TOPIC: Avanti PMMA Round 1 - 2/18/26

Hey gh, im so glad things are better now. I have been very closely following your journey as someone who has the same starting size as you. (4.25eg) You story gives me hope and I wish you all the best.

One question: Is your new penis better? how much of a change is it? If I were you all my insecurities would have been cured going up 1 Inch.

It’s a big change and yes it’s better in my opinion. It’s not perfect (nothing is!) but even knowing how rocky the first weeks were, I’d choose to do it again for sure.

Just want to say thank you for the detailed documentation. I had my procedure at AD exactly a week ago and I have the same lump in the same area, perhaps even more pronounced than yours.

This was my third procedure (Utmost package) and while I had some flaring or a skirt previously, it is much more apparent this time around. I’m not freaking out yet but I’d be even less concerned if the flaring was on both sides instead of just on the right.

As you probably saw previously in your earlier rounds and as I discovered in my first, that area seems to be a magnet for inflammation. I was swollen everywhere but that skirt stuck out well beyond the surrounding areas. Mine has reduced significantly but there is no doubt it is filler, which Avanti doesnt inject into the underside. As others have theorized I believe excess filler got squeezed toward the base by the initial wrap and settled on the underside. While it’s most pronounced on my underside, like you i have no skirt at all on the left side. Just the underside and the right side for me.

If you’re like me, three weeks from now things will have settled and it will look more normal.
I’m curious to hear how you progress (and see photos if you want to share) given this isn’t your first rodeo. I am planning round 2 in a couple more months and your experience will definitely inform my choices.

While this banding effect has happened to others going back many years, anecdotally it seems to be a more common issue at Avanti recently. Ive counted at least 3-4 guys from just the last few months. We all need to keep updating each other to figure out the best ways to avoid this as much as possible and resolve what we can’t avoid. Hang in there brother!

Dang so you go the ridge too richardgaines, hopefully it resolves soon. It's really bizarre how many people in this thread have experienced this ridge given that I never saw much mention of it from before.

I'm 5 weeks out now and the ridge shows no signs that it's going anywhere. I asked Dr. M about it and she says it's something she sees in people who retract a lot, and this is why Hanging is so important. I'm somewhat skeptical since we all seem to have developed this ridge immediately after the procedure--it's not something that developed over time.

Anyway, really really hoping this goes away over time like others have experienced although it does seem like there's a real chance it won't.

Dr. M mentioned that they can inject a powerful anti inflammatory (I'm guessing Kenalog) to soften it at the touch up/2nd round but I'm also a bit skeptical about this since Kenalog doesn't seem all that effective based off the reports I've seen on this forum.

@Gh847 I’m hopeful that the ridges eventually subside for us —after rounds 1 & 2, the equal “skirting” eventually diminished to the point where it became unnoticeable. The question marks now are how it’ll turn out since it’s just on one side and the addition of pea-sized nodules in the area. I’ll get some pics soon. Every time I drop my draws I’m massaging haha.

@asdf1693 yeah I know retracting isn’t ideal but I haven’t retracted much at all during my recovery. But even if I did, I’d expect equal bunching of material on both sides.

Re: kenalog - I have a hard cord-like fibrosis that was hit with kenalog this round. Softened it up some but peak effects are generally around two weeks, so I’ll report back on that.

The ridge is not a new thing. Look into posts YEARS ago and you’ll see mention

It’s kind of why everyone before us has always said this isn’t a one and done procedure.

My ridge is noticeable to me. To women it’s just a big piece.

Stay in contact and get it fixed but I wouldn’t over think it. Women do not give a fuck about a ridge.if anything I tend to believe they enjoy the ribbed nature.

Did you fellas that have experienced the ridge sleep face down with your Dick Hanging? Pretty much what Texas recommends. I’m genuinely curious because I’m going for this procedure in a few months and am keen to find any methods of prevention, including not wrapping too tight as has been mentioned.
Also, I genuinely appreciate all of the insight this particular thread has provided. Thanks Gh!

I over killed Hanging and sleeping properly. Still happened.

If you turtle naturally this will reverse that a lot but a ridge is likely on visit 1. Good news is you’ll have a big Dick, which is a trade off I’ll always make.

I do hope to fix in round 2 which is coming up though

Post some photos so we can see what your ridge looks like at this point? I think Kenalog will help but ultimately it can’t dissolve the filler. I think your best bet will be to do that and add filler around the band to blend it into a smooth taper. Stay positive - no one on this forum has reported lasting dissatisfaction due to a ridge like ours. It can take work to fix but everyone seems to have come out the other side of it just fine.

resetinvest wrote: The ridge is not a new thing. Look into posts YEARS ago and you’ll see mention

It’s kind of why everyone before us has always said this isn’t a one and done procedure.

I think we all agree it’s not a new issue, but it was previously uncommon and seems to be happening more frequently with Avanti recently. It’s definitely not among the risks Avanti advertises because they don’t inject filler into the underside.

