TOPIC: Temporary fillers

interested1 wrote: @hoddle Good observation. Dr.G did say he injects at the 10 and 2 o\'clock position and that he doesn\'t add material to the underside as it get absorbed in some of the tissue. Your right about the base too. So, Dr.G ends up increasing the shaft circumference, but not the base? That what your saying right? Interesting. Do you think the material makes it to the very top of the shaft? !

Looking at the photo, it does seem as if Dr G aims to increase the main shaft and not the base. I think this is the main reason he can use such little product. Personally I think it\'s a very good idea and I like the idea. But if someone really wanted a bigger gain, I think it would be a problem as it would be obvious there is a bulge in the shaft. But to increase Girth by 1/2\" in most cases an layer of new tissue just 2mm thick is needed. This make the increase subtle enough that it isn\'t obvious to sight or touch. For example, you have to look very carefully to see where the Radiesse starts on Harleymans photos, however, if he had much more is would become quite apparent.

I think he creates a slight taper so less injected at the top of the shaft.

I really like his approach, as it would be enough to tide me over for a while. It might just be a subtle increase, but I\'m sure it would make me feel better for a year or so whilst I continue to track PMMA results.

smallja wrote: One question I will have for Dr. C is: how long after having a temporary filler injected can I come back for permanent PMMA? Do I have to wait a couple years for the temporary filler to COMPLETELY dissolve, or if I want to come back say in 8 or 12 months for a permanent solution (even if I still have some temporary filler in penis still), will I be able to?

If I still have some temporary filler in my penis (Dr. C. uses CaHA), even a small, tiny amount, could this prove disastrous or dangerous when later injecting PMMA on top of this material? Is it safe to mix PMMA and any leftover temporary CaHA filler?

My instincts would tell me no - but then there\'s the matter of wondering if/when the temporary filler will be completely gone from my penis - and maybe I won\'t want to wait that long (with temporary filler, I\'ll reach my desired Girth, but then slowly become smaller and smaller over the next year or two...I could see myself wanting to just go ahead with PMMA before the absorption of my temporary filler is completely finished, leaving me with a small Girth again.

As some people have reported that after two years they still have some gains left over from temporary fillers - it makes me question if I would want this if it can\'t later be injected with PMMA since the absorption of the temporary material is so slow, or possibly slightly permanent (ie maybe possibly forming a small permanent Girth increase, even though the filler is \'temporary\').

Will be interesting to see what the next year brings in terms of Dr. C\'s temporary filler patients.

Are you saying that Dr. C is offering now temporary fillers (CaHA?) as an option?

I think harleyman had PMMA about 6 month or one year (don\'t recall exactly) after a Radiesse injection (CaHA filler) performed by Dr Greenwald.

A significant amount of Radiesse gains was still remaining when he had the PMMA procedure with Dr C.

He had some complications, but I don\'t know if it\'s related to PMMA on top of Radiesse. You can search his posts to check it out.

Yes, if you google CaHa filler you find Radiesse on the first page:

Radiesse' is an injectable filler composed of synthetically produced smooth calcium hydroxylapatite (CaHA) microspheres (diameter of 25'm to 45'm) suspended in a sodium carboxymethylcellulose gel carrier. Radiesse' volumising filler contains approximately 30% CaHA and 70% gel carrier. Radiesse' is unique and patented.

Radiesse is similar to PMMA as it induces collagen formation. So the texture should be great too.

I\'ve ordered 20cc of HA I\'m going to try it.I\'ve read of many dr.s that use it for Girth

This article was posted elsewhere in the forum and seems to be confirming my concern that the main problems we fear with PMMA are equally as permanent with Radiesse. I can\'t really see the point of opting for Radiesse if granuloma lumps are equally as hard to deal with. Obviously they don\'t simply disappear when the rest of the material dissolves. This is really disappointing to me as I was pretty much sold on this method.

archderm.jamanetwork.com/article.aspx?articleid=1149920

Study by the Italians who use Macrolane.


www.adrianosantorelli.it/pubblicazioni/pubblicazione_3.pdf

bad news, hoddle!
I wonder what Dr. C. has to say about it....

@hoddle
Why do you think the nodules or granulomas won\'t go away as the material is broken down?

Also, my thoughts on a permanent solution is this, a temporary solution at least gives someone time to try the procedure and it allows for a less stressful experience. Also, I hope that in time more information will come out concerning PMMA. Lastly, I have to say that I\'m not completely sold on omma as the ideal permanent filler. Perhaps there isn\'t one but maybe in time one will come out that is very long lasting and yet more easily removed. The HA products have this advantage(if they find a way to extend the life of the product then it would be very ideal).

Does anyone know the granuloma or just complication rate for Radiesse? The complication rate for Brazilian PMMA is not really known, so its hard to compare.

interested1 wrote: @hoddle Why do you think the nodules or granulomas won\'t go away as the material is broken down? Also, my thoughts on a permanent solution is this, a temporary solution at least gives someone time to try the procedure and it allows for a less stressful experience. Also, I hope that in time more information will come out concerning PMMA. Lastly, I have to say that I\'m not completely sold on omma as the ideal permanent filler. Perhaps there isn\'t one but maybe in time one will come out that is very long lasting and yet more easily removed. The HA products have this advantage(if they find a way to extend the life of the product then it would be very ideal). Does anyone know the granuloma or just complication rate for Radiesse? The complication rate for Brazilian PMMA is not really known, so its hard to compare.

I have no idea why they won\'t go away after material is broken down. I assumed they would, but the article suggests they don\'t.

Radiesse has a slightly higher complication rate compared to PMMA from what I remember. On the old board there is a study that compares all fillers, but I can\'t be bothered to try and find it now.

Like you, I\'m not sold on a permanent filler, but there is no point getting a temporary one that has permanent complications. My big fear with PMMA is having to have surgery to correct problems and thus when they suggest surgery to correct Radiesse problems, it obviously puts me off.

So I\'m back to looking at the HA products. The trouble is I\'ve never come across anyone who has been happy with their result. However, they seem to inject large quantities and I think that could be part of the problem. I wonder if a smaller amount was injected and then a derma roller used post procedure, whether the result would be better.

We have 2 members, DangerRoss and Mikehok, who had HA and neither were thrilled. However they both had 50cc injected. With Radiesse one would hope for a 0.5\" gain (using Dr G\'s protocol). I think that could be achieved with 20cc of HA. Conner has just self injected that amount, so it would be interesting to see what he gained.

Hoddle, do we have statistics about the risks of developing granulomas using Radiesse?
Maybe it\'s worth the risk...
And btw, these HA products are permanent?

Thanks

pontest, the thread where you have just posted is called \"Temporary fillers\": I believe it kind of answers your question on HA products.

thanks

pontest wrote: Hoddle, do we have statistics about the risks of developing granulomas using Radiesse?
Maybe it\'s worth the risk...
And btw, these HA products are permanent?

Thanks

Recent study says 2.6%.

www.healio.com/dermatology/aesthetic-cos...-tissue-fillers-rare



But this is in the face and not the same as injecting into the penis. I doubt we\'d be able to find anything that can tell us how Radiesse does when injected in larger volumes. I doubt even the HIV community would offer much of an indication as it\'s probably too expensive for lipoatrophy treatments.

www.realself.com/question/sculptra-penis-girth

in the link above, you will find a positive experience with radiesse in the penis from a guy in turkey.Might be of interest for some.