TOPIC: Avanti PMMA Round 2 - 6/3/26

Back in TJ for my planned second round of LinneaSafe at Avanti with Dr. Morales. Dr. Uribe is assisting along with Eduardo, who is the new Ian. It’s been 15 weeks since my first utmost procedure. Results were very good from a pure gains standpoint:

Starting stats:
BPEL: 6
BEG: 4.25
MSEG: 4.25
Circ Line: 4.25

Current stats
BPEL: 6
BEG: 5.25-5.75*
MSEG: 5
Circ Linr: 4.75

Goals
BPEL: 6
BEG: 5.25-5.5
MSEG: 5.25-5.5
Circ Line: 5.25-5.5

As those who followed my first thread know, I had 20 ccs of 30% PMMA. Thats a lot for a pretty narrow penis. Some have suggested it was too much as a good amount of filler apparently migrated to the underside and lower right side of my base. Avanti doesnt inject into the underside so product had to have moved there afterward due to space constraints, overfilling, too tight wrapping, or who knows what.

My junk swelled up massively with lymphatic fluid in the days and first weeks after the procedure. Sac the size of a grapefruit. Flaccid Girth an absurd 6-8”. The pad of wayward underside filler also ballooned hugely. The day after the procedure it was flat and difficult to even notice. Over the next week or so it grew to be an Inch thick or more, wrapping half way around the base. I did quite a bit of freaking out at that point.

The good news is that as the swelling receded (took three weeks before it started to look normal again) the lump also got less noticeable. The bad news is it’s still there and pretty obvious to the touch. A few weeks ago part of it actually hardened into a ball making me think it was a late Nodule. That ball flattened out again a few days later but now it’s like a firm, flat rubbery section within the unwanted pad. Worse, the unwanted pad itself seems larger and more noticeable than it was a few weeks ago.

You can’t notice the lump visually from above and my scrotum hides it when you look at the area from the side and bottom. But if I pull on my glans to extend the shaft it’s very apparent from the side as you can see in the photo. grasping the whole shaft reveals that this one area feels much girthier than the surrounding areas. It’s so thick i can no longer roll a regular condom past it.

Ive had many follow-up emails and calls with the doctors about this. They were right that it would go down on its own substantially but im still not happy with where I’m at because it seems to have gotten bigger again. Such a roller coaster.

They think it can be further minimized and hidden. I don’t think they can inject filler into the shaft portion that is inside my scrotum to create a smoother transition below the unwanted band. Injecting more product on the underside above the band will smooth the transition downshaft/toward the glans, but upshaft will still be a sudden dropoff in Girth. It’ll be teardrop shaped but still just as noticeable i fear.

Trying to breathe and remind myself this is not the first time this has happened and these folks are good at what they do. Im just glad to be back at the doctors’ office so they can see and feel the issue first hand and I can get some professiinal validation. I have no doubt it can be improved so I’m putting my faith in their experience and planning to do whatever they recommend for the best outcome.

Other than addressing the lump/band, I want to improve evenness, add a little more Girth throughout, and bulk up the area above the Circumcision scar which right now has a sharp dropoff from the glans. Theyre planning to mix 30 and 10% PMMA to get a 20% product rather than doing some 30 and some 10 so we’ll see how that goes.

One other thing- I asked about follow-ups and Dr. Morales said she doesn’t want to do much if any manipulation after placement. She said follow-ups would be minimal examinations so the filler stays exactly where it was placed. She didn’t even want to do a follow up two days after the procedure, just one AM and one PM exam on the day after plus the red light thing. This is the exact opposite of last time when I was told to massage hourly and I had three follow-ups with Ian where he aggressively massaged to move product around. Makes me a little nervous to have such different post care instructions but again im just going to do what the doc says.

Im at the hotel now but my room isn't ready so I’ll have to go straight to my appointment. Shuttle was over an hour late. Day is off to a rocky start.

Wish me luck!

Talked at length w Dr. M about the lump and what I wanted. She wouldn’t add product to the underside to compensate bur she did add some on the sides to smooth the transition. She also injected two syringes of Kenalog into the lump. She said it will improve week by week for a month.

