TOPIC: Thoughts on frequent but smaller injections.

I was wondering if anyone had any thoughts on more frequent but smaller injections to have a more uniform and progressive ramp up to the size you want. Lately I've been thinking I want to try 2.4 CC's of Bellafill with PRP but do it monthly instead of doing 10 syringes in one go I would do 3 at once every month. Do you think this is a good approach? What could be downside? What could be the upside?

Yes, this is something I often advocated, especially on the 2.0 forums. This incremental brick-laying as I called it was first promoted by Doctors who were doing FFT (fat injections). The reason why most FFTs failed was due to overfilling. Not only would some of the fat fail to get an adequate blood supply, but the sheer volume would lead to inevitable aesthetic irregularity. So it was thought that by laying a foundation first, and building upon it with frequent + smaller injections, you'd get a more long-lasting and aesthetic result.

This wisdom can be carried over to any filler really: Hyaluronic Acid (HA), Ellanse, PMMA, and so on. I have no doubt (and this has been reflected by Doctors to me personally) that taking the approach of smaller volumes injected over multiple rounds proves to be the best method for a natural, quality end-result.

The only downside I see is logistics (and this wouldn't apply to everyone). If you have the flexibility to do 3 syringes every month versus 10 syringes in one-go, awesome. I can see how some guys may not have that luxury. The upside is what I just explained previously above.

Aren't syringes 1cc each? I'm not sure I would bother getting half a syringe put in. I would just do the full. Also, I believe most clinics have a minimum amount they would require you to get. If not, you'll be paying a lot more per cc. They're not going to charge you the regular price per cc because they would be wasting their time reserving you for a session and doing the procedure. It doesn't take that much longer for them to inject more ccs. It's the prep and blocking out of their day for the procedure. They can't really do multiple guys at 3ccs each in any quicker time period and that's if they even find enough patients to do that. I also think your Dick is still healing at 1 month.

Hyperbol wrote: Aren't syringes 1cc each? I'm not sure I would bother getting half a syringe put in. I would just do the full. Also, I believe most clinics have a minimum amount they would require you to get. If not, you'll be paying a lot more per cc. They're not going to charge you the regular price per cc because they would be wasting their time reserving you for a session and doing the procedure. It doesn't take that much longer for them to inject more ccs. It's the prep and blocking out of their day for the procedure. They can't really do multiple guys at 3ccs each in any quicker time period and that's if they even find enough patients to do that. I also think your Dick is still healing at 1 month.

Yes you are actually correct, when I meant incremental, I wasn't really taking into account how small 3cc's really are. In fact, 7-10 cc's is a good foundational start, and to do around that volume every subsequent appointment. Brainfart on my end. I still mean incremental in that you don't push 20-25cc every subsequent round.

Bellafill comes pre packaged in a syringe of that size so they don't buy the product in bulk from a single ampule they can draw from.
For Bellafill each syringe is .8cc's. So when I said 2.5 I really meant 2.4 or 3 syringes of Bellafill. I'm not married to that number maybe the sweet spot is 4 or even 5 I don't know.

I bring it up because even with 8CC's which is 10 syringes and by all measures considered a small amount in this forum and small amount with what many doctors inject, I still had some nodules develop. I feel like 8cc's while not much does cause some good gains although a little modest. For most guys I would say a little over .25".

3 or 4 syringes might not be noticeable on the tape measure but it might also help you taper up in increments with less swelling and less nodules. Over the course of 6 months you can have between 18 and 24 cc's injected which would be a good and significant amount. I'm just not sure if it would be worse for wear.

Also 8 CC's takes my doctor about 30 minutes to put in but if it saves him a few follow up visits in treating nodules which he does for free it might be worth for it him. As far as healing the two entry holes from a cannula are really nothing and mine heal in a matter of 1 or 2 days. I feel like the swelling and bruising is also caused by the continual movement of the cannula going in and out to use up all the product so it might create less injury per sessions and less swelling and bruising when you use less product.

Anyway this is just a thought. I would like to bring it up with my doctor too and see if he has an opinion.

Rejuvall, when they were doing Ellanse, would only do 10ml at a time. ( i had three rounds of this ). I feel like those were full rounds. So, say after a full 10ml i was unsure how big i was going to keep getting, I would think that 5-6ml rounds would be a great thing to gauge progression and to get exactly where one wants to be Girth wise. IN addition it allows for less errors and/or error corrections should some get out of place or look un-uniform.

The biggest problem is people's willingness to pay for the travel and lodging to do this.

while some injectors do have a minimum i also would like this approach of 3 syringes at a time instead of the 10 minimum. I had 15 which is a overfill i regret but from now on to fix aesthetics and get further Girth i will not inject anything more than 5 syringes if i have to pay full price then be it. I rather this approach also

My PMMA sessions were the standard range for Avanti. Logistically I think they've found the sweet spot for their products.

I also now have HA over top/integrated I guess. I've been multiple times (I'd actually have to ask them for a total, I didn't keep records). Each visit was 3-4 syringes and I've probably received around 15 give or take. I feel like that was the best approach for it considering I've seen tons of guys get more like 15-20 in one or two visits and I feel like I've gained more. Mileage may vary. Probably depends on exact product too.

Is there a reason you got PMMA then HA?

HA on top of the PMMA feels natural?

uncuthero wrote: Is there a reason you got PMMA then HA?

Primarily logistics. I had aesthetic stuff I wasn't in love with and also have had the size increase itch for awhile. It was a realistic choice. After talking with multiple providers who have done HA on PMMA patients I decided to give it a go.

And I'll answer the feeling question here too. I'm not sure if I'd describe anything as feeling totally natural but I love it now. And I don't think a random partner would have any questions, but what do I know, I'm married.

who did your HA procedure?

Clinic in Toronto

yoshinator wrote: I was wondering if anyone had any thoughts on more frequent but smaller injections to have a more uniform and progressive ramp up to the size you want. Lately I've been thinking I want to try 2.4 CC's of Bellafill with PRP but do it monthly instead of doing 10 syringes in one go I would do 3 at once every month. Do you think this is a good approach? What could be downside? What could be the upside?

I’m taking a similar approach, scheduled 6/7 at Avanti for Ellanse. They will do 12 no at a time after speaking with Dr. Morales and Ian, planning to do 8 ml. Then follow up in a 3-6 months for another 6, then a likely 3rd touch up

justn8 wrote: Clinic in Toronto

Was this Sovereign Clinic or the Fairview Clinic? I tried to get either of them on board but wasn't thrilled with either the communication or the feedback.

I hope you got good work done and I'm not trying to knock them, but if you are ever in or around Vancouver, I was able to instead get the Pollock Clinics on board, especially if you are looking for any touch-ups. They've also done some training with Androfill physicians from around the world.