TOPIC: Infections, Complications, Risks of PMMA?

I have mentioned before if a doctor wants to use a sharp needle (instead of the blunt micro-cannula) for the injection of PMMA he has to use the technique back & forth (injecting PMMA while withdrawing the needle) and never inject at REST.
I think most of the doctors in the US use a sharp needle for Artefill injection into the face and I have never read any case of skin Necrosis or blindness in the US, because they use the technique I have mentioned above.
e.g. watch the technique of this doctor during the injection of Artefill he is doing it while withdrawing the needle :-

The doctor has to be well trained about how to inject Artefill in a safe way.
Injecting the beads directly into a vessel (an artery or a vein) e.g. a sharp needle ---> serious complications (embolism).
In the other hand injecting the beads outside a blood vessel, the beads cannot enter the blood vessel by itself ---> i.e. NO embolism.
To prove that for you :- There are thousands of patients in the US who had Artefill injection into the face (which contains a lot of arteries and veins) by using a sharp needle but without any serious complications e.g blindness or skin Necrosis i.e. No beads had entered the blood vessels because these doctors are well trained.
If Dr.C. or any other doctors using a sharp needle for PMMA injection (e.g. in the US) and if they had one case of e.g. blindness , would we think they will continue to use it ??

supa wrote: Re: The horror picture portraying a disfigured face.

It would seem down to poor technique; I read in the article:

Not the product is to blame then, if we take the excerpt literally, but rather the location where it was injected.

Thoughts?'

If it was injected into the artery, that is poor technique and physician error. Very near branches of the ophthalmic artery should be fine. The material is not supposed to move. That would not be considered poor technique. In the nasogenian grove should be fine. The material is not supposed to move. That would not be considered poor technique. Very near the right facial artery should be fine. The material is not supposed to move. That would not be considered poor technique. Here is a video of Dr. C injecting into the glabellar region. He is using a microcanula so not likely to puncture a blood vessel (not impossible, just not very likely). How near is he to branches of the ophthalmic artery?

supa wrote: 'At the same time I did resent your patronizing attitude when replying to smartman '

I looked back at my exchanges with smartman and there isn't anything I would change. If you believe that the answers to the list of questions asked would provide value to you, as opposed to another list of questions for each answer and so on resulting in an endless debate that no one cares about, then I hope someone answers them.

Also in my opinion in regard of the possibility of skin Necrosis and other arterial emboli from PMMA or other material injection :-
e.g. Injecting 20 cc Newplastic into my penis with a blunt micro-cannula is safer than injecting :-
1 cc of Artefill into my naso-labial fold (skin Necrosis) or 0.1-0.2 cc 0f steroid injection inside my nose (blindness) or0.5 cc of FFT into the tip of my nose (blindness and central nervous system injury) with a sharp needle.

I am not saying that PMMA is without any complications , you can have a serious complication if your doctor used a bad technique even if the product of PMMA was the best ( e.g. Artefill).
In PMMA injection you must find a very experience doctor who has done many cases and has a very good reputation, otherwise dont do it .
We are all here in this forum trying to help each other , and all of us want the best for our penises .
I dont need to convince anybody to have penile PMMA, everyone should do his research and find out what is the best for his penis .
I think all of us would like to have a permanent Girth enhancement with the lowest risks.
I found the product what I was looking for but I am sure some people like other products and they have good results too.

Some people think that FFT injection is the safest method which has no serious complication and only has a low risk, I would like to know their opinion after they read these information would they still have FFT injection??? :-
(1) Danger in Glabellar injection page 461.
(2) Blindness and central nervous system injury (in a 24 y.o. lady after Fat injection about 0.5 ml in her Rt. nasal tip) page 461.
So it was only 0.5 cc of fat which had caused this serious complication and not the 20 cc pmma into a penis.
In fft injection you can also get :-
Absorption , infection (mycobacterial??) antibiotic before and after injection is advised , pulmonary thromboembolism , pseudotumor , skin necrosis , calcification , penile and urethral distortion , cavernous sinus thrombosis , big cyst formation , ossification and lipomatous hypertrophy (please, check the picture of the penis in fig. 54. 3 in page 422 in the following web-site) :-
books.google.co.uk/books?id=K-HYbvHxcKcC...t%20transfer&f=false
I think I should start a new thread about infections , complications , risks of FFT ???


So in conclusion:- as I have mentioned before it is the Technique and not the product per se.

