
Penile Enhancement with GirthPro
The Sexual Medicine Society of North America (SMSNA) advises against the use of permanent fillers like silicone and paraffin due to potential long-term complications. And the American Urological Society (AUA) considers penile girth enhancement (PGE) using subcutaneous fat injection to be unsafe and ineffective.



What is GirthPro Penile Girth Enhancement?
GirthPro penile girth enhancement is a revolutionary, non-surgical procedure developed by Dr. Michael Wierschem and exclusively available at Dallas Men's Health. This procedure increases penile girth using injectable hyaluronic acid (HA), commonly used as a dermal filler, is naturally found in the body and has the unique ability to retain many times its weight in water, creating a filling and smoothing effect. The effects of the GirthPro procedure/technique typically last at least 2 years with most patients seeing persistent results up to and beyond 5 years.
Our goal at Dallas Men’s Health is that you are happy with your results. We work hard to make sure you will have the best experience and outcome in the industry! Experience the GirthPro technique - a revolution in aesthetic enhancement procedures. With its needleless, bloodless, and painless approach, Our unique dressing and product allows for much less filler migration/displacement than other providers thereby resulting in much improved cosmetic results. The procedure ensures a uniform and natural-looking enhancement, remarkably improving both girth and overall aesthetics. Thanks to the bioelasticity of the material, you'll enjoy a natural feel in all states, with the benefit of secure, lasting results and a visually pleasing appearance. Try GirthPro today, for comfort, safety, and satisfying improvements.
Why Get Penis Enlargement Surgery?
Have you ever wondered if your penis is long or thick enough? It is common for men to be concerned about the size of their penis. If you are self-conscious or embarrassed about the size of your penis, then penile augmentation may be the answer for you.
In addition, penile enhancement can be very effective for spouses. Over time women can develop vaginal “looseness” which can make intercourse unsatisfactory. Surgeries to repair this are costly, painful and fraught with many complications. Penile girth enhancement can solve this problem by expanding the girth of the penis significantly, resulting in a rejuvenated sexual experience for both partners.
Patients who have lost length and girth due to long-standing erectile dysfunction are excellent candidates for our GirthPro enhancement as well as our RegeneGro lengthening program. And patients that have had a penile implant frequently have significant loss in girth after the procedure. Dallas Men's Health can give you back your girth and even enhance it to make it better than before with GirthPro. And it will give you a more normal appearance and feel to your penis.
"After looking into and searching about girth enhancement for over a year and a half, all over Texas and the country, Dr. Wierschem is absolutely the most knowledgeable Dr. to perform this procedure and his technique is hands down better than everyone in the county. Dr. Wierschem is extremely professional, courteous, and personable. His staff is also very easy to work with and happy to answer any questions and they make you feel very comfortable. They made me feel valuable and important and I was more than just another procedure. Dr. Wierschem really does care for his patients and wants the best for them. He truly is a Doctor first. I would recommend him and his staff for anything men's health related, 1000%."
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Why Choose Dallas Men's Health?
Renowned among a handful of nationally recognized urologists who pioneered an advanced procedure in urology for penile girth enhancement, Dr. Michael Wierschem belongs to an elite enclave of physicians who have already performed thousands of successful patient treatments. Dr. Wierschem is certified in Male and Female Sexual Health by the International Society for Sexual Medicine (ISSM).
With over 25 years of experience in sophisticated urological procedures such as penile surgery and uro-plastics, Dr. Wierschem is recognized as a thought-leader in his field by medical professionals and the mainstream media (e.g. Men's Health Magazine, D Magazine, Living Magazine, Best in Texas Magazine, Yahoo).
Penile girth enhancement is a highly specialized procedure that occurs around nerves, blood vessels and lymphatics of the penis. Because of this, you should only allow an experienced provider with surgical expertise in penile uro-plastics perform this for you.
Dr. Wierschem consults and treats every patient himself in a private room with no other assistants in the room. You will NEVER be treated by an aesthetician, nurse, medical assistant, physician's assistant or nurse practitioner.
Our comprehensive range of services, including Penile Enhancement with GirthPro, Regenerative Erectile Dysfunction Treatments, Hair Loss Prevention and Regeneration Solutions, Weight Management and Body Sculpting Treatments, Laser Aesthetics and more, are designed to meet your unique needs. At Dallas Men's Health we understand that every man's health journey is unique, and we are dedicated to providing personalized care to help you achieve your sexual health and aesthetic goals.
Dallas Men's Health in an International Destination for men, because of our Innovation, Expertise and Honesty.
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This map illustrates a sample of our patient demographics over the past 12 months.





