TOPIC: rb's pmma report

Hey guys, after reading plenty of posts here without contributing, I want to say thank you to everybody who shares his experiences and knowledge here. You are of great help and I am surprised about the good quality of information and the helpfulness of many members of this board.
Therefore I also want to share my experiences and illustrate the process with pictures.

Background:I startet manual PE about 3 years ago with the goal to add some Girth. I measured around 12,5 cm/5 inches EG midshaft with a length of 17 cm/6,7 inches. With some basic manual exercises I had some Girth gains in the beginning, increasing Girth from 12,5 to 13-13,5 cm and length to 7-7,5 inches. Unfortunately, I could really never surpass this mark. Temporarly I could come to 14cm but I think that was basically because of the fluid that stays there short term. I constantly exercised, but every time I reached a Girth close to 14cm, some days later I lost 0,5 cm. After 3 years of doing those exercises and trying out different plans with manual exercises, periods where I tried pumping with different kind of pumps, working with Cock rings aso. I realised there is almost no way for me to gain Girth on a solid base with manual PE. And sometimes it starts to get frustrating because it takes a lot of time. So I finally came to the point where I read about penis enlargement operations, and was especially interested in fat transplantation. Unfortunately, I could not find that many reports in the web. This is the first board which really helped. As I have a lot of Foreskin and manuel PE intensifies the feeling of a squashy penis skin, I don\'t think fat is a good choice for me. From my girlfriend I know that a hard Erection is important for her sex experience.

PMMA & Open Questions:So I decided to do the PMMA journey. At the end of october I have an appointment in Tijuana. I will try to document the process here and help others to form their opinion. But first, I would like to get some best practices and tips from experienced users. What would you suggest to bring to Tijuana, equipment, meds etc. What do I need, especially for aftercare and what do I get from the guys there (sleeve, extender, Cialis, supplements for collagen growth, ibu...)? Which dose would you recommend with my stats? I have my operation on a thursday and will definitely stay there till friday and meet some friend in San Diego on monday. Would you recommend to stay in Tijuana over the weekend till monday to see the team again or is is enough to see them once on the day after surgery?Current stats & pictures of my penis:
Erect length: 7-7,5 inches NBPEL with ruler from base to tip (Image008)
Due to the curvature, length is 7,5-7,8 inches when I measure with a measuring tape along the penis. Unfortunately I don\'t have the skills to hold the tape and take a picture
Image014 shows Erect Cock with Foreskin, Image015 skin is pulled back to show that I have quiet a lot of skin. Also in image013 I measured Girth and pulled the skin back all the way. There you can also the that the tip points downward a little bit in comparison to image015 where I hold it up. Image010 should also illustrate that there is enough skin to cover some PMMA...
Erect Girth: 5,25 inches midshaft (see image017 and image013) when skin is pulled back

do new members know there is a search engine? what\'s the damb point of keeping a relic of old forum topics! purgatory has more daily visitors than new members reading previously discussed & answered material. Put a little effort into it

\"So I decided to do the PMMA journey. At the end of october I have an appointment in Tijuana. I will try to document the process here and help others to form their opinion. But first, I would like to get some best practices and tips from experienced users. What would you suggest to bring to Tijuana, equipment, meds etc. What do I need, especially for aftercare and what do I get from the guys there (sleeve, extender, Cialis, supplements for collagen growth, ibu...)? Which dose would you recommend with my stats? I have my operation on a thursday and will definitely stay there till friday and meet some friend in San Diego on monday. Would you recommend to stay in Tijuana over the weekend till monday to see the team again or is is enough to see them once on the day after surgery?\"

Welcome to the board rb. I have not had any procedure done at this stage but still considering PMMA. As you said there is a lot of good info on this site any many have documented their experiences well.

From what I\'ve read Dr. C now provides a sleeve which will help keep the PMMA uniform and keeps the penis elongated. A few members here have reported the sleeve works very well.

You have pretty good starting stats so I think PMMA will work well for you, especially since you have good length already. As I\'m sure you know, the after care is most important and some of the more experienced members here will be able to give you some good advice.

Be sure to take some meds to help your body with collagen growth and drink plenty of water. I will follow your progress with interest and thanks for sharing your experience.

Welcome RB, good luck on your quest!


That said, don\'t be a lazy bum. Read the damn threads and do your homework. We\'ll help you but we won\'t do your research for you.

Sometimes if your nice, hoddle may throw you a bone but don\'t count on it.

Thanks guys for the welcome!
Maybe asking this general questions to start off was not a good idea. Actually I read many threads for many many hours over the last couple of months. Someone mentioned an FAQ section which I couldn\'t find.
My problem is more that in some of the aspects I mentioned, I can\'t get a clear picture. The more I read, the more questionmarks came up. But maybe that\'s inherent for this kind of procedure. Anyways, if you think I got something wrong or have a different opinion, I would be happy to have some discussion.
Here are some of my thoughts to the issues I mentioned in the prior post:


Supplements for collagen growth:
\" Taking supplements is a waste of money. Your body\'s unique response to the product will determine gains [...] I\'m continuously learning from Dr. Casavantes and Wade and know that the procedure is far from perfect.