The Rt. facial necrosis in the picture is due to a bad technique (the doctor has injected pmma into an artery (branches of the facial artery)) esp. if the doctor used a sharp needle for the injection, they usually advice in pmma injection is to use a blunt cannula or if the doctor used a sharp needle he shouldn\'t inject the pmma at rest he should move the needle back & forth and the injection should be done during the movement to avoid any direct injection of pmma into an artery.
It has nothing to do with the amount of pmma it is due to the technique e.g. :-
A small volume of pmma injected by a sharp needle into an artery ----> a chance of necrosis.
A large volume of pmma injected by a blunt cannula and not into an artery--> no necrosis.
A necrosis of a tissue from an arterial embolism is not a long term complication it is an acute short term complication hours after the injection.
But if the injection was into a vein ---> possibility of pulmonary embolism
BTW the volume injected in the butt (around 500 cc) is 10 times more by volume than typically injected in the penis (around 50 cc in total) and I have never read any report of skin or tissue necrosis of the butt.
I agree with supa that there are other products beside pmma if you injected them in an artery---> embolism---> serious complication.
e.g. injecting steroid into the inferior turbinate (inside the nose) (used to be one of the treatment for chronic nasal block (allergic or vasomotor rhinitis)) can cause blindness
archopht.ama-assn.org/cgi/content/abstract/97/1/79
My doctor in Brazil used a micro-cannula during the injection of Metacrill but in some area of my penis he wanted to use a sharp needle (back & forth technique) but I refused even he told me he has a long experience of using a sharp needle. So I am sure some brazilian doctors still sometimes used a sharp needle beside the micro-cannula (so it is not a 100% a bioplasty technique (a blunt micro-cannula) what Dr.Almir Nacul has advised).
So the technique of the doctor is most important to avoid any serious complication and not the product per se.

Hm, I\'ll pass word along that multiple people are having issues.

@skatezy - I cannot see most of post #20. Issues with the thread?

@ttar: Is the problem still happening? I am not experiencing similar issues. Is it localized to this thread, or do other threads have that appearance as well?
@eq Is post 20 still only partially showing up? I am not having any problems.

@Jec You indicated that you are 50/50. Perhaps you want to reschedule so that you can do more research and feel more comfortable with your decision, whether it\'s to go forward or not go forward. It\'s important to research and understand all potential risks before proceeding, if you do indeed decide to proceed.

Re: The horror picture portraying a disfigured face.

It would seem down to poor technique; I read in the article:

\" ... the PMMA microspheres were injected very near branches of the ophthalmic artery, which caused embolism in the vassel.2 We also know of complications also associated with the use of an autologous graft when the injection is carried out in the glabellar region.6
In this report, the complication mechanism was similar. PMMA was injected in the nasogenian groove, or directly into the right facial artery, or very near it. There was arterial embolism: right angular artery, right superior and inferior labial coronal arteries\".

Not the product is to blame then, if we take the excerpt literally, but rather the location where it was injected.

Thoughts?

P.S.
I truly and deeply think that challenging info/doc/research documents are absolutely crucial for our long journey to a thorough assessment of PMMA. Thank you eqstudent for your contributions. Please, keep it up.

At the same time I did resent your patronizing attitude when replying to smartman. He has brought wealth of technical info to this forum on top of sharing his long-term experience with us: both extremely valuable assets.
I personally would welcome more imperturbability when objecting to points of view of a fellow forum brother. Rest assured that I still would avidily read your inputs. We are all here to learn and contribute. Btw, I confess, I do ignore the basic facts of biology, so I am happy to know more.

Final question: you \"will not be using Artefill for chin augmentation\" ... would you use Artefill for penis Girth augmentation?

@ttar2380 - for me, post #20 only partially show up the rest of the page is fine.

Jec wrote: ...Does these serious long-term complications arise altho the amount injected to penis is small compared to facial procedures?...

The amount injected into the penis is 10 times more by volume than typically injected into the face. No one knows how this changes the risks.

is this page really messed up for anyone else? i have several posts appearing on top of one another, so you can\'t really read them, with the last one extending way past the \"quick reply\" dialogue box that\'s usually at the bottom. I\'m using a Mac...just wanted to see if I\'m the only one with this issue?

Uh this is really important question so please keep your egos away so it would be easier to read and understand?
It\'s very very important to be critical as possible like eqstudent is.I am basically 50/50 should I go for the procedure at 10% on august or not.Does these serious long-term complications arise altho the amount injected to penis is small compared to facial procedures?
I am really at basic level on biology understanding when evaluating the risks - but still I better evaluate very well.I don\'t want my penis to turn black death when I\'m 30-40 yo.
Maybe one procedure at 10% is not so risky? .. Hmm.. I still could cancel my procedure time.. hard decision.