---
title: "PMMA--&amp;gt; The end-stage of collagen gain - PhalloBoards - Phalloboards"
description: "I have just sent an e-mail to Lemperle about :- 1- When is the final permanent result in regard of collagen gain after PMMA... - Page 2"
url: "https://j4.phalloboards.info/forum/general-phalloplasty-discussion-archive/5567088-pmma-the-end-stage-of-collagen-gain.html?start=15"
date: "2026-08-06T23:17:39+00:00"
language: "en-GB"
---

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#  TOPIC: PMMA--&gt; The end-stage of collagen gain

##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270942323](#1270942323)

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> funnyfarm wrote: Dr C told me the best result he has ever seen to date was with Wade who received one round of 5%. Personally I would probably be a nervous wreck right now if I got 20%, but things worked out with 10% (and Kenalog). Size is okay now, but who knows in 6mo, 6yrs. I guess it all depends on your goals which path to take (size vs aesthetics).
>
> Those damn macrophanges and giant cells, nobody told me about those !

 I'm guessing it was probably the best result he had ever seen because the Girth gains had to have been modest at best, allowing the penis to retain as much natural appearance as possible. Not terribly surprised to hear that.
I admire their approach... to provide Girth in the most realistic looking way possible. However, it can sometimes be at odds with guys who are incredibly eager for significant Girth (like myself). I'd like to think I'm one of the more reasonable guys when it comes to Girth requests, because I wouldn't be surprised if there were folks who wanted 30cc at 30%, something I highly doubt Dr. C would commit to. And from what I gather, it isn't unusual that other bioplasty physicians have gone this route. Even more of a reason I tip my hat off to Dr. C's methodology, one that is conservative and aesthetically-conscious.
As for collagen gains, one thing I failed to do for both Rounds 1 &amp; 2 (shame on me) was not supplement myself either via diet or pills. That is a mistake I don't intend to make Round 3. I'll probably borrow M7's list of supplements.

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##  PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270932341](#1270932341)

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 I have just sent an e-mail to Lemperle about :-
1- When is the final permanent result in regard of collagen gain after PMMA injection ? I am asking this Q. because there is one guy who lost a small amount of collagen after 6 months ??
2- Do you recommend any supplements to be taken just to enhance the growth of the new collagen ?
That was his reply :-
unfortunately, there is no way to increase collagen production - as there is no way to speed up wound healing by stimulating certain fibroblast. The problem with loosing volume of the injected PMMA is the following: Directly after injection, e.g. within the first few days, all cellulose carrier will be absorbed and the body brings in fibrin first, which covers all PMMA. The total injected volume fades to about half ! During the second week to about 3 months, macrophages, giant cells, and fibroblasts invade the PMMA and form a granulation tissue - which has a greater volume then the lasting volume after about 6 months, when most macrophages left, the swelling disappears, and the left over macrophages and fibroblast form a lasting and remaining volume ...after 6 month. That is the reason why I prefer the 30 % PMMA whenever possible since its volume will shrink much less than that of 10 %.... I will fly with Dr. Casavantes to Mexico City on December 1st - and will hear his comments to your question - and report !
best,Gottfried

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270943351](#1270943351)

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 Actually smartman had 30% and Justabitmore had 30% at the base. Neither have complications that I'm aware of. I also believe Fred had 30% of Metacril and did not appear to have complications. I will stick with 20% though I'm tempted to ask for 30% at the pubic bone area. Makes sense to me.

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270963063](#1270963063)

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 Really interesting article.

I wonder if it would be worthwhile to contact Dr. Carlos Ara'jo to hear his reactions to what our research has found - namely that a relatively secure outcome is possible with lower concentration, micro-cannulas, and a skilled hand? I think it's useful to engage with opponents of the procedure too.

But....does anyone speak Portuguese?

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270944377](#1270944377)

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 I received 1 cc of 30% at base so not a huge amount. No complications from that. Regarding Wade. I don't think Dr C meant it was the best results in terms of size (Wade was already 6 EG!) but it just gave him a much more aesthetic look after his Circumcision. Sticking to 10% and 5% for pure enhancement would be my recommendation for the younger (single) average size guy. If you are older with a settled life and not worried about the odd bump or complication and you want a big gun then one round of 10% followed by 20% followed by a touch up if necessary would be my call I would also wait a full 3 months in between. That's what I would do if had to do i over. That said I ain't complaining

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270933882](#1270933882)

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 Dr. Spadafora in Panama does inject PMMA at 30%. But to the best of my knowledge, he is not as experienced as Dr. C. I might consider this guy in Panama later on, after I have tried at least one session with Dr. C.

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270935689](#1270935689)

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 I will be at about 10 weeks past my first session with 10% PMMA. I did lose some Girth gains, I would say about .15" to .20". I can feel it and I can see it even thu is is so small of a change. It sucks loosing any Girth. I am scheduled for a 2nd session in a week or so and I will be requesting 20%...

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270947220](#1270947220)

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 He does... or at least he did. If I were single... I'd already be there. I had my peyronie's correction done in Sao Paulo, Brazil. The women are off the charts! Scha ---

wing!!!!

