TOPIC: How to get a better esthetic outcome (less lumps and irregularities) after penile PMMA injection??

Wade and Dr C conveyed to me that they can actually break up some of the bigger nodules using the Cannula as they are doing a session. They break up the pumps without injecting any PMMA. Of course they can also use Kenalog to dissolve the collagen build up...

In my next session, we plan on using this technique to smooth out the pumps that I have near the glans area. We will see if it works...

Hi Hoddle,

I thought about using the lower conc. of PMMA and thats why I have mentioned before it will be better to use these conc. in the final sessions, and I said if these steps (the usage of lowest conc. of pmma or what Mustang has mentioned :- Dr.C. can break the nodules with the cannula or even the usage of Kenalog injection) failed in correcting the minor aesthetic issues then the last option imo we can use these micro-droplets technique of Silikon1000 to fill these multiple small depressed areas and smoothen the outer rough surface of the collagen and I could explain why these micro-droplets tech. of S1000 is much better than the lower conc. of pmma :-

1- The advantage of these micro drops of S1000 (0.01-0.02 cc) the micro drop will stay exactly in the spot where you inject it i.e. you can control and decide almost exactly where you want the new collagen should form , so there will be no shifting of these drops and the fibroblast cells will form collagen and will fix them more in the same spots.

2- The Silikon1000 has an advantage it has no carrier fluid ( 100% pure silikon) in the other hand PMMA e.g. Metacrill the pmma beads are carried by carboxymethyle cellulose , and this carrier is so weak to carry these beads and thats why the beads clumps together in some injected areas (and it can happen even if it was a lower conc. used ---> small nodules can form esp. under thin skin e.g. at the circ. scar)

To explain it more as we know the nodules or the lumps from pmma injection will depend on the conc. of the beads in a specific area and sure the higher conc. of pmma e.g. 30% has a higher risk but I am sure even with the lowest conc. still there will be few beads e.g. 10-50 clump together and form a dense firm collagen i.e. nodules ---> rough outer surface of the new collagen. So the best way if we are looking for the best aesthetic end result is if we can (sure in the touch-ups after trying all the previous steps) separate these beads during injection and distribute them evenly (I am sure we all agree on that) but actually we cannot (impossible) do that (we can reduce these issues with the lower conc. but still we cannot prevent it).

In summary :- the roughness and irregularities can happen with PMMA injection :- 1) more with a higher conc., 2) also with the lower conc. clumping of the beads due to weak carrier can happen and 3) the carrier in e.g. Metacrill will be absorbed in the following hours post-injection so there can be some shift of these beads during this early period and come closer to each other ---> to form nodules or these beads can migrate in the early hrs to a non-intended spot.

There is another filler called \"Bioplastique\" which contain microspheres of solid silicon (injected with a carrier \"a PVP gel\") (almost the same idea with pmma products) but with a bigger size beads (around 40-100 microns ; too big to be engulfed by macrophages and too small to be encapsulated) than pmma. With this bioplastique filler you can get nodules and lumps ; the idea of this product came from Dr.Palanas 30 yrs ago he sliced a silastic sheet to many tiny pieces and then your body form collagen around them, then came Dr.Robert Ersek 1998 who had great experience with this filler :-

www.big-h.biz/Default.aspx?tabid=691&language=th-TH
www.personique.com/bioplastique-photo-gallery.php

Dr.R. Ersek started to use Bioplastique in 1988 and he was the 1st doctor in the world who started to use a blunt micro-cannula \"bioplasty technique\" before the brazilian Dr.A.Nacul :-

www.clinicanacul.com.br/bioplastia.php?idioma=2

Sorry for this long post; but the reason I mentioned these things is the idea how we can control the trigger element (i.e. pmma bead or solid silicon microsphere) and fix them in the exact area point where we want them to be but unfortunately we cannot do that with solid inert microspheres carried in a fluid or gel, but in the other hand we can with the viscous pure Silikon 1000 micro-droplets tech. so we can control the site of the small new collagen to correct only the multiple small depressed areas.

Btw Silikon1000 is more inert to the body than pmma, and the new collagen formed around each micro drop of S1000 is softer the reason for that :- (each micro drop is separated from the other one by 3-5 mm distance i.e. no clumping so each collagen formed around each drop will have almost the same density like the next one) than the collagen formed around the pmma bead (some beads will be clumped together even if it was a lower conc.).

As I said before this step can be used after the trial of the lower conc. of pmma or other tech.s which Dr.C. have mentioned before.

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@ Bigben , In regard of the danger of using pmma with Silikon1000 ?? First of all both these substances are inert, the other thing they are not injected at the same time, your own body\'s collagen will form and cover each bead of pmma and isolate them from the rest of the body and the new S1000 micro-droplet will be injected on the top of your own body tissue and not inside them (i.e. the collagen around the pmma beads) and it will be covered early with a new collagen, so the pmma beads wont be in direct contact with the Silikon1000 .

