Tim62411 wrote: I also see a lot of people talking about PMMA Avanti Derma. skeptical_one: if it were you, would you be going the surgical route or filler route if you had BPEL of 6” and Erect Girth of 5” mid shaft. I know surgery is about the only option for a length increase.
My role here prevents me from "trying to play favorites" or "what would you pick" scenarios, because it will create a conflict-of-interest. That said, I can propose to you pros & cons worth considering, and you make the best judgment given your circumstances.
The appeal of Surgimend in your case is two-fold:
(1) because the dermal graft is precisely cut to size, you won't have to deal with the aesthetic irreuglarities that comes with fillers (e.g. nodules, ridges, bumps). The shaft theoretically should be uniform in contour. It's also a material rich in collagen and will mimic gains achieved with fillers. The only downside here (really depending on who you ask) is that the
Girth is somewhat capped. In other words, once you have your procedure done, there is no "topping off" or "adding more
Girth." You'll want to ask the Doctors yourself but I believe gains of 0.5"-1.0" in
Girth are plausible, and that's quite significant (if you were 5.75" in
Erect Girth, you're effectively Magnum XL).
(2) The two Doctors you are considering (Dr.
Liu & Dr.
Solomon) can both perform
Ligamentolysis (lengthening) and Surgimend on the same day, making logistics and costs much more manageable. The only downside here is that recovery time is typically longer when getting multiple procedures done same day.
In contrast, if you get fillers performed, you'll still have to visit a Surgeon to get
Ligamentolysis. Fillers are also known to require multiple appointments to achieve desired aesthetics and size, bringing potential costs on par with the surgical route.
Fillers greatest advantage are that they are non-surgical, making them outpatient and recovery quicker.
PMMA in particular makes your "skin thicker" as opposed to your "shaft thicker" (like Surgimend would).
Avanti Derma is certainly a great Clinic, and the reason you see a lot of them here is because
PMMA dominated the discussion for most of this site's existence, before topics like
Ellanse,
Radiesse,
HA,
Renuva, and PRP-Treated
FFT became regarded as effective alternatives in the filler discussion today. The good news is that now we have options, which also expands our ability to choose our physician, region, budget, etc.
As for Surgimend,
it's the only surgical (*not non-surgical) option I recommend, and most other
surgical alternatives are either obsolete or too risky for me to consider.
I hope that helps.