TOPIC: Nodules in the circ scar area

Please keep us updated how Shockwave works

Photo updates. It’s a mess. I’m very hopeful for shockwave therapy but my gut tells me this will end up needing to be surgically removed. Hopefully I’m not permanently defaced. And then after that the blatant area missing filler bugs me quite a bit so I except to add more filler there and risk more of this bs.

I had a good experience with Dr. Rupeka in Ohio. I had 25 syringes of Bellafill at one time. After two weeks I noticed I have a high spot on the right side near the Circumcision scar. 18 syringes may not be that much especially with people getting 50-100 chasing 6+ Girth. But I plan on going back after starting a Hanging routine involving vibe hog and phalback.

I mean I would just save your money and just add more filler to even it out. Maybe try PE after 6-8 weeks to see if pumping or Hanging even things out.

I had radial and pneumatic shockwave performed today by a different injector. He seems like a very confident and competent doctor who explains things well. He is also a Dr. Loria approved filler injector who uses partially silicon as his filler so I don’t know quite what to make of him.

He shit talked Bellafill and my previous injector a bit and mentioned he could cover the nodules with his filler. Silicon sounds scary but shit if I’m already going to need surgical Removal maybe it’s worth a shot? That or more Bellafill. That isn’t something I’m strongly considering at the moment though.

He also mentioned that if a few shockwave sessions does not flatten things out he can remove the nodules and estimates it would cost about $3k. He was sort of down on Kenalog or hydraulinase (sp?) as he says they can destroy collagen unpredictably.

He wrapped me up in a way he explained well and I wish my precious injector had. I think I could have prevented some retraction which may have been a factor in my Nodule formation. When I change the wrap I will let you guys know if things look any flatter/different.

I had radial and pneumatic shockwave performed today by a different injector. He seems like a very confident and competent doctor who explains things well. He is also a Dr. Lloria approved filler injector who uses partially silicon as his filler so I don’t know quite what to make of him.

He shit talked Bellafill and my previous injector a bit and mentioned he could cover the nodules with his filler. Silicon sounds scary but shit if I’m already going to need surgical Removal maybe it’s worth a shot? That or more Bellafill. That isn’t something I’m strongly considering at the moment though.

He also mentioned that if a few shockwave sessions does not flatten things out he can remove the nodules and estimates it would cost about $3k. He was sort of down on Kenalog or hydraulinase (sp?) as he says they can destroy collagen unpredictably.

He wrapped me up in a way he explained well and I wish my precious injector had. I think I could have prevented some retraction which may have been a factor in my Nodule formation. When I change the wrap I will let you guys know if things look any flatter/different.

Please please please PLEASE do not let anyone inject you with silicone. It looks and feels amazing at first, but after a few years as the silicone begins to migrate through the lower body and harden, you will start to have serious complications, including but not limited to Necrosis of the penile shaft, liver failure, and kidney failure. We have been seeing more and more patients in our office who were injected with silicone for repairs. These men are in immeasurable pain when they come to our doors, both physical and psychological. The FDA warns against injecting such volume of silicone oil, but they have been doing it illegally and getting away with it because for a while they didn't tell anyone it was silicone and have been referring to it instead as "Minimally invasive collagen-producing injections." They don't even use the safe version of silicone (which still is not safe to be injected into the penis) Silikon 1000. Our most recent silicone case presented to us with severe Necrosis of his penile shaft and almost died from an infection that was trapped in his body by the silicone.

Also, in regards to the shockwave, that sounds like an inordinately high price. Our office charges $350 per session for the shockwave treatment to treat nodules while our surgical excision under general anesthesia is $2,000, if that gives you any kind of idea of what it should cost.

I'm not here to badmouth any of our competitors, but I am extremely concerned for the safety of everyone here, and silicone is NOT the way to go. Please be careful out there.

Thanks for the reply. Yeah adding silicon to this mess doesn’t seem like a good idea.

Here is how things look after one shockwave session. Im Keeping it wrapped other than for this picture. My girlfriend says it looks a little better. I can’t tell but either way I think I will do more sessions before rushing into surgery. It’s is hard to be patient while I feel deformed but I’m also in no rush to see what kind of scars a surgical Removal may leave.

Thanks for the reply. Yeah adding silicon to this mess doesn’t seem like a good idea.

