---
title: "Avanti Derma JANUARY *Fourth* Round - PMMA Journey ! - PhalloBoards - Phalloboards"
description: "3 Rounds (2019) I already had with Avanti Derma - Pmma Now I had my Session 4 - yesterday. This ll be my Journey-Documentary. C A S E: Empty Area In all 3..."
url: "https://j4.phalloboards.info/forum/progress-reports-the-patient-support-group/10155665-avanti-derma-january-fourth-round-pmma-journey.html"
date: "2026-08-06T16:03:09+00:00"
language: "en-GB"
---

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#  TOPIC: Avanti Derma JANUARY \*Fourth\* Round - PMMA Journey !

##  Avanti Derma JANUARY \*Fourth\* Round - PMMA Journey !

   2 years 6 months ago [\#1308715604](#1308715604)

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 3 Rounds (2019) I already had with Avanti Derma - Pmma

Now I had my Session 4 - yesterday. This ll be my Journey-Documentary.

**C A S E: Empty Area**
In all 3 sessions a pretty large area remained pmma-empty (or significant less pmma / squishy)

Potential reason: I had a history of FFT (2018). So maybe this could be the reason the filler could not settle there properly.
Arguments *against* this Hypothesis: a) There are tons of good reviews of people who got FFT and after that a good Pmma result. b) The even bigger argument: There are also Clinics who do FFT &amp; PMMA togheter for example with BellaFill - intention: To reduce the total costs. [ phalloboards.info/forum/general-discussi...pmma.html#1308715311](https://phalloboards.info/forum/general-discussion/10154180-bellafill-vs-other-pmma.html#1308715311)

BUT - To be fair: Casavantes tells us already - People with history of FFT are not the ideal candidate. Otherwise on the website it‘s written a bit different.
*„(…)Autologous fat transfer typically results in irregularities but develops a light degree of fibrosis that facilitates soft tissue fillers’ implants. These patients are good candidates for phalloplasty.“*

*Why I come back ‚so late‘ with my issue ?*

In the years meantime I was not „unbusy“. I was loose-cut before and I wanted to become the ideal candidate. Patience &amp; Effort: 3 Operation I had — To get the shaft-skin tight like I have it now.
Penile Webbing surgery (has also subtle effect on your shaft skin) + distal (low) tight-cut. This effort was in the years: •2020 / •2021 / •2023 (!)

@Tight cut Advantages:
**A**. You make it your doctor so much easier to install the implant with a tight cut. Also it‘s the recommendation of Dr. Casavantes.

**B**. Settle-Time of the Filler (the first days) Especially in my case (empty area) I want to reduce migration significantly with that tight cut. So the product stays where it has been injected.

**C**. Usage: Filler gets nice compressed while erection.

*Why Avanti Derma again?*

S E R V I C E
In all this years there popped up a lot of alternatives &amp; new Pmma Options.
Why I decided to go to Avanti Derma again: The Service.

To give an example: ..(As I said -in all my 3 sessions this area remained empty/squishy).. **Service**: When In Session 3 -as part of the aftercare appointments- Dr. Casavantes saw that this area again could not hold any pmma. He suggested proactive (!) that I can come the next day again (**costless**!) so that they fill more in this particular area.

Beside that they really check everyday on you …. Especially Ian. ( Give Ian a tip… he deserves it! )

Please do not understand that other offices have bad services: I can only tell my experience.

L I N N E A S A F E
Also: Especially in my case - I want that the carrier-substance gets absorbed fast - That the filler settles fast and stays where it has been injected. …And there is some evidence that the bovine-carrier with BellaFill takes longer to absorb / the filler has longer time migration-potential. So I think LinneaSafe is the better product when it comes to Penile Enhancement.

*Why I tried it now again when in all that 3 Sessions the area remained empty?*

Like I said it‘s not always about the office. Sometimes it‘s also about how qualified you are as a candidate. Now: With my (really amazing) tight cut „on point“ - the setting ll be significantly changed (old members here can confirm that) - especially regarding to my issue „filler migration“ - I can support that the filler stays there where it has been injected - **in my empty area.**
Also with a tight cut - for your doc it’s more legitim to (potentially) install more of the product cause your skin-mobility is significantly restricted.

( *Explaining „squishy/empty“ : While Erection - When you touch the area - your thumb sinks - through the skin - on your original shaft. Contrast to my other areas: They feel like very hard rubber while erection. While flaccid this contrast between the areas is already noticeable - but it gets even much more obvious while erection.* )

 Last edit: by [Saturday\_](https://j4.phalloboards.info/forum/user/6770374-saturday.html "View Saturday_'s Profile")

 The following user(s) said Thank You: [Avanti\_Derma](https://j4.phalloboards.info/forum/user/4705343-avanti-derma.html "View Avanti_Derma's Profile")

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