TOPIC: Dr.Samy Passy

smartman wrote: My FL now is 4\" and it is a bit longer than before my PMMA and I am sure about that so it could be my FL before my PMMA is 3.5\".
Dr. S. will be in his office on the 10th of this month and he will inform me how many cc\'s did I get, but you could be right that I had a bit > 30 cc\'s, we will see when I get his reply.
What I know about Dr. S. he can inject Metacrill as much as your penis can take but I am sure he will stop when the FD reaches around 5 cm .
I think all of you know that I have never said that you should get PMMA by Dr. S. and I hope everyone should get more information about this doctor before they go to him and they should do that, I have always and still trust Dr. C.\'s technique and his PMMA penile conc. 10% or 20%, but I think he should increase his cc\'s and to use at least the 20% esp. in the 1st two rounds and then to use the lowest conc. e.g. 5% for touch-ups but that excluding somebody looking for only minor Girth gain, I think Dr.C. doesn\'t want quick (i.e. after 1 or 2 rds) huge Girth gain, but Dr. S. has a different opinion. BTW Dr. S. showed me his book in 2008 about PMMA Bioplasty in general and also Penile PMMA Bioplasty and there were many pic.s of penile PMMA injection.

So let\'s say your shaft witout the head was 7cm, your Girth minus the area under the uretha was 6cm and the PMMA must had been 1cm in depth to add over 2cm to your diameter. That would require about 42cc of PMMA. Obviously those figures are just estimates, but they can\'t be that far off. The diameter increase tells us the 1cm depth must be pretty accurate. If you were 3.5\" long, then the shaft skin must have covered around 7cm. A 3cm diameter means a Girth is 9.42, but we need to subtract a few CM as the penis isn\'t a true cylinder and PMMA isn\'t put underneath. I wouldn\'t be suprised if you had closer to 40cc\'s injected. It will be interesting to see what Dr Passy says when he returns. When FFT is injected, it\'s common to use 50cc or 60cc. I know PMMA and fat aren\'t the same, but their volume upon injection is, so it seems logical the penis can easily handle larger quantities of injectable. I guess aesthetics are the reason many Dr\'s prefer to lower volume, multiple session approach.

@ndbig1,
In regard of your Q. is there any danger of mixing these 2 products ?? I have asked Lemperle long time ago about this and he said there is no problem both contain PMMA beads.
What I read is Dr. Marcio Serra and Dr. Samy Passy has longer experience in PMMA injection than Dr.Almir Nacul (who was the 1st one to introduce the idea about PMMA grafting and PMMA bioplasty with blunt micro-cannula in Brazil) and Dr. A. Nacul taught Dr.C. about his technique.
As far as I remember Dr. C. has around 6 yrs experience in PMMA penile injection. And Dr. S. has 8-10 yrs experience.

@Supa,
(( has Dr. Passy ever needed to make an incision to remove PMMA from the penis? What about other (less serious) complications? ))
He has never mentioned that to me and he wouldn\'t if he really had it done, he told me he used sometimes intra-lesional steroid injection e.g. Kenalog .
I could ask him for you, but I have the feeling he will say I have never needed to remove any PMMA from my patients ???

@Smartman

I understand what you are saying. So, as you suggest, it may be better to drop it.

smartman is an Inch shorter than I am... from what he tells me. Having seen his pics, his Girth is outrageous!

@Smartman, what is your BPEL?

@Eastender, the same question.