Here is how things look after one shockwave session. Im Keeping it wrapped other than for this picture. My girlfriend says it looks a little better. I can’t tell but either way I think I will do more sessions before rushing into surgery. It’s is hard to be patient while I feel deformed but I’m also in no rush to see what kind of scars a surgical Removal may leave.

Absolutely! And yeah, I know it's tempting, but don't make a bad situation worse.

I'm so sorry you're feeling deformed, but you're right--be patient. When done correctly, penis enlargement is a long journey, so take your time, do your research, stay informed, and remember that you only ever get 1 penis. Hang in there and be safe. You've got this!

Not only avoid silicone oil injections, but avoid any Doctor who promotes they have been trained or approved by a guy (Loria) who specialized in Hair Restoration (despite balding) and Nutrition (despite being overweight) before he switched over into penis enlargement after having the brilliant idea of pumping guys full of a substance already well known for decades to be a poor penile filler at a time where viable and efficacious fillers actually exist.

Not your fault for not knowing Loria is a quack, but the real people who ought to be interrogated are those who spent countless years in Medical School, only to be duped by Medicine's version of the proverbial "sleazy used car salesman" archetype (*quick note - no offense to anyone in car sales of any kind, I'm just using age old analogies to better understand my position; in fact I have close friends & relatives who work in car sales ).

My theory is that IF* Loria's magical formula provided a profit margin that made it significantly more lucrative than any other filler type, some Docs, no matter how "educated," might fall for the thirst-trap known as "money talks." Shame on them, physicians need to remember they are Medical Doctors first (i.e. the welfare of the patient), while business is secondary.

Sorry I couldn't provide more direct & constructive advice, but fortunately Rejuvall was here to chime in and is considerably more qualified in providing insightful advice & opinions -- I just took this opportunity to PSA for the many newcomers who aren't privy to the last decade+ of dermal filler growth & popularity.

I was just reading through some threads and 6x5to6x7's post in his old thread. Basically he followed a pumping regimen 6-8 weeks after the procedure- he actually waited 8 weeks. But to stretch the skin to accommodate more filler.

Usually people step up the pump cylinders in increments like 1.75 to 2" to 2.25 every 10 minutes or so until they pack it, with a short 2 min break in between. Never really exceeding 10inhg* he did 5inhg.

But yeah if you bought a pump slightly bigger than your current girth either 2 or 2.25, AliExpress has the leluv clones for fairly cheap:

www.aliexpress.us/item/3256806036900232....gatewayAdapt=glo2usa

Wait until 2 months and try the pump and see if the nodules are still visible after being pumped. Then just go with more filler with Rupeka or Avanti like 6x5to6x7...

6x5to6x7 wrote: Well, just had my 3rd full round (The Utmost) with Dr. Morales and Ian at Avanti Derma. This one was much smoother than the first two. For some reason, perhaps I'm just getting used to the procedure, but seems to be easier each time. Here is their 2023 brochure: www.linkedin.com/feed/update/urn:li:ugcP...7016504397484494848/
The Utmost package remains the best PMMA package on the market and with the most talented team on the market.

Utmost Package = Linnea (PMMA up to 20+ cc's), botox in the penis, botox in the scrotom, PRP in the penis, HA filler in the glans for enhancement, post care treatment and medications, IPL collagen booster, LED Healing therapy, and as many post care sessions with Ian as needed.

Round 1: phalloboards.info/forum/progress-reports...nd-1-12-13-2022.html

December 2022
Original stats
Flaccid length = 4"
Flaccid girth= 4"
BPEL = 6.5"
EG uniformly = 5"

Final Round 1 stats
BPEL = 6.5"
EG circ scar = 5.0"
EG from circ scar to midshaft = 5.25"
EG midshaft = 5.75"
EG at base = 6.0"

*Linnea injections = 13 cc's of 30% and 9 cc's of 10% for a total of 22 cc's

*Had major swelling, major bruising, no nodules, swelling and bruising were gone in a few days. I constantly rolled, massaged and hung with the ball hanger for 30+ days. Ball hanger all day, every day.
*My penis probably looked the best aesthetically after round one. It got praise from my wife, but nothing like after round 2.

