clothes to help prevent excessive pressure to be placed on the shaft.

Question: what posture is best in general, during commute, work, and during sleep?

• Answer: Do not squat down. This motion will cause the penis to pull inwards and disrupt the bandage. If you need to bend down to pick up your child or tie your shoes, etc., you can bend down on one knee temporarily. By bending on one knee will help prevent the pelvis from rotating completely and pulling the penis inwards. When sitting at your desk or in your car, lean back a bit, or slouch, this will prevent the penis from pulling inwards. Do not sleep on your stomach, this will place too much pressure on the bandage. Please sleep on your back or on your side. If sleeping on your side, you may want to place 1-2 pillows between your legs to help prevent rolling over onto your stomach.

Question: what is considered and not considered an emergency?

• Answer: Glans and shaft bruising and/or blisters are normal. Mild pain, and at times moderate pain, may occur. This is normal.

• Mild to moderate swelling usually will occur. This is normal.

• Some spot bleeding may occur and you will notice this in the bandage. This is normal.

• If the glans has some bluish color that is ok. However, if you have excessive pain or swelling, or moderate to severe bleeding/drainage that has soaked the bandage... This is an emergency.

• In case of an emergency call the Carolina Men’s Clinic staff, if there is a delay in contacting us, remove the entire wrap, take a hot shower, then follow the rewrap protocol. Call 911 or go to the nearest emergency room only if you are in excessive pain and/or drainage has not been resolved by re-wrapping.

• If the rubber band at the base of the shaft moves or shifts position during the day, you can add a small 1x1” square gauze tape on top of it to prevent this displacement. Keep in mind that the rubber band must always be as low as possible close to the pubic area itself, but always on top of the bottom half-fold. We must prevent any shifting of the position, either behind the wrap or forward towards the mid-shaft.