Lifestyle Modification & Supplements
Plant-forward nutrition, targeted weight management, and evidence-based (non-booster) supplements to build a healthy hormonal foundation.
FoundationScience-backed. Discreet. Transformative.
Maintaining a healthy and pleasurable sex life is a vital component to a man's overall health, wellness, and self-esteem. Erectile dysfunction affects as many as 30 million men of all ages — and modern, non-surgical solutions exist that actually work. Dr. Anteneh Roba and his team are here to help you reclaim your confidence.
Dr. Roba isn't just a clinician — he's a guide who listens, educates, and partners with you on a long-term journey toward renewed vitality. Patients from across the country travel to his Fairfax, VA clinic for his rare combination of warmth and cutting-edge expertise.
Trained under Dr. Charles Runels — the pioneer of the P-Shot®, O-Shot®, and Vampire Facial® — Dr. Roba brings world-class regenerative protocols such as exosomes and stem cells to Northern Virginia. His philosophy: address root causes, not just symptoms.
The inability to achieve or maintain an erection for a satisfying sexual encounter. At age 40 it affects 40% of men; at age 70, 70% of men. ED is often an early warning sign of cardiovascular disease — and it is treatable.
Understanding the root cause is how Dr. Roba builds your personalized protocol.
Limited blood flow due to cardiovascular disease or diabetes — affects ~70% of ED cases.
Low testosterone, high estradiol, or elevated prolactin levels disrupting sexual function.
Nerve damage from neurodegenerative disease, prostate cancer surgery, or trauma.
Antidepressants, antihypertensives, alcohol, drugs, cigarettes, and environmental toxins.
Performance anxiety and stress — especially common in younger men.
For men who need results now while working on addressing the root cause, Dr. Roba offers a same-visit test dose of a custom vasodilator blend (Trimix/Bimix) — injected directly into penile tissue, producing an erection within 5–15 minutes that lasts 2–3 hours. Up to 90% success rate. A 3-month supply is provided at a single flat fee. As long-term regenerative treatments take effect, ICI gives you your sex life back right away.
A comprehensive, layered approach — combining long-term repair with immediate results.
Plant-forward nutrition, targeted weight management, and evidence-based (non-booster) supplements to build a healthy hormonal foundation.
FoundationLow-intensity extracorporeal shockwave generates new blood vessels at the root cause of ED. 70% improvement in studies. 6–12-session protocol, 15 minutes each, completely pain-free.
Vascular RepairYour own concentrated platelets injected to restore penile tissue function, increase blood flow, and enhance nerve sensitivity. Named for the Greek god of fertility, Priapus. Results last up to 12 months.
RegenerativeA breakthrough: Botox® injected into erectile tissue relaxes penile muscles, boosts nitric oxide, and promotes vessel growth. Works like Viagra but through a different mechanism — with regenerative benefits. Results in 7–14 days, lasting 4+ months.
InnovativeThe frontier of regenerative medicine. Umbilical cord-derived stem cells and targeted peptides that repair damaged tissue at a cellular level for lasting results.
PT-141 (bremelanotide) is a peptide-based therapy that acts on the central nervous system by activating melanocortin receptors involved in sexual arousal. Administered as a subcutaneous injection 30–60 minutes prior to anticipated activity; studied for men and women with sexual dysfunction. Can be enhanced when combined with PDE5i use.
Exosomes are tiny, naturally occurring vesicles that carry proteins, lipids, and genetic material influencing cellular function. In regenerative medicine they support tissue repair, reduce inflammation, and improve cellular health. For ED, exosomes derived from stem cells may improve blood vessel function and nerve signaling within penile tissue. Exosome therapies for ED are still investigational and not FDA approved.
AdvancedLow-dose daily Cialis as a support tool — not a long-term solution, but a bridge while the body repairs itself through regenerative treatments.
SupportiveTestosterone begins declining around age 30. When levels fall too low — a condition called Andropause — the effects touch every area of a man's life, from energy and mood to sexual performance. You don't have to accept this as inevitable.
If you answered yes to any of these, low testosterone may be at the root. A simple blood panel — Total Testosterone, Free Testosterone, SHBG, LH, and FSH — is all it takes to know for certain.
