TOPIC: Two Rounds of Avanti Derma now Rupeka

Hey guys,
I've got two rounds of PMMA in me from Avanti Derma and am now considering my third round with Rupeka. Main reason is because I'd like to get the underside of my shaft filled and I've heard he does that. I spoke with the staff at Rupeka's office today and they said the procedure would not require me to stay multiple days like I would for Avanti.

For you guys that have gone through Rupeka for Bellafill, how has your experience been? What can I expect for aftercare? I know Avanti wont inject the underside for safety reasons so that has me concerned why Rupeka will do it. Would appreciate any insight.

Another thing is pricing. With Rupeka it sounds like 15 syringes will run you $8000.. where as with Avanti I could get more or less the same amount of CC's for $4200. Is there a reason for such a high price difference?

Thanks

I have been to Rupeka and received 25 units of Bellafill in my first round with him. I plan to go back for more as soon as I can get the funds together.
He is a great guy, and his staff is amazing as well. I flew into Akron/Canton airport and rented a car for the 45-minute drive to Warren from the airport. He will work with you on any concerns and take the time to explain any questions you may have. He is quick too. I was in and out of there in about an hour and a half. Have the amount of units you might want in mind when you talk to him. He assumes you have done your research and are truly on board for the number of units you ask for. As for the price, Bellafill in the USA is much more expensive than the fillers that they may use at Avanti. Rupeka is also very reasonably priced compared to other providers that use Bellafill.

I'm more than happy to answer any additional questions you may have in a post or PM. I'm sure you will like him.

Did you get all 25 syringes in the underside? I went to Rupeka first then 2 with Avanti bout to do underside with Rupeka for my last round

U got any underside pics?

He did all 25 uniformly around the entire shaft.

So he didn't want to do just underside?

He did all around I have never been to Avanti. I have only been to Rupeka.

Dr Rupeka and now also Dr Carney Rejuvall do underside enhancement with PMMA.
Interesting when you only want to do an minimal / conservative enhancement. You simply do only a little bit on top and also only a little bit on the underside.

Also: Additional Girth on the underside is nice for heterosexual men, cause here its really about the vertical Girth (location of the g-spot!)


… After three times Avanti I ll also go now to Rupeka for the underside. That now even Rejuvall does underside makes me feel more safe about it + also in my second round PMMA avanti - a little bit came directly on the underside in one area (by accident) it s there now already 5 years and feels super nice! I do not have any problems!

Dr Rupeka and now also Dr Carney Rejuvall do underside enhancement with PMMA.
Interesting when you only want to do an minimal / conservative enhancement. You simply do only a little bit on top and also only a little bit on the underside.

Also: Additional Girth on the underside is nice for heterosexual men, cause here its really about the vertical Girth (location of the g-spot!)


… After three times Avanti I ll also go now to Rupeka for the underside. That now even Rejuvall does underside makes me feel more safe about it + also in my second round PMMA avanti - a little bit came directly on the underside in one area (by accident) it s there now already 5 years and feels super nice! I do not have any problems!

Dr. Carney has actually been doing the underside for about 15 years now.

Does @Rejuvall do touch ups with HA or Bellafill over existing Bellafill?

Does @Rejuvall do touch ups with HA or Bellafill over existing Bellafill?

Obviously it's going to depend on each man's particular case, any contraindications, health factors, etc, but generally, yes. But keep in mind that we are not a shot clinic. We offer 33+ different cosmetic urologic procedures, so Dr. Carney is going to examine you and then discuss what you want with you, but ultimately is going to do whatever procedure is going to be best for your particular body that will also give you the results you're looking for.

Rejuvall wrote: Dr. Carney has actually been doing the underside for about 15 years now.

So this is interesting, curious to hear from yall @Rejuvall on the viability of this as opinions seem mixed. This isn't to pit one doctor/clinic against another as wrong vs right, mind you, I know everyone has different risk tolerance, techniques they're comfortable with, areas of expertise, etc, BUT...all that disclaimer given...
There has been mention elsewhere that there is worry that with the underside of the shaft, the filler may constrict the urethra and depending on how much collagen you get, cause a blockage. There are no recorded incidences of this that we've been able to find, BUT, this is also not an area of medicine where all that much research is done compared to others (even other cosmetic procedures).
Why are yall not particularly worried about this and/or is there something different you are doing that makes the risk less noteworthy? Or is the policy of not doing it valid as a general rule with exceptions on a case by case basis? I know I've seen multiple experienced injectors say no-go for the underside, while yall and Dr Rupeka (and maybe one or two others) are conmfortable doing so. Sounds complicated and nuanced, and yall have a crapton of experience, so I'd be curious to be a fly on the wall for the conversation between yall and another doctor on this, i.e. "we actually avoid problems because _____" or "this isn't a risk in this area because _____", that sort of thing.

