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TOPIC: Infections, Complications, Risks of PMMA?

Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369232

Coolhandluke

One of your links takes to the following paper, aes.sagepub.com/content/30/3/434.abstract , which was discussed at length in this forum by Sparticus, me and many others.

It would be interesting to read/understand how Dr. April comes to the conclusion that migration is independent of injection location.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270060506

I\'m sure this question has been addressed at some point but it bothers my a little that PMMA Girth enhancement isn\'t more widespread. I understand why its use is restricted in the US, but why are there no doctors (that I know of) doing this in Europe, where many different brands of PMMA are legal?

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270249572

Hi I know its probably in a post somewhere, but who was the first to have PMMA and how long ago was it? And is everything ok, the results look great but I am worried about it moving to organs etc, not so much local reactions as this can be treated fairly easily , also does anyone know if you can have this done if you already have a dermal in.
cheers

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270249759

@ iain01 Welcome amigo!

GSXR I believe was one of the first members from the old forum to elect for bioplasty enhancement. Start from beginning to finish, By reading all the available patient reports. Any experienced/credible patient\'s perspective is equally as valuable as the clinician\'s opinion who performed the proceedure. Do some independent research on pubmed concerning medical grade PMMA & its uses/complications, I would also recommend doing some research on the Lymphatic system, pick up a college text on Human physiology or take the amateur approach and get some basics on webmd. The human body will not relocate PMMA material to some other unrelated organ/extremity (extremely rare, but nothing is impossible), since the penis is our main reproductive organ as men, once the medical grade PMMA has been injected by an experienced physician it will move around localized to the area it was injected in for several hours to a couple of days. It is YOUR responsibility to massage the penis minutes to hours post treatment. Concerning your dermal graft question, after you\'ve educated yourself with some of the recommendations i made, inquirer with Dr.Casavantes\' office, I\'m sure they\'ll want to know how recently you had your dermal graft enlargement surgery to avoid any potential complications with healing time and inflammatory response and infection. Cheers!

~CHL

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270253003

Smartman had PMMA about 3 years ago.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270253363

Yeah, GSXR was a pioneer/guinea pig! He exhibits excellent results and we owe him a debt of gratitude for having the cojones to take the plunge so early. He was a big inspiration for many; myself included. Thanks for the outstanding contributions you\'ve made CHL!

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270256391

@lain01
1- I had Artecoll (PMMA) in 1996 in Germany in one side of my face ( to camouflage facial bone depression due to old trauma) only one session.
2- Penile lengthening+Alloderm graft in 2007 by Dr. Rosenthal --> lost most of the graft after almost 1 year and no gain in EL.
3- Penile PMMA bioplasty (Metacrill) in Rio de Janeiro two sessions 2008 + 2009.
Till now no complications (neither local nor distant) whats so ever, but we know there is a low risk of local complication \"foreign body granuloma\" which depends mostly now on the doctor\'s technique ( he should avoid superficial injection ) and most of these FBG can be treated medically.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270257014

BTW any one who had penile allograft (e.g Alloderm or DFG or any other types) and he is planning for another penile procedure (not only PMMA) he should have one shot of I.V. antibiotic (e.g. Ancef) 30-60 min. before the procedure and an oral antibiotic (e.g. Augmentin) afterwards to avoid any risk of infection and also avoid water coming near to the entry holes till they are completely healed.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270356006

I dont think i have seen this report elsewhere. Seems a good alternative treatment to kenalog.

Apologies for not doing a proper article paste, the ipad can be a bit lacking for edits

archderm.ama-assn.org/cgi/reprint/139/1/17.pdf

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270357184

At times... I ponder... where would we be without smartman? Awesome contribution brother. Knowing you\'ve experienced no ill effects 3 years out is added reassurance!

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1270362801

@Zol- thanks for the post about Allopurinol,
I have mentioned about this (Allopurinol ) as an alternative treatment to kenalog in page 7, post 103 in this thread :-
phalloboards.websitetoolbox.com/post?Inf...MA-5395825&trail=105
archderm.ama-assn.org/cgi/content/full/139/1/17
I have asked Lemperle about (Allopurinol) for the treatment of FBG from PMMA beside kenalog but unfortunately that what he said :-
\" Allopurinol was the treatment of one patient, only - and it took half a year or longer, e.g. is an anecdotal case, which has been repeated but without success. \"
@ miracle7- thanks man I will do my best to help everyone here as much as I can.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271311192

