TOPIC: PMMA Aftercare: bump at injection site?

Hi Fam,

I had my second round of PMMA last week. Things are progressing very nicely. I've stretched extensively and done my compresses and massages, etc.

But I have a bump at one of the injection sites (It actually feels like a little bit of a ledge above it and a little bit to the right of it). That one area remains pretty sore at first touch (there was some bruising too). My question to all you experienced folk - should i warm compress and continually massage that one area. Or will excessively massaging it cause scar tissue to form?

I think it's too soon for the PMMA to start clumping?

mrwong69 wrote: Hi Fam,

I had my second round of PMMA last week. Things are progressing very nicely. I've stretched extensively and done my compresses and massages, etc.

But I have a bump at one of the injection sites (It actually feels like a little bit of a ledge above it and a little bit to the right of it). That one area remains pretty sore at first touch (there was some bruising too). My question to all you experienced folk - should i warm compress and continually massage that one area. Or will excessively massaging it cause scar tissue to form?

I think it's too soon for the PMMA to start clumping?

Entry point bumps are pretty common. Mine softened and eventually disappeared over time without any sort of therapeutic intervention. Unless it's a full-blown nodule, I would stick with the same post-op protocol you got from Round 1 (because it seemingly worked).

Furthermore, I will take this opportunity to reiterate that follow-up appointments are a near inevitability because dermal fillers have a degree of uncertainty, no matter how masterfully they were injected. Of course, the expertise of the Injector minimizes the frequency or severity of nodules, which is why I recommend vetted Practitioners, but even the best in the world are not going to be able to guarantee your girth enhancements won't go without revision work, even if very minor. That is to say, it's like whenever you're happy with your gains, 90% + of you will need to see your performing Physician to iron-out-the-wrinkles in terms of aesthetic irregularities. Everyone's shaft skin behaves differently with the presence of filler, hence the necessity for me to remind guys to save/plan for that additional appointment.

With respect to it being too early for the PMMA to start clumping -- it can never be too early. In fact, some nodules are a result of a lack of post-op massaging to ensure the filler is spread more evenly (remember, our penis is a dynamic organ that likes to fluctuate in size and temperature on the hour every hour) -- what you need to look for are areas where the filler is unusually dense or bulked up, and press them out per your Practitioner's Orders. As for the entry points themselves, interestingly enough, I found that squeezing the fluids out in a sterile setting was most beneficial (when originally and naively thought that by squeezing them I would be losing PMMA, and by extension, potential size). Even after all of that you may still have entry point bumps, but they really are temporary by most accounts.

Worst comes to worst, that (near inevitable) revision appointment will resolve any lingering issues and you'll be on your way.

Thanks for the thorough response!

I'm ok with follow-ups but I"m also pretty much where I want to be, Girth/shape wise. And don't want to get any more injections (or bumpy nodules on these sites).

I've spent some time heating/stretching/pressing the area. It seems it's a build up of fluid and not a Nodule. This site, in particular, was oozing? and bleeding for a little bit after the injection. Perhaps it's just fluid that needs to be reabsorbed. I'm going to continue to gently push it several times a day and do some light massaging. If anyone feels that there should be a different course of action - please, please let me know.

I did find one today that was on the underside which popped up overnight. The heat and a good massage does wonders. Interestingly, it's only apparent Flaccid.

Skeptical_one, what exactly do you mean by squeezing them out in a sterile setting?? Certainly not puncturing your shaft?

mrwong69 wrote: Perhaps it's just fluid that needs to be reabsorbed. I'm going to continue to gently push it several times a day and do some light massaging

You said you had your appointment last week, but that could imply late last week, and therefore you should be coming around the corner in terms of the entry points healing and closing up. Everyone heals differently in terms of speed but you should really not be seeing much more in terms of fluid, especially by tomorrow I'd imagine. PMMA does have a carrier which makes up the majority of the filler content: Linnea Safe has a bio-compatible gel that breaks reabsorbs relatively quickly, and the American iteration of PMMA (Bellafill) has bovine (which takes a bit longer to break down), so that may be some of what you saw.

mrwong69 wrote: Skeptical_one, what exactly do you mean by squeezing them out in a sterile setting?? Certainly not puncturing your shaft?

Well the first couple of days your entry points are open, and when you massage, you also have the opportunity to squeeze out fluids from the entry points, that if not pushed out initially may clump up at the entry points (or other areas) and be cause for Nodule formation. You are naturally going to have some fluids (be it filler or bodily) that will come out, and that is okay. However, it is vital that it is done so in a sterile setting -- by this I mean that your hands are clean, using an antibiotic cream (something I did when massaging because it served as both a lubricant for massage as well as an ointment to protect against infection), and redressing your wrappings/bandages as required by your Practitioner's post-op protocol.

In other words, you do NOT want to introduce pathogens to the entry points while they are still not completely healed (i.e. closed). Also, short of this aforementioned tip, anything else I said that may be in conflict with your required protocol should be disregarded -- assuming your Practitioner is a legitimate Injector in this field, their instructions supersede most anything you read here.