@rusty
Here is more of that conversation, from
www.realself.com/review/artefill-artecoll-lumps
Replyzindaagi (9 posts)15 Dec 2010wwillis im thinking of going to see dr casavantes for facial bioplasty and amd now getting nervous about it i was gonna do my jaw, jawlin, chin and upper cheek area. i ruled out clinic estetica due to the fact that they use there pmma precise i was thinking dr casavantes because of new plastic pmma registered in brazil and dr nacul uses it. how would you rate the complication rate and how many other patients do you know of from clinic estetica or dr casavantes that have problems? thanks for any help and i pray that god resolves all your peoples problems on the board and wish you all happiness ttylReplywwills (20 posts)15 Dec 2010Hi Zindaggi,
This is a tough one. I\'ve had serious on-going problems with PMMA (most of the issues seem to be from the Precise not so much the original Artecoll) but tough to know for sure. I had original Artecoll 15 years ago and Precise approx 5 years ago so I tend to think the problem is Precise. I\'ve never had the Brazilian PMMA so I can\'t answer that but I do feel Dr Casavantes is a conscientious doctor and is adjusting as necessary based on negative consequences from the product. He believes the original lumps under my eyes occurred because the product was implanted too superficially but I think that's only partly correct since it was 3 years later when I started to have all the issues. I have nodules in every area that the product was ever placed and where the skin is thin, they are very visible. I think that if you stay away from any areas with thin skin (anywhere around the eyes, temple, lips, etc) and make sure the product is implanted deeply that even if you end up with nodules the chances are they would not be visible. I have tons of nodules that aren't that visible. But time will tell how much worse they will get.
On the upside of PMMA, I want to mention that my sister and mother were both treated along with me and neither of them have experienced any problems so hard to predict the long term outcome.
I think it's best to plan for the possibility of nodules and just make sure the product is deep enough that if a problem occurs it's not visible.
No one seems to know yet what will happen to the nodules and auto-immune response in the long-run. I'm hoping this will burnout and not be a lifelong problem.
WW
