Fill in Istanbul · The penile filler programme of Hardrock Clinic, led by Assoc. Prof. Dr. Zulfu Sertkaya · Istanbul, Turkey

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Dr. Zulfu Sertkaya Hardrock Clinic · Istanbul

Teosyal Ultra Deep for Penile Filler

The hyaluronic acid gel the clinic uses for penile girth treatment, what the manufacturer says it is for, and what that does and does not tell you about penile use.

Medical reviewer
Assoc. Prof. Dr. Zulfu Sertkaya, urologist and andrologist, FEBU
Published
Last medically reviewed
Physician review pending
Last updated

In brief

The short answer

Short answer

Teosyal PureSense Ultra Deep is a cross-linked hyaluronic acid filler made by Teoxane, containing 25 mg/mL of hyaluronic acid and 0.3% lidocaine. Its official indications are facial, such as cheek volume and deep folds; no official page lists a genital indication, so penile use is off-label. The clinic chooses it because it is a gel intended for deep volume, but there is no published penile-specific evidence for this particular product.

Treatment

Verified product characteristics

CharacteristicOfficial information
Full product nameTeosyal PureSense Ultra Deep
ManufacturerTeoxane
Hyaluronic acid concentration25 mg/mL
Local anaestheticLidocaine 0.3%
Syringe size1.2 mL
Approved indication areaFace
Genital indicationNone listed on any official page
Source: Teoxane official product information. Site copy also describes the product as CE-marked and made by Teoxane in Geneva, Switzerland.

The figures above are the ones the manufacturer publishes. We do not quote firmness values, particle sizes or other technical measurements for this product, because we have not been able to verify them from an official Teoxane source.

The lidocaine in the gel is a local anaesthetic. At Hardrock Clinic it is used alongside separate local anaesthesia; no general anaesthesia or sedation is needed. How the treatment itself is carried out is described in the procedure section of the hyaluronic acid filler guide.

Treatment

What Teoxane approves it for

According to Teoxane’s product information, Ultra Deep is indicated for the face. The listed uses are:

  • contour remodelling, volume restoration and volume augmentation in areas such as the cheeks;
  • correction of minor tissue ptosis (mild sagging);
  • deep wrinkles and folds, such as the nasolabial folds that run from the nose to the corners of the mouth.

None of the official pages we have reviewed lists the penis or any other genital area. That matters, because the manufacturer’s indications are the uses for which the product has been assessed and marketed. Everything outside them is off-label.

Treatment

What off-label use means in plain terms

Off-label means a doctor is using an approved product for a purpose, or in a part of the body, that is not on its label. It is common in medicine and it is not in itself illegal or improper, but it has consequences you should understand before treatment:

  • The manufacturer does not endorse penile use. Teoxane has not approved Teosyal Ultra Deep for the penis, and nothing on this site should be read as suggesting it has.
  • The treating physician takes clinical responsibility. The decision to use the product in this way, the technique and the aftercare are the doctor’s responsibility, not the manufacturer’s.
  • The evidence comes from elsewhere. Safety and duration data for this product were gathered in the face. Penile studies of hyaluronic acid fillers exist, but they do not test this specific product.

No hyaluronic acid filler we are aware of carries an approved indication for penile use, so the same applies whichever brand a clinic uses. Asking a clinic which product it uses, and whether it acknowledges the off-label status, is a reasonable question anywhere — see choosing a penile filler clinic in Turkey for others.

Treatment

Why the clinic uses a deep, firm gel

The reasoning

Reviews of filler rheology describe firmer, more cohesive gels as the type generally chosen for deep volume support, while softer gels are used for fine lines. Ultra Deep is a product intended for deep volume in the face, and the clinic chooses it for that reason: the aim in penile treatment is volume around the shaft rather than smoothing of the skin surface.

The limit of that reasoning

This is an inference from general filler science, not a result from penile trials. There is no published penile-specific study of Teosyal Ultra Deep, so claims about how this product in particular performs in the penis cannot be made from the evidence.

The gel is placed in the dartos layer, outside Buck fascia, and the erectile bodies and urethra are not entered. It can usually be dissolved with hyaluronidase if there is a lump, asymmetry or an unwanted result, which is one of the main practical differences from permanent materials. The comparison with PMMA explains why that reversibility matters.

Treatment

Official lifetime figures are facial

Teoxane publishes an estimated lifetime for Ultra Deep, but the figure is not the same on every official page. The Saudi product information page gives 15–18 months; the Australian page gives 12–18 months. Both figures refer to use in the face.

They should not be read as a prediction for penile treatment. The penis is a mobile area with different tissue and different mechanical stresses, and duration also depends on volume, placement and individual metabolism. Published penile studies of hyaluronic acid fillers in general report their own follow-up data, which is summarised in how long penile filler lasts.

Treatment

How it is used at Hardrock Clinic

The clinic offers Teosyal Ultra Deep in three volumes: 10 cc, 15 cc and 20 cc (1 cc is the same as 1 ml). The final volume is confirmed by the physician at the in-person assessment and can be revised down if the anatomy or goals call for less. The 10 ml vs 15 ml vs 20 ml guide explains how the choice is made, and penile filler cost in Turkey sets out the package prices.

Using a recognised, manufacturer-supplied product is a baseline, not a guarantee of results. Outcomes depend on anatomy, technique and aftercare, and individual results vary.

Questions

Common questions

Is Teosyal Ultra Deep approved for penile use?

No. Its official indications are facial. Penile use is off-label, and the treating physician takes clinical responsibility for it.

Does it contain anaesthetic?

Yes. According to Teoxane it contains 0.3% lidocaine. The clinic also uses separate local anaesthesia during treatment.

Will it last 12–18 months in the penis?

Not necessarily. The official figures (15–18 months on one page, 12–18 months on another) are facial data. Penile duration varies and is discussed in the longevity guide.

Can it be dissolved?

Hyaluronic acid gels can usually be broken down with hyaluronidase where this is medically appropriate. More than one session is sometimes needed.

More answers are collected on the penile filler FAQ page.

Next step

Ask about your own anatomy

General information cannot tell you whether this treatment suits you. The patient coordination team can answer practical questions, and suitability and volume are decided by the physician at an in-person assessment.

Sources

References

Published sources cited on this page. Conference abstracts are identified as such; they have not been through full peer review as journal articles.

  1. Teoxane SA. TEOSYAL PureSense Ultra Deep — product information. Manufacturer product information page. www.teoxane.com/en/productinfo-ksa
  2. Fundarò SP, Salti G, Malgapo DMH, Innocenti S. The rheology and physicochemical characteristics of hyaluronic acid fillers: their clinical implications. Int J Mol Sci. 2022;23(18):10518. doi:10.3390/ijms231810518 · PubMed 36142430
  3. Tezel A, Fredrickson GH. The science of hyaluronic acid dermal fillers. J Cosmet Laser Ther. 2008;10(1):35-42. doi:10.1080/14764170701774901 · PubMed 18330796
  4. King M, Convery C, Davies E. This month’s guideline: the use of hyaluronidase in aesthetic practice (v2.4). J Clin Aesthet Dermatol. 2018;11(6):E61-E68. PubMed 29942426
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