New technology with dermal fillers has allowed a breakthrough in penile enhancement. Dr. Shafer would like to introduce his new S.W.A.G. Penis Enhancement Procedure. The same products which are FDA approved to enhance cheeks and lips are injected into the penile shaft and glans (head) to significantly increase penis girth and moderately increase in penis length.

Studies show that penile girth is most desirable in terms of appearance and also intimate relations. Penis enhancement injections have the greatest effect on penis girth (circumference).

Dr. Shafer’s SWAG enlargement procedure is performed under topical and local anesthesia and takes about 20-30 minutes. Patients can return to normal activity immediately after treatment. In most cases only two injection sites are used with a microcannula technique. Microcannulas offer enhanced safety over multiple sharp needle injections with less chance of bruising.

SWAG Penis Enhancement illustration

Patients see an immediate result and final results are evident after 1-2 weeks. Duration of the results depends on the products used for the treatment. Patients can expect mild to moderate temporary swelling and possible bruising after the procedure. Sexual activity can resume 48 hours after treatment in most cases.

The most popular and long lasting hyaluronic acid penis enlargement injection is Volux. While typical treatments to the face or lips require 1-3 syringes, penile enlargement with Voluma XC requires between 5-15 syringes to the penile shaft and glans (head). Therefore we can offer bulk discounts on the price per syringe when performing penis enlargement with Voluma XC, Juvederm Ultra Plus XC and Radiesse.

Individual results will vary depending on existing anatomy. We suggest scheduling a consultation to discuss your options.

Base treatment starts with 5 syringes of chosen product – see prices below. Patients can choose to add on extra syringes on the same day of treatment at a significant discount.

Vaginal Rejuvenation
Vaginal Rejuvenation

View SWAG Procedure Gallery

Base Price & Add-On Syringes

Volux (Thickest)
First 5 syringes (Small) $7000
Second 5 syringes (Medium) $6500
Third 5 syringes (Large) $6000
Fourth 5 syringes (XL) $6000

Voluma / Radiesse / Restylane
First 5 syringes (Small) $6000
Second 5 syringes (Medium) $5500
Third 5 syringes (Large) $5000
Fourth 5 syringes (XL) $5000

Juvederm Ultra Plus XC*
First 5 syringes (Small) $5000
Second 5 syringes (Medium) $4500
Third 5 syringes (Large) $4500
Fourth 5 syringes (XL) $4500

Small First 5 syringes $5000
Medium Second 5 syringes $4500
Large Third 5 syringes $4000

Bellafill (Longest Lasting)*
First 5 syringes (Small) $8500
Second 5 syringes (Medium) $8000
Third 5 syringes (Large) $7500
Fourth 5 syringes (XL) &7500

*Bellafill requires a skin test 2 weeks prior to treatment.
*Tiered pricing honored for 3 months after initial treatment.

*Dr. Shafer does not recommend bellafill as your first treatment as it’s not reversible.

This is a very common procedure at our office. Please feel comfortable to reach out to our staff by phone or email to discuss details regarding this procedure.

  • *We are now offering special IV anesthesia/sedation for the procedure for a special price of $1200. While anesthesia/sedation is not necessary, that option is available to anxious or nervous patients*
  • *Prices are based on same-day penile enhancement treatment. These prices do not apply to face injections.*
  • *Dr. Shafer does not recommend Radiesse for penis enlargement as there is a higher risk of lumpiness and it is not reversible like the hyaluronic acid products.*
  • *Some patients find that after the SWAG treatment, that even Magnum condoms are not large enough. Here is a link to special order larger condoms. This company is not affiliated with Shafer Clinic Fifth Avenue, but patients have found their products helpful.*


SWAG Frequently Asked Questions (FAQs):

Treatment details:

  • Q. Which product lasts the longest for penis enhancement?

    A. Juvederm Voluma XC is the longest lasting reversible product. This is Dr. Shafer’s favorite product to inject for patients as it’s the thickest of the injectable gels and lasts the longest.

  • Q. What’s the difference between the products?

    A. Injectable products are made of several different products. The hyaluronic acid fillers such as Voluma, Juvederm and Vollure are nice in that they are reversible which gives them the best safety profile. The hyaluronic acid products differ in how long they last and how thick they are. Voluma is the thickest product and lasts the longest. Volbella, which is not recommended for SWAG by Dr. Shafer is the thinnest and lasts the shortest. This product is best for lip augmentation.

  • Q. Do I need to be circumcised?

