Avanti_Derma wrote: Drawing from our experience over the past decade with Ellanse, I recommend adhering to a key principle of soft tissue fillers: avoid combining fillers unless absolutely necessary. Ellanse has demonstrated longevity that exceeds the manufacturer's initial expectations, making your investment worthwhile. DrC@Avanti Derma
There are two reasons why I would want to combine fillers:
1) If the
Ellanse started to dissolve unevenly then I would want to correct it so that I don't have to live with a very unnatural looking/feeling penis. The question then becomes what filler to correct it with? If I were to continue to put
Ellanse into my shaft then I may put myself in the situation where for the next 15-20 years I'll be getting regular touch ups to maintain size and fill in voids or unevenness that occur overtime. So, if I were in the scenario where i have to introduce more filler into my penis to fix unevenness I would rather get those procedures done with
PMMA "once and for all" than to fix the problem temporarily with
Ellanse only to be in the same situation 6-10 years down the line.
2) Ideally the
Ellanse created tissue would never dissolve and would remain stable. However, if this does not happen it would be nice if it at least dissolved uniformly. I would be comfortable allowing half of it to dissolve, but at that point I would begin to want my large size back. Once one has a larger unit one does not simply go back to having a smaller one. If the
Ellanse dissolves uniformly, then injecting more
Ellanse could resolve the issue but only temporarily. I would be "kicking the can down the road." If someone has a temporary filler in their penis like
Ellanse, and wants something permanent, then at some point it will be necessary to make a transition to a more permanent filler like
PMMA. If they do not make this transition, and they want to maintain their size, then they will be going for "who knows how many" enhancements and touch ups.
Thankfully these aforesaid scenarios are not a reality at this moment. Hopefully,
Ellanse maintains its shape and size for 10 years or more. Or maybe it will never dissolve. It is hard to know. I have not seen many posts from
Ellanse veterans lately. It would be nice to see or hear how
Ellanse is holding up for those who have had it 7,8,9+ years?