TOPIC: My PMMA journey plan - Makes sense ?

Gentlemen,

Could you provide feedback on my plan, good or bad ? Due to the seriousness of the procedure (we have one unit), I'd like to have some early knowledge of possible considerations I'm not adding up. I promise to get back to the community when I'm at the other end of tunnel.

My classic story, in a nutshell: I have had a case of SPS ever since I was a teenager and saw porn for the first times. Then got some nasty comments from former partners, even though I was average..

I've discovered PE 4+ years ago (gained ~0.6"EL and 0.25"EG) and have been doing it on and off. I've also spent 4k 3 years ago on PRP and gainswave, not producing results. Ah if I had known about PMMA then. But Thundersplace make it sound so unsafe even then, I'd probably have freaked out...

I'm currently on an 6 month extender + pumping (and some Clamping sometimes) routine.

I have a banana/traffic cone shaped Dick. Way bigger at the base than the glans, and curved upward with a somewhat high Erection angle. Additionally, my width is all vertical (cylindral) instead of horizontal or round. All to give the impression my unit is small. Also, I have bad retraction, have some turkey neck and am uncut.

To say SPS has depressed me throughout 2 decades is an understatement. I'd love to have a unit I'm proud of and that feels big to me. I know my measurements are not bad right now and lots would not be going through PMMA if they had them, but that doesn't offer reassurance. Ideally, i'd get my length (measured with ruler) and my EG up to have a 7.25"x 7.25" unit.

Avanti say for the EG it would probably take a 3-4 sessions and maybe they can correct my taper and make my EG have even Girth from under the glans to base, provided my TEG skin (my smallest point) is flexible enough to accomodate it. Hopefully the first session could be mostly focus on matching my TEG and MEG to my current BEG and give me an even 6.25" unit. Then other session would augment the whole shaft till I have 7.25". I'd probably need to do PE for a while still to get more length, unless I reach my length goal before I go to Avanti (or unless my extending uncurves my unit and I can get my full EL in a straight line). I know ladies like an upward curve but I'd prefer having a unit I'm proud of, my augmented confidence would make me better in bed than that curve. I don't care about aesthetics, just about having a working Dick I consider huge; Flaccid and Erect.

Current plan:

-Get a low and tight Circumcision (that's the one advised for best PMMA results right?)
-Potentially get rid of the turkey neck at the same time, though I think Avanti doesn't recommend it, needs more research.
-Reseach all aspects of the procedure, especially aftercare and practice some of the skills I'll be needing (sleeping on the back, Hanging, noose extender (I have a PenimasterPro), etc. So I'm fully ready/informed, equiped when I'm at Avanti.
-1 month after circumsion till Avanti: PE a lot to get skin loose and shaft malleable (in gain mode).
-3-6 months after Circumcision, go to Avanti and get 20 CC of 30% PMMA.
-Read some theory it's best not to take PRP as it removes place for the filler. Undecided about this
-Go back 4-6 months after that for round 2
-Possibly repeat with round 3 and 4, depending on when I get to an even 7.25" EG or so.

Considerations:

-My miss likes me the way I am but understand my SPS and says I should go, even though she hopes I'll still fit. With a c-ring and pumped I'm at +.6EG already and have no problem whatsoever, there is way more room in there.
-I live in CAN, so need to travel to go TJ everytime.
-I have kids so will need to hide when I get back ? (might need to stay in TJ for a couple of days to be able to do my aftercare, being fully focused).

Current measurements:

Flaccid: ~4" BPEL, but can retract a lot and looks like 2" BPEL"', embarassing really.

Measuring EL with a ruler
BPEL: ~6.36" (pressed hard into bone)
NBPEL: ~5.2"

Measuring EL with a tape (shows true volume as ruler doesn't account for the curve of my Dick):

NBPEL tape top: ~5.68
NBPEL tape bottom: ~6.8"
average: 6.03 NPBEL tape
BPEL (NBPEL + fat pad): ~7" but doesn't look like 7".

Measuring EG:

TEG: 4.9
MEG: 5.5
BEG: 6.25

Hopefully puffing up like this will help loosen the skin around the TEG and MEG so I can have more PMMA added there.
---

Thanks for your opinions on my plan.
PN

You seem very set with your plans, and you know exactly what you want. I do not want to derail your plans or criticize them, but I had some major surgery done recently, and I really wish I could have started out minor and eventually worked my way up; instead I went straight for surgery.

PPMA is a permanent filler, just like surgery is permanent, so you are taking a big step there. Maybe the first time you could go for Hyaluronic Acid that is reversible? I wish that is what I had done.

After the surgery I worried a lot, and even though it was too late, I started to research what alternatives I could have chosen? At first I thought fat transfer might have been good, but the more I read I realized that Hyaluronic Acid would probably have been the right starting point.

Screen2584 wrote: You seem very set with your plans, and you know exactly what you want. I do not want to derail your plans or criticize them, but I had some major surgery done recently, and I really wish I could have started out minor and eventually worked my way up; instead I went straight for surgery.

PPMA is a permanent filler, just like surgery is permanent, so you are taking a big step there. Maybe the first time you could go for Hyaluronic Acid that is reversible? I wish that is what I had done.

After the surgery I worried a lot, and even though it was too late, I started to research what alternatives I could have chosen? At first I thought fat transfer might have been good, but the more I read I realized that Hyaluronic Acid would probably have been the right starting point.

Thanks for your opinion. Are you thinking its best to scale more slowly in terms of not knowing if it will be too much size permanently or in terms of risk acceptance or both?

PhoenixNow wrote:

Screen2584 wrote: You seem very set with your plans, and you know exactly what you want. I do not want to derail your plans or criticize them, but I had some major surgery done recently, and I really wish I could have started out minor and eventually worked my way up; instead I went straight for surgery.

