PhalloBoards - An Online Community to Discuss Penile Girth Enhancement

I went there back in 2024. I was misled and botched. Multiple granulomas/nodules formed along my shaft and I was left with a lumpy freakshow-penis. I ended up needing to have surgery earlier this year to remove two very large nodules. I regret every visiting him. 
If you’re thinking about it, all I can advise is that you don’t. If you’re after something permanent, you’d be better off flying elsewhere and getting PMMA from one of the well-known sponsors on this site.

Sefan Chaudhry, the owner of Aiva Wellness, was suspended from practising back in 2024. A quick Google search will tell you all you need to know 

I’ve visited three different clinics this year and they each have at least one patient requiring heavy corrective work after being injected with Sef’s “hybrid” filler. 

I am not writing this to bad-mouth and slander him. I am just sharing my own personal experience with him. I’d hate for anybody else to go through the same mental torture. 

Hi, it’s great to hear from you again. Please forgive my terrible English; I’m using a translator. Yes, I actually fully recovered from the infection in October 2024—I can officially say that now—but my case was complex due to various complications. To start from the beginning: there were some inaccuracies in what I wrote in this post while I was hospitalized. Naturally, I didn't fully grasp the situation at the time, as I’m not a doctor and was traumatized by the fear of losing penile function. After two years and many medical check-ups, it was explained to me that the bacteria entered through the injection sites during those first four days in Mexico. They could have gotten in accidentally during the injections themselves, via contaminated hotel shower water, or during the constant massages used to distribute the product. The only way for bacteria to penetrate deep enough to contaminate the PMMA is by using those channels that were still open and traumatized by the needle. I recall that by the fifth day, the entry points had already closed completely. The routine antibiotic therapy prescribed by Avanti Derma—500mg of Cephalexin every eight hours for six days—killed off other potential bacteria but had no effect on bacteria from the "enterococcus" family. That was my first stroke of bad luck. Paradoxically, the breakthrough came during sexual intercourse 15 days later; the friction, compression, and mechanical trauma of the act caused the bacteria to "explode" into activity, forcing them to manifest before they could permanently adhere to the PMMA. Hospital treatment was effective from the start; despite my penicillin allergy, the doctors combined several highly potent antibiotics specifically targeted at soft-tissue infections—Linezolid, in particular, is the world's most powerful antibiotic for deep tissue penetration, including on biomaterials like PMMA. Blood test results at the 16-day mark showed complete stability. Circumcision was performed as a final measure to completely eradicate the source of infection, which was fortunately confined to the foreskin; the incision, the exposure of the wound to air, and the hydrogen peroxide wash completely destroyed any potential residual bacteria, rendering the area sterile. I can say I am cured because infections involving resistant bacteria generally recur after antibiotic treatment ends—manifesting as swelling, abscesses, or pus—or within the first six months; as time passes, the likelihood of biofilm formation drops drastically. Today, two years later, the risk is virtually zero. Later in life, infections can be triggered by trauma or "silent bacteria"; while very rare, there have been cases of late-onset infections occurring many years after PMMA injections, in individuals using Caverject injections, or following trauma from accidents that caused hematomas and the release of bacteria into the bloodstream. One piece of advice I received from doctors is to take prophylactic antibiotics before and during invasive dental procedures or procedures involving the genital area. Bacteria entering the bloodstream tend to colonize foreign bodies in general, including PMMA.

@Zep83, I'm hoping I heard/read you correctly, but it sounds like you're completely infection-free and was able to retain most of your girth? It does suck you had to endure quite some time of battling the infection, and obviously having some residual lingering issues can't be ignored... but my goodness it could have been much worse -- the fact that your unit looks the way it does now after your battles is a big W my friend. 

And I want to also just be clear for anyone reading this -- The PhalloBoards covers all topics and subjects that involve PE medical procedures, and that includes complications as well as discussions about treatment and recovery. I want any guy who has questions to ask, to ask away. Yes, we have Sponsors here, but this site will always first remain a patient-driven site first, much as it has been since 2010.

Hogan3k wrote:

This message contains secure information

Hm, I probably should turn this feature off, not sure when or why it'd be used and seems more like a mis-click than an actual private message (?). 😂

On the subject, I find that over time (I'm like 15+ years out from my first round), especially north of a decade, you do notice some softness... but, any careful and safe dedicated pumping, cock ring, or anything else that prolongs engorgement seems to almost renew my penis. I don't know the mechanism behind why, but an educated guess would be that those PMMA microspheres are still in there, but they're so locked in that they hardly are noticed by your body anymore...until you get them by way of pressure/force/physical manipulation to dislodge just enough to restart the collagen production process, bring in a replenished bit of new tissue? Totally from the hip on this one, but many guys have reported (painless) mild swelling of their shaft after heavy pumping, often staying as thick as your flaccid can get for days.

