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PMMA injection for Glans enhancement can be done

TOPIC: PMMA injection for Glans enhancement can be done

PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277301862

smartman wrote: I have found a doctor in Brazil his name is Ewerton Ribeiro Prochmann who does PMMA Glans injection in his clinic\'s web-site (nothing mention about PMMA ???) :- www.thefamilyclinic.com.br/Clinica.aspx I have asked him the following Q.\'s :- 1- What concentration of PMMA do you use for Glans enhancementt ? A- I use 10 % concentration for the Glans of the penis and 30 % concentration for the shaft of the penis. 2- What do you think the average gain in glans girth post-PMMA injection ? A- Around 15-20% increase . 2- Does the Glans after the injection looks irregular or uneven (flowered-like) and does it feel harder and not spongy ? A- No it looks and feels almost normal and by using lower concentration (e.g. 10%) and only increasing the volume gradually I have succeeded to avoid the flowered-like appearance of the Glans by this technique . 3- How many C.C. (volume) would you inject into the Glans ( what I read usually they use only 2 C.C.) ? A- It is different for each person but usually 1.5 ml but you will need to come back for touch-ups . 4- Do you have any publications about Glans enhancement with PMMA injection ? A- Yes including Dr. Nacul developed some technique ? \"I dont think he understood my Q. ??\" 5- Can I see some pictures before and after, please? A- We cannot show pictures before and after in Brazil ?? But If you want to meet some patients who had Glans enhancement I can arrange that for you on your appointment also btw the consultation is free in our clinic . 6- What type of PMMA\'s products do you use ? A- I use either metacrill or biossimetric and both of them are PMMA . 7- I heard there is a risk of necrosis, can I have your opinion about that ? A- The doctor has to inject the correct volume and he should gradually increase it and by this technique I had no case of necrosis . I have sent him before the paper from south korea (the one I have already posted it here in here the 1st page of this thread)\" he told me he knows about it and he uses the same technique \". It will be great if we have somebody who lives in Brazil and can meet this doctor and to see his results

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277312682

As most of you remember that PMMA injection has been tried in Glans enhancement ; some doctors e.g. in Berlin mentioned that it has a temporary result (which I think the injection was done too deep (deeper than 3 mm of the Glans epithelium) i.e. into the CS into the blood stream, and others like Dr.C. has mentioned to us that there was an unpleasant esthetic result (uneven or flowered-like Glans) ---> And now I have just found the reason and the answer for that unpleasant result and definitely the one who solved this problem were these amazing korean doctors who were the 1st one in the world who did Glans filler injections.

As we know most of the doctors who are doing this technique were injecting the filler into the corona of the Glans :-

en.wikipedia.org/wiki/Corona_of_glans_penis

www.urologicalcare.com/educational-resou...photo/list.php?ID=48

This technique was wrong and there is a new study which proved that (just recently 5 days ago):-

And this is why we get uneven or flowered-like effect of the Glans because of the thickness of the lamina propria layer at this area, these korean doctors have solved this problem by injecting a filler which has a high collagen-stimulating function ( PMMA or Dextranomer also there is a product made in korea as most of you remember \"Lippen-10\" for penile shaft girth enhancement and there is now new one for Glans enhancement it is called Lipen-P) :-

www.ec21.com/product-details/FILLER-Lipen-P--7271558.html .

The injection site is just near to the urethral opening, you just need two injections one on each side of the urethral opening :-

www.faqs.org/patents/imgfull/20130066148_01 .

They have found that the lamina propria (where the PMMA it should be) at this area forms the thickest layer:-

www.faqs.org/patents/imgfull/20130066148_03 .

This is the paper :-

www.faqs.org/patents/app/20130066148#b


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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277316659

smartman wrote: As most of you remember that PMMA injection has been tried in Glans enhancement some doctors e.g. in Berlin mentioned that it has a temporary result (which I think the injection was done deeply (deeper than 3 mm of the Glans epithelium) into the CS into the blood stream, and others like Dr.C. has mentioned to us that there was an unpleasant esthetic result (uneven or flowered-like Glans) ---> And now I have just found the reason and the answer for that unpleasant result and definitely the one who solved this problem were these amazing korean doctors who were the 1st one in the world who did Glans filler injections.