PPMA is a permanent filler, just like surgery is permanent, so you are taking a big step there. Maybe the first time you could go for Hyaluronic Acid that is reversible? I wish that is what I had done.

After the surgery I worried a lot, and even though it was too late, I started to research what alternatives I could have chosen? At first I thought fat transfer might have been good, but the more I read I realized that Hyaluronic Acid would probably have been the right starting point.

Thanks for your opinion. Are you thinking its best to scale more slowly in terms of not knowing if it will be too much size permanently or in terms of risk acceptance or both?

First there is the risk: HA is dissolvable whereas PMMA is not. From what I read, PMMA is more likely to have irregularities, compared to HA. PMMA can only be removed through surgery. It also seems that PMMA has a likelihood of lumpiness and hardening, while both HA and PMMA have risk of nodules and granulomas forming. I gathered this information from a product comparison created by a sponsor clinic of the board.

HA supposedly lasts 1-2 years, so it is a lot of time to evaluate how you feel about the size, and if you want it bigger, you can still "top it up" at a later time. After 1-2 years if you feel that you want permanent result, then you can start to look at permanent options, such as PMMA. When I did my surgery, I did not know the availability and difference of the various fillers, and the only one offered at the clinics I looked at was fat transfer and I thought surgery seemed a better option then.

Screen2584 wrote:

PhoenixNow wrote:

Screen2584 wrote: You seem very set with your plans, and you know exactly what you want. I do not want to derail your plans or criticize them, but I had some major surgery done recently, and I really wish I could have started out minor and eventually worked my way up; instead I went straight for surgery.

PPMA is a permanent filler, just like surgery is permanent, so you are taking a big step there. Maybe the first time you could go for Hyaluronic Acid that is reversible? I wish that is what I had done.

After the surgery I worried a lot, and even though it was too late, I started to research what alternatives I could have chosen? At first I thought fat transfer might have been good, but the more I read I realized that Hyaluronic Acid would probably have been the right starting point.

Thanks for your opinion. Are you thinking its best to scale more slowly in terms of not knowing if it will be too much size permanently or in terms of risk acceptance or both?

First there is the risk: HA is dissolvable whereas PMMA is not. From what I read, PMMA is more likely to have irregularities, compared to HA. PMMA can only be removed through surgery. It also seems that PMMA has a likelihood of lumpiness and hardening, while both HA and PMMA have risk of nodules and granulomas forming. I gathered this information from a product comparison created by a sponsor clinic of the board.

HA supposedly lasts 1-2 years, so it is a lot of time to evaluate how you feel about the size, and if you want it bigger, you can still "top it up" at a later time. After 1-2 years if you feel that you want permanent result, then you can start to look at permanent options, such as PMMA. When I did my surgery, I did not know the availability and difference of the various fillers, and the only one offered at the clinics I looked at was fat transfer and I thought surgery seemed a better option then.

I appreciate your take and will definitely ponder it, I have a lot of time until I'm ready for any kind of procedure anyways. PMMA, HA, etc... we'll see.

It appears on your best day you're damn near a 7x6! I know this won't resolve any of your SPS hang-ups but that's certifiably big. I stress that not to judge or to discourage, but that you can afford to take your time with this process as your situation isn't a dire one.

Your plan does seem well thought-out and solid to me. I like Screen2584's recommendation of trying HA first, but going straight to PMMA is perfectly justifiable given how much is known about the filler and its outcomes.

What I would recommend is going with Dr. Morales's professional opinion. Express to them what your goals are. Avanti Derma will generally prioritize aesthetics over gains because the gains will come regardless. Better to be conservative with volume so that you can layer in subsequent rounds and not beat yourself up for having gone overboard. Asking for 20cc's upfront may not take into account the cone shape as you might imagine. They may decide 5cc of 30% and 13cc of 10% is better for a first round (that's just an example). This advice applies to HA as well.

Skeptical_One wrote: It appears on your best day you're damn near a 7x6! I know this won't resolve any of your SPS hang-ups but that's certifiably big. I stress that not to judge or to discourage, but that you can afford to take your time with this process as your situation isn't a dire one.

Your plan does seem well thought-out and solid to me. I like Screen2584's recommendation of trying HA first, but going straight to PMMA is perfectly justifiable given how much is known about the filler and its outcomes.

What I would recommend is going with Dr. Morales's professional opinion. Express to them what your goals are. Avanti Derma will generally prioritize aesthetics over gains because the gains will come regardless. Better to be conservative with volume so that you can layer in subsequent rounds and not beat yourself up for having gone overboard. Asking for 20cc's upfront may not take into account the cone shape as you might imagine. They may decide 5cc of 30% and 13cc of 10% is better for a first round (that's just an example). This advice applies to HA as well.

Thanks for your informed/SME opionion and for the compliments. SPS plus optics (curved, cone, upward Erection, fat pad and Turtling Flaccid) are probably screwing my head up. But knowing I can tackle the SPS problem for good and having my SO's blessing, it'd feel like a dream come true to have a big unit.

Good point about being too greedy for gains on the first shot. As you said, is it truly worth it to sacrifice aesthetics for speed of gains when I can the same gains in the end PLUS more aesthetics if I just go slower.. I'll definitely discuss my PMMA goals in more depth with Dr. Morales and follow their professional advice.

Now just need another non-PE surgery to be over and I can start looking for a low&tight Circumcision and turkey neck/scrotal webbing surgery. I'll probably have to reduce my forum use at some point to until the procedure is done, as I'm starting to spend too much time researching this than I can afford and it's hard to support the wait.