InjectCo MedSpa

Penile Enhancement Cost in 2026: Filler vs Surgery in Texas

Table Of Contents

Penile enhancement cost depends on the method. Surgery costs far more than filler and carries more risk, while filler is priced by how much you need. At InjectCo, GlansGirth and BioGirth are priced at your consultation, and the P-Shot is $1,799 per session.

Written by Jen Adams, BSN, RN
Medically reviewed by Dr. Josh Allen, D.O., Medical Director on October 30, 2026

Medical disclaimer: This article is for education and is not medical advice. Results vary from person to person. Talk with a licensed clinician before any treatment.

Key Takeaways

  • Filler is priced by how much you need, and InjectCo quotes it at your consultation.
  • One randomized trial found about 2 cm of girth gain at 24 weeks, with results varying.
  • Filler for the penis is off-label, and one study of 230 men found 4.3% complications.
  • Insurance usually does not cover penile enhancement because it is cosmetic, with narrow medical exceptions.

How Much Does Penile Enhancement Cost?

Cost depends on which method you choose and, for filler, on how much product your anatomy and goals call for. Surgery costs far more than filler and carries more risk, so the surgical rows show no dollar figure.

MethodWhat it changesCost basisHow long it lastsDowntime
Hyaluronic acid (HA) filler (GlansGirth at InjectCo)Girth of the shaft, and the glans where it is treatedPriced at your consultationTemporary; the gain shrinks over a yearSwelling and bruising for the first days
Own-blood penile girth treatment (BioGirth at InjectCo)Girth, using a gel made from your own bloodPriced at your consultationDiscussed at your consultationDiscussed at your consultation
P-ShotNot a size treatment; platelet-rich plasma from your own blood$1,799 per sessionDiscussed at your consultationDiscussed at your consultation
Fat graftingGirth, using fat moved from another part of the bodyCosts far more than fillerSome of the fat may be reabsorbed (Mayo Clinic)Surgical recovery
Ligament surgeryHow much of the flaccid penis hangs outside the body, not its actual lengthCosts far more than fillerThe ligament can grow back together (Mayo Clinic)Surgical recovery
Silicone girth implantGirth, using a device placed under the skinCosts far more than fillerStays in place unless surgically removedSurgical recovery

What InjectCo Charges in Texas

GlansGirth and BioGirth are priced at your consultation, because the right amount of treatment depends on your anatomy and your goals. The P-Shot is $1,799 per session.

Ask about payment options at your consultation.

What Drives the Cost?

Three things move the price of filler.

  • Volume. More product costs more, and the amount depends on your anatomy and what you want to change.
  • Shaft alone or shaft and glans. Treating both areas usually means a larger plan than treating the shaft alone.
  • Touch-ups. Filler is temporary, so keeping a result means repeat visits over time.

Your nurse injector explains your price before any treatment.

How Does Penile Enhancement Work?

Filler treatment places hyaluronic acid gel under the penile skin to add girth. The FDA has approved dermal fillers only for specific uses in the face and hands, and the penis isn’t one of them, so using filler there is off-label. If you’re unhappy with a hyaluronic acid result, the filler can be dissolved with hyaluronidase.

The own-blood option uses a gel made from your own blood instead of a manufactured filler. Our own-blood penile girth treatment is BioGirth.

The P-Shot is a different treatment again. It uses platelet-rich plasma from your own blood, and it isn’t a size treatment, so it doesn’t belong in a girth comparison.

Surgery works differently, and each method has its own trade-offs:

  • Fat grafting moves fat from another part of the body into the penis. Mayo Clinic notes some of the injected fat can spread unevenly or be reabsorbed, and Healthline says results may diminish over time, so more fat injections may be needed to keep the look.
  • Ligament surgery cuts the ligament that anchors the penis to the pubic bone, so more of it hangs outside the body. Mayo Clinic says it doesn’t change the actual length of the penis and can leave an erect penis unstable.
  • A silicone girth implant places a device under the skin to make the penis thicker. Mayo Clinic says shortening, scarring and curving of the penis can happen, and infections or graft problems may need another surgery.

