TOPIC: Avanti PMMA Round 1 - 2/18/26

First I want to be sure I make clear that some of the back and forth with some Members needs to cool off. I get why each side has their feelings and I think it's only serving to derail the discussion, even if it wasn't unintended. I'm not taking sides on who is right or wrong, who has a point or doesn't -- however, comments that could be perceived as personal attacks are against Forum Rules, and further trivial disputes may result in Moderator review. So please, I politely ask we resume the topic at hand, many thanks.

Secondly, three members have already chimed in on this particularly uncommon aesthetic irregularity (relatively speaking), all three of which I believe said cleared up over time (which may or may not have required some follow-up revision work). Let me add my name to the hat, I had what I believed was an identical issue that you're describing @Gh847 , and you said in an earlier post: "My biggest concern now is the underside of the base. There is a palpable, firm, rubbery ridge where the injected product stops. I try hourly to smoosh it into a more gradual slope to transition more naturally from the enhanced/visible shaft section to the unenhanced/buried shaft section that lives deeper in."

Not only does that sound like what I experienced, but your pictures brought back memories of an issue I had I nearly forgot about. It felt like a rubber ring at the base, especially the lower sides that almost created a ridge-like distinction between the shaft and scrotum. I got my first injections in May of 2011, and had subsequent appointments over the course of a few years that included both girth and touch-ups. I made mention of this and while unfortunately I don't recall exactly what they did to address it (if anything at all), it in fact dissipated over time, and is 100% non-existent today. To be fair, I don’t recall exactly when it was gone, since it gradually became less noticeable both visually and to the touch, but I do think I spent many more of my years enhanced without this ring than with it.

The pictures and description match the exact same anomaly I experienced, so I'm willing to bet they are indeed the same.

More importantly, while I absolutely respect the opinion of all qualified & reputable Physicians -- surgical intervention could fix this in theory, sure, but it is completely unnecessary if there are no compelling grounds to believe this poses an imminent risk or long-term risk to you or the health of your penis, point blank. In other words, this is categorically an aesthetic nuisance (by all accounts), in which case surgical intervention should be a last resort. This is because the removal procedure is invasive, and may have the inadvertent risk of opening you to other complications... and even if you manage to evade those, members like Toothman and others can attest to the cumbersome recovery involved.

In order to justify "last resort" measures, the risk of inaction has to outweigh the risk of complication associated with surgical intervention, which I do not see here. I suppose the only other exception would be that if the aesthetic irregularity was too unsightly to wait out an indeterminate amount of time for it to resolve -- which is too premature to judge roughly 2 weeks post-op, never mind that the current photos (in addition to how I remember my own experience, so very reminiscent of yours) doesn't come close to fitting that bill.

I'm the resident patient advocate, I'm not a healthcare provider nor a medical professional. That said, this particular case is one I'm especially qualified to chime in on, and in fact, three other men did as well... and the collective consensus was relatively the same: this can and likely will be resolved with time and/or non-surgical intervention. Heck, you're not even a full 2 weeks post-op as far as I can tell, and I genuinely advise waiting until the 6 week marker at minimum before making any significant decisions. Unless your exhibiting complications or the worsening of complications, I see and read nothing (especially barely 2 weeks out post-op) that would warrant any radical deviations from the current course (truly).

Something I've advocated for as long as I can remember: if the issue is purely aesthetic in nature, always have your performing physician/injector be provided the opportunity to remedy the situation first. They have your medical file, they're acquainted with the nuances of your specific penis and its associated issues. They have the same products (i.e. fillers) and have every incentive to see a happy patient. If they remain unsatisfactory, find a separate provider -- but at least you will have had someone with additional incentive to see the work through as intended. This is especially true for Sponsors, who have a public-facing profile and by extension, will get greater scrutiny for their work -- overtime this has the net positive effect of improving the overall quality of results & standard of care. This is my sincere advice irrespective of whether or not it was Avanti Derma, whether or not you consulted with Rejuvall, and whether or not you involved a non-Sponsor like a Dr. Gelman or Dr. Alter. I mean that.

