Non-surgical penis enhancement at our Cleburne clinic uses hyaluronic acid (HA) filler to add girth, not length. The change is temporary. No dermal filler is FDA approved for penile augmentation, so this use is off-label. Every plan starts with a private consultation with Paige, BSN, RN.
Non-surgical penis enhancement at our Cleburne clinic uses hyaluronic acid (HA) filler to add girth, not length. The change is temporary. No dermal filler is FDA approved for penile augmentation, so this use is off-label. Every plan starts with a private consultation with Paige, BSN, RN.
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Non-surgical penis enhancement uses injectable hyaluronic acid filler to increase penile girth for a limited time. It involves no surgical lengthening and no fat grafting. Its aim is circumference, not length. No dermal filler currently has an FDA-approved indication for penile augmentation, so this use is off-label.
People also search for it as non-surgical penis enlargement, penis enlargement injections, male enlargement injections or HA penile augmentation. Whatever the name, the injectable service on this page addresses girth.
At a glance
InjectCo's name for its HA protocol is GlansGirth. The difference between shaft, glans and GlansGirth treatment is explained further down this page.
Approval does not travel. An HA product can hold FDA approval for the lips or cheeks. That approval does not extend to the penis.
What it changes. HA adds volume under the skin, so the penis measures wider around. You will see a change in volume on the day of treatment. That treatment-day look includes swelling, so it is not necessarily the settled result.
What it leaves alone. Filler is not a lengthening treatment, flaccid or erect. It does not treat a buried penis or correct a diagnosed micropenis. It does not change erectile function, stamina or sensation. If length is your main concern, filler is not the answer, and a urologist is the right first stop.
Studies of HA penile filler report average changes for groups of men treated under a set protocol. Those averages are useful, because they show what has been measured. They cannot tell you what will happen to you.
That last question is answered at a consultation, not in a paper. It is why this page quotes study numbers carefully and never turns them into a promise.
Paige, BSN, RN is the Clinical Aesthetic Nurse Injector at InjectCo MedSpa Cleburne, and she performs this treatment. She holds a Bachelor of Science in Nursing and works as a registered nurse. Before aesthetics, she spent six years in pediatric critical care nursing.
Her advanced neurotoxin and dermal filler training came through the Texas Academy of Medical Aesthetics. That academy is part of InjectCo's own training program. It is not an independent board certification, a Texas specialty license or a urology credential. Her training is in aesthetic injection, which is one reason the referral rules on this page matter.
Medical Director. Josh Allen, D.O. is InjectCo's Medical Director and oversees clinical standards across its Texas clinics. He studied at Lake Erie College of Osteopathic Medicine and completed emergency medicine residency training with Texas A&M. His NPI is 1982904033. Physician oversight does not replace a urologist's assessment when a urologic problem is suspected.
Texas rules. Texas Medical Board rules (22 TAC Chapter 169, Subchapter E, in effect since January 9, 2025) treat nonsurgical cosmetic injections as a delegated medical act. They require training that covers complications and a signed written protocol. A physician, PA or APRN must set up a practitioner-patient relationship before treatment. They also require a medical record and disclosure of who will inject you.
A person trained in basic life support must be present. A physician, PA or APRN must be on site or immediately available for emergencies. You can check Paige's nursing license with the Texas Board of Nursing.
Men often come into a consultation with a number they saw online. Sometimes it is a result from a study. Sometimes it is a clinic advertising one inch or two inches.
I do not use that number as a guarantee.
The published studies are useful because they show that HA filler can produce measurable changes in girth, and that those changes can decrease over time. But those are group averages from specific research protocols.
Before treatment, I need to understand what you are actually trying to change. I examine the anatomy, review your medical and sexual history, and decide whether filler is appropriate at all.
If the concern is length, erections, a new curve, pain, urinary symptoms or fertility, adding HA filler is not the answer.
If girth is the goal and filler is appropriate, we can talk about what a realistic change might look like, without pretending a published average is a personal guarantee.
Clinical perspective from our Cleburne clinical team.
A consultation is not an automatic path to treatment. Paige looks at five things first.
Sometimes anatomy is within a normal range, yet the distress is intense, persistent or affecting daily life or sex. In that case, more evaluation may be the right step before any cosmetic treatment. European urology guidance strongly recommends against HA or other soft-tissue filler for girth in men with penile dysmorphic disorder. It also recommends mental health counseling when body dysmorphic disorder is suspected.
