---
title: "Avanti PMMA - Round 1 April 2024 - PhalloBoards - Phalloboards"
description: "I'm jumping the gun a bit starting this thread being that I'm ~10 weeks out, but I wanted to get an intro out of the way and have a place to discuss..."
url: "https://j4.phalloboards.info/general-forum/progress-reports-the-patient-support-group/10155673-avanti-pmma-round-1-april-2024.html"
date: "2026-08-06T16:51:46+00:00"
language: "en-GB"
---

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#  TOPIC: Avanti PMMA - Round 1 April 2024

##  Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715657](#1308715657)

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 I'm jumping the gun a bit starting this thread being that I'm ~10 weeks out, but I wanted to get an intro out of the way and have a place to discuss questions/concerns.

**Background**
Male, late 30's, happily married w/ children.

**Starting stats**
BPEL x MSEG: 6.25" x 5" with a decent upward curve
NBPEL ~5"

**GE Target**
1-1.25" gain with emphasis on aesthetics within 2 rounds

**Narrative**
Started PE in Oct '22 and have had decent success. I pump and extend but in the time since I started, I've been way more consistent with pumping. Pre-PE stats ~5.9" BPEL x 4.75" MSEG. I have a very healthy bedroom, engaging in intercourse most days of the week and some weeks every day haha. With regard to seeking GE: my lightbulb moment was when I started to pump pre-intercourse and found out how much my wife and I enjoyed it. So much so that I forayed into, I guess you would call it, fetish pumping. I can pump up to a Girth of 6" and although that very much includes edema, we've both enjoyed that, too. So when I first saw someone's thread on the Subreddit gettingbigger on their PMMA success, I put on my detective hat and stumbled upon PhalloBoards. After signing up for a paid subscription and reading ALL progress reports (yes every page of every thread within the 13 pages worth of reports), and reading Dr Casavante's book "Girth Matters" (twice) I decided to take the plunge. I intend to make a this thread as detailed as I can to pay the community forward.

**Procedure**
I'm opting for the Utmost package via Avanti Derma which will be performed by Dr. Morales. Aside from the PMMA itself, I'm mainly interested in the PRP and the botox for the Dick n Balls. From what I've read, it take a few days or weeks for the botox "kick in" so it likely won't help in the crucial 72 hours post treatment but I'm a serial retractor/Grower so I'm curious as to how I'll react from it. Another note, I've had a zoom call with Ian and a lot of email correspondence. He's as prompt and professional as has been mentioned numerous times within this forum.

**Questions/Concerns**
I do have concerns about my Circumcision line being closer to the base rather than closer to the glans. I've seen some results of others with a similar CS lines with great results and others with results that I'd be less than satisfied with, so I do feel like I'm rolling the dice a bit there but I do plan on more than one procedure and hope that will be enough.

All that said, in a perfect world I'd be part of the select few that meet their Girth goals and have aesthetic results they could live with after one round. More likely I'll need 2 (possibly 3 but I'd hope to avoid that since it's a bit of a pain logistically to get to TJ having young children). **Question** for the forum: do I shoot for max Girth in round 1, then opt for a smoothing session as my second procedure? Or do I equally prioritize Girth/aesthetics for two rounds? The cost difference is pretty significant between a smoothing session and a full session. Ian has relayed that anything over 5cc automatically counts as a full session.

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715680](#1308715680)

- **[Cz\_86](https://j4.phalloboards.info/general-forum/user/6769998-cz-86.html "View Cz_86's Profile")**
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 I am very interested to see how this procedure goes for you as I am close to your stats. I am 7" BPEL x 4.7 MSEG and have a lower Circumcision line. I also have the same question regarding whether to go for max Girth on the first round or prioritize aesthetics. Hopefully some of the vets can chime in here and offer some advice. I plan on having my procedure done later this year.
Best of luck to you!

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715692](#1308715692)

- **[richardgaines](https://j4.phalloboards.info/general-forum/user/6770238-richardgaines.html "View richardgaines's Profile")**
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 [ @Cz\_86](https://phalloboards.info/forum/user/6769998-cz_86.html) Appreciate the well wishes, my man! I’ll keep ya posted. Those starting stats are awesome, btw. I’m sure you’d have a great outcome.

