TOPIC: PMMA - The Good, The Bad and The Ugly

@boost


Hi boost, thanks for your reply sharing your experience. How many CCs of what percentage concentration did you get in your first session? I see that you also lost enough of your gains to want to go back for another session.


Actually, I can't really say that I lost all my initial gains, but only that it was enough loss of Girth to freak me out, reminding me painfully of my original size which was nowhere near as nice! I would say that I lost maybe a bit more than half of the gains from session one. This is sufficient to feel like you have receded way too much and compel you to do something about it.


As far as Metacryl bonding to New Plastic, I don't really think that this is how the stuff works? I expect that the microbeads of synthetic material become encased in cellulose, in other words skin tissue growth which wraps them up to maybe isolate them from the rest of your body? In any case this would mean that the new injection, whatever the material, wouldn't be in any direct contact with the previous material, but only with the fibrous skin stimulated to grow around the beads?


Regarding issues with 20% Metacryl, I would be interested to know if this is the case, or maybe if so whether this might not be merely because this is what has been routinely used for second sessions, in which there are more issues whatever the material injected? I will be interesting to follow this path of investigation to see how others can better reduce any risks associated with subsequent sessions of PMMA injections.



@jlmb


Was that the post-operative procedure recommended for your first session, or for a later one? I am curious, as my first session with several days in the bandage was last summer. Also, this was the recommendation for my second session, but my unit was so swollen that I don't know how one could massage it effectively when so bloated and distorted with fluids that you didn't know what you were rubbing or where the shape outline was! I wonder if there isn't a much stronger drug which can be used next time to keep me from swelling up so much that I can't massage it properly?


26CCs sure is a lot of product for a single session, you must have had a considerable size when arriving before the intervention. I also wonder if you received Metacryl, because normally I had heard that for the first two days you could affect the smooth spread of product.


But in my case within hours after the injections it was stiff, hard and pretty much "unmovable", so 24 hours was inconceivable while 48 hours was preposterous. Maybe those time frames have more to do with ensuring that there are no small lumps keeping the surface from being smooth, rather than having to massage it to force lopsided quantities of PMMA from one zone to the next? I would like it if a proper description of how to massage, how softly or gently and in what motion, pattern or intensity, would be made available either by the team or by this forum.



@warpedview


Girth is what PMMA delivers, so you will get that for sure. However, it isn't the PMMA alone which brings this, but the tissue formation around the microspheres which thickens enough to give your unit heft, meaning extra weight, increased Flaccid rigidity (no more turttling) and greater circumference.


And yes, any number of former PMMA patients have noticed slight to significant loss of Girth gains, months after their first PMMA session. This is due to any number of factors. One could be that there might be mild forms of tissue swelling which temporarily enhanced your Girth, only for this to recede after that swelling goes away several months down the road.


For example with severe rhinoplasty (nose operations) swelling can take more than a year to go away fully. It is also possible that collagen doesn't remain constant and that cells diminish in size or numbers? Who can say, but at least it isn't the fault of the PMMA or of the Phalloplasty procedure itself. That is why many of us go back for more interventions.


The higher the concentration, the less Girth loss later on after the procedure, but the higher the risks of granulomas. At least that's what I've come to conclude after reading posts in this forum. I hope others who know more than me or who are of a different opinion will chime in?


Cheers,


Hunk Chunk

@Bigben I do agree with your statement :- " Personally I feel mixing the pmma in house could be much more of a problem due to potential bacteria and incomplete mixing (leading to nodules) ".


And you are right about China they manufacture the pmma microspheres and other pmma injectable products:-

As far as I know injectable the Brazilian's pmma products (e.g. Metacrill, NewPlast and the new Linea Safe) are all manufactured in Brazil. But the manufacturer of e.g. the past NewPlast and the new Linea safe in Porto Alegre, Brazil purchased these pmma (beads) in Korea or China. Since PMMA microspheres are mainly produced for paints, and there are no 100% clean microspheres on the market all should be washed and cleaned (sieve analysis)(which is a very complicated). But the crude pmma bone cement is manufactured in Germany.

Also as we know Artecoll which is used in e.g. Europe, Asia and Canada is used to be manufactured in Holland but now it is manufactured in China.