That is not a judgment. It is a safety step.
No. No dermal filler is FDA approved for penile augmentation.
FDA approvals for dermal fillers are specific to each product and each area of the body. For adults 22 and older, the FDA lists uses such as facial wrinkles and folds. It also lists adding volume to the lips, cheeks, chin and backs of the hands. Some individual products hold approvals for other facial areas. None covers the penis.
Off-label means using an approved product in a body area or for a purpose outside its approved indication. So the accurate way to describe any product used here is: this product has FDA approval for its listed indication, and use in penile augmentation is outside that indication. According to the FDA, the risks of using dermal fillers in ways it has not approved are unknown. See the FDA dermal filler page.
Before you agree to treatment, request the brand name, the manufacturer and the FDA-approved indication of the product, in writing. HA itself is a temporary gel that adds volume in tissue.
Five publications carry most of the weight. Each row links to the paper.
| Study | Who was studied | What it found | Keep in mind |
|---|---|---|---|
| Yang et al., J Sex Med, 2020 Randomized, blinded, multicenter trial in Korea | 74 men with small penis syndrome, meaning size anxiety without a true micropenis. 39 received HA and 35 received polylactic acid (PLA). One injection, 24 weeks. | Mean girth increase in the HA group: 2.1 ± 1.0 cm at 24 weeks. Injection-related adverse events: 2 of 39 (5.1%), none serious. | Short follow-up, which the authors say cannot prove long-term outcomes. Research funding from Medy-Tox, Inc. |
| Yang et al., J Clin Med, 2020 Randomized, blinded, non-inferiority trial | 67 men reporting a small penis. 33 received HA and 34 received PLA. One injection, 18 months. | HA group, compared with baseline: +2.50 ± 0.88 cm at one month and +1.41 ± 1.48 cm at 18 months. Adverse events: 3 of 33 (9.1%), none serious. | The gain shrank over time. 46 of the 67 men were followed to 18 months. |
| Salloum et al., Dermatol Surg, 2021 Systematic review | 13 studies and 1,311 patients across all non-surgical methods. HA was the most described: 4 studies, 205 patients. | A minority of patients had side effects, but some had disabling complications. | No defined clinical guidelines existed for these techniques. |
| Kusumaputra et al., Ann Med Surg, 2023 Meta-analysis, HA vs PLA | 4 studies, 283 men. | HA produced a greater girth increase than PLA. Pain and inflammation did not differ between the two. | Four studies is a small base. |
| Fonseca and Querobino, Sexual Health, 2026 Systematic review and meta-analysis of augmentation methods | 23 studies (9 randomized, 14 observational), 2,620 men, 8 countries. | Pooled complication rate across all methods: 14.9% (95% CI 11.5 to 18.6%). HA was numerically lowest at 9.0% (95% CI 5.1 to 13.9%), with moderate certainty. | Every comparison between materials was indirect. No head-to-head trials exist. |
The EAU Guidelines on Sexual and Reproductive Health rate the evidence for girth enhancement as low. Studies report HA girth increases of 1.4 to 3.78 cm. Three recommendations apply here:
A weak recommendation is not an endorsement. Guideline advice is also not FDA approval, because the two answer different questions.
The 24-week trial's HA average was 2.1 cm, about 0.8 inch. That number describes a group. It does not mean one InjectCo session adds one inch, or that two sessions add two. A second session is not a simple doubling, and a package price is not a promised measurement. Your result depends on your anatomy, the product, the amount and how your tissue responds.
Your written treatment plan should state exactly which areas are treated. If the glans is part of the plan, ask what is known and not known about that area specifically.
These three topics are often sold together. They should not be weighed as if they were versions of the same product.
Some concerns are medical, not cosmetic. If any of these apply, we refer you for urologic or medical evaluation instead of treating:
A referral is not a turndown. It is how you get the right answer first. Physician oversight at a med spa does not replace a urologist's examination when a urologic problem is suspected.
Published studies and reviews describe these adverse effects after HA penile injection. They do not all carry the same likelihood.
Many events reported in trials were temporary. More significant complications have also been described in the wider literature, and one systematic review noted some disabling cases. The 2026 meta-analysis estimated an overall complication rate of 14.9% across all augmentation methods, with HA numerically lower at 9.0%. Those comparisons were indirect, and neither figure predicts the risk for any one patient at InjectCo. Across all dermal filler uses, the FDA's top safety concern is filler accidentally entering a blood vessel.