If you’re weighing a nonsurgical route, our guide on how to increase girth without surgery covers the options.

How Much Girth Can Filler Add?

In one randomized trial, a single HA filler session added about 2 cm (roughly 0.8 inch) of circumference at 24 weeks; results vary. Yang and colleagues ran that trial, and no serious adverse events were reported over the 24 weeks.

The gain doesn’t hold at full size. In a 12-month study that followed 38 men, by Zhang and colleagues, flaccid girth was up by about 3.4 cm at one month and about 2.4 cm at 12 months.

Filler is a girth treatment, not a length treatment.

Is Penile Enhancement Safe?

Safety depends on the method, the material, and who performs it. For HA filler, a study of 230 men found complications in 4.3% over six months, mostly mild: bleeding under the skin (1.3%), lumps (2.2%), and infection (0.9%). All were treated, and no severe aftereffects were seen.

Other materials carry more risk. A 2025 review of penile enhancement complications found that HA generally has lower complication rates than non-absorbable fillers, silicone, and non-medical injected materials. For HA, it lists filler migration, lumps (2.2%), self-limiting bleeding (1.3%), and infection (1%) as the most common problems. The FDA has not approved injectable silicone or any injectable filler for body contouring or enhancement.

The American Urological Association says it considers fat injection for girth and division of the suspensory ligament for length to be procedures that have not been shown to be safe or efficacious.

Our guide on penile filler side effects covers what to expect and when to call.

Does Insurance Cover Penile Enhancement?

Usually no. Penile enhancement is cosmetic, so health insurance typically doesn’t cover it. Healthline notes that insurance can cover a procedure for conditions such as micropenis or a buried penis when it’s deemed medically necessary. Check with your insurer directly.

Recovery and Downtime

Recovery from filler is far shorter than from surgery, and your nurse’s written aftercare is the guide for your own timeline.

  • First 24 to 48 hours: Expect swelling and possible bruising. Ice packs for 10 to 15 minutes several times on the first day help, and exercise and anything that increases blood flow to the area should wait.
  • Days 3 to 7: Swelling eases and bruising fades from purple toward yellow-green. Light activity can resume, and most men return to work within 1 to 2 days.
  • Week 2 and beyond: Most visible effects settle by day 10 to 14, and your final result becomes clear.

Plan on sexual activity resuming after about two weeks, or as your nurse advises.

How to Choose a Provider

A good provider answers these questions plainly before you book:

  • Who performs the treatment, and what license do they hold?
  • Which material will be used, and is it hyaluronic acid?
  • Is penile use off-label for that product, and are you told so?
  • How much will be used, and what will the total cost?
  • Is hyaluronidase available if you need the filler dissolved?
  • What training does the provider have in male anatomy?

Be wary of silicone, PMMA, or an unnamed substance, prices far below other providers, pressure to book right away, and vague answers about the product or volume.

At InjectCo, nurse injectors perform treatments under the medical direction of Dr. Josh Allen, D.O., Medical Director.

GlansGirth at InjectCo

GlansGirth is InjectCo’s hyaluronic acid penile girth enhancement treatment. It treats the shaft and, where it fits, the glans. Treatments are performed by InjectCo nurse injectors.

Current GlansGirth offer: priced at your consultation. Your nurse injector confirms your plan, your price, and any offer that applies before any treatment begins.

Private, Discreet Care

Sensitive concerns deserve private care. Your consultation is confidential, and it’s a place to ask questions without committing to anything.

Paying Over Time

Ask about payment options at your consultation. Your team walks you through them before any treatment.

Traveling From Out of State or Across Texas?

We regularly welcome clients flying in from California, Florida, New York, Illinois, and neighboring states like Oklahoma, Louisiana, and New Mexico, and many travel from across Texas. We offer travel voucher credits to help with the cost of your trip; your team confirms the credit at your consultation.

