TOPIC: (Pics) JStMercer's First Avanti Derma Trip...mixed feelings

Well, long time lurker and PE enthusiast here. After years of consistent PE and minimal Girth gains, I finally decided I would start working toward getting PMMA.

When I started PE I was at about 6.75 BPEL and around 4.9-5" Girth. Not small but nothing to write home about either. In 2021 I started with an old manuals routine I found in Thundersplace, gained .25" length in less than a month and j was over the moon.

Fast forward 4ish years and I've gained .5-.75" length with inconsistent length work and .3" in Girth with consistent routines. Honestly just got tired of pumping and Clamping but sex was just so much more fun and accessible when I had temp gains. So, after much research I decided to go with PMMA at AD mostly because the logistical inconvenience was balanced out by the cost and history of the clinic.

The trip was largely fine. I do wish i would have had some sea food as the Brazilian place was out of some of their better cuts of steak. I'm open to more recommendations, I like very flavorful food if that helps guide your suggestions.

As for the procedure itself, Ian and Dr. Morales were very professional but not as talkative as I anticipated. The Antianxiety meds were quite helpful because I was frankly feeling just socially awkward.

I went with the basic plus the Botox, which was really worth it and seriously helped my EQ. Everything went quite a bit quicker than imagined and i told Dr. Morales that fortune favors the bold and to not worry too much about being conservative. My hope was to gain .75" based on what I've read from others with similar measurements.

While they were preparing me I could hear them talking and i heard Ian measure me and say 16 cm, which is a fair bit smaller than my BPEL. So I wasn't sure what be was measuring but I wonder if he didn't pull hard enough or if he was measuring only up to the neck and excluding the glans as the filler only goes in the shaft? not sure.

In any case, the final volume was 16 30% and 6 10% and I gained a total of.6" at the end of the procedure. Frankly, I was disappointed but thankful as it is twice what I've gained after years of PE. I was swollen up to 6.75" for about 5-6 weeks after, it felt amazing to be that thick. Near the end of 6 weeks though, it rapidly decreased to the same size as immediately after the procedure.

I feel like the top-down view looks pretty natural after all is said and done but that there is a pretty bad ridge at the Circumcision line which makes penetration difficult for a partner. This was a bit of a sticking point for me as I did point out that there was a big difference in Girth between my Circumcision scar area and the rest of my shaft. Ian assured me that there was filler there but it turns out there wasn't any.

All in all, I have mixed satisfaction with my results. On the one hand I'm grateful for an additional .6" but on the other I feel like a lot was missed. Most of the filler occupies a 4" section of my shaft and i have about an Inch from my base and 1.25 from the Circumcision line to my glans that has no filler and I am scheduled for a second visit in a few weeks.

What worries me is that I am hoping for a bare minimum of .5" in addition Girth this next round but also want to correct the Girth discrepancy at the Circumcision scar area. I'm not quite as worried about the base, we can address that on my third trip but that will likely 6-12 months due to family needs. From what I've read, most people have about half the gains in their second round as they do their first. This would mean I'm looking at .3" on my second round. Which is frankly disappointing.

I'm not sure exactly how to express it but I would like to emphasize my next round that, other than balancing out the Girth above and below the Circumcision line, I do not care much about things like small nodules and that I want to primarily focus on getting to that minimum of another .5" Girth. The only reason I do care about the balance above and below the Circumcision line is simple because it causes discomfort for partners. Otherwise I would really like that bold approach to reach my goals.

Per Ian's suggestion, I am looking at the utmost package. He says that the PRP should be helpful for scar tissues. Tbg, I'm not sure I buy into the PRP thing and don't want to have the PRP take up volume that would otherwise be available for more filler. The botox again? absolutely! and I'm open to thr HA for the glans.

So maybe I'll state my goals this way:

1. My primary goal is to gain between .5-.75" on my second round.
2. My secondary goal is to balance out the Girth above and below the Circumcision line as this causes discomfort to partners.

If I can gain on the higher end of that range or even another .6" then i would be very close to my size goals. Couple that with a smoother transition then i will be absolutely ecstatic. As for now though, I have mixed satisfaction.

Now for what everyone came here for: Dick pics!!!!

I'm sorry about the quality here. I also included post procedure swelling pics.

Bump? I was hoping for some engagement

Nice results! 0.6" is a solid gain, and I would guess they will be able to even things out in your next round. How long did it take for the product to settle in place? Did you need to massage it back in place for a while?

I hope you meet your goal on your next round and bet you will.

.6 is a nice gain. I just worry about gaining less than .5 on my second round.

The only area I feel like needs to be balanced out is the circumcision scar area. Ideally, I'd like to add more to the base but I'd rather make sure i can get another.5-.75 in the mid and upper shaft.

I feel like it settled fairly quickly, like a few days. I tried to massage it the best i can and ended up with one nodule that really feels like a skin tag. For some reason i kinda like it

Using the extender was trickier as my glans is quite small when flaccid and it felt like it kept coming off.

Congrats on the gains. You can definitely tell the difference. A half Inch gain from adding 22ccs and at your length is a win imo. Must’ve been from all the pumping you’ve done to allow for that much fuller with your longer than average length. Did you follow Texas’s post-procedure tips?

That area you mention not retaining the filler has been described on here as the shelf area. I have it from my 1st round - it’s less pronounced when Erect but definitely noticeable when Flaccid (like a pig in a blanket) and to my knowledge, there’s no real solution to it other than a revised Circumcision. I know some guys on here have talked about adding filler there but have run into issues with it not being retained or the risk of granulomas..

As for 2nd rounds, I think a lot of guys on here have had issues with not gaining as much after round 2. I don’t know what it could be (I’m waiting a bit before going back, since wifeys happy but I know she could take more because she loves when I’m pumped at 6.3). Not without running the risk of
Nodules/ granulomas/ irregularities. Some guys instead opt to have underside injections with Rupeka. Although he’s elsewhere and much more expensive.

Anyways, food for thought. Enjoy the new gains and I hope you make an informed decision.

So filler just isn't easily retained above the circumcision scar? I hadn't read that before at all. My impression was more in like with your second concern that you run the risk of imperfections or granulomas. I have also heard that there can be issues with the circumcision scar looking a little puffy like one would expect from pumping. If minor imperfections or a slightly puffy look are the main problem, then fine. Penises look wierd, all of them . My main concern with that shelf is that it is such a dramatic increase that it causes discomfort for partners on initial penetration. A smoother transition is definitely needed on my next round.

At the same time, I don't think ill be able to make my 3rd visit until some time next year so i would like to hit my size goals or at least be reasonably close. Another .5-6". would be good enough and then come in for a final round of touch ups in my next appt.

I'm just not sure how i can adequately convey my goals to Ian and Dr. M.

JStMercer91 wrote: Bump? I was hoping for some engagement

You'll have to remember given the private & intimate nature of this site's discussions & themes, men aren't necessarily logging in daily, (which would allow them to post), and so sometimes it can take a couple days to get some feedback.

That said, follow-up rounds are quite common because no matter how skilled the Injector, dermal fillers have a degree of unpredictability to them, with 2nd appointments being an almost inevitability (for touch-up and/or additional girth). The idea is that by seeing a top-tier Injector like Dr. Morales, you reduce the degree of unpredictability to acceptable levels because of their experience & technique in addition to their prescribed post-op protocols.

Simply explain to them the areas of concern and you'll find this will all smooth out relatively well, especially since you have the length to accommodate the work. To be honest it looks pretty good, and we can be our own harshest critics -- most of those angles would look intimidatingly big to most partners I'd imagine