Complimentary Aesthetic
Service with Each Package!
Aesthetic Services are available for men and woman, and are easily transferrable.

Why We Use GirthPro for Penile Girth Enhancement
When considering penile enlargement options, safety is a paramount concern. GirthPro stands out for its exceptional safety profile compared to other enlargement procedures. Here's why GirthPro is Dr. Wierschem's preferred choice:
- Hyaluronic Acid (HA) Base: Unlike permanent fillers like collagen, silicone or PMMA, GirthPro utilizes Hyaluronic Acid filler, which is naturally occurring in the body. This reduces the risk of adverse reactions and ensures a more natural integration with the body's tissues.
- Minimally Invasive: GirthPro injections are less invasive compared to surgical options such as implantable mesh or fat transfers, which come with risks like infection and surgical complications.
- Natural Feel and Appearance: GirthPro maintains a natural feel and appearance, avoiding the unnatural look or texture that can frequently result from permanent fillers like collagen, silicone or PMMA, which may not integrate as seamlessly with penile tissue.
- Reversibility: In the rare case of undesired results or complications, HA fillers can be dissolved using a specific enzyme, offering a level of safety and control not available with permanent fillers which can only be removed surgically.
Unlike other techniques, the filler is placed while the penis is erect to ensure excellent cosmetic results with the penis in both flaccid and erect conditions. Every patient will be able to see and feel their outcomes immediately to ensure absolute satisfaction!
Hyaluronic Acid Explained
Hyaluronic Acid (HA) is a type of sugar (polysaccharide) that is naturally present in body tissues such as in skin and cartilage. It is created in an organic manufacturing process and has been used as a dermal filler since the early 1990s.
HA has a unique capability to retain water, meaning it swells when in gel form and causes a smoothing or filling effect in the skin. It has been used effectively in multiple specialties, including dermatology, orthopedics, oncology, rheumatology and now urology.
The hyaluronic acid used for penile girth enhancement is a heteropolysaccharide macromolecule that has well-established and documented safety and performance characteristics. Hyaluronic acid is the most widely used filler substance currently on the market worldwide and has many advantages over its predecessors including safety and duration of action. Adverse events are very rare and the overwhelming majority of these were mild and transient and typically resolve within a few weeks without treatment.
Clinical Studies
Clinical evidence further supports the efficacy and safety of penile girth enhancement using hyaluronic acid filler. A multi-center, patient/evaluator-blinded, randomized active-controlled trial published on PubMed evaluated the impact of hyaluronic acid filler on penile girth and patient satisfaction. The study reported significant increases in penile girth and satisfaction levels in both the hyaluronic acid filler group and the control group, with no statistically significant difference between the groups.
This suggests that hyaluronic acid filler is a very effective and safe technique for penile girth enhancement, with patients experiencing an average increase in girth and high levels of satisfaction without serious adverse reactions.
Ideal Candidates for GirthPro
Patients with long-standing ED who have had loss of length and girth are excellent candidates. And patients who have undergone penile implant surgery commonly have lost girth from this procedure and GirthPro after the surgery can regain the girth you lost.
What to Expect from Your GirthPro Treatment
Your GirthPro treatment at Dallas Men's Health is a process marked by professionalism, care, and transformative results.
Your experience begins with a private consultation with Dr. Wierschem or one of our experienced providers. This session is designed to understand your goals, discuss the specifics of the GirthPro technique, and address any questions or concerns you may have. It's also an opportunity to assess your suitability for the treatment and outline realistic expectations.
Procedure
The GirthPro procedure is performed in the comfortable and confidential setting of our Dallas clinic. The process involves carefully placing hyaluronic acid filler into the penis, using the exclusive GirthPro technique to ensure even distribution and a natural look and feel. Additionally, it is infused using a blunt cannula to prevent damage to blood vessels or lymphatics, which can lead to tissue breakdown and necrosis. The “sweet spot” for optimal enhancement in most men is around 10–30 syringes. The procedure typically takes less than an hour and is done under local anesthesia to minimize discomfort.
Procedure Highlights
- Treatment takes under 30 minutes
- No reported complications
- Most patients have sustained enhancement at 2 years
- No stitches, scars or general anesthesia
- Minimal to no discomfort
- Enhancement present while both flaccid and erect
- No downtime
- Resume sexual activity in 5 to 7 days
- You may resume exercise activities the next day
- The patient is ALWAYS involved with the treatment plan
- Enhancement results are instant
- Expect 1/2 – 3/4 inch of circumferential girth with one appointment
- Dr. Wierschem performs every procedure himself
Recovery
After the procedure, you'll wear a compression bandage for the next 72 hours to reduce inflammation and swelling. Recovery from GirthPro is relatively quick, with most men able to resume their usual activities the next day. Some minor swelling or bruising may occur but generally subsides within a week. Sexual activity can usually be resumed 5 to 7 days after the procedure, following the specific guidance provided by your physician.
