TOPIC: PMMA injection for Glans enhancement can be done

By \"flowered\" does he mean that it will result in sort of a rippled, uneven effect?

@EP
So I think it makes sense to me now, the reason of not doing it is the aesthetic look, as I read with Hyaluronic Acid it makes the Glans more rounded , but PMMA can give a flowered look.
So it looks like he did try it but he didn\'t like the result, I might be wrong

@smartman
You are really the man to discover new experimental technology, the glans is what seems to be hardest to enhance. Dr El Seweifi seems to be of Arab origin given his name and the fact that his website is also localized in Arabic language. He offers his technique both with pelvic skin or with Artecoll. Which do you find smarter?I know precious little about Articoll although he does say it is not durable, or was that comment for both substances? If it isn\'t too costly I could travel there easily as I have a trip to Germany scheduled anyways.
HC

@HC,
Thanks man, I am trying to gather more information about this doctor, I think he is egyptian but he lives in Berlin and he travels a lot to different arabic countries.
Artecoll is a permanent product it is like other PMMA products (the beads are non-biodegradable) it will depend on the new collagen (e.g. 80% of the new volume comes from the new collagen and 20% of the new volume is from the beads) formed around its beads .
I think the best thing we should do now is to gather more information about his Artecoll injection , so please HC dont do this procedure until we have a better information. I would like to see his before and after pic.\'s , esp. the after pic\'s not directly done after the injection ( which is shown in other web-sites where they inject Hyaluronic acid into the glans --> the increase in size could be from edema and not only from the product) i.e. injecting water in my Glans can give me direct increase in its size - LOL.
Check this paper from Korea using Hyaluronic acid for Glans enhancement they have good results :-
(They inject Hyaluronic acid into the (Dermis ???) with a long term efficacy > 1 year).
If you see (fig.1) that what I was talking about the blebs
www.nature.com/ijir/journal/v15/n6/full/3901044a.html
Somebody who can have only a consultation with him in regard these two procedures , actually I am interested in knowing more about the Artecoll procedure .
If he is really doing this Artecoll technique (does he inject it directly into the superficial layers of the glans or into the blebs which I have mentioned it before) and has no serious complications, the only thing I would be worried about is the esthetic look of the glans ( e.g. small lumps) so the after pic.s are important for us.
As I said HC please, dont do the procedure until we are sure there will be no serious complications from it.

I have sent an e-mail to Lemperle about this doctor\'s technique in using Artecoll for the Glans and that was his reply :-
I know Dr. El-Seweifi well - but never met him in person, because I asked him some 10 years ago to publish his method of wrapping a non-absorbable net (mesh) around the penis in my book on Aestetische Chirurgie (aesthetic surgery). Concerning a glans augmentation, my feeling is to augment the corona only to make it fit to the shaft. This can be done by Artecoll, as it has been done with a temporary fillers before , but it must be applied very superficially - because the rest of the glans is a spongy tissues , where you may get intravascular and may inject it into the blood stream. However, Artecoll is not anymore on the market since the Chinese bought the factory EMCM in Nijmegen, Holland. Dr. El-Seweifi could buy the Artecoll directly from EMCM, as I know. Best, Gottfried

In this korean study they used also 2 cc of Hyaluronic Acid and the patients in both group they gain > 60% of their original size :-
before the injection the glans Girth was 9.13 - 9.49 cmAfter the injection the glans Girth was 14.93 - 14.78 cm so they have more than 5. 3 cm increase so more than 60% .
But it will depend on the size of the glans of the person :-
e.g. with 2 cc for Artecoll you will have more increase in % for the smaller glans than for the bigger glans.
i.e. smaller glans will have more increase than bigger glans ( for the 2 cc)

Also in Korea they are doing a lot of research on Glans enhancement there is a study not only in rabbits but also they did it in human ( they use :- collagen, artecoll, dermalive, zyplast, perlane, hyaluronic acid and restylane for Glans enhancement .
They injected it into the laminae propria mucosa just under the mucosa (BTW the glans has no dermis)
Check this site :-
www.patentstorm.us/patents/6418934/fulltext.html
And if you read in the Experimental Example (1) they show in the histology there is no embolus in the vein and no inflammation of the lymph node ???
BTW that was an invention in patentstorm

@smartman
You are definitely deserving of your name and it holds promise that there will be a valid procedure one day for glans enhancement so we\'re on our way... Regarding lengthening aside from the mechanical means it looks like nothing much holds promise unless you buy into the chemical dream. I\'m almost over that phase.
Cheers,
HC