Round 2: phalloboards.info/forum/progress-reports...nd-2-02-16-2023.html

February 2023
Final Round 1 stats
BPEL = 6.5"
EG circ scar = 5.0"
EG from circ scar to midshaft = 5.25"
EG midshaft = 5.75"
EG at base = 6.0"

Final Round 2 stats
BPEL = 6.5"
EG circ scar = 5.75"
EG from circ scar to midshaft = 6.0"
EG midshaft = 6.25"
EG at base = 6.5"

*Linnea injections = 6 cc's of 30% to fill in the base and narrow ring gaps, then used 12 cc's of 10% for uniformity and volume throughout for 18 cc's total

*Round 1 + Round 2 total injections = 40 cc's

*I waited 2 months between rounds 1 and 2.

*The erect girth increasing from 5" to 6.25" is substantial. After round 1 when I was 5.75" erect girth, my wife would still use her vibrator. Since round 2, my wife won't touch her vibrator. The girth at 6.25" is so overwhelmingly pleasurable for her, she doesn't want or need to use her vibrator. She is having vaginal orgasms so strong that her legs quiver for several minutes after she orgasms. She is back to initiating sex again, where for years I was the only one that would initiate sex. She makes comments and asks questions like "does it hurt because it's so heavy?", "does your back have issues carrying that big plump penis around?". Those were serious questions she asked and of course they feed my ego. LOL!

*Out of curiosity, I’ve test drove my new penis with others since round 2. I had two Chinese escorts turn me down and say I need an American woman or a Mexican woman. LOL! I then had 3 high end strippers come back to my hotel room in Vegas recently because they wanted to see it and feel it penetrate them away from the club. These are pros that see alot of dick, and they said mine was easily one of the girthiest dicks they had ever seen or felt.

*In my opinion, size does matter. Is it different for every woman? I'm beginning to think not. I say that because I've been with 9 other women since round 2 to test drive my new cock. Some pros, but most civilians. All of them can and want to take it. They all comment, gasp, get super freaky and aggressive, etc. It's an entirely new level of sexuality I wasn't privy to until now. At 6.5"x6.25" the ladies are in Heaven. That said, the only one that has been willing to give me anal is my wife, and only once and I only got half-way in. But that was good enough! Blow jobs are not a problem for any of them. So don't worry about not being able to get blow jobs at this size.

*Other things to note. I always wore Tommy John boxer briefs because the cut and the massive junk pocket. Plenty of room for a big package in Tommy Johns. That said, I have quit wearing underwear all together. It seems to contribute to retraction, which I have an issue with. Since I quit wearing underwear, I haven't had much retraction issues and I hang naturally lower when flaccid.

*The other major issues I found myself working through was condoms. The first chick I test drove, I couldn't fit into the standard condom. I had to go downstairs to the lobby and get Magnums. Then we learned that Magnums didn't fit. You can make them work in a pinch, which I did, but I couldn't cum. My dick was turning dark purple and it was cutting off circulation. She finally let me raw dog her. I've been carrying around Magnum XLs which do fit better, but they are super snug and are so tight at the base that they leave a painful ring at the base of your penis. One of the girls I'm banging sent me a link to a custom condom maker so I'm going to be ordering from them as soon as my round 3 results finalize. This is what she sent me: www.myonecondoms.com/pages/enter-my-measurements

Moving on to Round 3:
This time I waited almost 4 months. If I had to do it again, I would have been more consistent with my pumping. I only got 15cc's due to tight skin. They said if I want another full round or even touch ups, then I need to wait 6-12 months and pump every day, twice a day, 5 minutes each session for a minimum of 30 days prior to the next procedure. That's the only way to get the skin to grow and be more elastic to accommodate more filler.

*I’ll post measurements at day 10 and day 30

*My goals for this full round visit were more girth and uniformity (my ultimate goal is 7" erect girth). After round 2, due to an area where I have tight skin, I developed a ring near the base. You will see it in the pictures posted here. It happens to be also where condoms like to fit which exacerbate the problem. Avanti did a good job focusing on this area and in fact, wrapped my penis post procedure in such a way as to help promote the voided ring to stay full of product. This round 3 was also the full Utmost package, but I didn't get the full 20+ cc's due to tight skin.

