The Hard Science Behind Male Enhancement with Dr. Joel Pash

Many men are overwhelmed by the sheer amount of enhancement options available, leading to confusion and potentially harmful decisions. Dr. Pash offers valuable insights into the modern landscape of penile enlargement, shedding light on both the science behind the procedure as well as the safest and most effective methods. His expertise includes injectable and non-surgical options and he aims to debunk junk-related myths while highlighting the latest research available.

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Website: https://www.upsizematters.com/

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YouTube: https://www.youtube.com/@upsizeclinic

Transcript

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LeNae Goolsby: All right, Dr. Pash. Thank you so much for taking time out of your day to join us.

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joelpash: Thanks for having me nice to be here.

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LeNae Goolsby: Yeah. So I pretty sure we've not had a guest with your level of expertise on this particular topic so far. So I'm sure the listeners will be interested in learning something

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LeNae Goolsby: that we haven't talked about before before we jump in. Can you tell the listeners

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LeNae Goolsby: what

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LeNae Goolsby: was the spark that brought you into passion for penile enlargement.

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joelpash: I don't think there's it's not as exciting a story as you would assume. I'm a anesthesiologist by training.

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joelpash: So that's a lot of injectable procedures. That's the, you know. That's the background that kind of makes this work. I had a business background before I was in medicine. I did management consulting for several years.

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joelpash: So I thought I was just going to be an anesthesiologist. And I just started kind of looking for

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joelpash: really just business opportunities, and

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joelpash: someone I met had told me about this procedure, which I had not heard of. I never thought about getting in a million years. I never thought I would be doing this

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joelpash: but any. Nonetheless, I looked into it. And it turns out it's effective. It works. And there's a need for it so

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joelpash: about 3 years ago started this practice, and it's been growing ever since.

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LeNae Goolsby: And the practice's name upsize matters.

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joelpash: The the practice. So it's there. There's a few layers. We have an actual medical practice. That's just like a doctor's office. So that's a you know, a professional corporation, or whatever, and I work at it, and so does my business partner. There's a franchise that

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joelpash: I own, called upsize, clinic, and upsize clinic is made up of

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joelpash: about at this point. 14 different medical practices run by different doctors.

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joelpash: and each of them do the the Penile enlargement procedure that we've

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joelpash: I don't wanna say invented, but that we've

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joelpash: crafted and perfected, so to speak, a lot of those doctors. Offices do other things, too, just like doctor's offices do like. For example, you're an integrative health practice. So you do all kinds of

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joelpash: things, and I'm imagining, for example, bioidentical hormones is one of them. So in our doctors practices penile enlargements, one of the things they do.

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LeNae Goolsby: Cool. And so

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LeNae Goolsby: those are so it's injectables

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LeNae Goolsby: like dermal fillers for the face, but going somewhere else.

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joelpash: Yeah, ex- exactly. The.

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joelpash: There's different types of dermal fillers that and most of them are in are intended for injection in the face. The ones we use are hyaluronic acid fillers which

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joelpash: typically are indicated for injecting in the cheeks and the lips and around the eyes.

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joelpash: the? So it's the same fillers. They're the. But in this case they're being used to make the penis thicker. Because they're those same fillers.

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joelpash: That's kind of what makes one of the things that makes the procedure safe.

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joelpash: fillers are widely used. They've been used for 15 to 20 years and have a really low risk of complications.

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LeNae Goolsby: What would be? What would be an example of a complication.

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joelpash: Well, anytime. I tell the I tell my patients anytime you have a medical procedure. There's a possibility of a complication

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joelpash: in this case. It's injectable. So

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joelpash: essentially, you have a needle going underneath the skin in your penis. So when you put a needle in something, there's possibility of damaging

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joelpash: things that are around that needle. So, for example, blood vessels, nerves

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joelpash: the skin itself. You can also have an infection

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joelpash: having so so in effect. If if we were to have a complication which is very rare and infection would typically be the thing that

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joelpash: it would be.

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joelpash: Having said that I've probably done

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joelpash: 700 procedures, and I've seen 2 infections, and they both just gone away with.

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joelpash: you know, routine antibiotics.

