TOPIC: Round 1 Uncircumcised PMAA Dr Rupeka 20ml

I received my first PMMA implant on 7/22/25 with Dr Jason Rupeka and this is my progress log.

Background:
I’m 32 year old. First filler ever. Found out about PE back in 2011 and did some manual exercises over the year. Later on I found out about pumping, I tried that and would always like the immediate pump. Maybe I made some Girth gains over the years but nothing drastic. I always enjoyed an Extra half Inch gain from the pump or with a cockring. I found about PMMA from a subreddit and a few guys had it done, I started researching it and found this board and the clinic in Ohio. Being uncircumcised was one of my biggest worry and some clinics actually said they won’t do the procedure unless I was Circumcised. However, Dr Rupeka said he does the procedure at a much deeper level and it will not be a problem.

Day 1:
I drove to the clinic, got there early, waited inside for my appointment. Met with the doctor, he broke down the procedure, I had some questions I had already researched but wanted the doctors opinion of course. The doctor is a professional, and nice clinic.

The procedure package I got was Bellafill, Neurotoxin, PRP and Red light therapy. Initially I wanted to do 20 syringes but after sharing my desire to gain 1/2” Inch or a little more in this session, the doctor told me I would require more due to my starting size, another 5 syringes Bellafill were added for total of 25 or about 20ml.

The procedure was fine, about the same amount of pain/discomfort as a dental filling procedure. I think the neurotoxin injections into the pubic region hurt the most, I think it was 3 of those injections for total of 100 units. After the initial local anesthesia, my penis was pretty much numb, I didn’t feel the PRP injected directly into the penis head, I thought that would be the worst but no.

Immediately I could see an increase in my Girth size.

Then he put on the red light, and I guess the warmth of it and maybe the fact the procedure was over I got a pretty good Erection going on and again could see a pretty good increase in my Girth size - basically it was the same was as when I would pump it up.

After procedure I drove home. I placed ADS zen Hanger on my ankle. This part sucked as it was a 10 hour drive that turned into 13+ due to stopping and readjusting the ADS.
I had played around with the Hanger for a week or so before the procedure but I never did any Hanging before that, so I was still experimenting/adjusting to the whole thing.

Starting Stats
FG: 5-1/4 middle, 5-1/2 base
EG: 6 Inch at thickest middle,
FL NBP 4-3/4
EL NBP 6-1/8

Day 1: first 24 hours
Before sleep that night after driving:
2 hours hangings and hot towel and hot shower massage
Sleep with Urowrap on
The swelling in the fat pad look a lot

Day 2:
Woke up early with Erection, hot shower - massage - hang
Dick looks nice and thick - no bruising, fat pad swelling seems less
Hot towels massages through your day
10 hours total Hanging
3 hot shower massages
Extra swelling measured up to 6.75 EG

Day 3 to 5
Same procedure
I took off work and did Hanging, heat, massages, all day.

The first picture here is the night right after the procedure, 6.5 Girth middle, this was my goal. I was very excited about this.

Second picture is how my Dick looked right after the clinic. The last two pics are the day 2 swelling and some bruising has started

Today I am on day 8 post procedure.
I have aesthetic and pain concerns. I’m looking for suggestions and experiences

1) Aesthetic Concern: I noticed initially in the office right after the procedure was done that there was more filler on the right side of the tip of my penis. I was able to massage some of it away but it is to stay here for now it seems. I focused on the area each time I massaged, it got a little better but it’s definitely more filler there.

2) Pain Concern: much more concerned on this…on day 5 my biggest concern as of yet has started. Pain during erections. The first 4 days I got multiple erections and there was no pain. However, that night I woke up few times with my penis Erect and in pain.
Night 6, 7, 8 same deal, the erections during the night are painful and keeping me up/waking me up. The pain is more towards the tip. They are strong erections as well, I thought maybe from the procedure my Dick wouldn’t get so hard for a week or so as it’s injured but the opposite is true.

I’ve read the forum and see another guy experienced similar problem for the first month.

On day 7 I had sex with my girlfriend, the initial injector holes on the shaft were closed by the second or third day but I waited till day 7 as doctor suggested. Light gentle sex for less than 10min. I had a lot of swelling putting me about 7 Inch Girth, after sex the swelling had gone down a bit. I came without any pain - that’s good. But just getting the Erection with my girlfriend causes pain.
To describe the pain, It’s a dull kind of pain, seems like my Dick is pushing against my skin as it’s expanding from the blood flow during Erection and that’s where pain comes from. During random day Erection the pain isn’t bad, I get hard and then soft and it’s gone. But I have night long erections naturally, and the erections have become painful, I’m waking up constantly and sleeping 4 hours.

