Hi, I\'m the person that wrote of my experience with
PMMA on Real Self and Make Me Heal that RustyBoar has posted in this thread. My issue with
PMMA has not resolved; it's an on-going battle. I'm continuing with 5FU/steroid injections which keep the granulomas under control for the most part. I've been getting regular injections for several years and so far the 5FU/steroid injections have been the best treatment for me. The injections have small side effects of their own. I now have some white patches on my face that look like vitiligo but I'm told this is a side effect of the steroid and should resolve over time. I still have new nodules popping up; the latest have occurred in the lips. I've been to many doctors and constantly search for new information. I believe I've seen or spoken with most of the Doctors experienced with
PMMA (US, Canada and Mexico) including the inventor of Artecoll and have been following the prescribed treatment plan that has the lowest risk of side effects (5FU/steroid combo), The course of treatment recommended for complete resolution is 40g steroid but this can cause
Atrophy (I experienced this side effect with high dose steroid) so I\'m treating with lower dose to minimize the side effects. If my granulomas and nodules were in a less conspicuous area (not my face), I\'d aggressively go after them with 40g steroid but
Atrophy is not an acceptable side effect for my face. I have often wondered if the frequent injections act as a catalyst for an inflammatory/immune response and that's why I often get new nodules but I can't go for any length of time without the injections or the granulomas grow large and become visible. On the upside, the doctor I spoke with that had the most experience and longest history with
PMMA complications, said the inflammatory response will stop after 5 years. If this turns out to be true, I will be a very happy camper. In reference to Dr Daniel Cassuto in Italy and melting
PMMA, I decided not to pursue treatment with him because it was confirmed by a very reliable and educated source that
PMMA cannot be melted at a temperature that wouldn't burn the skin so trying to melt the
PMMA was not an option. I hope this info helps. wwills