PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

Hi, I'm not sure. Bellafill is 20% PMMA and I don't really know of any other PMMA trying to get into the US aside from Ellanse and I'm not really familiar with that. I have never heard of the two that you referenced. Sorry

Dr Rupeka do you know if 30% PMMA will be offered eventually in the US? Would this be considered a more "firm" option? Also i saw your response regarding G Prime - what would be the G Prime of something like Alloderm or Megaderm vs PMMA? @Dr_Rupeka

Removal was with Gordon Muir in London. He did show me a photo of what he’d removed but didn’t send it to me. This picture was within a couple of days following PMMA removal. I bruised quite badly as you can see.

Hi. I had surgery to remove the PMMA from my penis last year. There’s still some small lumps that will require a second surgery to remove and I also have lymphodema (a swollen appearance to my penis that doesn’t look like it will go) so the aesthetic outcome isn’t great, but at this stage my health is most important. My kidney function has increased a small amount following the removal procedure although of course I can’t be certain it’s linked and still have a lot of PMMA in my body. My nephrologist is absolutely convinced of the link but chose not to refer me for surgical removal of other areas as thinks it would be too much for my body to endure and pretty much impossible to remove all of it.

Since I posted the original article I’ve seen a small number of news articles that have linked PMMA and kidney disease, again in women that have typically had large volumes injected. There was this journal article in December to but I don’t have access to the full article www.jaad.org/article/S0190-9622(24)03394-2/abstract

Hey everyone, I could really use your honest and experienced advice on my situation.

About a week ago, I had my first procedure and received 14 syringes total—7 of Juvederm Voluma and 7 of Bellafill—from a doctor in California. I’m uncircumcised and had already gained some girth after this treatment. I tend to be someone who overthinks things a lot, which can be both a blessing and a curse.

To be honest, I kind of rushed into the appointment. I just wanted to get it done, and now I’m scheduled for a second session. But after reading more online, I’m feeling really confused and unsure.

Specifically, I’ve come across a lot of reports about water retention in the shaft with PMMA (Bellafill)—is that really a common issue? I’m wondering now whether I should just stick with Juvederm Voluma moving forward, or if that’s risky given I already have about 50% Bellafill injected?

The doctor gave me a tapered look, starting gradually since I’m uncircumcised. Right now, the base (closer to the scrotum) is thicker. The plan for the second session was to balance things out and add more toward the top. I am not only looking for 2-3 years down the road to be happy, I do not want health issues or "high maintenance".. who does?

But I’m really second-guessing whether mixing Bellafill and Juvederm was the right choice. I know Bellafill is permanent and not reversible if complications arise, which makes me a bit anxious.

I’ve attached a photo (partially erect)—there’s still some discomfort, which I guess is normal just after 5 days, but I’d really appreciate hearing your thoughts and experiences.

Thanks a lot in advance, and thank you to everyone who makes this forum such a helpful place. :

Biofilm‐associated infection is almost exclusively an early-post-injection issue and even then it is a very minimal risk.

• In the first 2-8 weeks the PMMA microspheres are still being integrated in the body. During this window bacteria introduced at the time of injection—or in the rare case of early cellulitis—can adhere and organize into a biofilm.
• By ~3-6 months a dense collagen capsule surrounds each 30-40 µm microsphere, physically separating it from the bloodstream and greatly reducing the possibility of bacterial adhesion.
As for late biofilm formation, any foreign material can, in theory, be colonized during a bout of bacteremia (e.g., severe pneumonia or sepsis). However, after millions of PMMA injections over two decades, only isolated case reports exist. Why? The combination of small particle size, smooth surface, and collagen encapsulation makes secondary seeding extraordinarily unlikely.

• Once you pass the three-month mark the probability of a new biofilm forming is infinitesimally small.
• No special lifelong precautions or prophylactic antibiotics are recommended.
Bottom line: biofilm formation is primarily an early-integration concern. After the PMMA is fully collagen-encased, late infection is theoretically possible but practically negligible.


Hope that helps.

Dr. S

@pr2005 I'm curious about how your situation turned out. I hope all is well for you and if anything was ever found as to if PMMA was still considered to be the most likely reason for your condition.

More specifically, Clinics that promote Proprietary Fillers that either [1] choose not to disclose (or are vague about) the compounds of the filler and/or [2] explicitly contain silicone oil. These are often unregulated by the FDA and have been associated with a growing number of complication reports from both patients and Physicians (who treat the complications).

A great excerpt by @Rejuvall (A Urology Practice first & foremost) should be read on for those who may have seen this advertised before -->

The Dangerous Rebrand of Silicone Injections as Pharmaceutical-Grade Filler

It should be noted that all means to increase your penis size (fillers in this particular case) are not without risk. Not only aesthetic irregularities, but infections and granulomas can occur, even if rarely. The whole point is to weed out what works & what doesn't work, and this Discussion Community plays a big part in that. From my 20-or-so years following the Online PE Scene (before the creation of PhalloBoards in 2010), it has become plainly & demonstrably obvious in 2025 that there are indeed fillers that perform with the necessary efficacy for girth enhancement like Hyaluronic Acid (HA), PMMA, Radiesse, Ellanse, and Fat. During that same time, it's clear as day that high volumes of silicone oil (mixed or not) demonstrate not only a higher rate of complication, but the severities associated if & when complications occur.

You don't have to take my word for it... there is an abundance of content both here and elsewhere making these claims irrefutable, with photo evidence & Physician remarks and all.

As a generality, the PMMA will have more structure to it when it is settling because the bovine collagen gel will become somewhat dehydrated and the product itself is going to cause an inflammatory response (which is usually more firm…like initially with inflammation after a surgical procedure). But, over time, as your body metabolizes the bovine collagen gel, the product itself will soften up and end up more smooth. I think that because I place my product in a deeper plane that more other providers, my results look and feel more natural while flaccid and erect. If, along the way, there are any irregularities that are bothering you, they are always adjustable with either diluted steroid solutions or diluted 5FU (or a combination of).

Frankly, after both rounds of PMMA my EQ increases. I think that it's honestly psychogenic ED for me and the added size made me feel "sexier" and makes it easier for me to get hard and stay hard.

Now that I'm at a comfortable place wirh my girth, anticipating 6.25-6.5 at mid shadt. I'm going to spend a year in EQ and length before my final round with AD.

@Avanti_Derma

Apologies if this has been asked before, but I could not find this specific point addressed in other conversations.

Is biofilm formation possible at any point after the procedure or is it limited to the short time period after the injection of PMMA? For example, if I were to get a full body infection unrelated to the pmma injection would I then potentially get biofilm formation in my penis? And would this then require surgical intervention to remove the PMMA?

Is it a just a risk that has to be accepted- that any point following the procedure I could suddenly have biofilm formation.

Bigmster wrote: I am wondering whether the accordion effect occurs with collagen stimulating fillers (ie PCL and PMMA) as well? If it’s “own body” material that is integrated in the surrounding tissue, it should Not bunch up like a gel filling up a space?

I would like to know that as well. I’m uncircumcised and just got 12 syringes first treatment done being 30% Bellafill and the rest Juvederm voluma. My doctor also tapered in and basically left out the tip…

Would getting Botox before getting filler, help make it easier to inject the filler to settle more evenly and stretch the length ?

I have only had HA, but I’m seriously considering PMMA. In most cases is PMMA going to have some iirregularities in both the flaccid and erect state. Or with two or three treatments can it be smooth, look and feel natural while flaccid and erect?