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TOPIC: Infections, Complications, Risks of PMMA?

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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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 #1271369291

You edited your original post lol, i only edit mine to make them sharper (tons of grammar errors)

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369325

YES!

Original post was, this is bad, bad, bad news Coolhandluke.

Then, I clicked on the links and I understood that the main scientific reference to the risk of PMMA migration is the famous 2010 Caldellas article, which has been subject of discussion in this forum already.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369363

the physician who made the product versus the physician who has little to gain from not using the product will always have varied opinions, doctors are just like people, we hide behind our titles, that is another way of saying we hide behind the truth. Dr. Gustavo seems to have a very good reputation in South America, i\'d like to know if he has an angle to gain from this, or perhaps maybe he\'s being a good physician/researcher here by sharing his truths with the world.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369430

In order words, I got seriously worried (and posted accordingly) before reading the source behind Dr. April claim.

After having calmed down I\'ve checked one of the sources (a link you provided) and realised that it is nothing new. The strong criticism stems from well known findings by Caldellas on Newplastic injections in the auricle conchal cartilage.

I had to edit my post because my panic had been based on a misunderstanding and I did not want to disorient my fellow forum brothers.

For me, key question stays the same: where is the evidence or well placed doubt that PMMA migrates irrespectively of injection location (as indeed claimed by Dr. Gustavo)?

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369462

Well if your question is true, the evidence is when you have the problem. You\'ll know it when you have it & then i\'ll buy you a beer!

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369463

Could one of you guys refresh us on the Cadellus stuff? This was in the 180 page thread if I recall. I think we came to conclusion risk 1) Necrosis: not happending \"later\" happens early on due to needle, not just PMMA but injection related2) migration: PMMA biocompatible not going to cause cancer, your system can respond3) absorption: not discussed, not a lot of evidence4) granuloma: down the line, Kenalog shot.Lemperle said straight out biggest risk he sees is assymetry/aesthetics. It would be no suprise to see some people unhappy, including possibly me! Touch up sessions available for this. Changing your unit is a big risk, and once you change it there is no going back.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271369522

Question is true? What do you mean my friend?

I am not tolemaically denying what I can\'t possibly know for certain, that is event of PMMA migration after deep injection in the penis; but do we agree that there is no evidence so far that this is indeed possible?

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271372100

coolhandluke wrote: 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

The need to bring to light the real risks inherent in this procedure (and all elective medical procedures) is paramount to the discussion! Good to see you back CHL, and I truly appreciate you enlightening us on this matter, in specific: migration and non-permanency.
I personally am of the camp that believes that penile bioplasty is still relatively experimental, both in that it lacks extensive long-term research (penis-specific), as well as the need by Dr. C\'s office (the practitioner most often cited here) to refine the technique over time. With that being said, I\'m also of the camp that believes it can provide effective results, but not without risk. I haven\'t been told of any major complications (i.e. that comparable to the damage reported from alternative methods), but minor complications (and please, when I say minor, I\'m in no way trying to lessen its significance, only trying to differentiate between a small nodule and total tissue necrosis) have been reported.
This is also why I tend to recommend this to only a select type of male, and often discourage many other members (usually via PM) from entertaining the idea unless they\'ve made a sound, healthy, and informed decision.
Now as for the links you\'ve provided us, as well as the claims made, the only question/problem I have with them are the glaring lack of some of the most essential information. While I\'m not doubting the reports legitimacy, it has been contended by practitioners and members alike, that there are a multitude of factors that can play a role in things like migration. Cannula size/type, size of PMMA beads, where it is injected, etc, are vital pieces of information, and without it, we are at the mercy of speculation. If any of these specifics were cited at all, please bring it to my attention and I apologize in advance for overlooking them.
What we do know now is that according to one study, PMMA has been observed to migrate and not remain permanent. This is in stark contrast to the information provided by Dr. C\'s office, who may have a different approach(different cannulas, brand of PMMA, etc) in methodology than the above cited study. This is also in light of the fact that Dr. C has been doing this for many years, and would certainly have noticed re-absorption over time and/or migration (Dr. C & Wade both have PMMA in themselves).
What we know for sure is that we need to continue the discussion, analysis, and research on this very topic (risks & complications arising from penile bioplasty). Furthermore, there should be no doubt that this procedure is not a walk-in-the-park all of the time. Many have had short-term success, others have had mixed reviews, and there are even some with not-so-satisfied outcomes.

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271372146

Dr C. and Wade claim they have PMMA in themselves. Has anyone asked for proof?

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Infections, Complications, Risks of PMMA? 13 years 4 months ago #1271372599

Dr C and Wade have on many occasions mentioned to their customers that they have had PMMA in the face, abs, legs and penis. No proof was offered but there signs of it when you look at them and they have been straight and honest with their services to us.

One thing I would like to see is a date and batch # of the PMMA on the receipt one is given after the session..

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