Thanks eastender! Please DO keep us all posted as not many have experience with 30% concentration. Your results are of particular interest to many. Congrats brother and thanks.
M7

Having been fortunate enough to have had 20cc of 30% Metacrill I have increased Flaccid diameter (measured at the base) by 1.5cm.I am scheduled to go back on Feb 25th for second procedure and having gained knowledge from this thread will be encouraging the Dr to go with another round of 20cc of 30%.I think altogether 50cc of 30% should get me my desired end result particularly having read Smartmans views my last session would be 15cc just to correct any irregularities.I wil keep the brotherhood informed

Thanks Hoddle10, you have said exactly what I meant :- ((Dr Passy measures the diameter in front of the patient and then injects until he reaches 4cm-4.5cm which he thinks is a good size. However Smartman askek him to keep going until he reached over 5cm. So whilst he didn\'t know his Girth measurements, he knew his diameter.))
@Tulsaguy ,
In regard the 2 cm gain in Flaccid diameter and not in Girth:-
I have always wanted like all of us here a bigger penis and I have never thought about a specific measurement in regard of Girth, when Dr.S. measured my Flaccid diam. directly before my 1st rd (it was 3 cm even after my alloderm graft 10 months before my PMMA which I lost almost all of it) he did not measure my penile Girth neither did I (that was in Oct. 2008 and that time I have never thought about Girth) he told me I will increase your Flaccid diam. till it reaches 4-4.5 cm and he said that is the normal \"good\"size penis, after the 1st round I was soooo happy I thought it was only a dream and I started in the following months thinking to have a bigger than this 4.2 cm in Flaccid diam., I started to measure different objects and I felt if my Erect diam. is 5 (2\") or better if a bit > 5 cm that will be my perfect penis (imo), so I said If I want this Erect diam.and to be sure about that my Flaccid diam. should be 5 cm and not less, then of course my Erect will be bigger, I realized later on that >5cm Erect diam. definitely will give you >6\" Girth .
So I have never in my life measured Erect or Flaccid Girth before my PMMA only after I started to read in different forums about Girth and that was after my 1st PMMA.
Forget about my penis size now and I don\'t need to prove that for anyone but if you believe from seeing other pic.s before and after PMMA injection in this forum that there is a gain e.g. around 0.5\" in Girth after injecting around 20 cc\'s @20% then wouldn\'t you believe if you were injected e.g. > 30cc\'s lets say 40 cc\'s @ 30% wouldn\'t that give you a gain around 1\" ???
I think we all agree that :- The gain will definitely depend on the volume of PMMA injected (and also of the conc.) it is no magic.
Also you can check the pic. before and after of big fred\' penis who has huge Girth ( @30% Metacrill ) which is over the limit.
I bet you if you ask anyone here in the forum who had PMMA injection :- Would you prefer if you were injected with more volume than what you got ?? The answer will be a big YES in almost all of them, if you still don\'t believe me try to get at least 30 cc\'s @ 20% (if you can convince your dr.which I doubt it) and you will see what I meant.

Tulsaguy wrote: @Smartman:
\"Dr. Samy Passy as most of you know he was my treating doctor \" penile PMMA bioplasty \", I had only two rounds in 2008+2009, around 30 cc\'s each round (not 100% sure) only 30% conc. Metacrill , I gained 2 cm in the diam. of my Flaccid penis. My FG now is 6.3\" and my EG is 6.75\" and EL is 6\".\"
Then you say:
\"Hoddle, unfortunately I have never measured my EG or FG before I have never thought about Girth that time\"
How do you know you gained 2cm if you didn\'t measure FG stats before operation? Unless I misunderstood what you are actually saying??
The one thing I find highly discouraging reading results of PE in many forums, is that most people never post pics to prove their claim. Not saying that you are doing that...however, it would be nice if someone could back up their claim, especially if one said they gained a certain amount but didn\'t measure Girth stats before operation.
Don\'t take my post the wrong way, please. Like I said, I could have misunderstood something.

Dr Passy measures the diameter in front of the patient and then injects until he reaches 4cm-4.5cm which he thinks is a good size. However Smartman askek him to keep going until he reached over 5cm. So whilst he didn\'t know his Girth measurements, he knew his diameter.