*Linnea injections = 6 cc's of 30% and 9 cc's of 10% for 15 cc's total

*Round 1 + 2 + 3 total injections = 55 cc's of Linnea PMMA

*I'm only 6 hours post procedure but my observations between the other rounds are this time there is much less swelling, much less bruising, but I do have two entry holes that have pretty excessive bleeding. That is a first. They said it's because my collagen and tissue build has been so good that they had to really work the cannulas through alot of new tissue. That's a good thing. I already went back for my first massage and Ian didn't have to do much. The wrap he made is doing good to keep the product in place. I took some wrapped pics and posted here.

*Who knows what will come of this 3rd round, but I'm optimistic. I'm hopeful for another .5" but wouldn't be surprised if I only get .25” given the tight skin and only 15 cc’s of product.

Concerning the attached pictures. The unwrapped penis is me the day before round 3. Note the ring at the base when I lift my flaccid penis up. It's not as noticeable when erect, but definitely is when flaccid. Also note the ring that the Magnum XL creates as it chokes you out at this size (yes, found a little hottie at the bar last night). The pics of the wrapped penis are of me about an hour after my 3rd procedure.

edit Moderator Dream: There were technical problems, see the pictures in posts below

I had my second shockwave treatment today. The doctor is now recommending I let him surgically remove the nodules. We’re sort of just spreading them out a bit so far. Post Removal he expects me to need more shockwave therapy. Pretty depressing. I worry about the scars and possible nerve damage but I already have very poor sensitivity with the nodules wear they are and he claims the scars will be minimal.

This doctor says Kenalog is terrible, will destroy collagen throughout the penis, and won’t work in Bellafill.

I would love to hear if you guys think Dr Rupeka could sort of pave over these nodules with more filler.

Otherwise I guess I will most likely be soon scheduling the surgical Removal.

LouSkunt wrote: I would love to hear if you guys think Dr Rupeka could sort of pave over these nodules with more filler.

That's the kind of question that can only be answered via direct consultation with Dr. Rupeka. Furthermore, if these nodules are FBGs (granulomas), you may not necessarily want to just "gloss" or "pave" over it without perhaps diagnosing it and resolving/treating it first. That's assuming of course they are classical granulomas and not just traditional nodules (i.e. clumping of filler and tissue that create aesthetic irregularities like small bumps).

By surgical Removal, did the Doctor explain the approach they are taking to do this? Perhaps this is more old-school on my part, but when I hear surgical Removal, I think invasive (de-gloving) that often times uses general anesthesia - vs - non-surgical Removal, where something like a punch excision technique is employed. If it is the former (surgical), I feel like that should be a last resort, and something like Kenalog (or other treatments) should be considered -- or at the very least, a 2nd Medical opinion (by a Practitioner versed in filler Removal, Revision, and Repair). I suspect, however, this will be a non-surgical Removal by the size and number of nodules seen in the photos.

Thanks for the feedback. It sounds like my doctor explained the punch excision technique. He didn’t use those words but he said I probably wouldn’t even have a scar. He would basically poke a hole with a needle and squeeze what he could out of the nodules. He said he doesn’t expect to get it all and that I could expect to need/want more shockwave sessions.

Both this doctor and my original injector have been negative about Kenalog. Seemingly unwilling to use it. This doctor claiming it won’t do the job and that its anti-collagen effects can cause more problems. The original injector, who I now consider unqualified to deal with this said she would not consider Kenalog until around 6 months.

I am sort of itching to make a decision but perhaps I should try and get some online video visits with some more qualified/expereinced doctors and consider traveling if I need too.

I think the shockwave helped a bit, I wll try and get some updated pics on here in a little bit.

First time with the wrap off today and they look a bit better. Part of me wants to do some more shockwave and just see if I can live with it. Although the doctor implied if we do more shockwave and I then end up doing Removal it may be more difficult to remove .

I’m in a faithful relationship but I sure would love to whip it out and get a genuine female reaction lol. I think if I just knew the average woman wouldn’t be grossed out, question me about the bumps, or think it was and std Id feel a lot better. They still make masturbation a bit annoying and they get irritated from hand friction though.

Sounds like you're going in the right direction. Maybe some additional shockwave + time might help, but this isn't a treatment I see/read much about so I can't really say how effective it will be long term. The good news is that if you opt to, the punch excision would be a non-surgical Removal, and either way I suspect you'll have the Nodule situation resolved in due time. Good luck!