Patience is your best friend now. I do think you can get this corrected in a reasonable amount of time at minimal cost. We're here supporting you, and you have the full knowledge, experience, and wisdom of the collective commentary to reinforce that. I appreciate you taking the time to update the Forum with your situation.

BigGym wrote: You flew off the handle and called me a monster for even suggesting that maybe it wasn’t a great decision to get 20cc in the first round. I can tell you are from a different generation where anyone who dares to suggest accountability and personal responsibility is the villain. I was the only one who gave it to you straight that it was likely permanent and probably wasn’t going away and yet you’re still clinging to the idea that’s it’s just inflammation. The “donut effect” is well known and is a big risk with these types of fillers especially if you get too much volume in one round because it has to go somewhere. It may calm down a little with time but that filler around the base probably isn’t going anywhere. Your options are surgical Removal, go for a second round and try to even it out, or Kenalog shots to try and break it up. Maybe it feels like I’m trying to hurt you by telling you the blunt truth but the sooner you accept reality the sooner you can put together a plan for the next step.

Avanti’s package gives you 20 cc, that’s practically exactly what everyone gets when they go there. I don’t know what you’re trying to talk down on him, for getting the same thing everyone else did that’s on this forum and that went to Avanti?

I’m no longer actively participating in this thread so don’t tag me expecting a reply. Thanks!

Vongolaxespada1 wrote:

BigGym wrote: You flew off the handle and called me a monster for even suggesting that maybe it wasn’t a great decision to get 20cc in the first round. I can tell you are from a different generation where anyone who dares to suggest accountability and personal responsibility is the villain. I was the only one who gave it to you straight that it was likely permanent and probably wasn’t going away and yet you’re still clinging to the idea that’s it’s just inflammation. The “donut effect” is well known and is a big risk with these types of fillers especially if you get too much volume in one round because it has to go somewhere. It may calm down a little with time but that filler around the base probably isn’t going anywhere. Your options are surgical Removal, go for a second round and try to even it out, or Kenalog shots to try and break it up. Maybe it feels like I’m trying to hurt you by telling you the blunt truth but the sooner you accept reality the sooner you can put together a plan for the next step.

Avanti’s package gives you 20 cc, that’s practically exactly what everyone gets when they go there. I don’t know what you’re trying to talk down on him, for getting the same thing everyone else did that’s on this forum and that went to Avanti?

I made pretty clear this derailing of the topic was to cease, not sure why this post was necessary. Please resume the topic at hand that doesn't involve this inconsequential and meaningless back-and-forth -- positions were stated, some disagreements were made, now carry on, thanks.

re: the ridge

As I mentioned earlier, I went in the same day as Gh847, and I also have a ridge in the same area. Mine's not quite as pronounced but when I'm Erect it feels like a hard tumor, also at the underside and base, near the right side.

What I've realized is that this ridge corresponds to exactly where my penis/skin is folded over when I hang. When I hang, the ball has to go to either the right or left side of my underwear, and I've gotten in the habit of Hanging it down the right side. So on the under-right side, the part that is folded the most when I hang, the ridge is biggest. Going around my base, directly underneath where it still gets folded over but less so, the ridge is smaller. Going around my base to the top and the other parts that don't get folded over, there is no ridge whatsoever.

So basically the parts that get folded over when you're Hanging/rested tend to develop ridges (hopefully short term), either from swelling or PMMA accumulating. This basically validates Texas' aftercare method of sleeping face down with your Dick in a donut pillow.

Anyway, Gh847: given that your ridge is directly at the bottom base of your penis, I would recommend not letting your Dick hang down naturally since it folds over that area, which is likely what's causing that ridge. Maybe keep your Dick extended by holding the tip and pulling out/up (annoying, I know) and/or sleep with your Dick pointed towards your stomach.

S_O's experience is very good news, but BigGym did mention that his became permanent. So there is that risk.