I wanted to provide an update on my situation two years after the infection. The condition is stable; the presence of bacterial biofilm after two years has been ruled out, as confirmed by the latest MRI and blood tests. I have neither an infection nor inflammation; either would have manifested itself over this long period. I still have chronic pain at the base on the left side; I am treating it with supplements (Assonal and Assonal PEA to support the nerves, and Lenidase for microcirculation). Last year, I underwent a course of 10 shockwave therapy sessions, but saw no results. I have read about various cases of bacterial infection complications in patients with PMMA implants. Most infections occur in the first few weeks; depending on the type of bacteria, they can be extremely severe and dangerous. I have read about PMMA patients—often in Brazil—where a delay in intensive hospital antibiotic treatment led to complete removal of the implant, with devastating consequences. Amidst the sheer bad luck of contracting an accidental infection, I consider myself fortunate to have started taking the initial antibiotic and ibuprofen as soon as symptoms appeared; within 36 hours, I was already receiving hospital-based antibiotic treatment. A delay in hospital care beyond 48–72 hours can allow the formation of a biofilm that is impervious to antibiotics—some bacteria act even faster, while others might be eliminated with oral antibiotics, though that requires luck. Every case is different, but based on my personal experience, I advise anyone with fillers—especially permanent ones like PMMA—never to underestimate any symptom, regardless of how much time has passed, and to always consult a doctor if anything changes. The only positive takeaway from my ordeal might be a warning to strictly adhere to antibiotic regimens during the injection period and to maintain rigorous hygiene when handling the area while the entry points are still open. The only consolation in my story is that I retained about 65cc of the original 69cc of PMMA following the therapeutic circumcision, and that—though I would like medical confirmation on this—the fibrosis that developed during the infection has... All the PMMA has compacted into a single block—essentially very hard Type 1 collagen formed as an immune response to the infection. This scar tissue reduces skin elasticity and increases the overall weight of the flaccid penis, but it should remain stable over time without causing nodules or product migration in the future, thanks to this "cementing" effect. I’m attaching a few photos; if anyone is interested in commenting, I’d appreciate hearing other guys' perspectives. I realize this forum focuses mostly on enlargement rather than "complications," but I believe it’s right to share the downsides as well as the "gains." Best regards to the forum.

 Are you going to do the touchups on the entry points? 

 Absolutely. They look like whiteheads or warts. Gross. 

Did PMMA made you lose skin gliding mechanism ?
I am afraid the PMMA will make a fibrosis and make the skin layers to get stuck to themselves...

Can you still stroke your penis skin up and down ? 

thanks 

Hello,

I am temped to get PMMA enhancement for girth but also very afraid to lose the gliding mecanism of my skin.
I am already circumcised (zero inner foreskin left) but very loose so the skin glides easily and I love to stroke the skin.

I would be devasted to lose the stroking mecanism if PMMA creates some sort of adherence or fibrosis between the two layers of skin, and the skin is stuck and not movable at all...

Are people able to stroke their skin after PMMA injections ?
Also does the sensitivity of the shaft skin still the same ? (no loss of feeling ?) Or better sensitivity due to increased pressure against the vaginal walls ?

Thanks ! 

Ah I gotta follow up with Avanti. I want to go there around my birthday to get the discount. Hopefully the airline fees aren't too high by then. 

@Gh847 Are you going to do the touchups on the entry points? For me they're not as noticeable but the 4th procedure for me will probably be my last. Anything over 6.5 girth is already too much for most. My next procedure might put me close to 7.

I wonder if I could forego the PRP. Or what is the volume of PRP they're injecting. I wonder if that and the kenalog take up any volume that could otherwise be used for filler. The kenalog did fix the nodule I had, but I feel I didn't gain as much during my last procedure. I've read that PRP does work, but I already have KLOW which contains BPC-157

Where did you get it done at? Pmma is permanent not suppose to dissolve.  

Got pmma 5 years ago.Penis is starting to be lumpy and I have bridges and lines.It was nice when it was smooth and thick but now it seems like a lot of it dissolved and left my penis
looking scary

I actually found my old login info (my account is from 2017 lol) and felt the need to comment. That whole exchange is concerning. 

My appt is next month and the recent reports of users here being “rushed” and having to ask to have English spoken and Dr. M and co not going over what the plan is before injecting seems way different than what I thought I was signing up for. 

My current email exchange hasn’t been too bad but I did think it was odd that there is no phone call or video consultation. 

now I’m kinda worried? Or at least concerned. I hope OP is okay!

Later tonight I will make a thread. I planned on 3 sessions: fill and make base -> 4-6mo later another fill and aesthetic revision -> then final session just a touch up. 

I will have to look up forum rules on attaching pics but I have some great before pics and stuff I can add.

The initial response from AD seem very odd and the lack of support is quite off putting for someone interested in getting such a significant procedure. 

It is good that Dr C has reached out however and I hope everything gets sorted.

The day after I posted that I got a response from Dr. C offering a zoom call. We did that call 9/18 and he looked at the photos for the first time. He’s still in San Diego due to health issues preventing travel. He agreed the shape is a problem. He called it missile shaped and said it clearly needs to be addressed. He said the white dots can be fixed with a little punch that cuts away a little skin and takes the filler behind it away with the skin. He said it heals nicely. I mentioned the nodules which he said would be fixed with kenalog. He said the neck divot couldn’t be fixed bc of my anatomy which I expected. He generously promised to treat this as a touch up rather than a full utmost regardless of how much filler was needed to get the shape fixed. He said Eduardo and Dr Morales would be in touch to set up the appointment soon. Glad to have gotten those assurances though it was a struggle to get here and I’m not considering it settled until the appointment is on the books. 

Yes. Flaccid girth is noticeably bigger than before. Still have a sharp pain when pressure is applied to the mid/top of my shaft. But the duration and intensity has decreased so that’s a good sign