Uploading pictures showing swelling Girth close to 7 inches
I’ve lost some Erect length maybe 1/4 to 1/2 Inch. The doctor said this could happen.

For your 1st concern -- these types of procedures have almost inevitable subsequent appointments, and touch-ups are par for the course with these procedures. In other words, this can easily be touched up in a follow-up session.

For your 2nd concern -- while unusual, I wouldn't say it is alarming. My suspicion is that there can be some abrasion with smaller (almost micro) nodules, which often times will soften on their own, or can be corrected in future appointments. This could also just be a longer than usual recovery period, which is completely normal (especially with a longer lasting carrier involved).

However these are my hunches, and I would recommend reaching out to the Clinic if the pain continues and/or worsens for a 10th night (or beyond), especially if the pain can make masturbation and/or sex prohibitive.

That said, your pictures look great and everything you've described thus far isn't out of the ordinary; I believe you should see a gradual improvement in all likelihood, but keep monitoring it and keep both us (and Dr. Rupuka's Office) up-to-date when necessary. Happy healing!

I use to be uncircumcised and had my first procedure with Rupeka i also had painful Erection that stopped but my issue was after sex the swelling this is even after 9 months in now im not saying its because i was uncut this happened but hope its not a Bellafill thing. I had to get the Bellafill removed by the chunks and i stopped getting the swelling but you wont know until the bovine carrier breaks down. Hopefully things turn right for you despite the doctor saying 7 days for sex everyone should wait 2 weeks regardless in my opinion

Uncut hero—-can you clarify the details on the details of Bellafill Removal. I’m planning on enhancement early next spring and would like to avoid anything that may require Removal….Thanks

Dr Carney in Atlanta removed the chunks of Bellafill for me not everyone gets bad reactions but i sure did i might be the outlier out of thousands

Skeptical_One wrote: For your 1st concern -- these types of procedures have almost inevitable subsequent appointments, and touch-ups are par for the course with these procedures. In other words, this can easily be touched up in a follow-up session.

For your 2nd concern -- while unusual, I wouldn't say it is alarming. My suspicion is that there can be some abrasion with smaller (almost micro) nodules, which often times will soften on their own, or can be corrected in future appointments. This could also just be a longer than usual recovery period, which is completely normal (especially with a longer lasting carrier involved).

However these are my hunches, and I would recommend reaching out to the Clinic if the pain continues and/or worsens for a 10th night (or beyond), especially if the pain can make masturbation and/or sex prohibitive.

That said, your pictures look great and everything you've described thus far isn't out of the ordinary; I believe you should see a gradual improvement in all likelihood, but keep monitoring it and keep both us (and Dr. Rupuka's Office) up-to-date when necessary. Happy healing!

Yes it is unusual to experience pain during erections - based on everything I’ve read from all others getting the procedure. However, I assumed pain was part of the healing process and was somewhat normal during the first few weeks I thought after all this is a type of surgery, needles poking around etc.

I did see another guy having pain with erections and lasted month+. I believe his situation fully fixed itself after a month.

If it is micro nodules - when massaging it I don’t feel any nodules/bumps/uneveness - how long does it take for them to soften up? I’m on day 9 and still experiencing pain when Erect.

Also, the pain is on the left side of the shaft toward the tip of the penis, my Dick has started to curve/bend to the left side.

Measurements are also showing half Inch less length.

I’ve read many get length shortened but recover the lost length, I’m not concerned about this or the aesthetic part. My only real concern is the pain during erections, and at night time.

uncuthero wrote: I use to be uncircumcised and had my first procedure with Rupeka i also had painful Erection that stopped but my issue was after sex the swelling this is even after 9 months in now im not saying its because i was uncut this happened but hope its not a Bellafill thing. I had to get the Bellafill removed by the chunks and i stopped getting the swelling but you wont know until the bovine carrier breaks down. Hopefully things turn right for you despite the doctor saying 7 days for sex everyone should wait 2 weeks regardless in my opinion

Could you go in more detail?

How long did the pain last?

Why was swelling after sex a problem? How long did it last?

How long is the recovery after removing the bellafil?

Are you back to your current starting stats?

Any details of my experience with Rupeka can be found in my round 1 thread i was in pain first few months i had a Nodule so big i needed to have it surgically removed due to Nodule i was unable to have sex from feb to sept it was horrible worst nodules i ever seen wat dr Carney pulled out from me looked like steak bites and alot of it .im not at my starting stats if you read my posts i went from 4.5 to now 7.5 to 8 with 5 more procedure since then