The reasons why I think using a roller to homogenize the injected filler is a good idea are :-
1- As we know the korean doctors have the greatest experience in the world about the injection of dermal fillers (
HA, Lipen-10, etc.) for penile
Girth enhancement and they were the 1st one who used dermal fillers (
HA, Lipen-P and Lipen-D) for Glans enhancement ; they used to do massaging and hand manipulation directly post-injection ---> the results were esthetically not as good as they wanted and there were asymmetries over the shaft ( imagine that was with a temporary filler e.g.
HA and I am sure they did their best with the hand manipulation directly post-injection to get the best result but unfortunately they didn\'t get the pleasant esthetic results in the long run ).
So they have changed their technique (directly post-injection) by using a roller (which will provide equal forces over the shaft but in the other hand hand manipulation or massaging will provide unequal forces over the shaft) with a light force to homogenize the product ; and in their article if you see the pictures (dorsal and lateral views - before and after 18 months) they had smooth and v. good esthetic results after 18 months.
2- Dr.C. has mentioned it before that he uses a roller on the face after
PMMA injection ( i.e. he found that by using a roller gave him better results i.e. smoother than only with hand manipulation ) but in his opinion in the face you have the bone for support and thats why he can use it only in the face ---> so that means he can use something firm and flat (which can give him a support similar as to the bone in the face) placed underneath the stretched
Flaccid penis as a support
3- We know that Dr.C. tried different concentrations of
PMMA for penile bioplasty just to avoid nodules or lumps formation ; i.e. he used to inject 30% before like most of the brazilian Dr.s do but he found with this high conc. ---> more lumps and nodules ---> so he started to use 10% instead of 30% which gave him a better esthetic result but never near to perfect in regard of nodules or lumps ---> and he received few complaints about it that the gain is less ---> he changed his technique and started to use the 20% ---> but then he stopped using it ---> and now back to the 10% + 30% ---> still there are some complaints of unpleasant esthetic results ..... so what is next ???
As we know the causes of lumps and nodules (clumping of the beads) are not only the conc. (the higher conc. ---> more lumps) also the weak carrier of the brazilian products (e.g CMC) which is not so strong to carry the beads for that reason they sink early in the carrier, other ingredients which are missing e.g. tween 80, a dynamic organ and directly post-injection\'s instructions . Imo the only option left for Dr.C.\'s team is to try to change his post-injection\'s technique (esp. the 1st 48 hrs) and to get a feedback in regard of the esthetic results e.g. after 3,6,9,12,24 months from his patients.
4- Let us take for an example a cross-section of a penis (post-
PMMA) with a lump we will see clumping of the
PMMA beads in all directions (a vertical and a horizontal) but surely the size of the lump will be directly proportional with the no. of clumping\'s beads in a vertical axis (i.e. on top of each other). So the idea is to form as much as possible an equal vertical axis of the floating beads along the whole penile shaft ---> so you need a technique which provides equally distributed forces over the beads along the whole penile shaft ????
I think by using a smooth roller to homogenize
PMMA by providing equally distributed forces along the whole penile shaft will give us a better esthetic result than using hand manipulation or vigorous massaging which will distribute unequal forces along the whole shaft (I might be wrong but at least we should learn and get the benefit from the other\'s studies who did try both techniques and found which one is the best for them).
Btw these korean use a compressive dressing with an elastic bandage directly after the usage of a roller.
IMO the usage of a roller can reduce the lump formation but it can not reduce the minor irregularities or roughness in a long-term.
I wish you the best Miracle8x7 and I am interested to see your longer term results