    A. You do not need to be circumcised. We treat both circumcised and uncircumcised patients.

  • Q. What if I decide that I want Bellafill? What is the process?

    A. Bellafill is a non-hyaluronic acid product made of PMMA and collagen. It requires skin testing prior to treatment, so the treatment cannot be performed the same day as the consultation. An advantage of Bellafill is it lasts longer, but it is not reversible if you decide you don’t want it.

Dr. Shafer’s credentials:

  • Q. How many do you do a week and how long have you been doing this?

    A. Dr. Shafer performs 5 to 10 SWAG procedures per week. About 50% of our patients are from out of town and have traveled as far as Australia, China, and Dubai to have Dr Shafer perform the SWAG procedure.


  • Q. What is the average amount of syringes?

    A. While most patients start with 10 syringes ($9500) we can do as much as 20 syringes per treatment. With more syringes the prices are proportionally discounted.

  • Q. What does the small first, medium second, large third mean?

    A. This is a classification to help determine number of syringes required for the procedure. Men of average size typically start with 10 syringes. Smaller patients may start with only 5, but that is rare. Men who are already larger may do up to 20 or more syringes at a time.

  • Q. What is cost for 12 syringes for first time patients?

    A. The first 5 syringes are $5000. Every set of 5 syringes is an additional $4500 or $900 per syringes. So if you do 12 syringes it would be $5000 + $4500 + 1600.

    We Honor the “add-on” pricing for a group of 5 syringes for up to 2 months after your initial procedure.


  • Q. How far out do I have to schedule?

    A. You can work with one of our coordinators to help find an appointment time that works with your schedule. Generally we can do the consult and the procedure the same day as your appointment.

  • Q. Can I fly in and out the same day?

    A. Yes, many patients fly in the morning and fly home in the afternoon. The consult and procedure take approximately 1 hour total.

  • Q. Is there time at consult for treatment?

    A. Yes, generally, if you choose to more forward, the procedure can be performed the same day.

  • Q. How long does the appointment take from start to finish?

    A. Generally the consult and procedure takes 1 hour total.

After care:

  • Q. How long do I need to wait before intimacy or exercise?

    A. We generally recommend one week.

  • Q. What is the post-care after this treatment?

    A. Dr. Shafer encourages massage of the area where the product is settling. You will be instructed in this at your appointment.

    Local patients go right back to work after the procedure.

Side effects:

  • Q. Any side effects that I should be worried about?

    A. Swelling and possible bruising are the most common, and usually resolve within a week if they occur. We give you a sulumedrol steroid pack which can help the swelling go down faster.

  • Q. Are there any side effects related to loss of sensitivity, erection, or semen quality affecting pregnancy?

    A. The vast majority of patients report either the same sensitivity or enhanced sensitivity and enhanced / thicker erections. We have no studies on semen quality. If you have pre-existing issues such as erectile dysfunction, this is not a treatment for that.

  • Q. How similar does the filler feel to an actual penis? Would it be obvious?

    A. Most patients describe the effect as if their penis gained weight. So imagine a thicker / fatter / heavier penis.

  • Q. And what are the chances of the filler being lumpy in my penis?

    A. While the filler is injected with a long cannula to achieve the smoothest result, the filler can settle differently in different patients. That is why we encourage massage to help keep it even as it is settling. In about 10% of patients, they return after a month for a tweak here or there to help improve symmetry with a few syringes. Some patients do require melting or softening with a special enzyme to help achieve the best symmetry. About 20% of patients return after a month just want more filler. They like the effect so much but want to have even more enhancement.

    Most patients return annually to top off the filler to maintain the results.

  • Q. When will I notice results?

    A. You will notice results immediately, but the filler does expand and you will see the final results at about 2 weeks.


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Patient Testimonials

  • Great Job!

    5 5 Star Rating

    “Really a great job, your technical skill knowing the location and volume provided a very smooth and balanced result”

    by Withheld for Privacy

  • Very impressed as the contour and girth is perfect

    5 5 Star Rating

    Very impressed as the contour and girth is perfect

    by Withheld for Privacy

  • I love how the penis size and shape looks perfectly natural

    5 5 Star Rating

    I really like the enhanced proportional girth, I love how the penis size and shape looks perfectly natural but with an excellent fullness. Added bonuses: given the abundance of skin around the base of the glans, I have a slight foreskin which is great looking and the filler weight and positioning promotes a longer, fuller flaccid length.

    by Withheld for Privacy

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