Also interesting in China they manufacture Artefill (1 ml=$112) very cheap :-

www.24meds.org/buying-artefill-steroid-online.php

Also again (I think) in China too they manufacture another pmma product but this time they mix pmma with Hyaluronic Acid ---> Juveni pmma permanent (3ml=$149) so cheap:-

www.components-electronic.com/product-se...z_semipermanent.html

www.juveni.com/wholesale-10-x-juveni-pmm...oplasty-30mg-ml-3ml/

But with this Juveni products you can have complications e.g. infection ??? the possibilities that the hyaluronic acid or the pmma beads are contaminated with bacteria :-

www.realself.com/forum/juveni-confort-juveni-mesolift

So that is true what you have said China is the country :- they manufacture pmma microspheres (to Brazil ??) and some pmma products (Artefill, Artecoll (e.g. Europe,Asia and Canada) and Juveni dermal fillers (Europe and Australia) etc.

boost, how Girth did you gain and how much have you since lost? Basically what was your starting Girth, 6 week post op Girth and current Girth?

I agree

Skeptical One wrote: @HC

I've had 3 procedures and as of now my penis is soft & pliable in the Flaccid, and uniform & stiff in the Erect state. I do have a few small nodules behind the glans, but overall shaft aesthetics is mostly natural. This goes to show that there is indeed a variance from patient to patient (penis to penis), and quite possibly, from round to round.

Thanks for reporting!

Thanks for sharing that with me, SO, it helps to know of others' experience. I guess that I am at the outside of the Gaussian curve when it comes to second series PMMA injections. I think it has to do with one's unit's reaction, which is something which nobody can predict in advance, and I am hopeful that my experience will help establish some routine protocols to ensure that issues can be addressed properly and negative effects countered effectively.


I even wonder if a general softening up of the clumps and clusters won't help make them easier to absorb unnoticeably in a future injection of PMMA surrounding and connecting with them? If so then one could hope to attain optimal results, similar to those of patients who encounter no problems, despite having a session which reacts strangely and clusters up with lumps!


Cheers,


Hunk Chunk

I received 10% New Plastic. I believe around 19-21CCs. Forget exact amount. I do remember Dr. C and Wade being surprised I was able to fit so much in considering my starting size.

I've been wanting to schedule a new appointment but I was worried about clumping the PMMA underneath the surface of my fat pad. Dr. C recommended getting Lipo and waiting. I never ended up getting the Lipo so I never got my 2nd session of PMMA. Assuming the Metracil works well for everyone, I wanted to go back and get 20%. Thats what I originally wanted with New Plastic but Dr. C recommended getting the 10% first to get a good base to apply the 20%. It took a few months before my penis looked nomal and the ring to dissapear. Just sucks losing Girth with it.

Thanks for keeping up on the updates.

My post-procedure instructions were to remove the wrap (I actually used a Xleeve) immediately when getting to my destination, either a hotel or my home. Then take the Cialis and massage without any wrapping for the next 12 hours or so, smoothing out any irregular areas.

I think they were recommending longer wrapping periods initially, like a year or so ago. Maybe they just recommend different methods for different volumes of PMMA injected or different penile anatomies. I received 26cc, which is a lot, and my penis was noted to be very empty of structure inside which led them to tell me to take extra care with smoothing out and making sure the PMMA is distributed appropriately during the first 48 hours or so.

Hi Bigben, I do understand your point of view (in regard of the 20% conc. risk of contamination as I have mentioned it before) but I am sorry I have to disagree with you in regard of Dr.C.'s honesty , imo there is a big difference between these two doctors (Dr.C.+Dr.L.):-

Btw Dr.C. was not my treating Dr. and I have never met him in my life but what I have heard about him (honest and has great skills and experiernce in PMMA bioplasty) from the inventor of PMMA prof. Lemperle ( also he mentioned about Dr.Samy Passy +Dr. Marcio Serra in Rio.) these 3 doctors have great experience in PMMA injections (i.e. in the whole body not only in regard of the penis) also what we have read positive things about him from the members here . The other important thing which makes me trust this guy more:- if he was not honest; why did he bother to choose the mixture 20% ??, he could do that also with the 10% or the 30% if he was intending to cheat. Imo Dr.C. (by this mixture) is trying to find the best aesthetic result from PMMA penile bioplasty, I am sure he tried the 30% (he mentioned that) but he didn't like it's result, so he wanted to reduce the conc. of 30% just to reduce the risk of PMMA beads clustering together (lumps formation) (btw Dr.Samy disagree with him), the long-term continuity of his business, patient's satisfaction and his reputation are more important for him than a quick profit .