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joelpash: I've never seen any serious complications from the procedure so compared to other medical procedures, it's actually very safe.

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joelpash: certainly, compared to surgery that does the same thing.

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LeNae Goolsby: Oh, for sure, Trip, you have a thought.

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Trip Goolsby, MD: Well, no, I was. I was actually going back to thinking about

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Trip Goolsby, MD: thinking about. You know, I know there's probably

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Trip Goolsby, MD: some of our listeners are thinking, well, you know, there's a lot of stuff out there on the Internet. And all this stuff, that is.

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Trip Goolsby, MD: you know, I I spend a lot of my time. Debunking

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LeNae Goolsby: Creams.

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Trip Goolsby, MD: Well, all sorts of stuff, pills, creams, whatever I mean.

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Trip Goolsby, MD: I'd really be kind of interested in a little background there, if you've got some. If you've got some things that would help our listeners avoid

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Trip Goolsby, MD: things that really are are worthless, and or have not been proven to be effective. That would be really helpful. Also, I think, the

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Trip Goolsby, MD: I'm certainly interested in the procedure, but I think they're probably people go through a thought process in my mind. At least, I go through a thought process that goes to from wanting to take a pill to then getting into a procedure, and if there, if you have any thoughts there, I'm sure you see it so much more frequently than I do. I'd really love your perspective on it.

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joelpash: Yeah, so that you raise one of the big problems with this business. And and this type of medical practice, which is that

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joelpash: the assumption. When people see penis enlargement is that it's a scam because so many things out there are a scam, and guys will kind of buy or pay for anything that might help.

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joelpash: So I guess basically, you could break it down into pills.

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joelpash: you know, stretching devices and pumps and then medical procedures.

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joelpash: So I think, and within medical procedures, essentially, there's dermal filler procedures. And then there's like some surgical procedures

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joelpash: usually involving implanting some sort of material underneath the skin.

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joelpash: I'm sorry. Go ahead.

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LeNae Goolsby: Oh, no, I was saying. That sounds scary.

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joelpash: It is. Yeah. And not only is it scary because you need to cut open the penis and deglove the skin and all that. But it's essentially

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joelpash: causing the same. It well, it's essentially the same

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joelpash: effect that we're doing just by injecting the material without having to cut anything that, in other words, the material goes in the same space, and is intended to do the same thing.

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joelpash: but we inject it, and they surgeries have to cut everything open and

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joelpash: implant physical things.

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joelpash: Anyways.

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joelpash: Yeah, I mean, you get scarring. You get erectile dysfunction. You you can have

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joelpash: erosion of the thing through the skin, causing infection like they're. They're horrible, in my opinion. But there's as we just alluded to. There's people that will kind of do anything

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joelpash: when it comes to their penis, even if it's a bad idea.

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joelpash: So going back to that, though pretty much all the pills

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joelpash: are probably a scam.

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joelpash: I think some of the so there's no actual prescription, or FDA approved medication. Obviously, to make your penis larger

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joelpash: there. I think some of the pills to the extent that people think they're effective are probably

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joelpash: having some effect on erectile function or like a Viagra type effect. But the problem is, we don't really know what's in them or how it's working, and they're certainly not actually causing the penis to be enlarged.

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joelpash: So there's that

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joelpash: Then you have things like pumps which do cause a temporary increase in the size but do not have any sort of long term effect

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joelpash: stretching devices where you essentially

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joelpash: hook something onto the head of the penis, and it just literally applies stretch over a period of time. So those actually can be actually effective. They sound like it's a torture device.

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LeNae Goolsby: Does sound like a torture device.

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joelpash: But again, people will do anything, even

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joelpash: as far as all the crazy things that people will do that's actually not that crazy like from a medical perspective.

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joelpash: It's essentially a tissue expander. It's applying constant pressure, constant stretch, long term. And eventually, if you do, that tissue starts remodeling, and into that

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joelpash: longer

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joelpash: form factor. So it's the same as the similar concept to if you put on a ton of weight event and you have a bunch of fat. Eventually your skin will just stretch out, and

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joelpash: then, even if you get rid of the fat, it's still going to be stretched out saggy skin. So it's kind of a similar effect. There. It does work. It's a process, and it just gives you a long, skinny penis. It doesn't give you like, right? Exactly. It's it's not so like it works. But it's not like, it's not exactly probably what people are looking for.

