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However, since 2000, various soft fillers for minimally invasive procedures have been approved by the FDA, leading to several trials of dermal fillers that offer a less invasive alternative to the traditional surgical interventions for PGE. As a result, we achieved a high satisfaction rate for penile appearance during the post-injection follow-up period. These patients might suffer from a penile dysmorphophobic disorder, which might lead to poor satisfaction with penile enlargement treatment due to their unrealistic expectations of penile size .