Welcome, I'm two weeks out from my first
PMMA appointment with
Avanti Derma on Tuesday Jan 7th. Great service so far. I stalked the aftercare thread to understand what I was getting into and want to know if there are any tips or products you guys would recommend based on my current plan and my lingering questions.
I'm considering 3 total rounds to go from ~4.5 inches MSEG to ~ 6.3 inches MSEG and reach 7 inches NBPEL from 5.9 NPEL assuming some fat pad loss (I'm at like 20% bf rn). I'll be asking them to max out
Girth each round to see what happens, though I understand this would make aftercare a lot harder.
To complicate my aftercare further, I will be travelling to a hotel in San Diego, but staying at Grand Hotel Tijuana for the night of the procedure alone with Ian's permission. Afterwards, I'm staying at San Diego with my 4 year old son so I'll want to keep the aftercare under wraps if possible. Hopefully the future rounds will have me travelling solo.
Items to get:
1. Bandages/Compression Wraps:
* Ace Bandages – For gentle compression or securing devices.
* Baby Socks – Useful for applying gentle pressure to specific swollen areas, like the
Frenulum.
I'll get these just in case of issues. Will appreciate any advice on using these.
2. Stretching Devices
* Noose-Style Stretcher:
* Example: Zen
Hanger Noose
Hanger or ESL40 Stretcher.
* Weighted Ball for
Hanging:
* Example: Weighted Extender Ball Kit (available from specialty sites like Zen
Hanger).
Issue is that the Zen
Hanger Noose is about $60 US after shipping and I'm not quite sure if its necessary if I'm getting a noose extender from
Avanti Derma. However, I’m not sure if the noose extender from
Avanti Derma provides enough weight on its own or if I’ll need to supplement it. If anyone knows how much weight AD’s extender includes or has suggestions for attaching additional weight discreetly, I’d appreciate it. I’m also considering whether investing in something like the Zen
Hanger Noose is worth it for future rounds.
Comfort and Practical Items
1. Donut Cushions or Pillows – For sleeping or lounging without compressing the penis.
* Example: Milliard Memory Foam Donut Cushion.
2. Loose-Fitting Clothes:
* Sweatpants or loose boxers that allow space for the stretcher and minimize compression.
Are loose sweatpants enough, or do I need additional strategies to keep it concealed?
3. Hot Compress Items:
* Microwavable Wet Rags or Towels – Use soft towels that can be heated safely in a microwave.
I emailed Grand Hotel if they have a microwave and hot rags in their room, if not I can probably get my own.
I got donut pillows and I'm planning on getting
Cialis/Tadalafil soon, though if its a lot cheaper in Tijuana, I'd get the
Cialis there.
I'd hope if someone had specific routines for stretching to prevent retraction and massaging w/ both hands and warm compresses. I'm not sure how the stretcher will be attached to my penis and I'd like to make it discrete while touring around Tijuana, SD and on the plane.
This is the plan I have so far:
1. Massage and Rolling:
* Begin massaging lightly on Day 1, focusing on shaping and evenly distributing the filler.
* Massage every 3-4 hours for the first 3-5 days, using heat before each session to soften the filler.
* Use your hands (V-shaped grip) or a small roller to gently move filler from areas with excess to areas needing more volume.
* Focus on rolling upward from the base, not downward from the middle or tip, to ensure the product doesn’t migrate into unwanted areas.
* Combine rolling during erections and in the
Flaccid state for the best results
Is the massaging
Flaccid different from massaging
Erect?
2. Heat Application:
* Apply hot, wet rags or microwaved wet cloths for 3-5 minutes before massaging to soften the filler and improve blood flow.
* Avoid excessive heat that could burn the skin (test the temperature on your hand before applying).
* Heat application should be repeated every 3-4 hours, particularly in the first 3 days when the filler is most pliable. If irregularities are noticeable, more frequent heat application and rolling can help prevent long-term issues
3. Stretching Devices:
* Use a noose-style stretcher or similar devices that attach to the glans or just behind the ridge. Avoid devices that compress the shaft.
* Wear the stretcher for long durations throughout the day with breaks for circulation.
* Avoid sleeping with the stretcher attached; instead, ensure the penis is positioned downward during sleep. This can be done by sleeping prone with the pelvis positioned on multiple donut pillows.
4. Managing Swelling and Lumps:
* Compress swollen areas with a warm baby sock or ACE wrap to reduce fluid buildup.
* For persistent lumps or unevenness, consult your doctor, who may inject solutions to help metabolize the filler faster.
* Focus on keeping the
Frenulum area compressed if it swells.
Idk if I'm getting an ESL vacuum stretcher shipped to me before I leave, sucks for me for planning this late.
I’ll have baby socks and ACE wraps on hand, but I’m unclear on how soon after the procedure compression should be applied. Should I start immediately, or only use compression if I notice swelling or irregularities? Also, are there risks of over-compressing and displacing the filler? Also, If persistent lumps or nodules occur, when should I seek medical intervention, and how long should I wait for natural resolution?
Finally, how should I sit on the ride back to San Diego and the airplane to prevent filler migration? Should I stand or take breaks during long transit?
Thanks for the advice in advance and I will update the thread with pictures afterwards!
