TOPIC: METACRILL IN EUROPE

Damn, that is ba news....well we still got until Wednesday evening to decide...

@ olafspo and eastender,
I recieved today an e-mail from Dr. Samy :-

Really Ivana is the distributor of Metacrill in Europe.
I do not know her family name, that was the reason why I said I did not know her.
Now I localized the woman, really she is the distributor in Europe, living in Sevilla, Spain.
But I do not know her tittles in Rio de Janeiro, Brasil, it seems to me very strange, because I did not meet this Ivana in Rio, unless in a dinner with the owner of Metacrill, Mr Jose Alfredo Damasio, a friend of mine.
I do not recognize her experience with Metacrill.
In Brasil there are no courses on Master in Metacrill.
She has not any title on Plastic Surgery.
She has not any title in Aesthetic Medicine.
She has no any title on Dermatology, that are the main specialties that handle with implants, so it is very strange to me that she is an expert in Metacrill. But everything is posible in this field. I would not permit her to inject my penis, definitively.
best regards
Samy


She can be good in injecting Metacrill and can give you great results but I would only have a consultation with her without getting the injection in the 1st visit, ask her how many penile injection she did, does she inject the gap behind the glans and if you get a lump how can she treat it esp. if it was under thin skin e.g. behind the glans ( Kenalog+ 5FU) . I am sure she did facial metacrill injection (as an ENT doctor) but in penile injection she could have few cases ?????

BTW I have asked Lemperle too about her and that was his reply :-
Samy told me that , once - however, having a distributor does not mean approval... especially in Spain and Czech Republic.... I will find out in Mexico City.
She may have experience in penile augmentation: I can imagine that women have a better hand for it... ? Ask her how many penises she has injected !
Best,
G.

I just called her.
She had done the applications for 3 years and 30 times injected a penis with Metacrill.
Until today no problem.She knows Sammy Passy and Samy does not like her very much because he also had planned to bring Metacrill to Europe. But she got the approval and Samy is not able now to sell Metacrill to Europe and make money with it. ( He owns a part of Metacrill )
I don t know if 30 applications in the Penis are a lot or not, I believe Dr Casavantes has done much more...
I will still ask her about the gap injection and Kenalog...

Metacrill is a permanent and safe inyectable filler on the basis of polymethylmethacrylate microspheres (PMMA). The PMMA microspheres are suspended in carboxymethycelulose (an absorbible coloid material widely used in medicine). Metacrill is a permanent material, which does not migrate, and enhances the formation of own collagen in the place of application.

As you already know, Metacrill is also used for volume enhancement of male genitals. I have been applying Metacrill to male genitals (among other applications) for the last three years (since the approval of the product in the EU). I also train other doctors. I did not have encountered any granuloma or Necrosis, we are also monitoring the statistics of complications at worldwide level and it is very low (below 0.5%).

Metacrill is applied with a microcannula in the cellulose layer of the penis, without altering the structure, sensibility or Erection. Penis diameter can be increased up to approximately 1 cm, we use concentration of 30%.

The complete procedure is progressive, divided in three applications, with a 2-month period between each application. During each application, approx. 10 to 15 ml of Metacrill are applied. The price is approx. EUR 3500 for all three sessions, depending on the volume applied. If you decide for the application, it would be good if you also bring a jes-extender.

I hope this answers your questions. Let me know if I can be of further help.

Best regards,
Mudr. Nemeckova

I just talked to her about lumps and Kenalog and she did not understand me, her english is not the best.
But when I asked if she can do Kenalog shots she replied: Kenalog?
Not sure if she did not undestand me or if they call Kenalog different in the c. rep.
Well I wrote the questions again in a mail.
But she does not have more pictures....