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joelpash: They're kind of uniquely

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joelpash: can be synergistic with what we do because we make everything thicker.

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joelpash: And in fact, we used to sell a device that did that but for various reasons, we don't sell it anymore.

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joelpash: So there's that. So in other words, between pills, pumps, and stretchers.

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joelpash: pills are a 0 out of 10 pumps are a 1 out of 10 stretchers are like a 3 out of 10,

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joelpash: and then there's

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joelpash: injectable things. So essentially, you have

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joelpash: prp, or the P. Shot.

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joelpash: the I. I do not believe that works

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LeNae Goolsby: I would like. I would like for you to delve deeper on that, because I hear a lot about that. So why doesn't that work.

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joelpash: Well.

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joelpash: my, I can't say for sure it doesn't work. We'd have to look at. I I don't believe there's any research that shows that that works. At least long term

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joelpash: Prp is

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joelpash: is basically is platelet, rich plasma. So it's your blood that's rich with platelets. I I'm assuming you guys use that. And somehow, in your medical practice.

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joelpash: the issue, like the issue is that there's evidence that Prp works in areas like, for example, joints or tennis elbow, or something like that. And typically that's in

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joelpash: areas that have reduced blood flow. So

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joelpash: the you know, you're injecting growth factors

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joelpash: essentially that are concentrated in the prp, and to usually a closed space where they don't have good blood flow.

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joelpash: And so the thought is that by injecting that you could kind of

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joelpash: encourage

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joelpash: tissue formation or or whatever. Now.

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joelpash: yeah, tissue repair. So where in the prp injected in the penis is injected into the corpus cavernosum.

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joelpash: so Corpus cavernosum is essentially

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joelpash: a big blood vessel. Okay? So it's

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joelpash: almost as if you were injecting you're processing the prp

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joelpash: and then injecting it right back into your vein.

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joelpash: So it's like you're you know. You're taking your blood out. You're processing it, and you're putting it right back into your blood.

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joelpash: Now you're just exactly where you started with a little bit

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joelpash: with without some white blood cells, or whatever.

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joelpash: So

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joelpash: plausibly it doesn't seem like it would do anything. And again. The difference between that and injecting in a joint is the joint doesn't have blood flow.

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joelpash: or at least substantial blood flow. So the prp stays there for a period of time, and has chance to do its effect, but when you put it in the penis, it just immediately almost

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joelpash: recirculates into your

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joelpash: into your

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joelpash: vascular system, and it's not there anymore.

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LeNae Goolsby: Got it.

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joelpash: Plus. I'm not sure that. Yeah, I mean, even if you did like, even if it did stay there, who's to say that platelet

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joelpash: and growth and growth factors is gonna permanently increase the

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joelpash: size and thickness of your penis like that's not necessarily

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joelpash: plausible either.

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joelpash: So anyways, that's my opinion on it.

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joelpash: The the same can be said for injecting prp

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joelpash: into like injecting prp into blood vessels in general.

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joelpash: I just don't see how it would do anything.

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joelpash: then we have injection of things like botox into the corpus cavernosum.

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joelpash: Now.

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joelpash: Botox

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joelpash: works by essentially

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joelpash: killing the neuromuscular.

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joelpash: the

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joelpash: junction right?

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joelpash: So when we inject that we use a tourniquet on a penis, we inject it, and we let it

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joelpash: kind of bathe in that area for about 20 min, and what the Botox does is it causes a decreased

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joelpash: in contraction of cavernosal.

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joelpash: smooth muscle. Okay? So your your blood vessels are made up of smooth muscle, and when they're when the smooth muscle is relaxed.

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joelpash: you get an erection, and when it's constricted, that's your normal state. So

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joelpash: in this case, if you inject Botox, it causes in theory an increase in blood flow. Okay, so that kind of works. And we do offer that

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joelpash: now it doesn't. It's not a permanent thing, and it doesn't actually make your penis bigger. But it

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joelpash: causes more blood flow in there, for, let's say, 6 months, so it makes it

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joelpash: easier to get an erection, and it makes your penis appear larger most of the time.

