You don\'t need to be freaked. I tried explaining in the reply i referred to above. It took me ages to type and I can\'t be bothered to do it again. But part of what I was saying is that a lot of the time we just can\'t face retyping old opinions on already discussed topics time and time again. So when newbies, such as yourself, post articles, thinking they\'ve discovered something new, it\'s kind of frustrating, as automatically one knows we are going to have to go over it all again. It\'s obviously not the fault of the newbies as they aren\'t to know what we have or haven\'t covered or indeed how the forum evolved (which is relevant). But due to the way the forum has grown, it\'s hard to get things organized in a way that prevents these kind of things happening.
Originally this forum started as a very tight knit group of about 20 or so guys that we simply looking for a PE solution and thus when PMMA came along we investigated it together and a kind of \"group think\" evolved. The forum has since grown so quickly that sometimes we forget that most guys haven\'t read or contributed to all the old PMMA discussions and that they aren\'t looking at it from our point of view.
The reason this article means so little to us is because we know that Artefil isn\'t an option. The carrier is different and take over 2 weeks to absorb. It is used a small volume facial filler, while the South American products are used for bioplasty. We compare bioplasty with other types of PE, not with other types of facial filler. That was central to the early \"group think\" I mentioned. The basic idea is that PE of any kind is usually a bad idea, hence virtually everyone is or was advised not to do it (though we tend not to say this as often now as people don\'t like to hear it). However, if you are going to do it, then let\'s compare methods. We need to avoid falling into the trap of comparing bioplasty with facial fillers, as it just isn\'t relevant. Hence when a study like the one you posted comes along, we end up get bogged down comparing PMMA products, even though the product we are comparing against (always Aretfil) isn\'t even an option. It\'s a total waste of time. On top of that the products are used in a different application and the worlds most renowned PMMA expert has said particle size doesn\'t matter when injected below the fascia.
But even so, the article you posted isn\'t an independent study. It\'s carried out by a company who have a financial incentive to promote their product as superior. It\'s peer reviewed by a publication I believe Prof Lemperle was chair of, so surely there is a conflict of interest there. The only reason you believe Metacrill to be garbage is due to the contention of Prof Lemperle. He\'s the one who contends particle size is key to FBG\'s, so it seems a bit selective to dismiss his more recent opinions on South American PMMA, simply because they aren\'t published. He has no financial incentive and answered our questions purely out of the kindness of his
. He didn\'t have to respond to our emails, but he did and he is by far the most experienced Dr in the world where PMMA is injected so to ignore his opinion simply because he hasn\'t published would be naive in my opinion, as we know the only reason the original paper was published.
But they key thing to remember is that Artefil isn\'t an option, so the comparison is pointless. Doing nothing is an option and nearly always the best one. Other than that you have bioplasty FFT, Allografts, dermal grafts, silicone implants or various temp options.