Hi and welcome to the forum.
First it\'s always worth pointing out that PE procedures have traditionally had a very poor track record. Compared to other forms of cosmetic surgery, the complication rates are unacceptably high and satisfaction rates are unacceptably low. This is why so few Dr\'s in the entire US do these procedures and why you\'ve have to communicate with Dr\'s from both sides of the country. It\' not a popular thing to say, but it\'s the truth plain and simple. So, if your starting stats are anywhere near average, the best advice anyone could give you is to not have anything done.
PMMA is a non biological permanent filler. It works by injecting plexi glass beads, which are suspended in various carriers. This stimulates a foreign body reaction, which causes for collagen to form around the beads, thus creating new tissue and adding size. However, this process isn\'t without risks, as ultimately it is a foreign body, to at some point your body could start to aggressively react to it. There are many anecdotal reports that this kind of reaction is hard to treat and surgery to remove it could lead to deformity and impotence. The research we\'ve done here suggests that thee kind of complications are relatively rare, but ultimately we don\'t know for sure, so again, unless you are desperate, my personal recommendation would be to wait and see who it holds up in the longer term. So far results have generally been very positive and I\'m excited about
PMMA\'s potential, but only time will tell if this trend continues.
PS my description of how
PMMA works and why complications potentially occur might not be quite right, so maybe someone else will chime in.