@olafspo,
She will understand it if you tell her Intra-lesional steroid (cortison) injection (e.g. Kenalog or Kenacort or Depo-medrol) ( used for the treatment e.g.of Granulomas or Keloids).
But actually olafspo I wanted to check her only if she knows how to treat lumps or granulomas after PMMA in general (Kenalog) and what if these lumps were under a thin skin e.g. in the gap behind the glans how can she treat them (Kenalog+5FU to avoid skin Atrophy) ??? i.e. what are the options for treating these lesions does she know?? Or would she do surgery straightaway??
So actually I didn\'t want you to tell her the answers for that.
Ask her about using a jes-extender , she should know you will have swelling esp in the next day so the basal ring will be too small for your penis so you will encounter some difficulties esp. in removing the extender so you need a bigger diameter of the base ring. You are an expert in these extender than her so you need something which pull your glans not too much without a base ring or a wider one, I like the idea of using an extender ( IMO that is a plus for her).
Anyway she said she didn\'t see any granulomas (or may be even no lumps??) in her PMMA injection (i.e. not only 30 cases but also there are more cases she did in other parts of the body). So that means she has no practical experience in treating these lesions after PMMA injection.
You could ask her if she recommend any Antibiotic after the procedure ?
Massaging ?
I have just received an e-mail from Lemperle he said :- If she has experience, it does not matter wether the material is approved or not. The most important is that it is the new = cleaned Metacrill.

Depo-medrol? I thought I would never hear about that again. Allow me to digress a little from the subject of this thread, but I met a \'doctor\' in Mexico City a decade ago who would inject you depo-medrol on your fat deposits around the waist, to help in fat reduction! It did help, but then he had a \'secret\' \'last\' thing he injected when one had lost enough fat and sought to stay lean afterwards.

So, cortison injections indeed help dissolving lumps. If they help \'dissolving\' fat, of course it helps dissolving lumps.

This is copy/paste of what she replied to all my questions from today:What do you think Smartman?
Dear ....

Please see below the responses in blue.

Kind regards,
Mudr. Nemeckova

Q And also: can you do Kenalog+ 5FU injections?

A Kenalog is a corticoid, used in case of application of Metacrill only if there is an inflammation.
5FU is a medicine used for the treatment of skin cancer, I do not use it when I apply Metacrill.


From: @hotmail.com
To: This email address is being protected from spambots. You need JavaScript enabled to view it.
Subject: Metacrill
Date: Tue, 29 Nov 2011 15:11:41 +0000

Hello.


Here my last questions:




Until what part do you inject the metacrill? Can it be injected until the beginning of the glans or does it have to stop at the circumcision scar line?

A Metacrill is applied on the perimeter of the penis, except for the lower part where is the urethra and approx. 1cm from the gland.



Q What can be done if a lump forms under the skin? Are there ways to treat them, make them disappear? If yes how is this done?

A During my applications, I have not experienced formation of lump forms. Should these occur, I would recommend the use of corticoids.

Q Is it not possible to have more pictures?

A I do not have more pictures than the ones already sent (it is very sensitive body part and my patients do not usually like it).



Kind regards


De: @hotmail.com>
Para: This email address is being protected from spambots. You need JavaScript enabled to view it.
Enviado: martes 29 de noviembre de 2011 20:14
Asunto: Metacrill

Q Is the Metacrill used the NEW METACRILL? The inventer of PMMA, Dr Lemperle told me that there is a new, cleaned Metacrill available and that it is better.

A I don\'t know what do you mean by new Metacrill. There is only one brand of PMMA filler currently authorized in the EU, which is Metacrill. I know that in Brasil there was another product, NewPlastic, which had a similar composition (but was not cleaner - not sure what is meant by this term) but that product is not approved for sale or use in the EU and I am also told its production has now stopped. If you would prefer the product of Dr. Lemperle, then you may need to travel to Brazil or Mexico.

However, you should bear in mind that that there is a risk that that product would probably not meet the EU safety standards.

Metacrill is safe, its production undergoes periodic audits from local and European auditors so that it is assured that the product meets all the standards of ISO norms and European Union safety standards, which are very strict. I have been using it for several years now, without any complications. I also train other doctors the application techniques in the EU.

You have more information on www.metacrill.eu/metacrill_eng/metacrill_eng.html .

Also do you recommend Massaging?
a very gentle massage, I can explain on Thursday.

Do we need Antibiotic after the Procedure?
If you are in good health, it is not necessary.

Can you do Intra-lesional steroid (cortison) injection (e.g. Kenalog or Kenacort or Depo-medrol) ( used for the treatment e.g.of Granulomas or Keloids)
I can do it if required, but I do not normally do it.

