---
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 injection ? I am asking this Q...."
url: "https://j4.phalloboards.info/general-forum/general-phalloplasty-discussion-archive/5567088-pmma-the-end-stage-of-collagen-gain.html?start=0"
date: "2026-08-06T11:35:15+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 [\#1270934791](#1270934791)

- **[imbignow](https://j4.phalloboards.info/general-forum/user/1798281-imbignow.html "View imbignow's Profile")**
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 Yeah, I get that. Just saying if you go from 4.5 to 5.5 and then down to 5, that would just be sad. You get used to 5.5 and now you're at 5. But, maybe in six months is when round 2 should happen.

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

   14 years 8 months ago [\#1270963476](#1270963476)

- **[marcop83](https://j4.phalloboards.info/general-forum/user/1748937-marcop83.html "View marcop83's Profile")**
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 I do speak fluent portguese and have family in brazil.I read that article few years back if i recall correctly.What i can say is that in brazil PMMA and liquid silicone are extensevly used and applied even by people that are not md.I ve met few girl that had large amount of PMMA and the result was very good.

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

   14 years 8 months ago [\#1270933794](#1270933794)

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 I even contemplated 30%, at least at the base of the shaft which I know Dr. C has done before for select patients in the past. But as we know, Dr. C has really been keen on providing the best aesthetic results and I doubt he'd be willing to pump anyone with 30%, even by request. He's finding 20% alone to be a challenge, and Wade's attitude toward 30% seems like it's something their practice really wants to avoid. I certainly wont push for 30% if they genuinely feel like my penis is not fit for it.
Hypothetically speaking, it would be interesting to learn what a penis would be like post-op using 15cc (+/-) @ 30% on a first round with New Plastic &amp; Dr. C's technique.
I should stress again though, it seems like Dr. C's office doesn't really like dealing with 30% much at all, from what I've gathered at least.

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

   14 years 8 months ago [\#1270937149](#1270937149)

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 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)

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

   14 years 8 months ago [\#1270936389](#1270936389)

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 This is interesting.

Could someone (SO perhaps?) possibly email the guys who are at least six months after their last procedure, to see what their experience has been? Obviously those email addresses can't be public...

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

   14 years 8 months ago [\#1270943570](#1270943570)

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 @Miracle7,
"Wound healing occurs at a faster rate when we are young... I'm sure he would agree with that."
Lemperle agrees with your statement 100% M7 :- " the guy is right, of course!".
As most of you know that I had 30% Metacrill in my two rounds 3 years ago and as far as I remember I had 55-60 CC's and I am sure not less than 55CC's and my EG now is 6.75" and I didn't notice any decrease in the size till now, and I didn't experience any lumps, the shaft's skin will cover any small irregularities of the new collagen, I am planning to go for 10% for the gap behind the Glans and to smoothen the minor irregularities and no more Girth. No girls have noticed these small irregularities only you hear you are huge, and they will ask you, please, push it in slowly and use more lub and no girls what so ever had said that to me before my PMMA period.

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

   14 years 8 months ago [\#1270941016](#1270941016)

- **[Miracle8x7](https://j4.phalloboards.info/general-forum/user/1724055-miracle8x7.html "View Miracle8x7's Profile")**
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 Excellent post Smartman! I received 20% for Round 1 and will be receiving 20% for Round 2. Actually, that's what Dr. Casavantes recommended I do. My aesthetic is flawless at this point. I'm 11 days post-op and sitting on a .9" gain.

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

   14 years 8 months ago [\#1270934625](#1270934625)

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

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##  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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##  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 [\#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 [\#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 [\#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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