Penis Fillers VS Surgery: Which Is Right For You ?

When considering penis enhancement, men often wonder whether to choose surgery or fillers. At Moorgate Andrology, we prioritise long-term, effective solutions — which is why we present surgery as the most reliable option while also explaining how fillers can be used strategically for temporary or complementary enhancement.

This guide covers procedures, results, recovery, costs, risks, and patient suitability, helping you make an informed decision.

I speak to many guys every week who are considering a penis enlargement procedure, but they cant decide on the best way forward for them. they struggle to see through the pros and cons of both procedures. That's what I here for of course, but I thought it would be a good idea to wrote this blog to explain the key differences between the two options to help guide your thoughts and make sure that you choose the right option for you,

Why Choose Surgery First

Penis enlargement surgery
offers:

• Permanent results — unlike fillers, surgical enhancement is long-lasting. This is one of the main reasons guys choose surgery. Also , if you want your penis lengthened then this is the right choice. If you do this then you will do the girth enhancement with a fat transfer at the same time, then you have a permanent result in both.

• Greater girth and length potential — ideal for patients seeking significant improvement. There is nothing else that you can do that will increase your penis size more than length and girth surgery 

• Predictable, natural-looking outcomes — when performed by experienced surgeons. Many guys like the idea of the surgery because the whole process is natural. We are using your own fat, not synthetic materials and cutting existing ligaments to make the penis longer

• Comprehensive treatment — both lengthening and girth enhancement are possible. It is this combination option that marries so well together, its not just about the girth

At Moorgate Andrology, our surgery-first approach ensures patients achieve maximum impact safely and effectively. Fillers can be considered afterwards for minor adjustments or temporary testing.

Overview of Penis Fillers

Penis fillers
involve injecting hyaluronic acid into the shaft to increase girth temporarily.

Key points:

• Minimally invasive with little downtime. They are a " quick fix" to increase penis girth with little disruption to daily life

• Results last 12–24 months. They will always need topping up, they are temporary, so ongoing costs are inevitable

• Can be used to trial enhancement or complement surgery. Some guys start with filler and then go on to do the surgery later. A bit like dipping the to in the water before jumping in with both feet. About 40% of all patients who start with filler go on to do the surgery at some point

• Typically increases girth by 1–2 inches. There is a significant increase in flaccid and erect girth with a fat transfer since the fat is thicker than hyaluronic acid filler

While fillers are safe and effective for temporary enhancement, they are not a substitute for permanent surgical results.

Comparing the Two Options

This table shows why surgery is the definitive solution, while fillers remain a secondary or complementary option.

Who Should Consider Fillers

Fillers are ideal for men who:

• Want a short-term enhancement or testing a penis enlargement 

• Wish to “test the waters” before committing to surgery

• Desire minor girth enhancement without downtime

Fillers can also be used after surgery to refine results or address minor asymmetry. Many guys top up later in life with dermal filler after the surgery, just as many men go for the surgery after they have had filler

Recovery and Aftercare

Surgery Recovery:

• Light activity: 1 week

• Full recovery: 6 weeks

• Sexual activity: 6 weeks

Filler Recovery:

• Minimal downtime (24–48 hours)

• Mild swelling or bruising may occur

• Sexual activity can typically resume after 7 days

Cost Considerations

• Surgery: Higher upfront cost but permanent results. Surgery is significantly cheaper than fillers in the medium to long term

• Fillers: Lower cost per session but require ongoing maintenance. If you are on a tight budget they can be an early entry option into penis enlargement

At Moorgate Andrology, we provide transparent pricing and help patients plan treatments according to their goals and budget.

Making the Right Choice

• If your goal is long-term, significant enhancement, surgery should be your first consideration. Ask yourself if you want your penis longer, if the answer is yes then surgery will be your preferred route

• If you want to experiment with minor girth improvements or test enhancement before committing, fillers can be useful.

• Many patients choose a combined approach: surgery first for major enhancement, followed by fillers for refinement.

Next Steps

Book a confidential consultation at Moorgate Andrology to discuss:

• Whether surgery is right for you

• How fillers could complement surgical results

• Tailored plans for safe, effective, and natural enhancement