@Smartman:
\"Dr. Samy Passy as most of you know he was my treating doctor \" penile PMMA bioplasty \", I had only two rounds in 2008+2009, around 30 cc\'s each round (not 100% sure) only 30% conc. Metacrill , I gained 2 cm in the diam. of my Flaccid penis. My FG now is 6.3\" and my EG is 6.75\" and EL is 6\".\"
Then you say:
\"Hoddle, unfortunately I have never measured my EG or FG before I have never thought about Girth that time\"
How do you know you gained 2cm if you didn\'t measure FG stats before operation? Unless I misunderstood what you are actually saying??
The one thing I find highly discouraging reading results of PE in many forums, is that most people never post pics to prove their claim. Not saying that you are doing that...however, it would be nice if someone could back up their claim, especially if one said they gained a certain amount but didn\'t measure Girth stats before operation.
Don\'t take my post the wrong way, please. Like I said, I could have misunderstood something.

I have just received an e-mail from Dr. S. I have asked him the following Q.s :-
1- Did you ever need to remove PMMA from the penis ?2- What is the % of Foreign Body Granulomas in your penile PMMA cases?3- What will you use to treat these FBG and lumps if they occur?4- There are many guys in the forum would like to see some pic.\'s of penile PMMA before and after .
That was his reply :-
I have never had granulomas in my penile augmentation.
The average incidence in granulomas in general PMMA implant is 0,08% .
If a granuloma happens, that occur after months from the implant, the treatment is intralesional injection of corticosteroid (Kenalog, for instance) .The granuloma treatment is not surgical, except in superficial and isolated cases.
Please say to who want to see photos that email to me.
Best regards
Samy


So anyone who is interested to see some pic. they can send him an e-mail .

Dr. Samy Passy as most of you know he was my treating doctor \" penile pmma bioplasty \", I had only two rounds in 2008+2009, around 30 cc\'s each round (not 100% sure) only 30% conc. Metacrill , I gained 2 cm in the diam. of my flaccid penis. My FG now is 6.3\" and my EG is 6.75\" and EL is 6\".
Dr. Samy tries always to get the target girth in one round usually but in some cases who have thin penises and want EG to be e.g. 6\"or > they need to come for the 2nd round like in my case. He doesn\'t believe that the patient should come for more than two rounds for girth only, and his advice for touch-ups to be delayed > 6 months except if there was major asymmetries and need to be corrected before this period.
His clinic is in Rua Santa Clara 90 - Casa 5, Copa-cabana, Rio de Janeiro
He works alone in his clinic ( without a nurse or an assistant ) only with his secretory, his clinic is very near to copa-cabana beach, it is like a small two story house, his english language is poor and you have to speak with him slowly.
He is very nice friendly gentleman who will inject you more cc\'s if you ask for it esp. in the 1 st rounds.
He will measure your flaccid diam. like in these pic. :-
www.metacrill.com.br/us/respenis.htm
That is his pic. in his site :-
rinomodelacao.com/index.php?lang=en
He will use a marking pin to draw on your penis and divide it into 3 compartments, he will then inject the local anesthesia, I think his idea is not to inject too much local anesthesia, so you will have mild-moderate pain ( what I heard Dr.C. is better in this point the pain is v mild but with Dr. Samy you will have a bit more pain ask him for more local injections), he will use both the micro-cannula and in some areas a sharp needle (he told me not to worry he has a great experience with these procedures), he will tell you no need for an antibiotic or an extender (Dr. Valter advised me and I did use it ) or even wrapping (prof. Lemperle advised me and I used it during sleep). His e-mail is :- This email address is being protected from spambots. You need JavaScript enabled to view it.

The nearest hotel to his clinic is :-
\"JW Marriott Hotel Rio de Janeiro\"
Dr. Samy will NOT inject the area between the glans and the circumcision line he said there is a danger of skin necrosis.
He will always try to make you satisfied with the girth in one or two rds esp. for people who live far away from Brazil.
I have asked him if he can lower his price from ($ 3,700) to ($ 3,000) for the 30cc\'s @ 30% and he accepted that price.
In my case I will go to Dr.C. to fill the gap behind the glans with e.g. 5% conc. and also for touch-ups in the future , so imo Dr.S. is good for quicker girth penile enhancement but Dr.C. is great for touch-ups and tapering between the glans and the shaft (and thats what I need at the moment).