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715709](#1308715709)

- **[itgoesthud](https://j4.phalloboards.info/general-forum/user/6768475-itgoesthud.html "View itgoesthud's Profile")**
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 If you're a megaturtler like me, this is something that might be worth investigating in advance of your trip:
[ phalloboards.info/forum/dr-casavantes-dr...very.html#1308715525](https://phalloboards.info/forum/dr-casavantes-dr-morales-ask-us-questions-here/10155656-preemptive-botox-for-pmma-recovery.html#1308715525)

I have a practitioner nearby that does "Bocox", which I plan to do in advance of any PMMA trip.

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715710](#1308715710)

- **[Cz\_86](https://j4.phalloboards.info/general-forum/user/6769998-cz-86.html "View Cz_86's Profile")**
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 I was going to ask this on the other thread but I figured it may benefit Richard too.

When you say significant retraction, how much are we talking? I’m not sure that I qualify there.

I am roughly 6.75 NBPEL x 4.7 MSEG, 7.1 BPEL
FL typically hangs out around 4”, not sure on FG

Thanks for the info!

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715720](#1308715720)

- **[richardgaines](https://j4.phalloboards.info/general-forum/user/6770238-richardgaines.html "View richardgaines's Profile")**
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> itgoesthud wrote: If you're a megaturtler like me, this is something that might be worth investigating in advance of your trip:
> [ phalloboards.info/forum/dr-casavantes-dr...very.html#1308715525](https://phalloboards.info/forum/dr-casavantes-dr-morales-ask-us-questions-here/10155656-preemptive-botox-for-pmma-recovery.html#1308715525)

>
> I have a practitioner nearby that does "Bocox", which I plan to do in advance of any PMMA trip.

A lot of my turtling comes from stimulants - adderall (even at 5mg), nicotine pouches, coffee etc. I plan to cut all of that out one week before my procedure and the weeks following. Biggest concern is that crucial 72 hours post procedure but I’ll be diligent with keeping myself in an ADS switching between the one provided by Avanti and the Penimaster glans cup that I use. Also putting some faith that I’ll be in the camp that reacts well to the provided flomax that is provided.

I did see your thread and it gives me a lot to think about. Going to see if I can swing a trip two weeks prior to my full procedure to knock out the dick and balls Botox and be back home in the same day (~3hr flight to SD each way). Unfortunately the procedure isn’t really affordable from what I’ve seen locally.

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715721](#1308715721)

- **[justn8](https://j4.phalloboards.info/general-forum/user/1800690-justn8.html "View justn8's Profile")**
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 You probably read some of my comments in the gettingbigger sub reddit.

If you're going the Avanti route, you're in excellent hands.

If you and your wife enjoyed even pumped with edema and don't totally obsess over aesthetics, I wouldn't worry too much about your Circumcision location. You guys will be too busy enjoying the extra size lol.

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715723](#1308715723)

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> Cz_86 wrote: I was going to ask this on the other thread but I figured it may benefit Richard too.
>
> When you say significant retraction, how much are we talking? I’m not sure that I qualify there.
>
> I am roughly 6.75 NBPEL x 4.7 MSEG, 7.1 BPEL
> FL typically hangs out around 4”, not sure on FG
>
> Thanks for the info!

mine is like, real bad.
my BPEL is in the high 7s when my EQ is 100%
I turtle down to 2", after the HA i got years back changed my skin and made it thicker/hang lower, it looks like I have a tiny uncircumcised penis if my retraction is at its worst. I shake it out and I sit at 4-4.5" with slight wrinkles. But that megaturtle is hilarious to look at, picture an uncircumcised penis (I'm Circumcised) that's 2" long and 6.5" around (my actual FG/EG are in the mid 5's, that's all just bunched skin with my glans hiding within!).

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 6 months ago [\#1308715727](#1308715727)

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 [ @justn8](https://phalloboards.info/forum/user/1800690-justn8.html) Legend! Love reading your posts on here and thank you for the assurance. Knowing that most imperfections can be handled in subsequent rounds makes me feel optimistic and I have no doubt that wifey and I will enjoy the trips to pound town regardless lol.