Contact the Cleburne clinic promptly on (682) 470-6080 if pain, swelling, firmness, discoloration, asymmetry or another reaction is getting worse instead of better. The clinical team can then decide whether the change is expected, needs an in-person check or needs urgent evaluation.
Severe or quickly worsening pain, skin turning pale, gray or blue, fever, or swelling that grows fast may need urgent medical care. If symptoms are severe, call 911 or go to the nearest emergency room.
A medical complication and cosmetic dissatisfaction are separate conversations. Before treatment, ask for the clinic's written policy on follow-up visits, dissolving filler for a medical reason, dissolving it because you prefer the old look, and any added cost. This page does not promise refunds, free reversal or free touch-ups.
Often it can be reduced or dissolved with hyaluronidase, an enzyme that breaks down hyaluronic acid, when a clinician judges it appropriate. That is a real advantage over permanent materials, but it has limits:
Being reversible does not make filler risk-free. Infection, nodules, migration, contour problems and vascular injury can still happen. Ask at your consultation how dissolving would be handled at the Cleburne clinic.
European urology guidance gives a strong recommendation not to use silicone, paraffin or petroleum jelly for girth. The 2026 meta-analysis rated the evidence for permanent materials as very low certainty. InjectCo uses HA filler for this treatment.
HA penile filler results are temporary. In the 18-month trial, the average gain was still measurable at 18 months, but it had fallen from its one-month peak. Individual duration varies.
That trial does not show that every product lasts as long, that you will keep the same amount, or that results reach 24 months. It also does not set a fixed touch-up schedule. How long a result lasts depends on the formulation, the amount, your anatomy and tissue, and your own response.
Some men later ask about more treatment. Another session is not automatic. Paige reassesses the result, your comfort and your goal first, and more product is not always the better choice.
InjectCo MedSpa Cleburne
A standalone building on Business 67 in downtown Cleburne, two blocks east of H-E-B
Open every day
8:00 AM to 8:00 PM
You receive your price in writing at the private consultation, before anything is scheduled.
We do not publish a set price for this treatment on this page. Your written quote should state which areas are treated, the product and amount, how many sessions are planned, whether follow-up visits are included, and how dissolving would be charged if it were ever needed. A package price covers a treatment plan, not a guaranteed measurement. Health insurance does not pay for cosmetic penile filler.
Our Cleburne clinic has a 5.0 rating on Google from more than 70 reviews. They cover every treatment we offer. None of the quotes below is about penis enhancement, and each appears exactly as the patient wrote it.
Read all our Cleburne reviews on Google. Quotes are from our clinic-wide reviews, all treatments.
Erection problems call for a medical workup first. To see the rest of what we offer men in Cleburne, go to our med spa in Cleburne, TX.
InjectCo's HA girth protocol, explained on its own Cleburne page.
Platelet-rich plasma drawn from your own blood. It has no FDA approval for ED, and research on it is still thin.
Our Cleburne page on shockwave therapy, who it is meant for and where its limits are.
How InjectCo approaches girth treatment at all nine clinics.
InjectCo MedSpa Cleburne is at 424 W Henderson St, Cleburne, TX 76033. W Henderson St is Business 67. The clinic is a standalone building downtown. It sits about two blocks east of H-E-B and a few blocks west of the Johnson County Courthouse. The Cleburne Public Library is on the same street.
Cleburne is the Johnson County seat, so the main roads lead downtown. SH 174 runs from Burleson through Joshua and becomes N Main St. US 67 links Keene and Alvarado from the east. From Crowley, take N Main St or the Chisholm Trail Parkway. The parkway ends at US 67 on the north side of town.
Questions about your visit? Call or text ahead. We are open every day from 8 AM to 8 PM.
Men visit us from Joshua, Crowley, Keene, Alvarado, Godley and towns across Johnson County. Measured weekday drive times are in the table below.
Every day, 8 AM to 8 PM
Girth only. HA adds volume around the penis. It is not a lengthening treatment, flaccid or erect.
No. No dermal filler is FDA approved for penile augmentation. Any product used holds approval only for its own listed areas, so penile use is off-label.
Ask for the exact product, its manufacturer and its FDA-approved indication before you agree to treatment, and get them in writing. That indication will not include the penis.