Follow-Ups
Follow-up appointments are an essential part of the GirthPro treatment process. These sessions allow us to monitor your healing, assess the results and make any adjustments if necessary. It's also a chance for you to discuss your satisfaction with the outcome and address any further questions.
GirthPro vs. Other Girth Procedures
- Collagen fillers, silicone fillers and fat transfers/Injections: These are permanent procedures that are associated with significant complication risks and poor outcomes. Once they are placed, they are very difficult to remove, change or improve due to the scarring that occurs.
- Polymethyl-methacrylate microspheres (PMMA): a non-absorbable soft tissue filler results in good girth improvement; however, many patients report “nodularity, ridges, irregularity, indentations or voids in tissue filling”.
- Graft and flap procedures: This includes dermal fat grafts, fasciocutaneous arterial island flaps and porcine dermal acellular matrix grafts. These procedures done under anesthesia rarely result in a satisfactory cosmetic outcome. Complications such as chronic pain and swelling and loss of penile length due to fibrosis (scarring) is common. These techniques are not typically reversible.
- Subcutaneous penile implants: This involves surgically inserting a subdermal silicone implant around the penile shaft. This procedure has shown severe complications in several patients including “severe edema, subcutaneous masses, penile curvature or other sexually disabling deformity, infection, non-healing wounds and scarring”.
- Corporoplastic phalloplasty: A surgical procedure that involves using bilateral corporal venous grafts to expand corporal girth. This is considered experimental and does not result in girth enhancement in the non-erect (or flaccid) state.
Penile Lengthening vs. Penile Girth
Penile lengthening is a procedure that aims to increase the length of the penis, a subject of interest for many men seeking to enhance their physical attributes and boost self-confidence. Unlike penile girth enhancement, which typically involves the injection of fillers, lengthening procedures can be more complex and varied. Non-surgical methods such as manual stretching exercises and the use of penile traction devices are available, which involve applying a consistent stretch to the penis in an attempt to elongate the tissues over time. These methods are less invasive but may offer inconsistent results and are not as well-studied as surgical options.
Cost of GirthPro in Texas
The cost of GirthPro in Dallas, TX, varies depending on individual needs and the extent of enhancement desired. Dallas Men's Health is committed to providing transparent pricing and offers various payment options to accommodate our patients. For a personalized quote, please reach out to our clinic directly.
General Urological Issues Treated by Dr. Wierschem
BPH – Benign Prostatic Hyperplasia
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatments for BPH may include: diet modification, medication, office based procedures and surgical procedures.
Prostate Cancer
Diagnosis/Evaluation may include: Detailed history including Family history, Physical exam to include the prostate, PSA testing, MRI evaluation and prostate biopsy.
Treatment for Prostate cancer may include: Active Surveillance/Watchful Waiting, Focal laser treatment, Surgical Removal, Radiation/Proton Therapy and medication.
Prostatitis
Diagnosis/Evaluation may include: Detailed history, physical and prostate exam, PSA, urinalysis and possible other tests of bladder/urinary function.
Treatment of Prostatitis may include: Antibiotics, Anti-inflammatories, prostate medication, diet modification and other behavior modification techniques discussed with the doctor.
Vasectomy
This procedure is performed in the office by Dr. Wierschem. It is a painless procedure that typically takes less than 10 minutes. You will be set up to have your semen checked 6-8 weeks after the procedure to ensure that you are sterile. Until that time you will need to continue contraception. Please contact the office for more information.
Nephrolithiasis – Kidney stones
Diagnosis/Evaluation may include: Detailed history, Physical Exam, Urinalysis, blood tests, Radiological evaluation (e.g. plain X-ray, CT scan, Ultrasound), comparison to prior radiological studies, labs and reports.
Treatment of Kidney Stones may include: Active Surveillance/Watchful Waiting, diet modification, medical management, pain management, surgery (e.g. Shock Wave Lithotripsy (ESWL), ureteroscopy (typically with laser stone ablation), stenting (an internal tube that bypasses the obstructing stone) or even external drainage of the kidney in certain cases.
Infertility
Diagnosis/Evaluation may include: Detailed history, Physical Exam, urinalysis, semen analysis (and possible other semen studies), radiological evaluation.
Treatment of Infertility may include: Active Surveillance/Watchful Waiting, medication, diet and behavior modification and surgical intervention.