As we know most of the doctors who are doing this technique were injecting the filler into the corona of the Glans :-

en.wikipedia.org/wiki/Corona_of_glans_penis

www.urologicalcare.com/educational-resou...photo/list.php?ID=48

This technique was wrong and there is a new study which proved that (just recently 5 days ago).

And this is why we get uneven or flowered-like effect of the Glans because of the thickness of the lamina propria layer at this area, these korean doctors have solved this problem by injecting a filler which has a high collagen-stimulating function ( PMMA or Dextranomer also there is a product made in korea as most of you remember \"Lippen-10\" for penile shaft girth enhancement and there is now new one for Glans enhancement it is called Lipen-P) :-

www.ec21.com/product-details/FILLER-Lipen-P--7271558.html .

The injection site is just near to the urethral opening, you just need two injections on each side of the urethral opening :-

www.faqs.org/patents/imgfull/20130066148_01 .

They have found that the lamina propria (where the PMMA it should be) at this area forms the thickest layer:-

www.faqs.org/patents/imgfull/20130066148_03 .

This is the paper :-

www.faqs.org/patents/app/20130066148#b



Wow, this content appears to be not only incredibly relevant, but \"breaking news,\" seeings how it\'s recently published content. Thanks again Smartman, always on the cutting edge!

I\'m curious to know about trials & results, hopefully some pictures released of successful results with this (apparently) patented technique.

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277318495

This is excellent news. I hope Dr C and others will learn this technique. This will provide a one stop shop penis enhancement, but we are still missing a safe and secure penile shaft lengthening procedure...maybe in the next 5-10 years?

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277397540

Thanks for conveying this breakthrough to us, I hope some of us will take the opportunity to test it for ourselves. I shall be examining the prospect of a trip to Asia now. Hey, this Phalloplasty stuff is great, what better opportunity to travel to new unexpected places ?


HC

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277568690

I have received today an e-mail from Dr. Dae Yul Yang I asked him about Lipen-10 and Glans enhancement (esp. the new technique mentioned above) :-


Thank you for your concern about Lipen.

Lipen is nowadays very popular tissue filler in Korea.Mainly this material is using not only for penile/glans enhancement but also for facial filler in cosmetic purpose.

As for glans penis augmentation, Dr. Cho(This email address is being protected from spambots. You need JavaScript enabled to view it.) who is the developer of this material and is also an expert in regard this procedure.

I as a PI for clinical study for this marterial would like to recommend you to contact Dr. Cho. Best, Dae Yul Yang.


I have sent an e-mail to Dr. Cho already asking him about (pic.s before and after, the cost, the number of sessions, the injected volume in each round, the conc. and the complications ????

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277569878

Smartman,

Thanks for the research. I look forward to seeing what Dr. Cho comes back with.

BB

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277602964

Thanks Smartman,

I am glad you were able to get through to Dr Yae Yul Yang when I was unable to - maybe it was mail server incompatibility?
Also thanks for doing the leg work for us, getting all the information about this procedure. In order not to distract the good Dr CHO or overload him with requests for information, it is best we simply await for you to share what you may learn. I have a feeling that if it isn\'t way expensive, a trip to Seoul is in my near future. My glans was already small prior to PMMA and now it simply rolls up inside my shaft when Flaccid, as if I were not Circumcised. Yikes! Something has to be done-

Cheers,

HC

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277605470

Thanks Smartman for great research work as always!
I cannot wait for the next response from those korean docs. What do you guys think, will this Lipen in the shaft be as safe as Casa\'s filler and method? I really hope we get more info soon, it would be nice to do a one stop shop. I live in Europe so it will be pretty damn expensive to go around the whole world twice or twrice before my thing is done :-(.
I am also curious to know if this Lipen stuff can be injected with success just below the glans as well to make the shape even throughout.

