---
title: "Heard of PMMA (Medical Grade) OR Dr Casavantes? [PART 2] - PhalloBoards - Phalloboards"
description: "This is a continuation of the 130 Page Thread at the original PhalloBoards (found here:... - Page 10"
url: "https://j4.phalloboards.info/general-forum/general-phalloplasty-discussion-archive/5365403-heard-of-pmma-medical-grade-or-dr-casavantes-part-2.html?start=135"
date: "2026-08-06T18:15:00+00:00"
language: "en-GB"
---

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#  TOPIC: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269224939](#1269224939)

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Electronic microscopic images of Artefill attached below (S. Cohen, Aesthetic Surgery Journal 2010 30:438).

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269225707](#1269225707)

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 I am also considering an adjunct to the DHT gel combined with DMSO: it is the gel form of TriMax which itself is an injectible combination of:
AlprostadilprostaglandinPapaverinevasodilatorPhentolaminealpha blocker
In gel form TriMax-Gel could be applied at the same time as Andractim DHT cream along with DMOS and this mixture would be especially capable of penetrating the shaft and glans throughout all of their structures. This might have an added benefit of placing the ingredients in the central soft tissue structure leading up to the glans, (which presumably wouldn't be reached by a shaft base injection into one of the two lateral veinous structures) ensuring a more coherent hormonal response throughout all bodies of this organ. This topical application of TriMax-Gel (with or without DHT) could presumably be done instead of or in addition to a Erectile Disfunction daily injection of TriMax injectible or another ED injection at the base... FWIW
HC

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269207790](#1269207790)

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> cantwaitforpma wrote: Hello all. Just wanted to introduce myself. Because i'm paranoid about posting my name i hope yall don't mind just knowing me as M. Thank you all who have taken the plunge and gotten the PMMA procedure done. I've been reading or "lurking" at the old forum and can't wait till i can contribute and add to the wealth of information and experience knowledge yall have made available. I'm ready to shed my lack of self confidence(all psychological) and start being a more confident person for both me and my wife. Thank you so much for again for your contributions.

 Welcome to the forum! Judging from your username, do you have an appointment schedule or plan to schedule one? Or are you still in the research phase?

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269208303](#1269208303)

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 Indeed, all available literature I have come across, except for the two 2010 Aesthetic Surgery Journal papers which we have discussed in the last pages of this thread in the old forum, seem to rule out the possibility of migration.

But, here, d71 just asked the question: what happens if PMMA's beads migrate.

Does it happen?

Let us be clear that what has surprised us is that the sheer possibility of migration of PMMA particles in Newplastic has been raised in the two quoted papers. Is it true? Only a couple of articles make this claim; I felt initially a bit uneasy however since the journal looks authoritative, the articles are recent and they bring clinical evidence.

On the other hand, as correctly repeated here, PMMA long history has got a completely different track record from SILICONE.

For what is worth, my gut feeling is that migration concerns for Newplastic are overdone, even if it clearly is inferior in quality to Artefill. Dr Casavantes has got an international reputation in his field which he has gained over many years: he must trust this product and that we need to keep in mind when we think of risk scenarios.

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269411056](#1269411056)

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> smartman wrote: @EQ,
> Lets say the migration of these small beads is true :-
> ...
> So from these points ( it is like human experiments and not animal experiments ) wouldn't be enough to show at least one ill-patient???
> EQ I am only trying to get the truth as all of us from the whole thing, Dr. Cohen will make it easier for us if he can show us at least one patient , could you help us to get this information from him or from other doctors , I have tried but he unfortunately didn't answer my Q. (i.e. our Q.) .

 @smartman - Replied in a new thread so as not to clutter this thread with negative info.[ phalloboards.websitetoolbox.com/post?id=5395825](http://phalloboards.websitetoolbox.com/post?id=5395825)

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269415664](#1269415664)

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 Smartman himself has had PMMA for 15 years I believe and I'm not aware of it diminishing over that period. Perhaps you could comment smartman ?

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269224944](#1269224944)

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Electronic microscopic images of Newplastic attached below (S. Cohen, Aesthetic Surgery Journal 2010 30:438).

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269224945](#1269224945)

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 Hi Guys,
I'm calling forth your advice regarding the compatibility of PMMA injections with ulterior NATURAL growth enhancement. I am starting to undertake intensive hormonal treatments associated with directly injected vascular enhancers. This means that once I get my first session of PMMA and its associated collagen buildup my penis might still grow a good bit if the testimony seen below is valid.
[ phalloboards.websitetoolbox.com/post/sho...9224459&amp;postcount=11](http://phalloboards.websitetoolbox.com/post/show_single_post?pid=1269224459&postcount=11)
I am starting to take Chorionic Gonodotropin (better known as Pregnyl) at 3000 IU per week injected under the pelvic skin. I plan to also take a strong Erectile Dysfunction injection daily directly into the penis - ouch! Add to that DHT with enhanced penetration using DMSO as a carrier and there is a small chance of actually experiencing noteworthy penis growth by chemical means. Wouldn't the collagen strands generated by PMMA, with their harder buidup, tend to resist growth pressure not so much longitudinally but mostly of girth? The last thing I want is for PMMA induced collagen layers to PREVENT harmonious penis englargement and reduce my girth potential ? ! ?
HC

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269235442](#1269235442)

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 Dd71 I have tried a temporary filler, It was macrolane which is basically a form of Hyaluronic Acid. The result was not good, I don't think you would like it.