FDA approvals are tied to a product and a body area. Evidence from one area does not show safety or effect in another, so penile use stays off-label.
In a 2020 randomized trial of 74 men, the 39 who received HA gained 2.1 ± 1.0 cm of girth on average at 24 weeks. Two had injection-related side effects, none serious. It is a group average, not a forecast.
In a second 2020 trial, the HA group's average gain was 2.50 cm at one month and 1.41 cm at 18 months, compared with baseline. The gain shrank over time.
It pooled 23 studies of augmentation methods. The overall complication rate was 14.9%, and HA was numerically lowest at 9.0%. Material comparisons were indirect, so these numbers do not predict an individual risk.
No. The 24-week trial's HA average was 2.1 cm, about 0.8 inch, and that was a group average. No session guarantees a set gain.
No. A second session does not double the first result. Whether another session makes sense is decided after reassessment.
That is set in your written plan after the exam. GlansGirth, InjectCo's HA protocol, can involve the shaft, the glans or both, and your plan should name each area before anything is booked.
Often, with hyaluronidase, when a clinician judges it appropriate. It may take more than one treatment, can cause its own reaction, and may not restore the earlier look right away.
Not necessarily. That trial still measured an average gain at 18 months, smaller than at one month, but it used its own products and protocol. Your result may fade sooner or later, so no set duration is promised.
Call or text (682) 470-6080 if pain, swelling, firmness, color change or asymmetry is getting worse. For severe or fast-worsening symptoms, get urgent medical care.
A urologist. Urologists evaluate erection problems, curvature, pain, urinary and fertility concerns, and surgical options. HA filler at our clinic is a cosmetic treatment for girth only.
No. HA filler is a cosmetic treatment for girth. Injections for erectile dysfunction are prescription medicines managed by a urologist or physician, and our filler does not treat erections.
No. The P-Shot uses platelet-rich plasma from your own blood and is not meant to add size. European urology guidance limits PRP for erections to clinical trials, and the AUA calls it experimental. See our page on the P-Shot in Cleburne.
When anatomy is in a normal range but distress is severe, more evaluation may come first. European guidance strongly advises against filler in penile dysmorphic disorder.
No. The Cleburne clinic offers non-surgical HA filler for girth only. Penis enlargement surgery and penile implants are performed by urologists or plastic surgeons, and Paige can explain when that referral makes sense.
InjectCo MedSpa Cleburne is a nurse-led medical spa with physician oversight, not a urology practice. It offers non-surgical girth treatment and refers urologic concerns to a urologist.
Ask for a written quote that lists the areas, the product and amount, planned sessions, follow-up visits and any dissolving cost. Ask about anything not listed before you book.
Our Cleburne clinic at 424 W Henderson St serves Burleson, Joshua, Crowley, Keene, Alvarado and the rest of Johnson County. SH 174 is the direct route from both towns into downtown Cleburne. Measured drive times are listed on this page.
Study details were checked against the published abstracts, and the full text of the 18-month trial, on September 25, 2026.
Clinical contribution: the section headed “I Don't Turn a Study Average Into a Promise” reflects the approach of our Cleburne clinical team.
Medical review: this page has not yet been medically reviewed. The reviewer's name and the actual review date will be added here once that review is complete.
Book a private consultation with Paige at our Cleburne clinic and tell her what you want to change. If filler can help, you leave with the plan, the cost and its limits on paper. If it cannot, she will tell you and suggest the care that fits.
Private booking. No commitment to treat.
No dermal filler is FDA approved for penile augmentation. At our Cleburne clinic, HA filler for girth is off-label and offered only after a medical assessment, by a licensed nurse under physician delegation. It will not make the penis longer, and ED, curvature and pain are outside what it treats.
Any result is temporary and differs from man to man. A published average is not a forecast of yours, and we guarantee neither a size change nor a duration.
Possible side effects include swelling, bruising, soreness, unevenness, lumps, filler movement and discoloration. Less often, there may be foreskin tightening, infection, inflammation or, rarely, injury to a blood vessel or tissue. Tell Paige about every health condition, medication, bleeding problem and past genital procedure. Nothing on this page replaces advice from your own clinician.
You do not have to book a visit to ask a question. Send it below and a member of our Cleburne team will reply. Please do not send photos through this form. Read how we handle your information in our privacy policy.
Prefer to text? Use (682) 470-6080. We are open every day, 8 AM to 8 PM, at 424 W Henderson St.


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