Hi Smartman,
You will see in my post operative progress report that I was thoroughly examined by a neuro-Urologist who rubbed around my instrument taking special care to for some reason massage the glans. I wondered why but while he was so doing I realized how small it is compared to the enhanced Girth of the shaft and find that I cannot justifiably go for any more Girth if the glans doesn\'t get at least a temporary boost in diameter. This is why I am quite focused on this semi-permanent solution to not have a repeat procedure each year. Let me know if you hear anything new or I might just head out their myself and buy their sales pitch..
HC

Hi HC,
Loool I know man, I am interested too (my Flaccid Girth is 6-6.3\"so I need a bigger glans too) .
They still didn\'t reply to my e-mail , I will call his clinic tomorrow to get more information about his Artecoll injection , I hope they could send me some pictures.
If I get any reply from them I will inform you.
I was thinking (I know many guys here will be against this idea) if to ask him to inject only a small amount of Artecoll (e.g. in a small area 3-4 mm in the lamina propria of the mucosa of the Corona) just as a test before having the main session just to make us more comfortable about the result of his technique, that should be done only after seeing the post-injection pic.\'s .
HC in his web-site he mentioned that (( This safe and sure procedure has been done successfully on many patients since last year )) .
I think his web-site is since 2009 , so I think he is doing this technique since 2008 ???
In the Korean study the one I have mentioned above they said if you have an increase in the thickness e.g. :-
2 mm

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> 28% gain in Girth ??1.5mm

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> 21% gain in Girth ??
It is not bad if it is true .
N.B. I forgot to mention:- I am sure he has to do a skin test on your arm ( possibility of allergy against bovine collagen??) and you have to wait for 28 days before you can have the main injection.

HC,
I have just spoken to Dr. El-Seweifi on the phone (he was very nice and he answered most of my Q.s) he told me :-
I have used Artecoll injection for years but the results will stay only for one year and he prefers the DFG; he inserts it through two lateral incisions . He has stopped doing Artecoll for a year only because of its duration, but he told me if you want Artecoll I can do it for you ??? He had no cases of Necrosis or other serious complications from it.
I was so surprised with his statement I told him PMMA is a permanent material , and I have Artecoll in my body for 15 years, I told him about the Korean paper that the injection should be superficial and not deeper than 3 mm (deeper than that you will inject PMMA into the Corpus Spongiousum) .
My conclusion in regard of his Artecoll\'s injection is either :-
1- ?? His technique :- he is injecting the beads deeper than it should be and implanting the beads into the blood ???
2- Or less likely there are no or little new collagen formation around the beads in the laminae propria of mucosa: I doubt that .
The only good thing I conclude from this is:- There was no serious complication from injecting PMMA into the Glans, so it can be done but the only Q. is how long it will stay, is it the Technique ???
I would like if somebody can show Dr.C. (during his consultation with him) about these 2 points and to know his opinion :- 1- The Korean paper in injecting PMMA into the laminae propria of the mucosa of the glans .
2- And also about Dr. El-sweifi Artecoll injection.
I know that he will still refuse doing it , but there is no harm of showing him these informations .
Thanks

Hi smartman thanks for another great effort at getting new info to the site!

I remember that the only glands enhancement I come across was a macrolane type product which is not permanent either.

This sounds like a great step in the right direction. It would be great to have a way to increase the glans permenantly without a scalpel.

I think the temporary procedures are a good option, but seems like it would be a pain to have to get it redone every year. I hope Dr. C (or another Dr.) will explore this further.

I have asked Lemperle\'s opinion about Dr. A.El-seweifi\'s Artecoll injection results :-

\"You are correct ! He either used another product (Radiesse or Sculptra) or went too deep into the spongious tissue...
We all know that dermal fat grafts will be absorbed over time...otherwise, we ALL WOULD DO IT ! \"-

I know some people wouldn\'t agree with Lemperle but I just want you to know all the information I get .
I have also sent an e-mail to Dr.Samy Passy in Rio. about the Korean paper and also about the doctor in Berlin , I just want to know his opinion too.
I would like to know what is Dr.C.\'s opinion about these informations (in Korea and in Berlin) ---> no serious complication ???
Did he ever try it ? Did he inject e.g. a very small amount of Newplastic in a small area of the corona???

If I\'m not mistaken, Dr. C has chosen not to use PMMA for glans enhancement. As of now I can\'t remember the exact reason, only that he does not do it.