Personally I don\'t think there can be much doubt that
PMMA is a superior filler to any of the
HA products currently offered for PE purposes. However, as @aleksk points out, one can end up with permanent issues that may be difficult to fix. So in my opinion, the best option is
PMMA, but with a very cautious approach.
I wasn\'t going to mention this and wont answer any questions or start a progress thread until I\'m done, but after years of contemplating it, I\'ve recently had
PMMA. I tried Voluma and Teosyal, but they just didn\'t offer the rigidity I was looking for. Though I must say the injector did a fantastic job and aesthetically the result was great. It took me a few weeks to finally accept I was going to have to dissolve it, as it looked great and I really wanted to believe I\'d found the solution. Once it was gone I knew I\'d pretty much exhausted my options and concluded that, given I wasn\'t going to get over my penis sized insecurities,
PMMA was my only hope. At the same time our old friend Hunky Dory reached the same conclusion. He dissolved his
HA and soon headed down to Mexico to get
PMMA. I left it a few months longer, but after hearing him say how much better it felt than
HA, it was the final push I needed. However, like @aleksk points out, just because the filler is superior for the job, doesn\'t mean it will give a superior result, which is proven by the complications many have reported. With that in mind I had just 4cc injected. According to Dr C I set the record for the lowest amount in any session!
As I said above, I\'m not going to answer questions etc at the moment or start of progress report, as I\'d rather do it when I\'m finished. I am keeping a log so my final report wont be without real time detail. The only reason I have even mentioned it, despite not planning on doing so, is simply to point out that though we often group procedures by name, the great variance in how these procedures can be approached mean that we can\'t see all
PMMA or
HA procedures as the same. I refuse to believe that post op protocol or risk of complications for my 4cc of 10%cc is anywhere near that of a guy who has 25 cc or 30% injected. In my honest opinion, the popularity in recent years of 30%
PMMA and the large volumes injected are the only reason people even consider things like
HA. Nearly all the complications we\'ve seen are to do with nodules, lumps and ridges. In over 5 years of progress reports we are yet to see any violent reactions with red skin, burning and puss etc, that we (those of us who were there in the early days of PB\'s) were all scared about the possibility of when
PMMA was first discussed. I always said that we needed at least 5 years of progress before we could really comment on the safety of the procedure. Now we have that and personally I think the evidence we have amassed quite clearly points that the most important thing is to approach the procedure in a way that limits the possibility of lumps/nodules etc. I just don\'t think most guys have the restraint to do that and also most would want bigger gains than is perhaps possible via a slow and conservative approach.