In all the cases on this thread it seems filler migrated around to the bottom of the shaft, which shouldn’t happen. Then some combination of wrapping and retraction (or just the natural folding effect of gravity pulling the penis down) caused the filler to get shaped into a band or ridge. No amount of Hanging or sleeping with your Dick between two mattresses is going to prevent it entirely. Maybe if you could spend a month in zero gravity but short of that your Dick is just gonna fold over the way it naturally does and put a crease in any filler that happens to be in the way.

I really think the key is avoiding overfilling and over wrapping as much as possible given that the doctors do all that and it’s hard to question their expert judgment. Hanging to prevent retraction is super important of course but I had zero retraction (so much swelling it literally couldn’t retract for weeks) and I hung constantly while awake and I still got the ridge.

Today is five weeks post procedure. The band/ridge is still there but as ive said already it’s far less pronounced. I still want it minimized further with touch ups but it’s not keeping me up at night anymore.

Unit feels and looks great. Sex is wonderful and im using standard condoms instead of snug fit which is all I’ve ever wanted.

My measurements seem to be holding at 5.5” BEG (including the band), 5” MSEG, 4.9” at the circ line. Length has fully returned as I knew it would. I do notice i can feel what I assume is the suspensory ligament where the top of the shaft meets the pubic bone. It’s tighter and more pronounced than I remember but not bothersome or visually detectable in any way.

Itching has completely subsided. No nodules or irregularities to speak of so far (knock on wood).

I asked Dr. Morales for a zoom appointment in April with her and Dr. C. I’ll be fully healed by then and I can show them my concerns and hear their plan to resolve them at my next session which is set for June. I’m optimistic. I’ll still do a video consult with Dr. Carney at Rejuvall in a month as a second opinion but as skep said I want to give Avanti the first opportunity to fix any issues with their work.

I’m bummed to see so many guys coming forward with this same issue from procedures at Avanti in the past few months but I’m glad we have each other for support and data sharing. I encourage everyone who has a ridge underneath to let Dr. M know and insist on a Repair plan. They can’t realistically say it’s just inflammation or blame it on retraction/lack of Hanging. It seems like they need to tweak their process or at least let patients know this is a possible complication.

I think your dead on that if you wanna avoid the ridge. Avoid overfilling.

I have a different strategy. Overfill. We have small window to get size so I prefer getting into it fast.

Yes avanti has clearly allowed patients to rush in faster based on their own research. Still that’s part of the game.

My Cock after 1 round is a little misshapen. Yet not a single woman in my life has noticed. Only guts care about the shelf. Do I want it gone. Yes. But maxing volume on the first run is more important.

Years of data here has shown maxing early saves you thousands of dollars. I understand wanting it to look good a to z but the calculated folks have already decided you don’t need a pretty Cock if it’s inside someone.

This forum fluctuated between discussion and panic and people are over reacting to the ridge. It’s the classic mindset of a guy that has a small Dick to think about how it looks. When you have a bug unit you don’t care.

resetinvest wrote: My Cock after 1 round is a little misshapen. Yet not a single woman in my life has noticed. Only guts care about the shelf. Do I want it gone. Yes. But maxing volume on the first run is more important.

Years of data here has shown maxing early saves you thousands of dollars. I understand wanting it to look good a to z but the calculated folks have already decided you don’t need a pretty Cock if it’s inside someone.

This forum fluctuated between discussion and panic and people are over reacting to the ridge. It’s the classic mindset of a guy that has a small Dick to think about how it looks. When you have a bug unit you don’t care.

It’s great you're feeling good about your results but please don’t condemn others for not being as satisfied with theirs. You make a lot of assumptions about what matters to other men on this forum. For example not everyone here is doing this based on what women will think. There are men here who have sex with men. There are many men, like me, who are primarily motivated by internal desires rather than external approval. And there are many men who prioritize aesthetics over volume. And that’s all okay! You can do what you like but it’s wrong to criticize others simply for not aligning with your priorities. I want my Dick to look and feel good because that’s what is important to me. I want more size, of course, but I also want my Dick to look good in my eyes because it’s primarily for my sense of self esteem. It’s not because I have a small Dick mindset, whatever that means. I just like what I like.

Everyone is entitled to their own goals and when someone on this forum panics over a complication you dont find troubling we should be careful not to invalidate their feelings. That doesn’t help anyone, it just alienates and divides.

I’m genuinely thrilled You’re loving your new Dick! I am loving mine too and I want only the best outcomes for everyone here, however they define that.

6 weeks in. No changes in measurements. Still around 5.25 MSEG, down to just uber 5 at the neck. I know many guys here started there but the change for me is night and day. Regular condoms fit perfectly. My Dick looks great Flaccid. Nothing crazy huge but with my length of 6” and my smallish glans i wouldnt want to go much bigger. I’d like to hit 5.25-5.5” throughout at my next and hopefully last session, and correct some minor shape issues while im at it.

The puffy band on the base is still there but now it’s more like two distinct squishy little pillows. It’s still the only thing I’d consider a problem. it’s tolerable so long as it can be mitigated with added filler which Dr. M seems confident about. I’ll zoom with her and Dr. C in a few weeks once he recovers fully from his medical procedure. I am very nervous about some of the other recent reports of adverse events at Avanti recently so I want to be extra extra thorough and careful.