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joelpash: Then we have Dermal filler which definitely works. You're actually injecting a substance underneath the skin to make it thicker.

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joelpash: So you, you know, you're factually injecting a material in there, and it stays there until your body metabolizes it.

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joelpash: which in our case we're using hyaluronic acid filler

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joelpash: last an average of 2 years in the area that we're injecting it.

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joelpash: Then you have surgeries which again, before they work. But they have quite a bit of risks. They're expensive.

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joelpash: and they're not reversible. So if you do have complications, it could be very difficult

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joelpash: to fix them, and

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joelpash: that, you know, usually need surgery to fix them, and the more surgery you do on your penis, the worse it's gonna be.

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LeNae Goolsby: Yeah, it sounds terrible.

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LeNae Goolsby: What? So you said 1. 1

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LeNae Goolsby: dermal procedure can last up to 2 and a half years.

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joelpash: Oh, can I? I tell people the average is 2 years

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joelpash: in the face, like in the lips, for example, it's usually 6 to 8 months

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joelpash: faces. The lips are very vascular.

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joelpash: So there's a lot of blood flow, and the filler is being injected very close to that vasculature.

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joelpash: Your body has an enzyme that breaks down that filler. So the more blood flow around there, then the faster it's going to be broken down

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joelpash: in the area we're injecting in the penis. It's in in between 2 fascial layers that don't have a lot of blood flow.

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joelpash: The head of the penis has blood flow, and the corpus cavernosum, which is the functional part of the penis, has blood flow, but just the skin, and underneath the skin and stuff is not super vascular.

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LeNae Goolsby: Oh, okay.

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joelpash: So, in other words, where we're injecting it is is not super vascular, so it tends to last a lot longer.

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LeNae Goolsby: Depend.

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joelpash: That's obviously energy.

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LeNae Goolsby: Activity.

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joelpash: Well, it could. Yeah, I mean, well, like not. I don't think sexual activity per se. But I think

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joelpash: people that are more physically active that are running marathons every week, and stuff like that generally have higher metabolisms, and are, everything is being.

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joelpash: you know, broken down and

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joelpash: regenerated faster than in a sedentary person.

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joelpash: but, generally speaking.

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joelpash: it's to do with the blood flow and the level of enzyme that's naturally in your body. So there's an enzyme kind called hyaluronidase, which is what breaks down hyaluronic acid.

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joelpash: Both of those substances are natural to your body so

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joelpash: genetically, some people just have more and some have less, and some people that have more would technically break down that filler faster.

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LeNae Goolsby: Got it.

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joelpash: Which is why there's an average right like if it was. If we're Inj injecting.

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joelpash: you know, I don't know plastic into your

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joelpash: scan. Not that we would, but I'm just using an extreme example if we were. Your body's not breaking it down. So it just lasts the same amount of time, and everyone which is forever right.

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LeNae Goolsby: Right.

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LeNae Goolsby: pass.

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Trip Goolsby, MD: Any any any thoughts about the shockwave therapies and combinations. I mean, we've talked a little bit about the about the Prp and the biologics. I guess there's also a number of places that are doing this thing with the with the shockwave therapy and all that.

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Trip Goolsby, MD: Any thoughts there.

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joelpash: Yeah, the I think my understanding is that it can be effective. It's something we've looked into providing

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joelpash: there are

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joelpash: some details that probably matter mostly like the type of shockwave that's being used.

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joelpash: I think there's quite a variety and equipment that places are using anywhere from a machine that you can buy for $150 on Amazon to

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joelpash: the $50,000 stores machine, which is, you know, surgical hospital grade.

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joelpash: So I don't know enough about the different technologies there, but I would

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joelpash: guess

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joelpash: that

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joelpash: the actual FDA approved. Real machines are likely to be more effective than $150 Amazon ones.

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joelpash: And the thing is that people don't know. Right? So if you say Shockwave, you're offering shockwave.

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joelpash: you're not lying. If you're offering the $150 machine one. But

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joelpash: that's not, you know, it's not necessarily effective. So I think

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joelpash: and again, I'm not the expert on this. But my understanding is there definitely is literature that shows it's effective. And I would guess that it's dependent on what actual

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joelpash: equipment you're using. And the other thing is, depends on the

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joelpash: etiology of your Ed. Right?

