TOPIC: Finally got the Alloderm Graft + PMMA + Lig cut with Dr. Liu

Two entry points still won't close and keep lightly leaking blood and some PMMA. Very annoying...

I still haven't been able to massage much because I don't want to open these entry points and lose more PMMA..

I'm hoping I can start massaging this evening. But the shape has been okay with the wrap

Ok so it's been a week and STILL when I massage hard enough a little bit leaks out of this damn hole.
It's light orange/clear and has a weird feeling to it. I imagine this is PMMA?

Is this normal?? Is there something I can do to help this hole heal??

If you're a week out your entry points (from PMMA injections) should have been well on their way to being closed by now (if not entirely healed). You do not need to try and force open something that is healing, the whole point of the massage is to help even out the contour and prevent nodules.

You wrote "when I massage hard enough," which is precisely the problem. Entry points can heal in as early as 2-3 days, so it seems like you may be exerting unnecessary amounts of force if you keep (needlessly) breaking entry points at this stage. Imagine picking a scab prematurely over and over so that it always seems bleed; while not the best analogy, it gives you some imagery as to what the issue may very well be. Also, be sure you do all of this as prescribed by Dr. Liu in as clean of a way & place as possible.

I mentioned previously this was an AD procedure. I started with Dr. Liu though

Ok I'll try to lighten up on the massaging. Honestly sometimes I feel it happens even when I'm pushing softer, but yea will see how it goes over the next few days.
I'm worried I lost a but of PMMA

Also can this lead to a bad nodule?

Hi
I am not certain who you are so I cannot be too specific in my answer. Generally, when you massage after surgery, you should do it gently and with even pressure. If there is an opening and fluid comes out, you have to be extra careful so that you do not contaminate the area (KEEP IT CLEAN) and clean with betadine or if not available use alcohol. Then put on neosporin ointment and cover with a clean dressing or at least with a band-aid.
The best is for you to please call my office for an appointment ASAP so I can examine it thoroughly and take care of it appropriately.
Victor Liu, MD

VT86 wrote: I mentioned previously this was an AD procedure. I started with Dr. Liu though

Ok I'll try to lighten up on the massaging. Honestly sometimes I feel it happens even when I'm pushing softer, but yea will see how it goes over the next few days.
I'm worried I lost a but of PMMA

Also can this lead to a bad nodule?

If this is an AD procedure (Avanti Derma), reach out to them, if this is in any way involves prior with Dr. Liu, please reach out to him. Dr. Liu's recommendations are spot on as a general advice for people in your situation, but specifics cannot be diagnosed through a Forum (much less discussed in detail without compromising HIPAA regulations). I'm happy that Dr. Liu took time out of his day to help comment nonetheless

It is highly unlikely you "lost a lot of PMMA" through the act of massaging your unit, and in fact, you need to be more mindful of healing at this stage. If you are in-fact discussing a treatment from Avanti Derma (and not your procedures with Dr. Liu), then I can tell you with certainty that aggressive massaging this far post-op is unnecessary. In-fact, massaging might be counter-productive if you haven't fully healed a week+ out. Again, it would be wise like Dr. Liu suggested to get in touch with the performing Physician in this regard.

If we are to dwell like this post-op, let us obsess about our penis's health & recovery, the gains will come in time.

I really appreciate the replies, thank you. I'm trying to keep calm about it. The procedure was on January 13th and I woke up this morning to it leaking slightly again...

It's now been almost 2 weeks since the procedure, and an old hole leaked after the shower today. I barely put any pressure on it and it started leaking. And now I have two open leaks

This is never happened before, this is my fourth injection/procedure at this point but my first with Avanti Derma. All others before this were with Dr Liu. I'm starting to get concerned, what can I do to help heal this faster? I keep putting Neosporin over the wound after pressing it down and cleaning it, then I wrap with a little pressure on those areas.

I'm going to Mexico for a bachelor party in a couple weeks and I'm concerned about these being open with the ocean

VT86 wrote: It's now been almost 2 weeks since the procedure, and an old hole leaked after the shower today. I barely put any pressure on it and it started leaking. And now I have two open leaks

This is never happened before, this is my fourth injection/procedure at this point but my first with Avanti Derma. All others before this were with Dr Liu. I'm starting to get concerned, what can I do to help heal this faster? I keep putting Neosporin over the wound after pressing it down and cleaning it, then I wrap with a little pressure on those areas.

I'm going to Mexico for a bachelor party in a couple weeks and I'm concerned about these being open with the ocean

You'll want to stay in touch with Avanti Derma. Could you provide photos? Or if you prefer, you can send them to This email address is being protected from spambots. You need JavaScript enabled to view it. -- I suspected the "massaging hard enough" comment from last week is probably what delayed and/or exacerbated healing, but I can't speak of the second leak since it's hard to say if it wasn't just another entry point that wasn't fully healed, due to the aforementioned (same) processes.

Perhaps @Avanti_Derma can chime in on general advice when experiencing these conditions if they wish to (it is at their discretion to reply to the Forums depending on the level of appropriateness since this an ongoing patient, and hence why I suggested general recommendations, not to be confused with Doctor's Orders), otherwise this very well may be a case-by-case matter, and in which case it's best to get in touch with the Office directly with pictures handy.

Without photos, and with both holes being areas that were previously healing, I still firmly believe what I initially surmised. Short of the holes growing in size or discharging fluids you haven't seen before, as well as the advent of pain and/or increased redness, I wouldn't rush to any conclusions at this stage and believe this can be just a matter of letting things heal. Suffice it to say, matters of this nature should have its solutions coming from your Performing Physician and not the Forum for the foreseeable future -- it's in your best interest.

Wishing you a speedy healing & recovery!