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277631395

I have received an e-mail from Dr.Cho with some pictures before and after :-


\"The unpleasant irregular or rounded or flowered-like Glans\" which you pointed out is the common outcome of injecting Hyaluronic acid superficially.

Lipen D is injected into the deeper layer, and the surface looks even. It does not matter much whether the injecting route is corona or periurethral.

If HA material is injected into the layer in which Lipen is injected, the effect will be lost just within two weeks because most of the material will disappear.



Lipen D does not contain PMMA.

Session? One session is usual.

If you mean the number of times of sticking the needle end? Usually the number of times is 4 and will pass through the corona region.



The cost is about 550 dollars per 1ml injected. The amount of injection varies depending on individual differences and can be injected up to 10 ml.

However, usually 5-7ml is injected. This will have enough effect.\"

I found out what is the difference between Lipen-D and Lipen-P :-

Lipen-D contains 100% Dextran only and no PMMA ---> it lasts > 2 yrs
Lipen-P contains 85% Dextran and 15% PMMA and there 3 types (Lipen-P1 , Lipen-P2 and Lipen-P3) it could be they have diff. conc. of PMMA ??

The most important you have to inject the material deeply to avoid any unpleasant esthetic outcome and the entry points are not that significant. And as you go near to the urethral orifice and centrally the thickness of Lamina Propria is more than near to the corona, so it is better you inject the material where you have more thicker lamina propria.


I have asked him does he use Lipen-P for the glans or he just prefer the 100% Dextran (Lipen-D) only and why ?? Does Lipen-P give an unpleasant esthetic results or is there any other reasons for not using it ??

jjiwani.blogspot.com/2012/10/living-tran...on-filler-lipen.html

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277634042

Hi Smartman,


This isn\'t quite the good news I and others here had hoped for! At least there is some progress in glans enhancement research and applications. Two things irk me about Lipen-D:


- cost: roughly $4000 to $5000 for 4 tiny shots in the glans during a brief outpatient procedure. This product is outrageously priced, even if the research, patenting and clinic time is included. One milliliter is a very small quantity. He also is quoting the amount of product meant to enhance a Korean, when it is rather well known that in the ethnic distribution of penis size, they are at the lower end of the spectrum. We can assume that we might need between 10 and 15 milliliters, which could make the cost skyrocket. That is a heavy budget for a small portion of our anatomy, especially as this isn\'t a one time only procedure?


- permanence: it only lasts 2 years? So this is just another resorbable filler which at least works without flowering or adverse reactions? That is a long way from a permanent solution such as PMMA. I hope that one day they shall find a way to permanently enhance this part of our anatomy. There must be some material which can be used similarly without serious health or aesthetic risks. BACK TO THE DRAWING BOARD...


I had understood that they had come up with a breakthrough, but the PMMA breakthrough for shaft girth enhancement may have led to excessive expectations among us. Actually, clinical dextran isn\'t as expensive as one might think. Non clinical is rather cheap when compared to the prices charged, plus the clinical cannot correspond really to what is billed when you consider that it is supplied in quantities from 100 grams per unit and as high as 50 kilograms of powder in a single package (as large as a cement bag). Let\'s hope such high pricing at the only clinic in the world offering this procedure doesn\'t lead the daredevils among us to inject themselves !


www.dextran.net/dextrans-clinical-dextran.html


Dextran is a branched glucan composed of linear ?(1?6) linked glucose units and ? (1?3) link initiated branches. Dextran ranges in size from 10,000 to 150,000 Kd. Dextrans are used in many applications as volume extenders, stabilizers, matrix components, binding platforms, lubricants and physical structure components.

SOURCE: Sigma Aldrich Dextran from Leuconostoc


I really hope they also propose Lipen-P which makes the procedure and travel around the planet cost-effective if not done every 2 years... Keep us posted when you hear back, and many thanks for saving us all the footwork to find this out for ourselves!


HC

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277638442

I agree HC, that was disappointing news to all of us . Lets hope that they find something better in the near future.