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joelpash: If most

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joelpash: I would say, at least in my practice. Now, this isn't the general population, but in my practice. Most people that have Ed is probably psychosomatic. Young, healthy people that for whatever reason, are just having trouble with that. So that's usually

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joelpash: can be helped actually by things we're doing by just making people feel better.

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joelpash: Whereas sorry. Go ahead.

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LeNae Goolsby: Sorry. Well, you bring that up psychosomatic. And I seems like a lot of younger people are on things like antidepressants and

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LeNae Goolsby: adderall and Xanax and all that stuff. Would you say that those have a role to play in somebody experiencing Ed.

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joelpash: Certainly. Yeah. Drugs is one of the causes

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joelpash: a vd, especially

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joelpash: the antidepressants and adderall and all that, as you pointed out. I mean, I just mean in my pop, patient population.

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joelpash: Most of my patients do not take any medications and have like nothing. But yes, and of course, the older you get, the more likely you are to be on some sort of medication.

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joelpash: Certainly, if you're on anything, and you have erectile dysfunction, though that's like

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joelpash: definitely high on the list of

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joelpash: possible reasons that you're having that

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joelpash: So I guess the treatment for someone that has Ed, that's on beta blockers or an antidepressant is to stop taking those medications. But unfortunately, that's not always

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joelpash: realistic.

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joelpash: But if it is that you're on an antidepressant, and you're so where I was going with this is that if you're on an antidepressant, or if you just have.

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joelpash: you know, if you're having a bad year and you have some, you know, performance, anxiety, or depression, or something.

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joelpash: Having shockwave therapy is not go going to do anything for you.

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joelpash: if you're if you have, Ed, because

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joelpash: you're 80 years old, and and you just have regular aging of all your tissue and

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joelpash: mild vascular disease. And and whatever then, Shockwave

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joelpash: might actually be exactly what you need.

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joelpash: And so the older you get, you know the stiff stiffer your blood vessels get, and then that's why you have things like strokes and heart attacks, and

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joelpash: in those. And and you also get Ed. And in those cases Shockwave can be helpful.

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LeNae Goolsby: So. But you're saying a lot of the patients that you see

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LeNae Goolsby: aren't necessarily on

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LeNae Goolsby: chemically altering prescriptions, or whatever, but still may have psychosomatic. Ed, how do you address that.

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joelpash: Well.

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joelpash: it's

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joelpash: so. I I mean, I can't address. I'm not a psychologist.

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joelpash: or is that kind of.

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Trip Goolsby, MD: There is.

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LeNae Goolsby: Yeah.

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joelpash: I can't. I can't. I mean, I basically, there's

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joelpash: my point is that it's it's actually treatable without any medical intervention, right? So it could be that

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joelpash: if you have just some performance anxiety and you get some filler put in your penis. That that solves everything right. I'm not saying I'm not saying it's a treatment for it, and I would never say.

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joelpash: Get this done, and your Ed will go away.

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joelpash: But I'm just saying that when people feel better about themselves, and it is psychosomatic that's clearly going to be helpful.

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LeNae Goolsby: Got it.

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joelpash: And so

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joelpash: I see that all the time right is just

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joelpash: they get this done, and everything's better. And again, it's not because

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joelpash: we directly affected that it's just feeling better helps. So.

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LeNae Goolsby: I'm probably going to regret asking this. But with porn addiction being what it is, do you find that to be a role in Ed issues.

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joelpash: I wouldn't be able to say one way or another, cause I don't.

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joelpash: you know, to. I don't know

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joelpash: how much porn my patients are watching, or if they're addicted or not addicted. And I actually don't know how many of them have Ed or performance anxiety or anything like that. I'm just.

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LeNae Goolsby: Study for you to tell.

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joelpash: Yeah. Well, what I can say is that it

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joelpash: very, almost certainly

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joelpash: affects people's perception of

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joelpash: their size, and where they're at compared to other people, because obviously, what they see on

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joelpash: these, you know, movies or clips, or whatever is like completely not representative of the general population. So

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joelpash: we see

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joelpash: a lot of guys come in and and they've they think they're small. And they're like totally normal, if not even large in size. And so that certainly has something to do with it, and

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joelpash: I always

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joelpash: I I try to address that by.