In the other hand Dr.L.'s mixture is unknown mixing different fillers with different minerals e.g. we have Irishfan (>85cc.s =0 gain , and the strange thing Dr.L. said he is doing it for 1 year and still didn't find the right mixture to give him a gain of at least 0.1") I am sure if one of these brazilian PMMA's products were FDA approved he will be the 1st one to use it instead of using his mixture.

Btw if somebody is interested to know who has a great experience (around 10 years) in PMMA injection in California actually he was the 1st one to use PMMA as far as I remember in this state (of course not in the penis) Dr. Douglas Hamilton in Beverly Hills

What baywoof said goes for me too. Hoping that things go well for you and that you get the end result you want.

@boost,

As far as I remember e.g. Mikehok received 17cc.@10% around 10 months ago and his gain in EG is still 0.4", but in your case you received around 19-21 cc.s @10% and losing Girth?? ( either the reason is your body's collagen i.e. every person his body reacts differently than the other or you have a bigger stats (length+Girth) )

I have a feeling that DMSO would be very effective on PMMA lumps. But I'm not sure it's a good idea at all. It's dangerous enough using DMSO at the best of times, so is too risky to used when you have a foreign body.

I don't want to tease people by hyping something that I don't think is safe, but I'd put money on DMSO being twice as useful as Kenalog.

Well, the larger context is that I lost 4 years of sex due to my Dick problems, so I am making up for it. So, there's not much to be jealous of...especially as I am mid 30s and everyone has settled down & I'm hooking up almost exclusively w/ guys who have partners (not deliberately - that's just who is out there & I am not really into younger guys...or fugly guys - and good looking guys all have partners by 30). So, my social / sex life is pretty pathetic in the grand scheme of things. I try not to think about it. I'd rather have a partner - but I'd also rather have my eye plucked out without anesthesia than go on another date in this lifetime.

My friends are actually "jealous" that I've had sex w/ so many people this year but I'm like - imagine if you had no Dick for 4 years! So, basically i have no other "hobbies" - and it's kinda gross - but everyone else takes it for granted. Eventually I'll stop bc I won't have any other choice...the older I get, the more shady the queens behave towards me. Even between 2009 and now - it's drastically different. I don't think I look that different, but I guess it's like 15 years in gay years.

Pdude - uncut guys should generally go with 10% I think. PMMA has challenges for uncut guys too - there are threads about it. I haven't followed them that closely myself, but you can find them on the board.

I think the anti biotics are used primarily for preventing infection form the few small incisions they make for the cannula to go thru.

If I remember correctly, I think I did ask if they mix their PMMA at Dr C's office and the answer was affirmative....

"IF" the carrier of the PMMA of different concentrations is the same, why then if mixed will there is the potential problem of PMMA beads sticking close to each other and causing problems? once mixed and shaken well, they should technically have uniform concentration, yes?

I think it is a fact of life many things originate from China. And yes PMMA beads are primarily used for industrial products (paints, plastics) so they need to be cleaned first.

But Chinese are just as capable as anyone else to deliver a safe product. The PMMA/artefill is not approved by the license holders (artefil/metacril/newplastic) however, hence the lower cost.

To be fair and balanced, The results of Dr C on this site have been mostly problem free and with minimum to no lumps and nodules. So, it is also very possible and probable that the dynamics of the penis being always changing shape and size contributes to some of the PMMA being placed in areas the Dr did not intend it to. I really feel that if you are a Grower, chances are you will get some pumps where as if you are a shower, then chances are you will get nothing.....

on my next corrective session, I will ask to see the date and mfg of the materials used and I will report accordingly.

We need to work together with the Dr to keep up his standard of work and improve the quality of his work, to benefit us all.