The rest was business as usual. I wanted to focus on aesthetics and she said the skin was tight so she’d aim for 12-15cc of mostly 10%. (She opted against mixing 10 and 30 to make a 20% product). In the end I got 14cc of 10 and 4 cc 30. I got a little over one cc HA in my glans, plus PRP and phallotox. She agreeed to add a little more HA to the glans at my follow-up tomorrow.

Instructions were to keep the loose wrap on 4 hours then remove it and let it hang naturally. Imm supposed to sleep on my back.

It’s far less purple and bruised than last time but it’s already much plumper looking. Flaccid measurements go from 5.75 to 5.25 base to neck. But bc it’s mostly ten percent that number is going to decrease a lot.

It's the morning after and things are looking good. It's even more swollen than last night but that's all to be expected. Woke up with an moderate Erection, maybe 50-75% of my best EQ, and took some measurements:

BPEL: 6 (no change)
NEG: 5.5 (+0.75)
MSEG: 5.75 (+0.75)
BEG: 6.5 (+0.75 at the lump)

The lump feels less noticeable with so much product and swelling in the surrounding areas. Those will all diminish in a few weeks but by then I'm hoping as that happens the Kenalog will simultaneously do its thing. I've heard some horror stories about Kenalog and I don't truly understand the mechanism by which it supposedly destroys tissue but I trust the docs.

I'm leaking blood from two injection points in the neck area but the rest seem to have stopped leaking. If that trend continues I'll be glad. Last time it took three weeks of drainage for the final hole to close up.

Erect the shape looks bulbous in the middle, like a cartoon rocket ship. I asked for more uniformity so hopefully that goes down. It's not bad per se, just not the look I was going for. At this size my glans looks comically small so definitely don't want the shaft to stay this large. A uniform 5.25-5.5 would be ideal.

First follow up is in 4.5 hours, Not allowed to shower or do any Hanging til then. Think I'll try this famous breakfast buffet...

I’ve kept track of your journey and I’m glad things are improving and I’m hoping things turn out well for you. The photos look positive

Just had my first follow up appointment with Dr. Morales. She said everything looks great. She did a tiny bit of massage just to feel how things are, overall she’s very pleased. As she promised, she injected slightly more than one cc of HA today bringing it to a total of around 2.7 cc of HA. We did the red light therapy. She told me not to wrap it at all because we don’t want to push any product down toward the lumpy area, especially while the Kenalog log is working. A number of entry points are still open and leaking so she did loosely wrapped me with gauze, but no tape. She gave me one of those white plastic rollers to roll around the entry points just to make sure product doesn’t clump there. She told me not to start Hanging until tomorrow because of the open entry points in the neck where the bolo would go. she said that because my flight was so long (six hours) I would likely experience a lot more swelling from the pressure and to just keep taking ibuprofen. She told me not to massage except to squeeze the bulge areas to keep product toward the higher areas of the shaft and not let it accumulate at the base. She said it’s more bulbous in the mid shaft right now because that’s where she did most of the work to compensate for the bulge at the base and that overtime as that swelling decreases, it will even out. It’s obviously still very early but at this point, I’m feeling very positive.

How was it this time around brother? And also 10 is more for aesthetics then actually Girth? Also were you kinda at max capacity with the filler or did you personally not want any 30?

StanG wrote: How was it this time around brother? And also 10 is more for aesthetics then actually Girth? Also were you kinda at max capacity with the filler or did you personally not want any 30?

Similar to the first time but this time I knew what to expect and I advocated more for what I wanted, asked a lot more questions. I also asked the docs to talk to each other in English so I'd understand what was happening. That made me feel much more in control.

My goal this round was to improve aesthetics first, then to add size. Dr. Morales determined that 18cc was what I had room for. That could have been all 30, all 10 or a combination of both. Given my goals, she made the choice to do mostly 10% and I'm fine with it. I do hope for some overall gains this round, but mostly what I wanted was to mask the lump on the bottom and get a more even Girth throughout.

As best I can explain it, 10% has 1/3 the PMMA microspheres in the same amount of carrier fluid compared to 30. When the fluid is absorbed, less spheres are left behind so they settle more evenly into a thinner layer. You get less gains but there are less spheres to clump together or get stacked on top of each other. 30% gives greater gains but more potential for unevenness. 10% yields more modest gains but is expected to be more reliably smooth when settled. If others understand better, please correct me!