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joelpash: I'll always tell people like you're totally normal.

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joelpash: Now, if they still want to have a procedure. Anyways, that's great. Everyone.

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joelpash: everyone that's normal can have our procedure and just get better than normal. I mean, that's really what we do, right? But.

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LeNae Goolsby: An up.

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joelpash: Right, but exactly. But but we just don't want people to think that you need this right, that you're like, not normal. And therefore, if you have this done all of a sudden you'll be normal, because that's actually not the way it works.

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LeNae Goolsby: Well, I saw an

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LeNae Goolsby: the site that you actually have a size calculator.

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joelpash: We do?

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joelpash: That is

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joelpash: based on what we think is to be the average length and thickness, and

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joelpash: it's meant to kind of estimate. If you get Filler put in like how much filler you would need to

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joelpash: get to a certain size, and it gives you percentiles.

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joelpash: of course I don't. That's not a scientific calculator. People should not use that.

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LeNae Goolsby: Okay.

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joelpash: Backed. And people do we get text messages all the time, like, should we? Hey? I'm putting my.

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joelpash: you know, penis numbers in this calculator should be erect or flaccid, or what it's like

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joelpash: I don't know. Just put your numbers in and see what it says. Right? It's not. It's not like.

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joelpash: based on scientific studies is just based on our experience of kind of knowing. Okay, if you get this much filler.

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joelpash: what what approximate effect is that going.

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Trip Goolsby, MD: Plus enhancement. You're gonna get this much enhancement.

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joelpash: Right, and and we don't.

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joelpash: I'm very careful not to guarantee

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joelpash: that X amount of filler is going to give you y amount of

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joelpash: in Greece.

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joelpash: I and my other doctors have experience to kind of be able to estimate. But everyone's different. So

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joelpash: it's.

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joelpash: it's basically like

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joelpash: the the calculation. Well, it's not a calculation, but what I explained to people is

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joelpash: the

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joelpash: starting size of your penis is dependent on

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joelpash: ha! Of the effect that the amount of filler is going to get. So the analogy is like, if you take a balloon and it's

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joelpash: at its like small size that comes out of the package, and you put in one breath of air. It'll triple the size of the balloon

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joelpash: if you take an already blown up balloon, and you put a breath of air, and it does nothing. So

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joelpash: the analogy is like, if you have a super huge penis and you get a little bit of filler.

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joelpash: it's not gonna do anything, or it'll be very minor. But if you have a really small penis and you get that amount of filler, it might

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joelpash: substantially increase the size.

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joelpash: because you're just putting a material in a, you're putting material in the penis. So it's going to get the amount bigger.

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joelpash: As the volume of filler you're putting in

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joelpash: right.

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LeNae Goolsby: So what

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LeNae Goolsby: you said people will do, men men, let's be clear. Men will do anything.

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LeNae Goolsby: To have a better penis experience. So what are the

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LeNae Goolsby: most radical

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LeNae Goolsby: things that you've experienced in your practice.

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joelpash: Well to be clear. That doesn't mean all men will. That means there are. There are men that will do anything.

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LeNae Goolsby: Right, right.

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joelpash: Okay. But it would be.

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LeNae Goolsby: Man, not a woman. I'm just saying.

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joelpash: Well, I've seen, I do, and I'm an anesthesiologist, and I work in San Francisco, and I've seen

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joelpash: all kinds of things that women will do to get penises and vice versa. But but that's just I've digressed there. That's not what we're talking about.

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joelpash: the

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joelpash: really, the extreme thing that people do is get these silicone implants, put in.

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joelpash: it's

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joelpash: it. It's extreme. Because if you, almost everyone I see has a normal size penis.

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joelpash: by definition. Right? Like Mo, 99%. People have normal size penis. So

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joelpash: I, I do have guys come in and they've

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joelpash: got these silicone implants put in, and they're just. They disfigure everything and make it look not natural.

