TOPIC: Complication Concerns and Contact w/ Avanti Derma

I contacted Wade after I still had questions from reading the .pdf files the office sends out. I have also been on the site researching myself but this was based off information provided by Avanti Derma. This is what I got back.

Email to Avanti Derma:
I read the .pdf materials but still have questions.
Can I expect enhancement to length or for it to remain the same or reduction? I can not afford a reduction in length. Can you provide some form of extender device to help with this?
PMMA is a foreign material so what is stopping this from causing granuloma or worst case Necrosis 1 or more years after the procedure?
What are the worst cases of granuloma, Necrosis, Nodule, etc. your clinic has seen in patients\' complications? (I have read articles the documented hardening of PMMA as well that lead to eventual degloving to remove.)
Should I be concerned returning to work in the middle east approximately 2 weeks later in regards to possible complications?

Response:
- Your Flaccid length increases with each procedure, and Erect length remains unchanged.

-Each patient is provided a stretching device, and all necessary medications.

- PMMA has a 50+ year history of being benign to the human body. Granuloma formation and Necrosis created from any filler is due to poor technique, skill set of the physician using the product, and the quality of the product being used.

- We've only had one patient remove his PMMA, and it was not a medical necessity. When patients use 30% (very high concentration) and are not compliant with the after-care protocol, irregularities are inevitable. We have not experienced even one case of Necrosis' irregularities continue to be our greatest concern. We have minimized irregularities significantly by using 10% of PMMA, adding PRP at the end of each treatment. All first-time patients should remain in the area for a few days so that we can help assist and educate each patient on how to massage and take care of your specific indication.

- The first three days are what determine a successful outcome. During this time your body is absorbing the liquid portion of the PMMA, leaving only PMMA particles. Once this is achieved, you cannot move the material even if you wanted to. You will be able to return to your normal activities just three days following the procedure.

My thoughts:
First off, I\'m not looking to get massive, just be more comfortable in my own skin. I am ~5.9\" BPEL and 4.75\" EG. I was hoping I could get a review for accuracy on what I got back. I don\'t see how granuloma/etc. risk is purely technique/skill based. I\'m not saying they would directly mislead me but companies in general don\'t always go for full disclosure if it paints them in a possible bad light.

I would like to go ahead with it but I have read accounts of guys here that have encountered less than stellar results - i.e.: PMMA hardening, severe nodules(severe to the point of needing Removal when Kenalog did not work), granuloma or other infection/irritation well after the procedure. I have also seen PMMA complications on face and butt work. This is my uneducated assumption: but, since there is more fat in the buttocks wouldn\'t it be easier to mask imperfections. If butt PMMA implant can go that bad imagine the same type of reaction to the penis where there is less tissue to mask. I know quality of product also plays a factor in this.

I am aware of risks but I am not comfortable with a 50/50 shot of future granuloma coming out of left field or severe hardening of the filler. Please correct me if my numbers are off on this. I would really like to hear from guys that are post procedure 3+ years. However, I\'m afraid (as with anything else) most people research something inititally, then have it done, then comment on results right after, and you tend not to keep revisiting the topic long term which can limit who you hear from. This is with the exception of notable users such as Skeptical, Mustang, Hoddle, Restoration, brice, etc. Thanks in advance.

Also: anyone else seeing a string of numbers instead of dates on the board?

I think what most people will tell you on here is be completely open to a bad/less than stellar outcome. If you cannot handle that possibility really don\'t do it as it will fuck with you for years to come. Also think about whether you can afford to do something about a less than stellar outcome.

None of these procedures (PE related I mean) are 100% even if you are successful. I think there is some truth to stick with 10% and stay there until you can\'t move the stuff anymore. They are most likely telling the truth about no necrosis and only 1 patient having it removed, I think he is a member of this board.

Also, budget for multiple rounds to get it looking the way you want - assume 3 which would include touch ups. I don\'t think the numbers are 50/50 for granuloma - or even close to that, but what you are looking for, I think at least, is some kind of grantee that this is entirely safe which is understandable but no one here can really give you that. It is definitely not for the faint of and you are always rolling the dice a bit.

3 years down the road is not really a good measure as my last procedure turned on me between 10-15 years after I had it. It wasn\'t PMMA but how something can be so good for that long and then completely turn is a mystery to me.

I would also say the less you do the better off you will be, and the less the concentration and the longer you stay will give you your best outcome. And personally, no one should really be giving advice about PE in terms of telling someone to get it as they are not going to be there if you end up not being happy. It has to be an internal decision as you will be stuck 100% with the consequences good or bad. That said, after taking all this into consideration I have been 4 times and have no imperfections yet - at least. But I would never tell anyone it is something they should do and most people on here won\'t either.

Thanks for the reply 10003. I was thinking 10+ years but did not anticipate hearing from anyone that had it that long. My main concern is if something did go afoul: can it be treated the majority of the time short of degloving? I\'m not talking about small nodules that may be barely to moderately noticeable. I am referring to more severe adverse reactions.

