Combination Protocol · Non-surgical · Length & Girth
P-Max™
The complete natural
enhancement protocol
P-Max combines P-Long (regenerative length and girth protocol) with P-Thick (immediate DermaPRP girth enhancement) into a single comprehensive program — delivering both immediate results and long-term biological improvement using nothing but your own platelet-rich plasma.
P-Max™ is a proprietary combination protocol developed by Prestige Medical Group. It integrates two established PRP-based treatments — P-Long Protocol™ and P-Thick™ — into a structured multi-phase program.
Overview
What is P-Max™?
P-Max is not a standalone treatment — it is a combination protocol that brings together two distinct PRP-based approaches into a single coordinated program. By integrating the immediate volumizing effect of P-Thick with the gradual regenerative lengthening of P-Long, P-Max addresses both dimensions of enhancement simultaneously.
The result is a protocol that delivers something most enhancement options cannot: immediate visible girth improvement from the first session, alongside a six-month program driving progressive length and girth development through biological tissue change.
Everything in P-Max uses autologous PRP — your own blood, processed in different ways for different purposes. No synthetic fillers, no implants, no foreign materials of any kind are introduced.
P-Thick alone gives immediate girth but is temporary (9–12 months) and does not address length. P-Long alone gives gradual length and girth but takes months and requires daily participation before any visible change.
P-Max combines them so that the patient has immediate visible results from day one, while the underlying P-Long protocol is building longer-lasting biological change in parallel.
The combination also means both girth and length are being addressed simultaneously — something neither component achieves as effectively on its own.
The two components
What P-Max is built from
Each component has its own full treatment page. Click the links below to read the detailed breakdown of how each one works.
Thermally processed PRP engineered into a gel-like consistency for immediate volumizing effect — providing visible girth enhancement from the first session without synthetic filler material.
A structured six-month regenerative program combining PRP injections, daily traction, vacuum pump therapy, and nitric oxide supplementation to drive gradual biological tissue expansion.
Protocol structure
How the two phases work together
P-Max is structured in two phases that run in parallel — not sequentially. The immediate enhancement and the regenerative protocol begin together and progress simultaneously.
Immediate Enhancement
DermaPRP (P-Thick) is injected during the first session, providing immediate girth enhancement. This gives the patient visible results from day one while the regenerative protocol begins to take effect over the following months.
Approximately 1 week of downtime follows the first session. This is the only significant recovery period in the protocol.
Regenerative Growth
The P-Long protocol begins alongside Phase 1 and runs for approximately six months. PRP injections are administered across 6 sessions spaced roughly 4 weeks apart. Daily traction and pump therapy continue throughout, building gradual length and sustained girth improvement.
Patient compliance with daily device use is the primary driver of P-Long outcomes. Results develop progressively — most men see meaningful change at the 3–4 month mark.
Consultation & planning
Goals review, expectations discussion, protocol customization, and eligibility assessment including lifestyle factors
P-Thick injection + P-Long begins
DermaPRP administered for immediate girth. Daily traction and pump protocol begins. ~1 week recovery from injection
Ongoing PRP + daily protocol
PRP injections every ~4 weeks. Daily home protocol continues throughout. Progressive length and girth development builds
What P-Max addresses
Benefits across three dimensions
Is it right for you?
Who is a good candidate for P-Max
P-Max requires both willingness to commit to a six-month daily protocol and a medical profile suitable for PRP-based treatments. Candidacy should be assessed in a full consultation.
Want improvement in both length and girth — not one dimension alone
Want immediate visible results alongside a longer-term program
Prefer a fully natural approach — no synthetic fillers or implants
Are able and willing to commit to daily device use for six months
Do not use nicotine or marijuana (which impair regenerative outcomes)
Have good baseline vascular health and realistic expectations
Common questions
Frequently asked questions
Is P-Max a separate treatment from P-Long and P-Thick?
No. P-Max is a combination protocol — not a standalone treatment. It integrates P-Long and P-Thick into a single coordinated program developed by Prestige Medical Group. If you want to understand how either component works individually, read the P-Long and P-Thick pages in full before deciding on P-Max.
How much downtime does P-Max require?
The only significant downtime is approximately one week after the first session, primarily related to the P-Thick injection. Subsequent PRP sessions within the P-Long protocol typically have minimal to no downtime. Daily home protocol (traction and pump) continues throughout but does not require time off work or activity restrictions.
When will I see results?
The P-Thick component delivers immediate girth enhancement after the first session. The P-Long component builds gradually — most men notice meaningful length and girth changes at the 3–4 month mark, with continued improvement through the full six months. Full results are assessed at protocol completion.
How long do P-Max results last?
The P-Thick girth enhancement lasts approximately 9–12 months before naturally reabsorbing. The regenerative changes from P-Long may be longer-lasting, as they reflect structural tissue change rather than temporary volume. Long-term maintenance data is still evolving. Many men choose periodic maintenance PRP sessions after completing the initial protocol.
Why does nicotine disqualify candidates?
P-Long relies on healthy blood flow, tissue oxygenation, and cellular regeneration. Nicotine — including tobacco, vaping, and nicotine replacement products — and marijuana impair circulation and oxygen delivery, directly undermining the mechanisms the regenerative component depends on. Providers typically require nicotine and marijuana cessation before and throughout the protocol.
Can P-Max be combined with shockwave therapy or TRT?
Yes. Shockwave therapy is commonly added to support vascular health alongside the PRP components. Testosterone replacement therapy (TRT) may also be considered as part of a comprehensive men’s health plan. Any additions to the protocol should be discussed with and managed by your provider.
The components in detail
Read the full pages for each component
Find a P-Max™ provider
P-Max is offered by Prestige Medical Group and select verified providers. Search our directory or join the forum to hear from men who have completed the protocol.
This page is for informational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. P-Max™ is a proprietary protocol developed by Prestige Medical Group. Always consult a licensed physician before pursuing any medical procedure. Results vary by individual and are not guaranteed. Reported averages reflect published protocol data and do not represent typical or expected outcomes for all patients. PhallusMD does not endorse specific providers or guarantee clinical outcomes.