TOPIC: Recommendations for PMMA with Dr Rupeka

I'm 33 currently living abroad and I'm looking to get PMAA from dr Rupeka, my stats are 6.25-6.5 in erect length and 4.75-5.05 erect girth, the way my penis is shaped make it look thinner than it actually is.

I'm uncircumsized and I've been using the bathmate for years on and off, my foreskin is pretty elastic and loose compared to years ago. I don't know if that makes pmma easier or more complicated.

I'll be in the US during the entirety of December and I e-mailed Dr Rupeka for an appointment, I want the entire package and because I'm out of country I'd love to get the most amount of filler I can get.

Do you guys have any recommendations?

My penis and foreskin are pretty similar to this guy, except my penis is thin and not massively thick like his was initially phalloboards.info/forum/profile/6777381-beefmastermore.html

OFFTOPIC: What's the consensus on dr rupeka vs rejuvall? I think rejuvall doesn't take uncircumsized patients?

OFFTOPIC: What's the consensus on dr Rupeka vs Rejuvall? I think Rejuvall doesn't take uncircumsized patients?

Correct. You must be Circumcised before Dr. Carney will do any kind of Girth enhancement. Our doors have been open for 45 years, 25 of which we've been doing Girth enhancement using FDA-approved fillers. In that time, we have come to find that Girth enhancement on an uncircumcised patient invariably results in irregularities, complications, and bad aesthetics later on down the line. This is because the filler eventually migrates down into the Foreskin due to the "violent" nature of the life of a penis. We have found this to be true regardless of practitioner or injection technique or aftercare protocol.

As a person who was uncircumcised and got filler with Rupeka all i advise id dont do it. Get Circumcised if u want filler and if you cherish your Foreskin try pumping. I had alot of mental issue after the filler. Get Circumcised then go to dr Carney and have him start you with 5 syringes of Bellafill and add a little at a time n you will love your results. Bellafill and Foreskin don't mix dont do it

@uncuthero what issues did you run into? and do you think Rupeka has the skills to overcome them?

I had all the irregularities in the book n i had it done by Rupeka i just think you will get a result you wont be happy with.I get he is the only one who does uncut but its truly not worth it you have above average length slightly more than average Girth and 100% of the sensation with sex after getting cut you can lose length and the sensation is not the same so dont do this to yourself your more than enough focus on getting a harder Dick and stamina and learning how to sarisfy a women without your Dick

@uncuthero do you think HA is a much safer bet in my case?

Im not a professional i do know HA is reversible i just think you should contact Rejuvall and see what they said. They are the only reason I got a sex life after my first procedure with Rupeka n Bellafill in my uncut penis

@uncuthero thanks for your selfless help! I was looking at your post and though it vows well for my personal agenda, it really does not look like your bad experience had anything to do with being uncircumsized, the filler wasn't near the glans foreskin or anything, in retrospective, do you think it was more related to turling and lack of extending and the massive amounts of massaging needed after the procedure? the nodules look to have been in exactly one spot mid shaft

thanks again hero

it really does not look like your bad experience had anything to do with being uncircumsized, the filler wasn't near the glans Foreskin or anything, in retrospective, do you think it was more related to turling and lack of extending and the massive amounts of massaging needed after the procedure?

Like I mentioned before, in our experience the filler will eventually work its way into the Foreskin on an uncircumcised penis. It’s not about where the injections go, whether you turtle, how much you massage, or even what type of filler you use — it’s just the reality of gravity, constant movement, and regular sexual activity.

We’ve been doing FDA-approved Dermal Filler Girth work for over 25 years, and we’ve seen this happen over and over again, no matter who did the procedure or how perfect the technique was. That’s why we stopped offering Girth enhancement for uncircumcised patients — we want our guys to be happy with their results long-term, not just right after the procedure.

If you’re set on moving forward while uncircumcised, I honestly hope it works out well for you and you get the results you want. Just know the risk is real and it’s not about bad technique — it’s about how the body works.

I thought PMMA settled and encapsulated in the tissue in a few weeks time?

I thought PMMA settled and encapsulated in the tissue in a few weeks time?

That’s a common assumption, and you’re right that PMMA does trigger collagen formation and becomes more stable in the tissue after the initial healing period. The thing is, “stable” doesn’t mean completely immovable forever. Even well-encapsulated PMMA is still part of living, dynamic tissue — and over months and years, gravity, Foreskin mobility, sexual activity, and even normal swelling can cause it to slowly shift forward in an uncircumcised penis.

We’ve seen this enough times in long-term follow-up (years, not just weeks or months) to know it’s not a rare occurrence. It’s why we made the call to avoid doing Girth enhancement in uncircumcised patients — not because it can’t look good at first, but because of what tends to happen down the road.

Thanks @Rejuvall .

Would it be safe to assume HA carries a much lesser risk given it’s not permanent? I’m trying to avoid circumsision because I like my foreskin, I don’t like the idea of being uncircumcised, would you be willing to do HA injections?

Would it be safe to assume HA carries a much lesser risk given it’s not permanent? I’m trying to avoid circumsision because I like my Foreskin, I don’t like the idea of being uncircumcised, would you be willing to do HA injections?

Always happy to help clarify things. I completely understand not wanting to be Circumcised — if that’s a priority for you, it’s worth thinking more carefully about whether Girth enhancement is the right fit, especially since you’re already above average in both length and Girth. HA is easier to reverse than PMMA since it can be dissolved, but it will still migrate forward over time in an uncircumcised penis. The difference is that PMMA is permanent and much harder to fix since it's not dissolvable and usually requires surgery to remove.

We always recommend any of our patients start with HA because it lets you “test drive” the added size and greatly reduces granuloma risk if you later decide to switch to PMMA. That said, based on decades of follow-up, we’ve seen enough long-term problems that we don’t perform Girth enhancement on uncircumcised men with any filler. Our goal is for patients to still be happy well after they leave our clinic, and unfortunately the anatomy just doesn’t work in your favor here. I know that’s probably not the answer you were hoping for, but I’d rather be upfront so you can make the most informed decision possible.

Has this been what you have seen ? @Dr_Rupeka ? Does PMMA overtime eventually move over the years?

Hi, I take a deeper approach to where I place my filler. Because of this, I do not need my patients to be Circumcised. My deeper approach does not place the filler directly under the skin, so the skin is irrelevant. In addition, because of this deeper approach, there is no risk of migration, the penis feels/looks more natural Flaccid and Erect, and usually lays down more smoothly.

To your last part, you should go to a provider that you feel comfortable with, that you like their results, their technique, their experience, etc. The doctor-patient relationship is always the most important!