I figure last time I got 20cc of 30%, meaning 6 cc of microspheres is the total volume added to my wiener. This time I got 14cc 10%, 4 cc 30%, meaning I got around 2.7cc added final volume this time. Seeing as the first round ended up being more than I needed and I was close to my goal sizes, I'm hopeful this was the right call. And if not, I can try again. I was just too scared of creating more irregularities if I went with mostly 30%. As I get close to my personal finish line I don't want to go too far or risk another weird bulge. Just my personal preference of course.

I can respect that brother it looks great though man and I hope you do get the goal you want I’m returning July 8th and I’m hoping to get atleast another half Inch out of it all and fix a few uneven spots that need fixing did you ask for a more tapered look or more so even through out?

StanG wrote: I can respect that brother it looks great though man and I hope you do get the goal you want I’m returning July 8th and I’m hoping to get atleast another half Inch out of it all and fix a few uneven spots that need fixing did you ask for a more tapered look or more so even through out?

I want it even and consistent throughout but with a taper at the neck so it flows naturally into the glans and doesnt look weird, like the proverbial acorn on a tree stump.

Haha I get it lol I’m hoping for something similar kinda can’t wait till July already lol

Just had my second follow-up, this time with Dr. Uribe. He looked at everything and said it looks perfect and the filler stayed where the put it. This is a vastly different experience from the first time when Ian really cranked on my shaft to move stuff around.

Dr. Uribe said the entry points have closed already. I think one or two may still have slow leaks but most of them are indeed closed. He messaged Dr. Morales to confirm I don't need any more follow-up appointments so I'm going to try to change to an earlier flight out in the morning.

I did get the breakfast buffet on the third floor Plaza Cafe this morning. It was good but not as spectacular as I was expecting. In my mind it was like a Las Vegas buffet. But for $23 plus tip it's a pretty solid deal.

How does PMMA feel below the skin ?

Is it the shaft itself BELOW the skin that is thicker, or is it the layer of skin itself being thicker ?

Can the skin still be mobile over the shaft ?

I'm approximately 66 hours out from my procedure. Swelling is NOTHING like last time. By this point after my first round my penis was so swollen it hurt and the whole thing took on a reddish purple color. My scrotum was the size of a softball. It was itchy and sore and hard to walk or bring my thighs together.

This time, my scrotum looks totally unchanged from its usual state. My penis is swollen but only moderately and that's already started to reduce. As far as I can tell all the injection sites have closed up. Last time it took three weeks before the final one stopped leaking lymphatic fluid.

The biggest difference is the underside lump. By this point after my first round I could feel it as a massive, hard, rubbery band covering the underside and lower right side of my base. I was in a panic, emailing Avanti and begging for reassurance on this forum. The lump is still there but I swear it's softer and smaller even though it's supposedly too soon for the Kenalog to have worked much at all. Dr. M also added filler to the left side of the base, and upshaft of the band on both sides. It makes the transition feel a lot more natural. I'm not attempting to get hard right now but Flaccid it already feels worlds different than before. The midshaft is bell shaped, like an old timey cartoon rocket ship, but Dr. M assured me that's going to reduce and the final result will be a more consistent Girth throughout. I believe her. So far the recovery has been more rapid and comfortable, much more in line with what others experienced. I just hope the Kenalog doesn't work TOO much and create a void, but given the size of the lump anything would be preferable to having it persist like it was.

I do wonder if going with so much 10% is going to mean little or no appreciable gains in size. But if the shape looks like I want and the lump is less noticeable it's a fine tradeoff. More pics soon.

3.5 days out. Morning wood measurements:

BPEL: 5.75 (-0.25)
BEG: 6.75
MSEG: 6.25
NEG: 5.75

It looks pretty absurd Erect at this size given the length and small glans. Flaccid looks like a pornstar tho so might need to strut around the locker room a bit before the swelling recedes.

lol man that swelling will have you feeling godly lol but I hope your gains stay I can’t wait for the second round bro I’m hyped