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277640680

We started clinical trials of Glans enhancement using Lipen D to get approval from Korea FDA. It is go along under management of KFDA.
I think non-biodegradable PMMA materials is not suitable on glans enhancement even if there is previous successful experiences.
<Reasons>
Since the target area of injection is connected right with Corpus Spongiosum without anatomical septum , I suggest it will not necessarily be safe even though the particle size of PMMA 100 micon.*And cross linked Dextran could be long-lasted in the human body, it remains stable within the collagen tissue capsule at any cost, and if there is no tissue capsule, it biodegrades. I have many successful experiences about it.

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277640839

Dear Doctor Kangseon Cho,


Many thanks for your kind participation in our discussion - we are truly honored by the presence among us of so eminent a physician and researcher.


We can well understand that when designing a new medical procedure, patient safety is paramount, especially when the applications are more cosmetic than for the treatment of heavy pathologies. Therefore your caution when exploring potential fillers is very understandable.


With respect to the preoccupations of patients seeking Phalloplasty, they may be perceived as only wishing for a resolution to psychological concerns about their intimate anatomy. However, you are well aware that self image and public image involving genital size, proportions and aesthetics are all factors of achieving the most important intimate communion, and are therefore part of healthy socialization leading to founding a family.


For these reasons, many prospective patients for glans enhancement are hoping for a lasting treatment which may resolve disgraceful proportions due to genetics or to prior Phalloplasty. It is not so much an act of vanity as it is one of psychosocial healing. For this reason you bring an important contribution to mankind far beyond that of simple cosmetic surgery.


It is true that for wealthy patients living in East Asia, using Dextran may bring a valid long term solution granted that they return to your clinic as often as needed for \"refills\". This is made rational by your pricing which is entirely based on the units of product injected, making frequent top-ups a recommended way of ensuring that one\'s enhancement remains relatively constant, rather than fluctuating in volume from full to empty.


For less affluent patients from distant regions many thousands of miles away, it would be economically prohibitive to travel at regular intervals to South Korea for follow-up injections, given that the expenditures involved would be far greater. Unless there is a network of Phalloplasty surgeons or cosmetic surgeons able and willing to offer your technique on each Continent, it appears to have been designed as a region-specific procedure.


For these reasons, you can understand that some of us still place hope in the results of your current clinical trials with Lipen D for glans enhancement, as this would possibly induce permanent collagen growth inside the glans, leading to a more lasting volume increase.


Thank you for your patience with my absence of medical competence and candid communication of our hopes for a more permanent medical breakthrough in glans volume enhancement.


Most respectfully,


H. Chunk

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PMMA injection for Glans enhancement can be done 12 years 9 months ago #1277644142

Thank you very much Dr.Cho for accepting my invitation to join our Forum that was very kind of you .

You have also mentioned to me :-

- From your experience of glans enlargement, degree and duration of efficacy was similar between Lipen P and D.
In the case of P, glans becomes more solid, causing a bit of lack of natural feeling. But shape is natural.

- The effect of glans enlargement by Lipen P & D may decrease gradually and slightly over time , but expected to last for a long time.

- And \' the unpleasant irregular or rounded or flowered-like shape\' of Glans could be improved markedly after injection of Lipen P&D.

- The size of PMMA used in Lipen product is about 100 micron.

- You have two kinds of Lipen P. One in PMMA (15%), the other is PMMA (10%)

- You suggest D is a more suitable and appropriate in the glans enlargement.

- The results shown in nasolabial wrinkles clinical tests and animal tissue tests,
the degree and duration of efficacy of the P and D seem to have no big differences.

- However, in terms of safety, D seems to be much safer.

- Since the glans tissue is connected with Corpus Spongiosum without any partition , I suggest it will not necessarily be safe
even though the particle size of PMMA 100 micron.

- When Dextran is long-lasted in the human body, it remains stable within the collagen tissue capsule at any cost, and if there is no tissue capsule, it biodegrades in 1-2 years.


Thank you for your profound interest in Lipen.

If you don\'t mind Dr.Cho I have asked our moderator SO to post the pictures before and after you have sent me .

Can you please, send us the address and the phone no. of your clinic in Korea ?

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