Can you give me some clarification on \"stick with 10% and stay there until you can\'t move the stuff anymore\" and \"the less concentration and the longer you stay will give you your best outcome\". I under stand the concentrations (10%, 20%, and 30%) where the smaller concentration has been thought to have fewer aesthetic complications but also provides less Girth compared to the higher concentrations at the same \'cc. When was your last treatment? I saw your thread but, as I said, dates are not displaying properly right now for me.

I would prefer to just go with one treatment and -if I had to- 1 touch up. As I said I don\'t have a \"project penis goal\" if you will. I would be happy somewhere around 5.5 EG and a fuller FL. Also, in what way were you \"wavy\" after your 2nd? Is this something most experience and I should plan on 3+ visits (which would be contrary to the \"less you do\" recommendation I know) to attain a satisfactory result? I am working in the middle east and was concerned about having it done on R&R then returning back to work with the possibility of complications that may crop up before I return home in October to visit again. I can get my hands on some antibiotics, I\'ll just have to find a way to explain what I need without having to get into too much detail with the so-called doctors here. The other thing is making an excuse for the family as to why I am going to Tijuana again. This isn\'t something I really want to fill the family in on.

Hi what to do about complications I think depends on the complication. If it is severe your Dick would have to be de-gloved. I am not sure what the different complication list is so I can\'t really tell you what needs to be done short of that. I am sure there is all sorts of info on here for that.

I think 10% is safer aesthetically and I am not sure you get much more Girth with higher concentrations. There is a thread about that on here. If you go for 30% because you want that little extra Girth (and it may only be .1\" difference) you may also get more nodules or hard spots - generally speaking. I went 4 times but only had 2 rounds of PMMA. It all depends on what your goal is. I got 1.2\" from 4 rounds - some guys would be really unhappy with that - I was going for aesthetics more than size so I am really happy and would not want more as it would start to look odd for me - and I have no irregularities- but all of that depends on what you want. You will most definitely need to go twice if you want it to look good.

Less for me means the concentration as in 10% - staying longer means I would not get on the plane until the carrier had been absorbed. Especially if you are from the middle-east. That is a long trip to have mobile PMMA in your pants all bunched up. Plan on staying 4 days to let the carrier absorb.

I\'d figure out if you can stomach negative consequences - then figure out what your goal is - I got .5 my first round from 10% - I am not sure what I would have gotten with 30% but didn\'t care as I didn\'t want the stress of complications.

Got you.

When was your last treatment and how are things now? Also, in what way were you \"wavy\" after your 2nd procedure?
I have read some people mention \"rings\" but I\'m not sure exactly what they are talking about. Something that looks like a Cock ring under the skin maybe? -however subtle it may be. Is this what you were referring to as \"wavy\"?

I was planning on doing ~5 days in South America for tax purposes then going stateside to visit family for a couple of weeks before returning to work over here so I\'ve got that covered.

Goal wise, .5\" Inch would be fine for me granted there were not significant aesthetic complications that I needed to take care of further. Also, I understand you swell a lot at first and you don\'t see your true result several (up to 6 I\'ve read) months after the procedure.

The wavy thing is from the fact that PMMA especially in the first round was not evenly absorbed for me so some areas were a little higher, some a little lower hence the wavy quality. That is why I think you need to go several times as that seems to be common. My first round was a year ago my last a month ago. I basically went every 12-14 weeks. I am probably going back for a 20 minute visit as the last time they just put 10% in the base and it is also wavy and looks really different from the rest which is super smooth. It is. It is by no means a priority so it is a whenever I get to it visit and there is stuff I want to buy in Tijuana that is 95% cheaper than ny so I am saving a huge amount for going for 1 day.

Thanks, 10003

If anyone else who has had it for a while had anything to add I would appreciate it. My other concern is if it will still look natural with my length. Has anyone had the corona procedure with Dr. C? I\'m thinking I should consider this but would rather hear of results prior to my having it. Thanks in advance.

10003 wrote: The wavy thing is from the fact that PMMA especially in the first round was not evenly absorbed for me so some areas were a little higher, some a little lower hence the wavy quality. That is why I think you need to go several times as that seems to be common. My first round was a year ago my last a month ago. I basically went every 12-14 weeks. I am probably going back for a 20 minute visit as the last time they just put 10% in the base and it is also wavy and looks really different from the rest which is super smooth. It is. It is by no means a priority so it is a whenever I get to it visit and there is stuff I want to buy in Tijuana that is 95% cheaper than ny so I am saving a huge amount for going for 1 day.

what was your length and Girth before going to Dr. C? I am considering to to Tijuana to increase both. I am 4\" Flaccid length, 6\" length when I am Erect. My goal is to be 8-10\" length Flaccid and 7\" Girth when I am Erect. I am coming from NYC, I paid already for Dr. Elist but have not gone to surgery, nor have I signed anything. I don\'t want a fucked up Dick from Elist lol so I am willing to try Dr. C. Also I am uncircumcised.