P-Shot vs Penile Fillers: Which Gives Better Results for Men?

Written by Dr Shirin Lakhani MBBS MRCGP DRCOG — GMC No. 4634863 | CQC-Registered Practitioner | Medical Director, Elite Aesthetics, Near London | UK Trainer for the P-Shot

Two of the most talked-about non-surgical treatments for male enhancement in the UK are the P-Shot and penile fillers — yet they are fundamentally different procedures with different goals, different mechanisms, and very different ideal candidates. The confusion between them is understandable: both are delivered by injection, both are performed in a clinical setting, and both are claimed to improve men’s sexual confidence and satisfaction. But choosing the right treatment depends entirely on what you are actually trying to achieve.

At Elite Aesthetics in Near London — Dr Shirin Lakhani is a UK Trainer for the P-Shot and an experienced practitioner in male intimate health treatments. In this guide, she sets out an honest, clinically grounded comparison of both options — so you can make the right decision for your body and your goals.

What Is the P-Shot?

The P-Shot — or Priapus Shot — is a regenerative treatment that uses platelet-rich plasma (PRP) derived from the patient’s own blood. A small blood sample is taken, spun in a centrifuge to concentrate the growth-factor-rich platelets, and then injected into specific areas of the penis. The growth factors in PRP stimulate tissue regeneration, new blood vessel formation, nerve repair, and collagen production — resulting in improved blood flow, enhanced erectile quality, increased sensitivity, and modest improvements in size as a secondary effect. Dr Shirin Lakhani is a UK Trainer for the P-Shot and has performed the procedure on hundreds of men at Elite Aesthetics.

What Are Penile Fillers?

Penile fillers — most commonly hyaluronic acid (HA) gels — are injectable dermal fillers introduced beneath the skin of the penile shaft to increase girth. Unlike the P-Shot, penile fillers do not improve erectile function or blood flow; they work mechanically, adding physical volume to increase circumference. Hyaluronic acid is a substance naturally found in the body and is the same class of filler used in facial aesthetics. You can read more about our penile filler clinics in London and Kent in our dedicated guide.

Hyaluronic acid is biodegradable, gradually absorbed over 12–18 months, and — crucially — reversible using hyaluronidase. A 2024 study in the Journal of Sexual Medicine involving 155 men found HA penile injections produced an average girth increase of 1.8cm, with men receiving four or more sessions achieving an average of 2.95cm additional circumference.

P-Shot vs Penile Fillers: Side-by-Side Comparison

Here is a direct comparison of the two treatments across the key criteria that matter most to men considering either option:

Which Gives Better Results? The Honest Answer

“Better results” depends entirely on what you are trying to achieve. If your goal is to improve erectile function, increase sensitivity, or address Peyronie’s disease, the P-Shot is the more appropriate treatment. Penile fillers will not help with any of these concerns. If your goal is a visible, measurable increase in girth — and your erectile function is already good — penile fillers deliver a more direct and quantifiable result. If you are curious about typical size expectations, our guide on average penis size in the UK provides useful context. Many men at Elite Aesthetics ask whether they can have both treatments. The answer is yes — the P-Shot and penile fillers target different outcomes and can be complementary. Dr Shirin Lakhani assesses each patient individually and will help you identify which treatment — or combination — is most likely to meet your specific goals.

Who Is a Good Candidate for the P-Shot?

• ✅ Men experiencing erectile dysfunction or reduced erection quality
• ✅ Men with reduced penile sensitivity
• ✅ Men with Peyronie’s disease (curved penis)
• ✅ Men who want to enhance sexual performance without a foreign substance
• ✅ Men who have tried ED medication with limited success
• ✅ Men in good general health with no uncontrolled bleeding disorder
• ❌ Not primarily a girth enhancement treatment — manage expectations accordingly

Who Is a Good Candidate for Penile Fillers?

• ✅ Men with good baseline erectile function who want increased girth
• ✅ Men who want a visible, measurable result within days of treatment
• ✅ Men who want a reversible option they can discontinue if desired
• ✅ Men in good general health with no active penile skin conditions
• ❌ Not suitable for men with poor erectile function — fillers will not improve this
• ❌ Not suitable during active Peyronie’s disease flare or penile infection

Safety: How Do the Two Treatments Compare?

Both treatments, when performed by a qualified medical practitioner in a CQC-registered clinic, carry a low risk profile. The P-Shot carries essentially zero risk of allergic reaction because it uses the patient’s own blood. Side effects are typically limited to mild bruising or swelling that resolves within a few days — there is no risk of lumping, migration, or granuloma formation.

Hyaluronic acid penile fillers are the safest class of filler for this purpose. Risks include temporary swelling, bruising, and — in rare cases — uneven distribution or infection. A 2025 case series published in PubMed highlighted granuloma formation as a rare complication of non-HA filler types, reinforcing the importance of using only reversible hyaluronic acid in experienced hands.

At Elite Aesthetics in Near London — all male intimate health treatments are performed by Dr Shirin Lakhani (GMC: 4634863) in our CQC-registered clinic. Patient safety, honest consultation, and realistic outcome-setting are the foundation of everything we do.