Penile augmentation (PA) has long captured both clinical and societal interest, reflecting persistent concerns about penile size, aesthetics, and sexual confidence. Across decades, various surgical and nonsurgical techniques have been explored to fulfill this demand, ranging from autologous fat grafting and dermal-fat flaps to synthetic materials such as polymethylmethacrylate (PMMA) microspheres and liquid silicone [1, 2]. Despite their initial popularity, these methods were associated with significant limitations, including asymmetry, reabsorption, nodular formation, granulomatous reactions, and even severe deformities leading to surgical revision [3]. These complications, coupled with variable patient satisfaction, underscored a critical need for safer, minimally invasive, and reversible alternatives in penile enhancement.