Thank you

So that means at the present Metacrill is the best Brazilian\'s PMMA product .
She sounds good and honest this doctor, I respect about what she said she did only 30 penile PMMA bioplasty, she could lie and say she did more than this No. so she didn\'t lie like some other doctors do, I believe what she said that she was trained or saw the work of Dr. Samy when she said \" I don\'t inject the area around 1 cm behind the Glans and no antibiotics \".
I would do the following things:-
1- I will show her that I am interested to see the bottle or the box of Metacrill ( and I will check the date of production without showing her that you don\'t trust her do that only if you can ) .
2- Ask her if she use a marker before injection ( 3 rectangular compartments along the shaft one central and the other two on the sides and she can devide the volume equally in these compartments that what Dr. Samy did for me ) just to get a better symmetrical aesthetic results as possible. I have the feeling she will do that ( Ladies are better than us in regard of a better aesthetic look lol ) if she is going to use a marker before injection that will be a plus for her esp. she did only 30 cases till now.
3- Try to ask her (if you can) not to enter near to the Glans for 4 reasons :-
a) The entry holes in this area sometimes close later than the ones at the base, so you will get more oozing of the PMMA and some beads could stay in the hole or just underneath it and clump together at this area and causing---> nodules or lumps formation.
b) The skin is thinner in this area ---> PMMA under thin skin will have a higher chance of developing small lumps .
c) Also there is an advantage if there were no entry holes near to the Glans --> you can early massage your penis at this area or around it without the fear of pushing the PMMA outside the holes which can produce lumps later on esp. in this area.
d) Not to forget treating lumps with steroid injection under thin skin --> a risk of skin Atrophy.
4) Ask her how about using the extender after the swelling esp. the next day, it will be difficult, bring with you another extender which hold only the glans ( I am sure she wouldn\'t mind if you use it). When you use the extender directly after the injection you can massage your penis better that what I had done before.The 1st 24-48 hrs are v important if you notice any irregularities just massage them as early as possible (I found during Erection you can easy see any irregularities) BTW in the 1st 24hrs you can see the irregularities better before the swelling start to increase esp. on the 2nd day.

Also I think she will do what Dr.Samy did to me before the injection he measured the diam. (the width) of my Flaccid penis before the injection and he said he wants to increase the diam. till he reaches 4 cm . 4 cm is his aim but I kept insisting to reach 5 cm ( 2\").
But the disadvantage of having a lady doctor I think she will not listen to your demands (if you want to have above average or huge Girth) she will inject max. 15 cc\'s and not more I had around 25+cc\'s in each round.

So, should those of us with the old Newplastic be worried seeing as its not in production now?

What has Dr C got to say about this?

As said, she told me she knows Dr Passy personally but he does not like her as he wanted to make money in Europe with Metacrill and now cant becaouse he did not get the distribution rights....
I still dont know if I should do it or fly to Dr C. I keep thinking what if all goes well and after some weeks I get problems and inflammation, or evan after month and my penis needs to be amputated ( worst case ) or I die from thrombosis due to beads in my major artery....

ANYHOW:a big thanks to you SMARTMAN

you spend much time writng mails and doing research...I am not used to this as nowadays most people only help if its for their own benefit...sad but true. I really appreciate your help and your suggestions help me a lot!!

Zol,

I do understand your fear but if I was in your position now I wouldn\'t get so worried for 2 reasons :-
1- If the injection were in a superficial areas e.g wrinkles in the face (Naso-Labial folds)--->Foreign Body Granulomas then I will get worried but if it was injected in a more deeper space like in our cases in the penis I wouldn\'t get so worried the chances of FBG\'s is way less.
2- I had the bad Artecoll injection (1996) ( which they stopped making it, they have now the new better Artecoll ) deep inside one side of my face (to treat a bony depression due to old trauma) so it is 15 yrs ago without any complications what so ever.
So just think positively and nothing bad will happen.

Smartman, I forgot but how long have you had PMMA in the penis? Also any last minute hotel suggestions? Do you or anyone think its too dangerous to stay at the Grand hotel even? Or even stay in Mexico (given time of year also so close to xmas).

I had Metacrill 30% my 1st round was in Oct. 2008 in Rio. , 2nd round was in June 2009.