I was thinking if this \"Bioplastique\" (soild silicon microspheres)(as far as I know there is no FDA approval for corrective cosmetic use) used by an expert doctor e.g. Dr. Robert Ersek in the penis??? I know many will be against this idea ??? Would it be better at least than the disastrous Elist silicone implant ???
At least hypothetically there will be :- no excursion or severe infection or stiff Flaccid issue with the E. S. implant ???

@Hoddle, As you said to use the lower conc. of PMMA (2%-6%) with a technique like (the micro-droplets of S1000) and try not to allow these small drops of PMMA (2%-6%) to be mixed together just in the small multiple depressed areas it could be a good idea but I would say it will be difficult the reason :-

The Carboxymethyle Cellulose of Metacrill for an example has near or even almost the same viscosity of water so it can easily move around in the tissues in the early period, instead the viscosity of Silikon1000 has 1000 times the viscosity of water so the micro drops of this pure product cannot move around easily.

The problems is that the penis is such a dynamic organ and is changing in three dimensions almost all the time, keeping a small amount of S1000 or PMMA in such a small area is very very difficult. Unless an injection is given to cause a SEMI Erection state and then after the procedure the penis is wrapped for days to keep everything in place WITH this semi Erect state...

Dr C told me it is very difficult to inject PMMA in a FULLY Erect penis, the Erection causes the PMMA to go all over the place. He actually had to stop a few procedures due to erections.

Penises that do not retract too much are best suited for best esthetic results with PMMA.

Its true injecting a permanent filler in a dynamic organ can produce lumps or nodules but imo it will be more difficult to keep the PMMA with its fluid carrier in a small area more than the thick viscous S1000 , e.g. the lips, it is more common to have lumps and nodules after PMMA injection than after Silikon1000 if it was injected in a proper way with a small volume with multiple rds, thats why they have mentioned the lips feel much more natural and softer after S1000.

I talked to Dr. C and Wade about the roller idea and they said they use that on the face because there is bone underneath. They said the roller helps with irregularities against the facial bone structure as it has a base, but you wouldn\'t do it with the penis.

jlmb wrote: but you wouldn\'t do it with the penis.

And why is that ? What reason did they give.
What kind of roller model are we talking about by the way.
A roller that you use for painting your walls i guess.
What about a roller model that is applying little pressure, from all sites at the same time when used. A \"circle roller\" , in case the reason for not using the roller is that if you use it, it pushes the PMMA elsewhere, to the other side for example.

And what about a corset for the penis after the procedure.
The wrap is one in a way but maybe one that is more relieable and static, so that cases like \"Mustgetbigger\" ones, of having more PMMA on one side, then on the other, (i think it was after round 1or2 in his case) just can\'t happen at all, due to the forces of the corset or improved wrapthing.
(so that would be for overall outcome)


I assume that where the bumps behind the glans are, that that is just the position, where they stoped applying ? (and stoped clicking his gun and going on to the next apply step/move) And that\'s the reason then why it creates a bump, because there is then just a bit too much on one spot.
No idea how to avoid this then or treat otherwise but with a roller.

@jimb,

Thanks a lot for asking Dr.C. and Wade, sure they are the expert and they know what is the best way to reduce the risk of any irregularities post-penile PMMA injection, but imo :-

They have mentioned to you they use a rollers (as I mentioned before there are around 3 types of completely steel-made (including the handles too) these small rollers have different sizes (i.e. the length and the size of the cylinders) on the face and I am sure they are still using it in this area of the body so that means they have good results in regard of reducing the risk of irregularities in the face post-PMMA but the reason they can use it only on the face because there is a facial bony structure support which works as a base. And that is the reason why they cannot use it in their opinion on the penis, but I was thinking if they stretch the penis directly post-injection and placing it over a small thin metal-plate covered with a surgical sheet (which act as a base (similar to the facial bone) for a roller to homogenize the filler and reduce the irregularities.
Then the penis should be wrapped with an elastic bandage for few days.

jlmb wrote: I talked to Dr. C and Wade about the roller idea and they said they use that on the face because there is bone underneath. They said the roller helps with irregularities against the facial bone structure as it has a base, but you wouldn\'t do it with the penis.

@jlmb


Thanks for checking with Dr C and Wade about this. There is still progress to be made on the post op uniformity of PMMA and it would be good to explore options further?


Also, has anyone already asked them if they\'d be disposed to experimenting with Silikon1000 for corrective purposes? Those of us who have significant voids between PMMA induced collagen growth might stand to benefit from this, and I for one would be willing to try just about anything plausible and providing hope to uniformize the final result with a smooth rather than a chunky surface...


Anyone here who is in touch with them and can bring this up, thanks for letting us know.


HC