16cc's of filler and over 1 inch circumferential girth


10cc's of filler and 0.75 inch of circumferential girth


30cc's of filler and 1.75 inch girth
The GirthPro technique has been developed over the past several years by Dr. Wierschem after treating thousands of patients and perfecting the best procedure possible. It requires only 2 entry points and does not utilize any needles removing any risk of penile necrosis. This procedure is safer, painless and bloodless resulting in much better cosmetic outcomes. It is also 100% reversible.
Dr. Wierschem has been performing penile Uro-Plastic surgery for over 30 years and has specifically been performing penile enhancement over the past 8 years. He was the first doctor performing this procedure in Texas and he has treated thousands of patients. He has also successfully treated many of his less qualified and less experienced competitor's patients through our ErectionCorrection program.
No, it is not permanent. We do not offer permanent procedures as they are typically associated with much higher complication rates and poor outcomes. In fact, we perform penile corrections frequently on patients who have had permanent procedures through our ErectionCorrection program. Dr. Wierschem does not offer any procedure that he would not have done himself.
View Before/After of ErectionCorrection »There are several very important issues when choosing the best provider, in our opinion. It is highly recommended that you choose a doctor who is very experienced with Penile Uro-Plastics, like Dr. Wierschem. We know the penile anatomy and pathophysiology better than any other provider. In fact, providers without this expertise send their complications and bad outcomes to us quite frequently. It is also important that the provider uses a cannula instead of a needle to prevent penile necrosis and also perform the procedure while the penis is erect. This is the safest method and provides to best outcomes. This is why Dr. Wierschem has spent many years perfecting the GirthPro technique for his patients.
Like any medical procedure, non-surgical penile girth enhancement can have side effects, though they are generally mild and temporary. Common side effects may include swelling, bruising and sensitivity at the injection site, which typically resolve within a few days.
Yes, this is an important part of the GirthPro procedure. An erect penis helps the surgeon find the tissue planes better for the absolute best filler placement and subsequent improved cosmetic outcome. It also allows for the entire penile shaft to be treated instead of only the flaccid shaft. A very important fact for patients who are "growers - not showers".
Yes, you can receive GirthPro treatments even if you're not circumcised. The procedure is designed to be safe and effective for all men, regardless of circumcision status. Dr. Wierschem will tailor the treatment approach to ensure the best possible results while maintaining the integrity and health of the foreskin.
Yes, It can be done but it is generally not recommended as the product does not last long and if not done correctly can result in significant side effects like loss of sensation, development of nodules and an abnormal cosmetic appearance as well as necrosis or tissue death.
The GirthPro procedure will provide approximately 1/2 inch to 3/4 inch of circumferential girth for every 8-10 syringes utilized. Every patient is different, however and this can better be addressed at the time of the procedure.
This is different for every patient. It depends on several factors including penile size, penile anatomy, the amount of filler desired and the expertise of the doctor. Doctor Wierschem's experience over many years has consistently revealed that, if properly infused and cared for, larger amounts of filler (within reason) can be given very effectively. Our GirthPro technique is the most advanced enhancement procedure in the industry and our cosmetic results are incredible with all amounts of filler given with no complications or patients complaining of filler loss or reabsorption.
The cost depends on how many syringes you need. We do offer good discounts for higher volumes. We also have several excellent financing options available. Please contact us to learn more.
Yes, in most cases. There are rare exceptions, however. Dr. Wierschem can discuss the details with you at the time of the procedure.
The GirthPro procedure is essentially painless. You will be completely numb for the procedure and the product used has lidocaine within it so you will be numb for several hours. many men go back to work or even the gym after the procedure. Dr. Wierschem is also excellent at making you feel comfortable and we even have a full bar if you desire a little something to take the edge off.
Yes, GirthPro is safe for patients who already have a penile implant in place and desire further enhancement.
Absolutely not! One of the most dangerous complications from penile enhancement is from injection of the filler into a vein, artery or lymphatic. This can result in penile necrosis (tissue death). The GirthPro procedure only uses a blunt cannula to infuse the filler and does this through only 2-3 entry sites to minimize bleeding, trauma and swelling. Because of this, Dr. Wierschem has never had an issue with penile necrosis, although he has taken care of several patients who suffered this terrible complication from other providers.
View Before/After of Penile Necrosis Correction »No. Although there are some reports of these issues, Dr. Wierschem has never had a patient complain of ED or loss of sensation from his technique.
Yes, you can use your pump after the product has "matured". Dr. Wierschem will discuss this with you in detail at the time of the procedure.
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