Quite curious especially given Dr Carney's pedigree/specialization, obviously to the degree yall are able to avoid sharing secret sauce (and obvs not to pit doctor against doctor)

So this is interesting, curious to hear from yall @Rejuvall on the viability of this as opinions seem mixed. This isn't to pit one doctor/clinic against another as wrong vs right, mind you, I know everyone has different risk tolerance, techniques they're comfortable with, areas of expertise, etc, BUT...all that disclaimer given...
There has been mention elsewhere that there is worry that with the underside of the shaft, the filler may constrict the urethra and depending on how much collagen you get, cause a blockage. There are no recorded incidences of this that we've been able to find, BUT, this is also not an area of medicine where all that much research is done compared to others (even other cosmetic procedures).
Why are yall not particularly worried about this and/or is there something different you are doing that makes the risk less noteworthy? Or is the policy of not doing it valid as a general rule with exceptions on a case by case basis? I know I've seen multiple experienced injectors say no-go for the underside, while yall and Dr Rupeka (and maybe one or two others) are conmfortable doing so. Sounds complicated and nuanced, and yall have a crapton of experience, so I'd be curious to be a fly on the wall for the conversation between yall and another doctor on this, i.e. "we actually avoid problems because _____" or "this isn't a risk in this area because _____", that sort of thing.

Quite curious especially given Dr Carney's pedigree/specialization, obviously to the degree yall are able to avoid sharing secret sauce (and obvs not to pit doctor against doctor)

Because Dr. Carney has a PHARM, he has intimate knowledge of how the fillers actually work. Because of his extensive training and leadership in Urology, Cosmetic Surgery, and Genitourinary Trauma Surgery, he is an expert in the risks associated with these procedures. Dr. Carney has also innovated several new enlargement procedures and techniques over the years which he has also trained other providers in through the GURS (Society of Genitourinary Reconstructive Surgeons) fellowship program he started back in 2012. He also developed the cannula-free technique he uses to be much more precise, safer, and with better outcomes than the techniques used by others.

And I'm so sorry, but unfortunately I cannot go into detail about that technique as it is proprietary information. Suffice it to say that Dr. Carney just really REALLY knows what he's doing more than most others performing filler procedures exactly because of his "pedigree/specialization" as you put it.

For anyone interested in exactly just how much and what training Dr. Carney has had and the leadership roles he holds/has held, here's a link to his (very long) page on our website: Dr. Kenneth Jeffery Carney, MD, PHARM, FACS

Makes sense, thank you!
Layman's terms sounds like basically: technique can mitigate the risk to more than an acceptable extent, and because Dr Carney is a Urologist by trade (among other things) who's been doing Dick wizardry for an eternity, beyond simply being familiar with it, he's developed it, and the technique itself is part of the product!

And yeah I started reading the dude's background and came to the general conclusion "this is not a guy that's going to be reckless for the sake of jamming filler anywhere you can fit it. If HE is putting filler here, there's a reason". That's why i was so curious to hear from yall specifically. I think my takeaway is there CAN be special concerns in this area, and it's probably not a bad thing that most are steering clear of it, but it yields a good aesthetic result and provided you approach with special caution and a specific technique, it CAN be perfectly fine to do.

Makes sense, thank you!
Layman's terms sounds like basically: technique can mitigate the risk to more than an acceptable extent, and because Dr Carney is a Urologist by trade (among other things) who's been doing Dick wizardry for an eternity, beyond simply being familiar with it, he's developed it, and the technique itself is part of the product!

And yeah I started reading the dude's background and came to the general conclusion "this is not a guy that's going to be reckless for the sake of jamming filler anywhere you can fit it. If HE is putting filler here, there's a reason". That's why i was so curious to hear from yall specifically. I think my takeaway is there CAN be special concerns in this area, and it's probably not a bad thing that most are steering clear of it, but it yields a good aesthetic result and provided you approach with special caution and a specific technique, it CAN be perfectly fine to do.

Exactly! Thanks, man, couldn't have said it better myself.