\"Just sent wade an email. I\'ve been taking collagen supplements and vitamin C pre and post procedures.\"

\"Wade: Continue taking your supplements as normal, and if you feel that a certain supplement will help with collagen formation, feel free to use them.\"

I guess my conclusion is, besides vitamin c which can\'t harm, there is no need to take supplements. I don\'t know if Wade encouraged anyone to take supps, but I guess there is no disadvantage besides the money to spend, so he is neutral.


Stretcher:
A lot of patients used the ESL40 stretcher. I am from europe I would be happy if I could buy it there. Some post asked about the stretcher Dr. C sells but got no reply.
Another post says but its from 2013
\"I got the stretcher from the clinic, it was $55. i\'d recommend it if you retract alot.\"

I assume they sell stretchers, most likely also the esl40. I\'m from europe, so ordering it beforehand is quiet circumstential and I buy it there.


Massaging:
\"Stretching must be done the first 48 hours after the procedure, then PMMA sets permanently. otherwise one should wear the sleeve, I think they still give it to the patient.\"

Miracle said Wade wanted to make a video to illustrate aftercare, but I didn\'t find any recent information about it.


Cialis:
I can\'t get it in my home country. Looks like they give out Cialis at avanti but eventually stopped giving it out sometime last year. But there are markets in mexico were you can get it.


How long to stay in Tijuana:
In the email they recommended one more day. I didn\'t find many posts of people who stayed much longer, maybe I just didn\'t see.
For example that one:
\"Wade definitely smoothed out a lot of stuff that was forming the next day - and the next day after that. If he didn\'t - I don\'t know what I would look like right now...a mess...probably.\"
Together with the ifnormation that PMMA settles permanently after 48 hours it seems to me that there is no much need to stay there over the weekend and come to a check-up on monday 4 days post op. Or is there any other advantage I didn\'t think of?


Concentration:
Maybe the most complicating issue. There are pages of post to cite here. 10% most likely yields the best aesthetic results. 30% seems to feel unnatural, some recommend 20%, some demonize 20%. Some think 16% seems a good mix. In general they recommend less concentration with uncut cocks. My Cock is somewhat special in the thickness and amount of skin, maybe the skin lightens the hides the feeling of unnaturally hard tissue. Further, some users with experience seem to recommend to start with higher concentration and then go down in subsequent procedures which makes me a little unsecure to start with 10%. And with 7,5 inches of length I think I should go for a high amount of PMMA. My plan is to do the procedure at the end of this month and then there is the possibility for a touch up in december.

Collagen is the most abundant protein in your body. It makes up about one quarter of all of your protein based tissues.

According to the Protein Data Bank website, collagen forms the matrix for your bones, strengthens your tendons and gives resilience and support to the skin and internal organs. When collagen is depleted or not being formed properly, you start to see skin sagging and wrinkles, spongy gums and loose teeth as in scurvy, and even dry, brittle bones.Collagen is made out of hydroxylysine and hydroxyproline, which are in turn made out of the amino acids lysine and proline. \"The Journal of Cardiovascular Pharmacology\" reported that the maximum collagen enhancing benefits were found when lysine, proline, vitamin C and green tea catechins were all used together.You can also improve your body\'s ability to produce collagen thru diet. This is probably the best sites that explains what foods are best and why:

www.healthcentral.com/skin-care/c/742375/55533/increase-eating/
As for the concentration of PMMA, I have read most of this site and the results vary a lot. The general consensus seems to be that the lower percentage (ex. 10%) seems to give a more even distribution with less lumps, nodules, etc, but with less girth gained, while the higher percentages tend to have more \"appearance\" issues but give better gains. But then I\'ve also found some posts that tend to contradict this; some have had the 10% and got good gains while others have had 30% and not been that happy with gains.

Based on what I\'ve read on this site it seems that some of the best results were achieved when using the sleeve as opposed to an ADS. I would avoid the type of stretcher that \"grips\" behind the glans as this might squash what little PMMA they manage to get into the area immediately below the glans. One user I remember in particular had very positive reviews of the sleeve.

I\'ve not had any procedure done at this stage, so that\'s probably the limit of my humble help. Bear in mind that you are in good company on this site and will not be alone when you finally have the procedure. Many of the mods here are sages when it comes to PE and have been exposed to the game for several years. I\'m sure they will offer help, guidance and support when needed.