Whether you’re driving from Houston or flying in, the aim is to make a private consultation simple to arrange at any of our Texas locations.

Frequently Asked Questions

How much does penis enlargement surgery cost?

Far more than filler, and it carries more risk. Prices vary by method and surgeon, and a surgeon quotes yours after an exam. Filler is priced by how much you need, and InjectCo prices GlansGirth and BioGirth at your consultation.

Does insurance cover penile enhancement?

Usually not, because it’s cosmetic. Insurance can cover a procedure for conditions such as micropenis or a buried penis when a doctor documents medical necessity, so check with your insurer.

How much does the P-Shot cost?

$1,799 per session at InjectCo. It uses platelet-rich plasma from your own blood, and it’s not a size treatment.

How much girth can filler add?

About 2 cm. In one randomized trial, a single HA filler session added about 2 cm (roughly 0.8 inch) of circumference at 24 weeks; results vary. In a separate 12-month study, the gain was smaller at 12 months than at one month.

Is penile enhancement permanent?

No. Hyaluronic acid filler is gradually broken down, and a 12-month study found the girth gain shrank over the year. If you want the filler removed, hyaluronidase dissolves HA filler, so your nurse can adjust or reverse it.

How risky is penile enlargement surgery?

It carries more risk than filler. The American Urological Association considers fat injection for girth and suspensory ligament division for length to be procedures that haven’t been shown to be safe or efficacious. Mayo Clinic notes cutting the ligament can leave an erect penis unstable, and injected fat can be reabsorbed unevenly.

Can I pay for penile enhancement over time?

Yes. Ask about payment options at your consultation, and your team goes through them before any treatment.

Sources

  • U.S. Food and Drug Administration. Dermal Fillers (Soft Tissue Fillers). fda.gov
  • U.S. Food and Drug Administration. Dermal Filler Do’s and Don’ts. fda.gov
  • Yang DY, et al. Hyaluronic acid vs polylactic acid filler for temporary penile augmentation: randomized trial. J Sex Med, 2020. PubMed 31735613
  • Zhang CL, et al. Penile augmentation with injectable hyaluronic acid gel. Asian J Androl, 2022. PMC9809476
  • Quan Y, et al. Complications and management of penile augmentation with hyaluronic acid injection. Asian J Androl, 2021. PMC8269832
  • Pignanelli M, et al. Complications and management of penile enhancement procedures. Transl Androl Urol, 2025. PMC12603848
  • American Urological Association. Penile Augmentation Surgery statement. auanet.org
  • Mayo Clinic. Penis enlargement products: Do they work? mayoclinic.org
  • Healthline. How much does penis enlargement surgery cost? healthline.com

About Our Medical Director

Dr. Josh Allen, D.O., is InjectCo’s Medical Director. He oversees the clinical standards behind every treatment InjectCo offers and supports its nurse injectors across all nine Texas locations. He earned his Doctor of Osteopathic Medicine at Lake Erie College of Osteopathic Medicine and completed his residency in emergency medicine with Texas A&M.

Dr. Josh Allen, D.O., Medical Director at InjectCo MedSpa
Medically reviewed by Dr. Josh Allen, D.O.,
Medical Director, InjectCo MedSpa.
Last reviewed: October 2026.

Dr. Allen earned his Doctor of Osteopathic Medicine at Lake Erie College of Osteopathic Medicine and completed his emergency medicine residency with Texas A&M. As Medical Director, he reviews InjectCo’s treatments, protocols, and patient education content for accuracy and safety across all nine Texas locations.

Written By:
Jen Adams, BSN, RN, Vice President of Clinical at InjectCo
Jen is a Registered Nurse with more than 13 years of nursing experience, based in Waxahachie, TX. She holds a Bachelor of Science in Nursing. She is a nurse injector and trains other aesthetic injectors each week. As Vice President of Clinical, she oversees clinical standards and treatment protocols across InjectCo locations.

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