I can see the glans looks different on the underside, but not in a bad way. Honestly I think you look fine and I really mean that. Unless size is a big problem I would avoid
PMMA as the results are unpredictable in terms of aesthetics. Your penis looks more natural than many of the
PMMA enhancements we see here. Dr Gary Alter is definitely the guy you should visit. He has worked on guys with really bad issues and has an excellent reputation. Since he does not do penis enlargements he is not discussed on this site that often but in your case he is the perfect person. I think he will discourage you from surgery since your penis looks pretty good, but he will let you know what options are available. Dr Reed in Miami is also an option, but I would stick with Dr Alter if possible as Dr Reed is getting pretty old. Avoid Dr Elist ! Keep us posted and Best of luck.