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270944932](#1270944932)

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 Perfect- I believe I will enact your plan JBM. I had 21+cc of 10%, although I think the Doctor periodically called for 20%(for fill at base?). Not entirely sure, but I will request 20% for another round- now that I'm hearing about this shrinkage issue. Only problem- the 3 month wait. the two month mark fits my schedule best, but I could possibly wait another 2 weeks after that, otherwise it won't be until March (4 1/2 months). Hmmm... can I wait...? I believe I have decided on the second procedure. I don't believe I am witnessing any of this collagen growth (12 days post). Not sure on that. For comparison, I had a similiar volume (within a couple cc's I believe) to M7, but am closer to .5 gain at them moment. He had 20%, I had 10. My aesthetic is good, but feels a little softer than I had hoped when Flaccid.

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270946726](#1270946726)

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 In previous posts, we were told that the 10% will give the same Girth as a 20% but now we are finding that not to be true, Yes? I think we are all still learning about this PMMA thing!

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270934695](#1270934695)

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> imbignow wrote: Well that kind of blows then. Going from having a big penis to not would be a pretty bad feeling.

 You don't necessarily go back to your pre-op size, but rather, your initial gains may not be your final result. In less than 2 weeks I'll be 6 months post-op from Round 1, and I have not dipped below 4.5" MSEG, meaning I have not lost my original gains. I was, however, thicker than this for a good few weeks after my first round, and much of that can be attributed to the swelling.

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270950352](#1270950352)

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 Too all of you guys thinking waiting six plus weeks is hard, i decided i wanted to get my first round last summer but due to work abroad I wont br able to squeeze my appointment in until this summer. Its like twelve months of torture watching all these new threads with everyones brand new shiny thick cocks.

I can only survive as its giving me some extra time to gain some length through manual PE and observe all the findings you guys are having. Maybe by then we'll have found the perfect order of concentrations for maximum growth and appearance conclusively.

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270956259](#1270956259)

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 does anyone have phone number or email for the dr's in brasil?

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270940401](#1270940401)

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> smartman wrote: Lets think about it this way :-
> Definitely a higher conc. will give you more gain than a lower conc. but the lower conc. will give you a better esthetic results and there is no doubt about this.
> In Brazil they have a longer experience in PMMA bioplasty than Dr.C. and almost all of them use 30% for penile Girth enhancement (Dr. Samy Passy said 30% is the best for penile injection and the new collagen and its firmness will feel like a normal penis) it doesn't mean I prefer Dr. Samy more than Dr.C. , no that was not what I ment, I found Dr.C. cares and respect more the esthetic result of our penises and I agree with him absolutely, in the other hand with Dr. Samy you can ask him for more CC's and he wouldn't mind he can inject 25-30 CC's in each round and definitely you will have more Girth, his problem he works alone without a nurse and he prepares everything in his clinic by himself, which I dont agree with him (in his opinion PMMA injection is a simple minor procedure and he can do it alone, as far as I remember he has &gt;10 yrs experience with penile PMMA bioplasty??)
> So I would still go for Dr.C. but in my opinion :-
> 1st round 20%2nd round 20%Then the touch-ups 10% e.g. 10 CC's which I found this will smoothen any irregularities and you won't gain any more Girth with this volume so there will be no risk of over injection and the possibility of having a huge Girth.
> Also e.g. if someone wants to have a permeant EG of 6" he should go for an EG 6.3" in the short term and not less ( so go for e.g 0.3"more than what's your aim)
> What Lemperle has mentioned about the 6 months is the final permanent result it doesn't mean that each patient will have the same period this is an average duration, so there are some guys may be will reach their final result earlier than 6 months .
> We know that the Brazilian's products (e.g. Metacrill or NewPlastic) contain cellulose (as a weaker carrier) and not the bovine collagen (a stronger carrier) (e.g. in Artecoll or Artefill) so that mean the higher concentration of PMMA in the Brazilian's products can produce small lumps than the other products.
> So I think Dr.C. doesn't want to use the 30% because of an esthetic's reason (to avoid any small lumps formation) so both of them have a point :-
> Lemperle:- " higher conc. ---&gt; more Girth". Dr.C. :- "lower conc. ---&gt; better esthetic".
> So thats why I think the best way to do it in each round esp. if someone wants a bigger increase in Girth e.g. 1.5" :- (1) 20% (2) 20% then 10%'s for touch-ups ( I will do it this way)

 Good way of putting it into perspective, thanks Smartman!

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##  Re: PMMA--&gt; The end-stage of collagen gain

   14 years 8 months ago [\#1270934516](#1270934516)

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 That sux! However, there is a small error in Dr. Lemperle's response... > unfortunately, there is no way to increase collagen production - as there is no way to speed up wound healing by stimulating certain fibroblast.

 Wound healing occurs at a faster rate when we are young... I'm sure he would agree with that. That is my "secret" so-to-speak... I'm now up .8" and I'm 10 days out post operative (the low point for most). I think I'll surpass an Inch if my growth continues at this rate.

Don't freak out though... I mean, look at Fred. That dude is huge and he's many years post op. Also, smartman is packing (though he had 30% in Brazil) and is over 5 years out if I'm not mistaken. I also think that if one is a good candidate, they should insist on receiving 20%.

M7x6

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