Lets think about it this way :-
Definitely a higher conc. will give you more gain than a lower conc. but the lower conc. will give you a better esthetic results and there is no doubt about this.
In Brazil they have a longer experience in
PMMA bioplasty than Dr.C. and almost all of them use 30% for penile
Girth enhancement (Dr. Samy Passy said 30% is the best for penile injection and the new collagen and its firmness will feel like a normal penis) it doesn\'t mean I prefer Dr. Samy more than Dr.C. , no that was not what I ment, I found Dr.C. cares and respect more the esthetic result of our penises and I agree with him absolutely, in the other hand with Dr. Samy you can ask him for more CC\'s and he wouldn\'t mind he can inject 25-30 CC\'s in each round and definitely you will have more
Girth, his problem he works alone without a nurse and he prepares everything in his clinic by himself, which I dont agree with him (in his opinion
PMMA injection is a simple minor procedure and he can do it alone, as far as I remember he has >10 yrs experience with penile
PMMA bioplasty??)
So I would still go for Dr.C. but in my opinion :-
1st round 20%2nd round 20%Then the touch-ups 10% e.g. 10 CC\'s which I found this will smoothen any irregularities and you won\'t gain any more
Girth with this volume so there will be no risk of over injection and the possibility of having a huge
Girth.
Also e.g. if someone wants to have a permeant EG of 6\" he should go for an EG 6.3\" in the short term and not less ( so go for e.g 0.3\"more than what\'s your aim)
What Lemperle has mentioned about the 6 months is the final permanent result it doesn\'t mean that each patient will have the same period this is an average duration, so there are some guys may be will reach their final result earlier than 6 months .
We know that the Brazilian\'s products (e.g. Metacrill or NewPlastic) contain cellulose (as a weaker carrier) and not the bovine collagen (a stronger carrier) (e.g. in Artecoll or Artefill) so that mean the higher concentration of
PMMA in the Brazilian\'s products can produce small lumps than the other products.
So I think Dr.C. doesn\'t want to use the 30% because of an esthetic\'s reason (to avoid any small lumps formation) so both of them have a point :-
Lemperle:- \" higher conc. ---> more
Girth\". Dr.C. :- \"lower conc. ---> better esthetic\".
So thats why I think the best way to do it in each round esp. if someone wants a bigger increase in
Girth e.g. 1.5\" :- (1) 20% (2) 20% then 10%\'s for touch-ups ( I will do it this way)