TOPIC: Is PMMA really permanent? - Dr Rupeka youthology-penis.com -

For me it was always the most obvious fact: PMMA is permanent.

Also its clear - when its about the brand Bellafill doctors say 5 years.. cause the FDA report was only 5 years and so on … yes yes, but in fact its simply permanent - sure I know ) Only a juristic reason…. Additional.. since PMMA is mainly used in wrinkles.. you can get more wrinkles / or your wrinkles get bigger by aging in general.. this also maybe ll lead to the fact that your optical appearance ll need a touch up - All in the case regarding wrinkles ! Not the product itself becomes less.

But:
Now at my appointment with Dr Rupeka some weeks ago, he said: Its 10 years / „nobody really knows“. Also his newest webpage Youthology-penis.com - talks about 10 years.

This number is now completely new to me?

I m confused / sad. I thought I got a lifetime enhancement.

My personal belief is that Bellafill is permanent, but the reality is that no study has ever definitively proven this—mainly because it would be nearly impossible to conduct a lifetime study on filler longevity.

That’s why most doctors hedge a bit and say 5, years 10 years, just to manage expectations. It’s similar to how tattoos are considered permanent, but over decades, they may need a touch-up. The filler itself doesn’t go away, but natural aging changes the surrounding tissue, which might create the impression of some loss. I think Dr. Rupeka is just playing it safe (but I dont want to speak for him or put words in his mouth), so if someone experiences even a slight change over time, they don’t feel misled. But from everything we know, the PMMA in Bellafill stays.

Thanks for chiming in Dr. Sullivan, appreciate your input as always!

I also believe there may be something to do with Suneva's (Bellafill's manufacturer) trials with the FDA. I doubt they had a "lifetime" to determine the products lifespan, but what data they did have likely was based on 5 Years (which is what Suneva has been saying for a while). I think Dr. Rupeka saying 10 years is perhaps a subtle nod that he believes it's long-term (and possibly permanent), but for purposes of liability, he may not be able to advertise as much. I don't know this to be a fact and I'll have to ask him personally, but that would be my hunch.

Medical-grade soft tissue dermal filler PMMA approved by a regulatory body and injected by a qualified practitioner is indeed permanent! The only thing with Bellafill is that it contains bovine which takes longer to breakdown than the carrier used in Linnea Safe (what Avanti Derma uses in Mexico), and so there may be an appearance of some change overtime, but it wouldn't be an actual loss of collagen induced through the presence of PMMA microspheres as far as I know.

No need to be sad or confused @PmmaFan , I'm convinced you got a lifetime enhancement.

This is a very convoluted topic/answer. The PMMA microsphere is a permanent molecule. Because it is a permanent molecule, it could, theoretically, stimulate the fibroblast to make new collagen fibers forever. Bellafill took 5 years to get it’s FDA approval so that’s why we “have” to say it is a 5 year filler (because we have to advertise along the FDA approval ((for the most part)) ). As many on here can probably attest, they are seeing results well past 5 years. I have had a practice mostly based in biostimulators for about 10 years, which is why I usually use 10 years as “my” measurements.

So, again convoluted, it’s probably going to be longer than 5 years, but maybe not forever. The collagen that newly forms will get broken down over time, but it is going to be probably dependent on the patient’s health, medical history, lifestyle, etc. I think that the way Texas described it as being a permanent product that would require permanent monitoring, sometimes maintenance, etc is accurate.

@Dr_Rupeka

I moved your response to this topic because the same user had asked about it twice in two different threads -- this one is more specific, and this will help other readers when browsing or searching the Forums. Thanks for your response

Thank you for all the answers!
@Dr_Rupeka
@Dr_Sullivan

Dr_Rupeka wrote: Because it is a permanent molecule, it could, theoretically, stimulate the fibroblast to make new collagen fibers forever.

So here's the oddball question, and it may be absurd because obviously I'm not a doctor, but if the fibroblast, would it be broken down somehow, and new once recruited to the site, is it possible that the subsequent inflammatory reaction would make more or less collagen than the original reaction to the original fibroblast?
This could be interesting for somebody who was taking shit care of themselves when they first had the procedure. Obviously the PMMA itself is permanent because it's plastic. But if someone, say, either ingested or injected a strong fibrinolytic, smacked their Dick with a gainswave or something, in theory with the inflammatory process start off fresh, and could this way be a way of turning a permanent molecule into an indefinitely malleable biostimulatory product?
Because I'm not convinced that would suck.
Medically this may be gibberish but hopefully someone can make heads or tails of where I'm going with that.