The best case scenario for me and you, Gh847, is that this is just temporary swelling that hasn't had the chance/ability to drain. I'll start the hot baths 2x/day too, and I would recommend either keeping it compressed or bathing with your Dick pointed upward, not Hanging down, to facilitate the draining.

I'll keep you posted on how mine turns out. Best of luck and please let me know if Dr. Carney adds anything useful to the discussion.

Thanks SO MUCH for writing all this, SO. My emotional roller coaster has finally hit a flatter stretch of track, thanks in large part to the men here and posts like this. I’m glad to hear this anomaly, while relatively uncommon, has been seen before and successfully resolved with minimal intervention in at least 3/4 instances. I’ll look at surgery as a last resort.

I realize it’s only been two weeks and I know things will likely calm down and change for the better as time goes on. It was just hard at first to feel that given how poorly things went for a while with the swelling and lumps. My body’s response to the PMMA was so violent and everything seemed to go completely wrong after such a promising start. I was despondent but I’m becoming more optimistic and resilient.

The ridge is indeed getting less pronounced. Im wrapping with tape for a few hours at a time, applying pressure with fingers 4x a day, and doing 2x hot baths a day. Also taking advil.

Im leaking so much lymphatic fluid it soaks a gauze pad every few hours. It’s flowing so freely now I feel like most of the swelling will be gone soon through drainage and absorption. Was with a woman last night who (gently) played with it quite a bit. To my amazement she didn’t notice the ridge visually or by touch.

I will consult with Carney when he calls but I will definitely give Avanti the first opportunity to correct any remaining defects. Im planning to go back in late April or early June. I love that this forum creates a layer of accountability and incentivizes providers to make sure their patients are satisfied.

Despite having a weird dustup with another member, I really attribute the way I was able to overcome this rough start to all the support and experience on this forum. Thanks fellas.

Onward.

Hang in there brother. I’ll keep trying everything I can to minimize this and help it heal flat. Let me know how yours progresses and I’ll do the same.

Also FYI if you're still leaking fluid still I would be verrry careful not to let it get infected. Seems like some members here have had infection stories that turned into horrific nightmares, way worse than what we're experiencing. My injection points sealed up maybe 3 days after I went in.

Definitely keeping an eye out for any signs of redness or other changes. I did ask Carney’s PA and he said it was normal given how much fluid had built up. I also emailed Dr. Morales just now to describe the volume of leakage and ask if I should do anything.

Would you be able to post a photo or two showing exactly where the leaking is occurring (if you don't mind)? It could help add some context to where you're at in your recovery timeline. You mentioned the remaining entry site is still unclosed -- that would be a matter I would prioritize, and I think the ridge/ring feature ought to be a matter that gets addressed down the road when you've completely healed.

I'll be frank, nearly 2 weeks out post-op you should have all entry points healed. Granted, you did acknowledge your penis seems to have had an aggressive response to the PMMA (which is a controlled foreign body response), and with that it's conceivable you will have a longer-than-average recovery period. Nevertheless, you need to monitor this entry point, and I'm even wondering if the wrapping is necessary at this stage (and potentially even counter-productive) -- I would strongly reach out to @Avanti_Derma for direction, please take my advice and the advice of others regarding personal care & protocol as supplemental guidance, in the end you'll need the green-light from your performing physician.

Edit: I just realized you had already mentioned having emailed them -- somehow forgot as I was writing this up. That's great, but be sure to follow-up regarding the necessitation of the wrap and not just the "volume of the fluids" (if it wasn't already addressed in your correspondence with her).

Like Member asdf1693 noted, for as long as entry points remain open, the risk of infection remains present. He may have pointed this out after you mentioned that a lady had played with your unit, something I would personally recommend against until the recovery window is closed. For now, the main things you need to look out for diligently are: [1] an increase with current post-procedure effects (redness & swelling); [2] any appearance of new effects (pain, coloration of the fluid leakage, etc.); [3] and that the entry point isn't getting bigger and/or hasn't closed by the end of the 3rd week (this is also why I say it's imperative you get an update on your wrapping protocol; I'm not qualified to assert whether or not it's slowing down entry site recovery in this instance, but it's worth exploring with Avanti Derma/Dr. Morales).