Welcome rb. I had 2 rounds of 30/10 as that is what the Dr. recommended for my particular penis and goals. Gain and aesthetics were/are both important to me. I am very happy with the results. He will ask what your goals are and will offer his expertise. That being said, everyone\'s junk is different, will respond differently, and everyone will have their own aftercare experience. I used supplements, I palpated very diligently for a long time after, I didn\'t use a sleeve (that was not SOP then). I did use Cialis to keep firm and prevent Turtling. All the best to you.

jimmyjames\"don\'t use the silicone sleeve. I believe that ruined my results with Dr. C. The other doctors doing the procedure wrap it lightly and say not to mess with it. I wish I would have done that after my first procedure.\"
BDMike\"Funny. I feel the sleeve helped make everything nice and smooth. I have almost no lumps Or bumps. Only bump I have is a small, tiny spec of a bump near the glans. No ibuprofen unless you really need it, it effects growth.\"
hoddle10\"I\'m sure there is something wrong with Dr C\'s PMMA. It seems Dr N is getting more gains, but with smaller amounts. In the last 3 or 4 months there have been several reports of patients getting minimal gains. Yet when people first started going to Dr C, it seemed like no one gained less the 1/2\" and with less PMMA that was 20% concentration and not 30%. Does anyone remember the reason he can\'t use Linnea Safe?\"

How\'d it go? You must have made a conclusion despite conflicting information and advice? What did you end up doing, in regards to supplements, etc.

Thank you ilovetofu, coolhandluke and brunoxxx for your comments.

@coolhandluke:
I guess I followed most of your advises. I did not take any supplements, but tried to eat healthy but eating a lot of salat, vegetables incl. a lot of papricas and fruits. Further I tried to get enough rest. Therefore I stayed in San Diego for a couple of days after the procedure. I was extremely carefull not to get any infection, basically I never touched the penis without sterilizing my hands, even when peeing aso.

I did not use any device or wrap after the procedure, just a lot of massaging. As I have a lot of foreskin which was pretty swollen I don\'t think it makes any sense to wrap. I did most of the massaging in erect state because otherwise, with the swolen skin, it wsa very hard for me to detect irregularities in flaccid state. I was sceptical in the beginning if I should use any medication to get erect, so I bought some viagra as back-up, but it was no problem at all. The entry points leaked for about the first 3 days. Only meds I took was ibuprofen and antibiotics as prescibed by Wade.

They injected 24cc\'s of 30% and 5.5cc\'s of 10% which is not little, but taking my curvation into account, I\'m almost 8 inches long. Further, I\'m not from the US and only here for a limited time, the idea was to do a more aggresive first round followed by a touch up in december.
Even though it was often stated here, the team there still surprised me. Very nice and helpfull.

The days after the procedure the penis was very thick, mostly due to the swelling, it had more than 7 inches in girth which felt kind of sick
With a decrese in swelling, I had my low point around day 8 after the procedure. Prior to the procedure, I had a little more than 5.25 midshaft, the day after the procedure I had 7+, and on day 8 was down to 5.5. But after that and up to today (which is about 3 weeks post op) it was constantly growing.
My biggest concern so far is a spot close to the base where the foreskin doesn\'t retract anymore (see the marked spot in picture skin_retraction). I rememdered a case that might be similar which I read on phalloboard: phalloboards.websitetoolbox.com/post/bet...fixed#post1279344151
Therefore it is hard to me to measure midshaft girth without foreskin because it can not be completely retracted. But even is I retract the skin as good as possible and really wrap the measuring tape around the penis somewhat above midshaft, it is currently 6.25+ inches. So up to the now, I have approximatly an inch increase in erect girth.
Aestetically, a little girth at the base could be added, there are some irregulatities, but they can only be detected when retracting the foreskin.

congrats rb - looks like a pretty good outcome so far. thanks for posting an informative update with pics. I hope things progress well for you in the weeks/months ahead. Keep us updated and of course would like to know the results when you take it for a test drive

Looks great buddy! I\'m cut so I can\'t speak to the \"stuckness\" you mention but it looks like a really good heavy hang. Keep us posted and thanks.

I know exactly what you mean with your fireskin a shaft skin feeling locked in place. I had the same and it loosened up if it\'s own accord. Took a while for the Foreskin to stretch enough it kept getting like micro tears in it a bit like when you have chapped lips. But it\'s abso fine now.

Rb -Your results look great with a massive Girth and size. I hope everything continues to work out for you and your new size.

@shergar: from what i\'ve read in your progress report, I doubt we have the same problem with the skin there - even though I would hope as it resolved in your case. But my Foreskin is loose enough, it\'s just one little spot where it is fixed. You can pinch and pull the skin out everywhere around that small spot, but no chance at the spot itself.

Before Dr C leaves this week he will try to fix the issue with the skin and do a little touch up. Sounds pretty soon because I\'m only 5 weeks post R1 (for a touch up, not the skin issue) but it was the only possibility.
Still wondering how R1 settles as some members reported a serious decrease in week 6. Measured this morning, and even if it looks and feels a little smaller to me when Flaccid, Erect midshaft Girth was still 6.25+. So I keep my fingers crossed that I won\'t loose much of it. Before getting the procedure, I sometimes didn\'t understand why people after 1-2 round leading to almost 6 inches Girth still wanted to add a little, but with the temporary increase to 6.5 or also 6.25 now, I can definitely say it looks massive and just feels pretty cool
But still my biggest concern is the fixed skin as I\'ve found two members with that problem and as far as they reported they never had it resolved - maybe the outcome is interesting to other uncircumsized guys.

Best,
rb