TOPIC: HA Long Term Outcomes

Your saying Dr C made you smaller? How so?

randomword1234 wrote: Dr. Oates, thank you for the reply, if you wouldn't mind I have a few questions:

1. In your patient who returned to your office yesterday, whom you injected 4 years ago, how many top ups did he have between the initial injection and your visit with him yesterday?

Actually I went to his office about using his database to promote CALIBRE. He has not had any top ups after his 2 rounds of 5ml each

2. Were you able to quantify how much girth that patient lost across that 4 year time period?

Did not get to see it as at his office
3. Regarding the professional athlete and the pneumonia patient, how long did it take for them to lose the HA? How much did they lose (all of it)? Did you reinject them?

About 3 months. Pretty much all of it. Reinjected with Ellanse.

4. What is your follow-up protocol for girth enhancement patients to know if they have lost or retained girth over time (do you call them, do you schedule follow-up appointment, or do you let them return on their own for top-ups and listen to their feedback)?

The problem is most guys don't come back for long term followup and most guys refuse to give us there email or ask to have no marketing/contact. This weekend we are presenting the results of our first followup on 25 guys (that is all we could get to respond to our survey) but it was all on psychological measures. It is on my blog here - www.calibreclinic.com.au/more-calibre-research/

5. How many patients have you injected in total for girth enhancement? How many of these patients were injected with Voluma?

About 150 individual patients, I don't know off the top of my head how many with Voluma. Currently using Ultimate from Teosyal - seems just as good maybe fewer issues.

randomword1234 wrote: EmailedDr. C with several questions regarding HA. He states he does use Juvederm, will open the box in front of you, and provide the product control label.
Though he stated his experience with Juvederm (which I assume is Juvederm Voluma):


Not necessarily Juvederm XC is an older product uses what is called Hylacross technology for manufacture and is slightly cheaper. Voluma is slightly newer, uses Vycross technology (different length chains of HA) and is more expensive. Use the wrong product it won't last as long.

"Hyaluronic Acid is quite unpredictable both for the penis and the face. The manufacturer information is typically too optimistic; mine goes towards the other extreme.I haven't seen results that last more than one year, best case scenario."


According to North Valley Plastic Surgery's website (Clinic been doing HA in penis for 3 years):
How long will it last?The makers of Juv'derm ' claim that it can last up to a year. In many patients it can last a year but others it lasts several months less. VOLUMA is said to last at least two years. Everyone's body degrades Dermal Filler differently and we all have different skin, muscle, and tissues thickness.

Androfill's website:
"' how long the filler will last: depending on the filler used, usually between 12 months and up to 18 months."

Dr. Oates has stated in this thread that absorption can be variable in some odd cases, but in general lasts years.



I emailed Dr. C to clarify if by Juvederm he is referring to Voluma, if so, it looks like half of these injectors HA are finding results lasting less than a year in most of their patients, whereas other injectors are claiming much longer results in their patients. Very disappointing news if Voluma lasting less than a year. I'm curious as to the large discrepancy in product duration claimed between injectors. We need more long term HA patient reports to confirm experiences.

Dr C or others here will be so kind as to correct me if I'm wrong. But in general from what I've gleaned informally since 2011 on the earlier Phallobards 1.0 and this current version 2.0 of PhalloBoards, most guys return to Tijuana after a certain delay and don't show up with positive results from other procedures. If Dr C has administered in the past Hyaluronic Acid to those worried about the permanence of PMMA I would not doubt, given his thousands of procedures done. However, how many among these have travelled back to Mexico within a short time span? The likelihood is that they may have waited until it melted away before returning for a refill, corrections or a different procedure (PMMA or Silicon micropellets?).In any case it is likely that the durability of Hyaluronic Acid injections can best be determined by those who make many repeat procedures with this substance and do regular follow-up of their patients. If it is the occasional return visit that brings a conclusion, this can hardly be representative of the broad spectrum of responses to injections. Some may stimulate collagen. Others may melt away rapidly. Chemical substances both topical and systemic may intervene as well as varying responses to one's body to the injections. Suffice to say that HA is temporary and won't last that long. I've benefitted from PMMA since 2011 and am a very happy camper (in a luxury sleeping bag if you please). However, I do at times get remarks that it can't be real, usually from seasoned professionals who have seen many many units in varying sizes and forms. This isn't easy to get past. I usually tell them I am the son of a very large father, the absolute truth, and that I have a brother much larger than me (before PMMA of course). This usually ends the conference but doesn't always solve the "will it fit" issue. Ask Mustang for the workaround lol.

If you're worried about getting too big, do HA. However, a couple of years ago, in his great wisdom and aesthetic perspective, Dr C determined I was too big and managed to thin me quite a bit. Wade said nobody could possibly swallow it and that there are limits! Anyhow it's just to say that PMMA can at least be partially reversible in its aesthetic configuration, if not in the elimination of matter from tissues.

So it can be established that HA will be temporary. This is the only benefit of this procedure as it won't make your unit harder and firmer, which is what women like. Not sure if men do, as I've no experience with that. HA won't make it rigid whereas PMMA does. But if you're on the fence and wish to wait without giving up on extra size, HA is a no-brainer. Get that Girth both for the self-confidence it is sure to give as well as for the likely higher attachment of your partner to your 'features'.

Only, don't count on it lasting more than 6 months at full Girth. Then it might gradually reduce until being totally reabsorbed between 18 months and 2 years time. This is what I've learned about HA in facial implementation after talking to many plastic surgeons who routinely inject it. They however usually inject a bit less each time, as some collagen will be created as it melts to fill the void left. So it may over time help one increase natural tissue growth, but not dramatically or rapidly like PMMA.

Cheers,

HC

Dr. Oates, thank you for the reply, if you wouldn't mind I have a few questions:

1. In your patient who returned to your office yesterday, whom you injected 4 years ago, how many top ups did he have between the initial injection and your visit with him yesterday?
2. Were you able to quantify how much Girth that patient lost across that 4 year time period?
3. Regarding the professional athlete and the pneumonia patient, how long did it take for them to lose the HA? How much did they lose (all of it)? Did you reinject them?
4. What is your follow-up protocol for Girth enhancement patients to know if they have lost or retained Girth over time (do you call them, do you schedule follow-up appointment, or do you let them return on their own for top-ups and listen to their feedback)?
5. How many patients have you injected in total for Girth enhancement? How many of these patients were injected with Voluma?

Dr. Oates mentioned a new HA that was being produced there that was specifically for penis Girth enhancement by a company called HUGEL, but it hadn't been released to other markets yet. So I don't think that's the same HA and if Ultimate Volume has been out for a while and is that cheap, Dr. Oates and the other clinics would be using it. As for Dr. Kim, I've seen several members on this forum complain about his injection technique and thought I recall one member saying he removed their Foreskin without their permission.