Skeptical_One wrote: The further out you are without nodules, your odds of being in the clear go up exponentially. Nodules (not to be mistaken with granulomas) are basically a clustering of filler and/or collagen that wasn't smoothed out either during the procedure, or after the procedure (i.e. massaging).
I think the third case is that they are "scar tissue", not sure if you count this with "collagen". I had a lot of inflammation after one round of
Ellanse, 12 ml. At the time, Drs. Morgenstern/
Carney were recommending 2 rounds of 10 ml, and I asked to do 12 the first round, thinking that if I decided NOT to do a second round I'd get a tiny bit more. In hindsight, I would have done 3 rounds if 8ml. I had a lot of inflammation, and two nodules--one round (bigger than a bb) on the side of the shaft, and one flat and irregular on top. This was NOT filler and not just collagen... I followed the massage/hot bath procedure to a T. Bottom line, over a long time (maybe 1 year or 2), they reduced in size, and while you can feel them, they are pretty much negligible as far as aesthetics. I'm not greedy--going from 4.5"
Girth to 5.1" was HUGE for me, and I'd do it all over again. However, I would opt for being conservative... more rounds of less, and being patient. I am at 5 years and 3 months with the "4 year"
Ellanse, and have not lost a single micrometer. If I ever do, I'll do it again, but just a small bit ... it's 100 percent natural, and I'm completely satisfied.