TOPIC: Average gain PMMA

My understanding is that the beads are too large to be phagocytised by individual macrophages (thereby preventing migration), but that the beads are contained by several macrophages (which may end up fusing, creating a so called \"giant cell\"). There simply is no way a foreign body can remain in contact with your tissue (including collagen) without inducing a continuous response of your immune system, and continually attracting macrophages. If the macrophages were to die, which of course happens all the time, the ongoing immune response attracts new macrophages to contain the now newly exposed bead. Collagen is created by fibroblasts, induced by the immunomodulatory excretions of the macrophages as a matrix to aid in this process, but does not actually have a function in directly containing or encapsulating the beads.

Thanks for everyone who has shared valuable information on PMMA, and PMMA gains per round. And I especially want to thank this site, as it has, hands down, given me more knowledge on PE than any other site has, including all the hours I\'ve spent researching.
It looks like I\'ve decided to go with PMMA. I\'m 29, and even though long-term risks are unknown, I\'ve decided to pull the trigger and will book an appointment with Dr. C. for May of this year. Can\'t wait. If my penis falls off in 20 years, I could care less. This tiny thing between my legs provides me with no sex life, since all the girl\'s I end up sleeping with (which I try to put off for as long as possible) never return my calls or texts.
I contribute this massively due to the embarrassment I call my penis. While I was still in school, my size really didn\'t matter much. But, now that I\'m all grown up and woman have had their fair share of stretching, it\'s like a minnow swimming in the middle of a 5 gallon bucket full of water...

Tulsaguy, I am in the same boat as you. In my late 20s and when I hook up with chicks, its like I\'m throwing a hotdog down a hallway. Barely feel anything and can barely wear condoms cause I\'ll go limp. My procedure is in 2 days, so hoping for the best.

Haven\'t been here for a while. Interesting discussion, I am getting on for 3 months post op now. I would say my Erect gains are mostly holding so far, I\'m probably 0.1in down from my peak. So to date I\'ve gained 0.4ins.
But my Flaccid is definitely smaller lately, I\'ve been measuring 0.15ins Girth less than I did only a few weeks ago. However I\'m not certain yet whether this is a genuine loss of size or whether it\'s down to psychological/weather related retraction.

I have diagramed the area discussed in the picture below.
I do see the benefit of a 10% (or less) primary round. Although it would be pushed back, it will not be as pronounced as 20%, in most cases. That is, the transition incline will not be as steep.
Picture:
1.) Normal/Unmodified penis - Green Square represents \"The Gap\" area.Attached Images:

Does this mean that an uncircumsized penis would be filled much closer to the glans and therefore have a smaller gap if any at all (except the head of course)?

How do you quote properly by the way?

I wonder if stressing the PMMA such as Hanging or a good ADS with significant tension would cause some type of micro tearing of the PMMA and therefore open it up for additional collagen growth as it repaired the micro tearing? I\'m no doctor but like to think and this is one of my favorite subjects to think on. I will start Hanging again next month once I know I\'m sufficiently healed from the first PMMA procedure.

That is a nice, but flawed, theory for increasing collagen deposition. It is the PMMA microspheres and the encapsulation process that results in collagen formation. The more microspheres per equivalent volume, the higher the concentration. Higher concentrations will yield more collagen deposition but with increased density comes increased firmness of the newly formed tissue. That is why higher concentrations are used next to bone. 30% is the MAX anyone should use in the penis.

As all of you know I had my PMMA by Dr. S and I am really happy with my new Girth (to me in general PMMA was like a miracle) and I have never met Dr.C., but really I have the feeling Dr.C. is smart who prefers a nice natural bigger penis than much bigger unaesthetic penis, so I was thinking about the followings :-
The collagen formation will depends on the presence of PMMA beads in our body, so each bead will trigger your body to form a micro-capsule (scar tissues or connective tissues or new collagen) around it and each capsule is a volume gain, so the end result the volume gain will depend on the number of the capsules i.e. the no. of the PMMA beads BUT the distance between each beads are also very important in regard of the volume gain.
In summary :-
To get more gain in Girth will depend on two things :-
1- The higher the no. of PMMA beads. And2- The longer the distance between these beads.
So it means a higher volume of a lower concentration will give you the best aesthetic and gain result.

We know there are only 3 different conc.s of NewPlastic and Metacrill :-
((1 cc @30% has 9 millions beads))((1 cc @10% has 3 millions beads))((1 cc @2% has only 600,000 beads))
So the 30% has 3 times more no. of beads than the 10% ---> i.e. 3 times more no. of micro-capsules formation ----> 3 times more volume BUT the distance between the beads must be closer or some of them clumped together in the 30% so thats why in the 30% the new collagen will be denser and firmer than in the 10% but more rough and irregular in the 30% (because of the clumping of the beads is higher in the 30%) BUT the 30% will give you definitely a bit more gain in volume and the reason why its not a lot (or not 3 times more gain in volume in the 30% than in the 10%) because of the distance between the beads (in the 30% the beads are closer than the ones in the 10% e.g. in 1 cc each).
E.g. If I have to choose between the10 cc\'s @30% which contain the same no. of beads as 30 cc\'s@10% (90 millions beads) :-
I would prefer the 30cc\'s @10% because the distance between the beads is more than in the 30% and the beads are less likely clumped together, so here you will have more volume gain, smoother, but softer (which I don\'t know if it feels natural or not).