I\'ve been trying to imagine what foreign body granuloma would be like in the penis as part of the process of finally making the decision to undergo bioplasty. After googling \"penis+granuloma\" you find a lot of case study reports associated with silicone, paraffin, and mineral oil foreign body reactions that truly look terrifying, of course most of these procedures were done by amateurs, not doctors. There were no cases of penile granuloma from PMMA injection that I could find, probably because it\'s a brand spanking new procedure. The cases of FBG in facial injections that we have seen typically involved less than 1mL of product... what would a FBG reaction look like in the penis with 40mL of product distributed over a wide area? Would the FBG encompass the whole penis, everywhere there are PMMA microspheres? The thought of that really scares me, even if the risk is relatively low, I\'d hate to be that unlucky guy. It might be a good idea to \"sticky\" this thread for all who are considering this procedure to see.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271361634

here you go astroman, www.penisdoctor.com/photo5b2.htm

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271365314

I don\'t know if this is an accurate representation. This picture has been referenced before-they guy in question had an elist implant over both Alloderm and PMMA.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369165

my tid bit on absorption of PMMA filler, along with nodule formation, and deformities (hardening around the circumference area in my case). The idea of research arose because of the number of patients arriving with complications from the use of PMMA Pedro Ernesto University Hospital, where Castro is a professor. With a team of Amparo and Research Foundation of Rio de Janeiro, the surgeon met 21 patients with cosmetic defects in the ears, who agreed to have the substance injected into the lobe.
This feature facilitates the extraction of material for analysis. Six months later he began the study and analysis found that in all cases there was PMMA absorption by the body. In addition, 20 had infiltration and formation of nodules in 19 of them.
The use of PMMA is so widespread and indiscriminate use in cosmetic procedures so that some scholars describe as \"epidemic.\" The immediate result is fascinating in most cases and, in a small percentage, the initial result has no solution. But what this research confirmed the long-term outcome of polymethylmethacrylate use in cosmetic filler, hardening of the treated area, migration and cyclical and incurable inflammatory process.
The absorbance of the tissues shows that the filling is not permanent and that migration occurs with PMMA is equivalent to that of liquid silicone. While manufacturers say that the complications are caused by poor placement of the substance, the research found that the problems are unique to it. Therefore, the president of the Brazilian Society of Plastic Surgery, Jose Yoshikazu Tariki, recommended to their colleagues in small procedures only use up to 2 or 3 millimeters in parts of the face. In some cases, the PMMA is injected in doses up to 400 mm, such as the buttocks. Therefore, Tariki warned that the use of PMMA should be unique to the doctor and not be used for aesthetic purposes. He further stated that there are some areas of the body where there are more complications such as peri-oral area (near the nose and lips). Writen by Dr. Gustavo April (Argentine Plastic Surgeon) www.misionesonline.net/noticias/23/08/20...n-rellenos-esteticos www.larevistadecirugiaestetica.com/2009/...-infiltraciones.html www.drgustavoabrile.com.ar/ Per this physician\'s clinical/professional opinion, this pmma stuff gets absorbed & is not a permenant filler! The deformities i\'ll share with including photos will be posted in another thread I\'m in the process of working on at a later date, i have other time sensitive obligations to school at the moment, but i want current gents to be aware that some of your bioplasty bros have been busy with obligations to life, but in the mean time have been experiencing unwanted complications with the pmma filler (Newplastic). Everybody has been tooting their horns, fellow friends like EP have voiced concern about the complications associated with this procedure and the reflective practice of it practitioners, and his humble efforts seem to not center everyone. The praises seem to go unnoticed in the fundamentalist crowd of pmma believers, but Coolhand, having always been a friend to everyone here on the forum, hopes to bring some personal transparency to the argument in the coming weeks, centering our fundamentalist friends as it were. We are gents, like-minded men, we wanted some new-age treatment to improve our sex lives and trust me i know what sex feels like with a pmma penis, after procedure 1 it felt \"AWESOME!\" as my spanish sweetheart told me after making love to her the first time:\"Papi eres incre'ble!\"But now, the product & randomly evolving technique that\'s practically experimental for the penile patient are both in question for your\'s truely, SKEPTIC TWO AKA Coolhand. After procedure 1 i had good cosmetic results, but the outcomes of procedure 2 were unnatural and less than desired, and time consuming to say the least. In between my obligations to family and school i\'ve shared personal progress notes with respected friends i\'ve made here on the forum, mod-friends and nonmod-friends alike. i was embarrassed with the outcomes of my 2nd procedure & i hope my respected physician felt/feels the same, it wasn\'t ARTFUL* work, it actually feels like my ego has taken a bullet with the unnatural look of things & the money, and time, and mild pain i\'ve experienced inorder to try recover a decent looking unit. I just want to call attention to TRANSPARENCY, and whatever else i get i\'ll count them as extra fries or onion rings in the bottom of the bag. Cheers old & new friends this is for you, Coolhandluke

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