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269410549](#1269410549)

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 Just a thought but if a collagen matrix is formed around these beads, the collagen should provide indefinite framework with no real timeframe for degradation.
Regardless of the permanence, PMMA appears to be a reasonable long term solution to penis Girth enhancement. Even if a touch up was required ten years down the road, it would be worth it. The bigger concern would be if a touchup is required, will a physician be available to perform this touch up?

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269416693](#1269416693)

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 Yes I had Artecoll injection in one side of my face, it was in 1996 in Frankfurt by Prof. Lemperle , the volume I had has not reduced till now.
PMMA beads are permenant , non-biodegradable , as we know the increase in volume after pmma injection will come mostly from the new formation of collagen (e.g. 20% beads and 80% new collagen) as we age our body's collagen (in every part of our body) will reduce in its volume, so sure in &gt; 10 -15 yrs we might need touch-ups just to make more new collagen , I just dont think its a disadvantage of pmma , its due to nature.
[ www.houstonmedcenter.com/articles/ArteFi...jmicroimpl\_pmma.html](http://www.houstonmedcenter.com/articles/ArteFill.phphttp://www.smartskincare.com/treatments/fillers/injmicroimpl_pmma.html)

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269345014](#1269345014)

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 Also I will ask Dr C in ten days or so whether PMMA presents a risk with intracavernous injections such as those done for erectile dysfunction. This is a treatment I am seeking to pursue, not to get rock hard but for the potential expansion using QuadMix and a few potentiators. I won't be doing it if this might move PMMA into the bloodstream. Also, I wonder if topical application of DMSO applied onto a PMMA enhanced shaft might not loosen some molecules of New Plastic and wash them into the bloodstream?
HC

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269870842](#1269870842)

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 My saga has finally begun and on it's own thread

[ phalloboards.websitetoolbox.com/post?id=5450448&amp;trail=15](http://phalloboards.websitetoolbox.com/post?id=5450448&trail=15)

Thanks for ALL the amazing advice and info from actual personal experiences. Dr C. even says they learn and refine techniques from our very discussions here.

Best of luck to all!

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269224443](#1269224443)

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 Dd71, I agree with your plan to have the 10% concentration. It's what I would do too.

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##  Re: Heard of PMMA (Medical Grade) OR Dr Casavantes? \[PART 2\]

   15 years 1 month ago [\#1269333247](#1269333247)

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 @sparticus,
You wrote to me bfore:-
(( @smartman I believe directly contacting Dr. Cohen about his opinion would be very beneficial for the forum )) .
As I told you before I will try my best to get more information from Dr.Cohen and he will be one of my sources and not only Lemperle .

So these are the e-mails to Dr.Cohen and his replies :-

1} I am interested in PMMA injection , I was planning to go either to Mexico or Brazil for either (Metacrill or Newplastic) , I know that the Artefill is more superior than the other two , but it is more expensive.As I read the only complication could happen is the chance of developing foreign body granuloma which can be treated by local injection ??
A) Artefill is much safer. For the extra money it is with it. Of course you are the decision maker. If I showed you what these other products under a microscope looked like you would understand.
2} Do we need an antibiotic for Artefill injection in the prevention of short or long-term infection??
A) No it is not necessary . If you are interested please contact our office and schedule an appointment for a consultation.

3} Then I have sent him another two e-mails in regards :-1) If we dont need an antibiotic for PMMA injection , so thats mean the risk of serious infection for this filler is Zero , correct??
Is it true there are millions of macrophages around the beads which will attack any micro-organisms coming close to the beads ??
2) I heard there could be a possibility of migration of the small beads present in the Metacrill or Newplastic to a distant organ if that is true, is there any medical article which will show this complication did happen in human ?? e.g. liver or lung disease or failure ??
Or any medical articles stating that there is a chance of distant migration in human after the injection of the worst PMMA Arteplast or Newplastic?? Liver or lung failure or other serious diseases beside the higher rate of foreign body granuloma formation which is 2.5% .
That was his reply to me :-
A) Please contact the company or come in for a consult. I unfortunately will not be able to spend any more of my time on your emails.

LOL, I dont know why he refused to answer my last Q., the answer of my Q. is so simple YES or NO , could it be he has something e.g. a report about Newplastic (i.e. a proof in regard of migration of the small beads which can cause serious illnesses or did it cause a distant organ failure) and he doesnt want to tell ?? I doubt it .
If somebody has any other names (i.e. other expert doctors in PMMA beside Lemperle and Cohenl) whom we can ask and they could give us more information about our Q., I would appreciate it .
SM

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