So 30% will give you :-
1- Denser and firmer collagen (that was the opinion of Dr. S. it will feel similar to the texture of penile tissues) because the distance between the beads are shorter than in the 10%.2- More volume gain but it will be never 3 times more than from the 10% because of the same reason above mentioned.3- It will feel more rough and not smooth like in the 10% (it could be because in the 30% the chances of clumping of the beads are higher than in the 10%).

So theoretically to get a better gain and aesthetically natural looking penis is what \"hoddle\"has mentioned before go for a lower conc. but with a higher volume (IMO thats what Dr. C. should do).
So I would like to see the result of 30cc\" of 5% in regard of gain and aesthetic look.
What I read Wade got 5% but I am sure he got more volume than 20cc\'s if he had big gain??, and he mentioned he got a very nice result, can somebody ask him how many cc\'s and how many rounds did he get and how much gain in Girth did he get ?? But I think he got only minor gain and that was the reason why Dr.C. didn\'t use it in the others but only for touch-ups.

Great post SM! Informative as always.

smartman wrote: So I would like to see the result of 30cc\" of 5% in regard of gain and aesthetic look.

We seem to have pretty much the same views on this subject and this is the exact result I want to see. From what i\'ve read 10% seems to be the most natural feeling so far. Some with 20% have said it feels good, but slightly firmer than a normal penis. Those with 10% have said they can\'t really tell the difference. I\'m sure you said your 30% felt firmer than a normal penis and a bit like muscle. Ideally I\'d want as low concentration as possible, as amongst other things, I think aesthetic issue can more easily be fixed. I wouldn\'t suprised if post op massaging was significantly more effective on 5% than 30%. But could 5% feel too soft? I suspect in very high volume is would, but less than 30cc and evenly distributed, I suspect it would feel natural.

I do have a theory though that everytime you go back for a top up you will need a higher concentration than on your previous visit, unless it\'s just to fix aesthetics. I\'m almost inclined to say that the only way to get a decent gain with a top up session is with 30%, but I don\'t have the data to support that yet as we haven\'t seen anyone go back for a second session of 30%, other than yourself.

According to my calculations, to add 1/2 an Inch of Girth to a penis of dimensions 7\" x 5.5\" roughly twice the volume is required than when adding a 1/2\" to a penis 5\" x 4.5\".

That doesn\'t mean bigger guys should be asking for more volume though, as we don\'t know if or by how much potential risk is increased. If anything it says PMMA should be the domain of smaller guys until we know more.

As you get more rounds of PMMA

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> the beads will be more closer to the dartos muscle and even fixed to it and sometimes to the skin (scar formation will be close and adherent to the skin).
So IMO :-
The best result from PMMA injection ---> lower conc. + higher volume + less rounds.
So Dr. C. uses a lower conc. with small to moderate volumes which he needs more rounds to get the desire penile Girth for the patient (cost more).
So to answer this is to ask Dr.C. about :-
1- What are the results (aesthetic+Girth gain) of using 5% in a larger volume ? Did he try it ?
2- More rounds of PMMA wouldn\'t it make the skin\'s texture more thick and rough ? (The possibility of the beads becoming more closer or even sometimes adherent to the skin is high) ---> the possibilities of nodules formation and foreign body granulomas will be also a bit higher ( Nodules + FBG is higher in the superficial PMMA injection than in the deeper injection ).

I see an issue of having 30 CC of 10% injected in one session, would it not make it easier for the beads to shift around more in the penile skin since there is a lot carrier fluid? Will retraction force the beads to clump near the glans? Will the penile skin be able to expand enough to take 30 CC in guys with small/short penises? I think that the 10% takes longer to settle in its final place (may be a couple of days) where as the 20% I got felt like it settled in may be half a day or even sooner and did not shift at all in a few hours and during the Collagen build up (one entry point behaved weird, will report later in my thread).

I plan to get 30% at the base, 10% to 20% mid shaft and 5% near the glans to correct some aesthetics issues in my 3rd and hopefully final round. I hope it works.

@ smartman Great post. Last time I spoke to Wade he had only had the one round and it was something like 10cc an only in particular areas from what he told me! However he had it done not long before I saw him so I know nothing about what shrinkage he had at the 3 months mark!!

Thanks a lot \"Justabitmore\"for this information about Wade and the 10 cc\'s @5% PMMA in a particular area of his penis, so it could be only to camouflage some area in his penis, so it was not for the whole penile shaft Girth enhancement ??
Lemperle told me what his opinion about the gain (in regard of Girth) from the 5% :-
(5% isn\'t worthwhile to inject: the beads are too far apart in order to cause the necessary fibrosis =encapsulation).
So I think 5% conc. has a good indication only for an aesthetic reason.