Combination Protocol · Non-surgical · Length & Girth
P-Max™
The complete natural
enhancement protocol
P-Max combines P-Long (the regenerative length-and-girth protocol) with an immediate girth component — either P-Thick (DermaPRP) or an HA filler placed using the UroSculpt technique — into a single coordinated program delivering both immediate results and long-term biological improvement.
P-Max™ is a proprietary combination protocol name coined by Prestige Medical Group. It pairs P-Long Protocol™ with an immediate-girth component — the specific material used (autologous DermaPRP or an HA filler) is selected with your provider based on your goals.
Overview
What is P-Max™?
P-Max is not a standalone treatment — it is a combination protocol that brings together two coordinated elements: an immediate girth component (P-Thick, or an HA filler placed with the UroSculpt technique) and the six-month P-Long regenerative protocol. Together they address both dimensions of enhancement at once.
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.
The P-Long component of P-Max is entirely autologous — your own blood, PRP, and biology. The immediate-girth component may also be autologous (P-Thick) or may use an HA filler product, depending on which option you and your provider select. Your provider can walk you through the tradeoffs of each.
An immediate-girth treatment alone (P-Thick or HA filler) gives visible results right away but is temporary and doesn’t 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 the patient has immediate visible results from day one, while the underlying P-Long protocol builds 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.
P-Thick™ (DermaPRP) or HA filler — UroSculpt technique
The immediate-girth portion of P-Max uses either thermally processed autologous PRP (P-Thick) or an HA filler, placed using the UroSculpt injection technique. Either option provides visible girth enhancement from the first session; your provider will discuss which material fits your goals, budget, and preference for autologous vs. 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.
On the material choice: UroSculpt refers to the injection technique used for the filler-based option, not a specific filler product. Ask your provider which HA filler product they use with this technique, and how its reversibility and longevity compare to P-Thick, before deciding between the two immediate-girth paths.
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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
Your chosen immediate-girth material — DermaPRP (P-Thick) or an HA filler via the UroSculpt technique — is injected during the first session, providing immediate girth enhancement. This gives 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, immediate-girth material selection, and eligibility assessment including lifestyle factors
Immediate-girth injection + P-Long begins
P-Thick or HA filler 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
Are open to discussing whether autologous PRP or HA filler suits their immediate-girth goals
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 name coined by Prestige Medical Group — not a standalone treatment. It pairs the P-Long protocol with an immediate-girth component, which may be P-Thick (DermaPRP) or an HA filler placed using the UroSculpt technique, depending on what you and your provider choose. If you want to understand the P-Long protocol in depth, read that page in full before deciding on P-Max.
Do I choose between P-Thick and HA filler for P-Max?
Yes. The immediate-girth component of P-Max can use either P-Thick (your own thermally processed PRP) or an HA filler placed with the UroSculpt technique. UroSculpt is the name of the injection technique, not a specific filler brand — ask your provider which filler product they use and how it compares to P-Thick on longevity and reversibility.
How much downtime does P-Max require?
The only significant downtime is approximately one week after the first session, related to the immediate-girth 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 immediate-girth component (P-Thick or HA filler) delivers visible 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?
If you chose P-Thick, that girth enhancement lasts approximately 9–12 months before naturally reabsorbing. If you chose HA filler, longevity depends on the specific product used — ask your provider. 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 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 regenerative 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.
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Key source (P-Long component): Brandeis, Lu, Malik & Runels, “Increasing Penile Length and Girth in Healthy Men Using a Novel Protocol: The P-Long Study,” Journal of Sexual Medicine (2023) · Study registration, ClinicalTrials.gov (NCT04231422)
This page is for informational purposes only and does not constitute medical advice, diagnosis, or treatment recommendations. P-Max™ is a proprietary protocol name developed by Prestige Medical Group. Always consult a licensed physician before pursuing any medical procedure. Results vary by individual and are not guaranteed. Reported P-Long averages reflect a small, non-randomized pilot study (Brandeis et al., 2023, n=29) with no control group, and do not represent typical or expected outcomes for all patients. PhallusMD does not endorse specific providers or guarantee clinical outcomes.
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