Cypionate / Enanthate
Intramuscular injection — safe, effective, most commonly prescribed.
Testopel
Surgically implanted under the skin — lasts 3–6 months. Set it and forget it.
AndroGel, Testim
Applied daily to skin. Convenient, consistent dosing.
Preparations
Absorbed through nasal mucosa or inner cheek for rapid uptake.
Restored vitality & drive
Improved sexual desire
Lean muscle & strength
Improved focus & memory
Reduced CV risk factors
Less irritability & depression
Stronger skeletal structure
Reduced body fat
TRT is carefully monitored to minimize risks. Potential side effects — such as elevated red blood cell count, testicular atrophy, or estradiol conversion — are manageable with proper dosing and monitoring. Dr. Roba will discuss all considerations candidly at your consultation.
For men that are too young to be on testosterone or for any other reason, other options are SERMs (Clomid, Enclomiphene) and peptides like Kisspeptin.
Non-surgical solutions for men seeking to enhance girth, aesthetics, and confidence. Dr. Roba offers two distinct, clinically proven approaches — both performed in-office with minimal downtime.
A minimally invasive procedure using FDA-approved dermal fillers to increase penile girth and improve aesthetics. Dr. Roba uses a refined injection technique to distribute filler evenly for balanced, natural-looking results.
A penile nerve block ensures maximum comfort before Dr. Roba uses a fine needle and cannula to carefully inject and sculpt the filler into the shaft — a procedure that takes under 60 minutes.
Dr. Roba reviews your medical history and aesthetic goals to select the ideal filler type and volume for your anatomy.
A targeted nerve block is administered to ensure the procedure is completely comfortable.
Using a fine needle and cannula, Dr. Roba injects and distributes filler into targeted areas for balanced, natural results.
Minimal downtime. Most patients return to daily activities shortly after treatment.
Months for most fillers (Voluma, Radiesse)
Months — up to 5 years of results
Minutes from start to finish
Back to normal next day. Heavy lifting & sexual activity 2–4 weeks.
Fat transfer to the penis, also known as penile fat grafting or penile augmentation with fat transfer, is a cosmetic surgical procedure designed to increase the girth of the penis (not length). It involves removing fat from one area of the patient's body through liposuction, and then injecting that fat into the penis to enhance its size and appearance.
The first step involves the extraction of fat from a donor area of the patient's body, such as the abdomen, thighs, or flanks.
We use a punch biopsy to create an opening (not an incision) in the chosen area and insert a thin tube (cannula) connected to a vacuum device. Dr. Roba then carefully removes excess fat through gentle suction. Beautifill laser liposuction uses 1470 nm laser to remove the fat without damaging it; the machine then separates the fat from blood and fibrous tissue. Studies show Beautifill preserves 95% of the fat vs 40–50% with regular liposuction.
The extracted fat is processed to purify it, separating it from any blood, oil, or other impurities. This purified fat is collected in a sterile container and prepared for injection.
Dr. Roba injects the purified fat into the penile tissue in a controlled and precise manner. The goal is to create a natural and symmetrical increase in penile girth.
Once the fat has been injected, no incision closure is needed on the penis.
Patients typically experience some swelling and discomfort after the procedure, which can last for a few days. Follow post-operative care instructions including prescribed pain medication and abstaining from sexual activity during the initial healing period.
Over time, some of the injected fat may be absorbed by the body, but a portion will usually remain — providing a permanent increase in penile girth. Final results can typically be seen after a few weeks once swelling has subsided and the fat has settled.
While penile fat transfer is an option for increasing penile girth, it is a surgical procedure and carries potential risks and complications. Patients should carefully consider their options, consult with a qualified and experienced doctor, and make an informed decision. Results can vary; not all individuals may be suitable candidates.
Dr. Roba's approach to penile enhancement — he understands anatomy, symmetry, and the art of natural-looking results. You'll receive exceptional care in a private, discreet setting where your comfort and goals are the priority.
Discreet consultations available in Fairfax, VA. Patients welcome from across the DMV and nationwide. Dr. Roba will build a protocol tailored to you.
(703) 992.9815Zinnia Aesthetics & Anti-Aging Clinic — Fairfax, Virginia