> itgoesthud wrote: > Cz_86 wrote: I was going to ask this on the other thread but I figured it may benefit Richard too.
> >
> > When you say significant retraction, how much are we talking? I’m not sure that I qualify there.
> >
> > I am roughly 6.75 NBPEL x 4.7 MSEG, 7.1 BPEL
> > FL typically hangs out around 4”, not sure on FG
> >
> > Thanks for the info!
>
>
> mine is like, real bad.
> my BPEL is in the high 7s when my EQ is 100%
> I turtle down to 2", after the HA i got years back changed my skin and made it thicker/hang lower, it looks like I have a tiny uncircumcised penis if my retraction is at its worst. I shake it out and I sit at 4-4.5" with slight wrinkles. But that megaturtle is hilarious to look at, picture an uncircumcised penis (I'm circumcised) that's 2" long and 6.5" around (my actual FG/EG are in the mid 5's, that's all just bunched skin with my glans hiding within!).

I prefer to call it “sport mode” ![:P](https://j4.phalloboards.info/media/kunena/emoticons/15.png ":P") Ha, you convinced me to hit up Ian to see if I could do the Botox procedure 3 weeks prior to the rest of the treatment. Found some cheap flights that’ll get me home the same day.

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 5 months ago [\#1308715736](#1308715736)

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 I'm sure he'll talk to you about the Phallotax injection that's included in the utmost package. It helped me a ton, too. I also have severe retraction and need to "shake" it out often. But the phallotax will help to keep you extended. Follow the "aftercare" thread that Texas started - those first 3 days are crucial. From my experience, you'll get the best results by following the steps around the clock. Good luck!

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 5 months ago [\#1308715758](#1308715758)

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 see you soon!! and if you have any more questions regarding anything at all please leave questions here!!!

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 3 months ago [\#1308716888](#1308716888)

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 Alright Brothers in Gains,

Next Monday I’ll be headed to TJ for Round 1 of Linnea (Utmost package). The excitement and anxiousness is definitely heightened and I want to be sure I’ve packed everything for my 4 day trip. Would appreciate input on any good-to-haves.

**Tools**
-Tailors tape
-Ruler
-Infrared heat pad
-Penimaster Pro extender and ADS belt

**Meds and Supplements**
-Cialis
-Prefilled syringes for TRT
-Collagen supp
-Other scripts and typical supplement stack

**Travel misc**
-Passport
-TSA card
-cash for shuttle service

I’ll be working remotely so I’ll have my work computer. Is the wifi at The Grande decent?

Should I be bring gym clothes or is that a pipe dream and I should expect to be holed up in my hotel room?

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 3 months ago [\#1308716889](#1308716889)

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 wifi is good in the hotel and for the next few weeks dont even think about the gym focus on keeping it stretched and use heat to remove swelling thats it chill out walk around and heal

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 3 months ago [\#1308716890](#1308716890)

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 When can you switch from the stretcher that [ @Avanti\_Derma](https://phalloboards.info/forum/user/4705343-avanti_derma.html) gives patients to something like the Apex extender using a vac cup?

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##  Re: Avanti PMMA - Round 1 April 2024

   2 years 3 months ago [\#1308716891](#1308716891)

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> uncuthero wrote: wifi is good in the hotel and for the next few weeks dont even think about the gym focus on keeping it stretched and use heat to remove swelling thats it chill out walk around and heal

Thanks [ @uncuthero](https://phalloboards.info/forum/user/6767787-uncuthero.html) . Really just trying to stave off the inevitable boredom but if I can at least walk around, I’ll do that.

> Yup wrote: When can you switch from the stretcher that [ @Avanti\_Derma](https://phalloboards.info/forum/user/4705343-avanti_derma.html) gives patients to something like the Apex extender using a vac cup?

 [
@Yup](https://phalloboards.info/forum/user/6770197-yup.html) the Penimaster attaches at the glans only so it’s good to go, though I may be using the ADS Avanti provides (actually I bought one to get conditioned to it) since the Utmost package includes glans enhancement and the Penimaster cup may be irritating. Apex + generic glans cup attached via sleeve is probably a no go for immediate postcare since the sleeves attach to the shaft. My guess is that you’ll be able to use it again after the 6 week mark when the PMMA is considered mostly settled but would check with Avanti to verify.

 Last edit: by [richardgaines](https://j4.phalloboards.info/general-forum/user/6770238-richardgaines.html "View richardgaines's Profile") Reason: Formatting

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