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joelpash: and it in order to put those in like I said, the skin has to be cut and degloved, and then this thing has to be put in, and it

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joelpash: then sewed back in. And so it's just a very

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joelpash: kind of

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joelpash: extreme way to get a little bit thicker.

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joelpash: never do surgery on a normal part of your body right like

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joelpash: it's like, would you? It's kind of like saying, my knees are just fine, but I'm gonna get a knee replacement because maybe they'll last a little bit longer. Well, that's a horrible idea, right?

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LeNae Goolsby: Sure.

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joelpash: And it's not exactly the right analogy, but it's similar to that. Just don't touch it. If it's working fine

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joelpash: with surgery, with injectables that's different.

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LeNae Goolsby: Yeah.

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LeNae Goolsby: trip. Do you have anything else.

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Trip Goolsby, MD: It ain't broke. Don't fix it

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Trip Goolsby, MD: exactly.

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joelpash: I like that.

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LeNae Goolsby: So funny. Well, what is one thing that you would like the listener to know.

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Trip Goolsby, MD: I did have.

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joelpash: Oh!

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Trip Goolsby, MD: Question, one more question. Yeah, go ahead.

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LeNae Goolsby: I just asked you if you had a question.

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Trip Goolsby, MD: Yeah, well, I I it just it just popped up. So sensitivity and all of that, I guess. Any. Have you had any reflections after after

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Trip Goolsby, MD: the filler placement, any any change in sensitivity, or any

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Trip Goolsby, MD: any thoughts, after, you know, kind of post procedure?

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Trip Goolsby, MD: Complaints.

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joelpash: Not complaints actually, by injecting filler and making the penis thicker, people get more sensation.

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joelpash: Their skin is not more sensitive, but the

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joelpash: cylinder that they're using is filling the hole that it's

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joelpash: fitting in

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joelpash: more tightly, right? So there's more contact pressure.

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joelpash: so in other words, that gives you more sensation.

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joelpash: on on the other hand, some of these surgeries absolutely decrease sensation because you're cutting the skin right? So you just cut through all the nerves.

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joelpash: We don't cut anything. So

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joelpash: no, the sensation is good.

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joelpash: What I would like people to know is that this procedure that we do

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joelpash: is it's fairly low risk. It takes about

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joelpash: 45 min to an hour.

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joelpash: And it's not meant for people that have.

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joelpash: you know. Well, I shouldn't. What I should say is that

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joelpash: it's meant for people with a normal penis. Now, a normal penis can be 3 inches long and 3 inches thick, and it can be 9 inches long and 9 inches thick.

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joelpash: Everyone can benefit some amount by

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joelpash: getting Dermal Filler put in. It's enhancing what you already have.

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joelpash: So that's the important thing to note. Don't. Don't look at this and say, Oh, I'm fine. I don't need anything like.

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joelpash: yeah, you don't need anything. But people that get this done

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joelpash: increases their sex life confidence

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joelpash: increases their appearance, and it's something that if you do, you can have more fun and

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joelpash: just make yourself

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joelpash: feel better. And

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joelpash: this is similar to women getting breast implants or getting filler put in their lips or face. Right? It's it's not necessarily that there's anything wrong. It's just something to enhance yourself.

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LeNae Goolsby: Very cool.

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LeNae Goolsby: and then where can the listener find more about you and your services?

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joelpash: Well, we have a website. Www, dot upsize matters.com.

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joelpash: if you go to that website, there's obviously all sorts of information on the procedure. There's some videos, there's a link to

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joelpash: podcasts, including this one.

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joelpash: there's a doctor, finder page where you can enter the city closest to you and it'll show you who the doctor is in in your area.

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joelpash: Also, there's pricing information, and you can book an appointment on the website, or you can call or text us with the information that's on there.

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LeNae Goolsby: Awesome. And listener obviously have that information in the show notes as well.

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LeNae Goolsby: All right. Well, Dr. Pash, thank you so much. Learned a lot of things I never knew. I never knew.

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joelpash: Thanks for having me. It was fun.

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LeNae Goolsby: Awesome. Alright. Listen.

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Trip Goolsby, MD: So thanks, so much.

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LeNae Goolsby: Educational, informational, and somewhat entertaining, and until next time.