Again, nothing to be alarmed with at present time, but taking the right steps to ensure the best possible end result is paramount.

As always, very grateful for the detailed and well thought out advice. Dr. Morales was the one who advised me to wrap the lumpy area to help shape it flat. Im not wrapping near the last remaining open injection site. I’m not sure the wrapping is helping anyway so I asked her about it again in my last email.

Here’s the drainage spot:



It’s near the glans on the left hand side. Hard to see even zoomed in so here’s what it looks like with a tiny bit of fluid coming out:



Fluid has been consistent in color, viscosity and lack of odor since the day after the procedure. There’s just been a lot more of it coming out lately. No redness or other skin changes. (Knock on wood.) (Heh.)

Im keeping it clean and as dry as possible. I haven’t heard from Dr. M yet about the fluid but I will obviously follow her instructions. I will say Flaccid Girth is down from an absurdly swollen 6.25” to between 5 and 5.25. Imagine how much fluid has to either drain or be absorbed to drop that amount of mass in just a few days. I’d love it if my Dick stayed at this size - it looks and feels great now - but I know I have quite a bit more swelling that has to go down.

Re the lady who handled my Dick, it was a gentle but thorough inspection with clean hands so I could get a sense of what the rubber donut situation felt like to a third party. I realize any handling increases infection risk but it didn’t seem any different from the handling i have to do myself many times a day. Still, youre not wrong that I shouldn’t be taking any chances with my one and only Dick, no matter how small. (The chances, not the Dick!)

Two weeks in the books and what a difference a day makes.

Dr. Morales was not concerned with the continued fluid leakage from that last open injection site. She said keep it dry and clean so I went out and spent $40 on a zillion gauze pads and tape. You can guess what happened next: this morning i woke up and the gauze was bone dry. The hole had closed up completely overnight.

I’ll snap some pics later but the shape and size are really lovely at this stage. It’s a bit bell shaped when Flaccid which I absolutely love. the base is about 5” then mid shaft goes up to 5.25” before nicely tapering down to match the glans. I really love the look, way better than the inverted cone ive been seeing til now. I’d love to retain this exact shape and size but i know it will continue to change for weeks or even months. At least i know what I want it to look like when all is said and done. Good to have photos to show the doc at my next session.

The rubbery band around the base persists but I’m less and less bothered by it. Partly that’s thanks to the guys on this forum, partly it’s because it’s gotten significantly less pronounced, and partly because everything else is started to normalize around it. I really think finger pressure and hot baths are helping a lot. Im not wrapping it anymore tho im thinking of trying other solutions for applying pressure to the area.

Happy for he good new. The progress sounds great.

@Gh847 admittedly the pictures do look reassuring (no actual "hole" per se), despite the persistence of the leaking; no change in coloration or other effects, and in fact a notable (and to be expected) reduction in swelling is part of the process, all consistent with what is perhaps a longer-than-average recovery window (not all penises or foreign body responses are created equal). Along with Dr. Morales's opinion, I'd say with time and continued commitment to the prescribed post-op protocol, you'll have a more complete picture by the first or second week of Spring.

Thank you sir! I appreciate your encouraging take. The last leak seems to have stopped and swelling is way down. I’m measuring 5.75 BEG, 5.5 MS and 5.25 at the circ line. I’d be over the moon if it stayed here but I suspect my slow recovery time means I have more Girth to lose. BPEL is down .25 from the 6” I had prior but I’m sure it’ll come back as everything settles.

The donut is still troublesome but it seems better than before. Softer and slightly less pronounced. It’s just my particular quirky response to an unpredictable procedure. It will need to be addressed eventually but as you say I need to give it 3-4 more weeks before I really know what I’m dealing with. The best part is I’m no longer letting it get me down. My wife keeps telling me how great everything looks and I agree. Veins are resurfacing, shape continues to improve, and it looks and feels very natural.