TOPIC: HA injectable Phalloplasty - for safety

sg0123456 wrote: Hi Dr Oates

I\'ve had 23ml of voluma in two sessions 15ml then 8ml, 5 days apart. The second session was 12 days ago. I have a some questions and would appreciate your opinion:

- the filler has not settled yet and the Dr did warn me that it would take longer given the amount. Its not like i get big volumes moving around but every day i find lumps that i have smoothed out peaking again. When should i expected it to have fully settled with zero movement?


This is being a bit slow. I wonder if you are having a reaction to the Voluma. But at this stage keep doing what you are doing.

- In some areas the filler feels much firmer. Under the shaft and close to the glans i have an area which when Flaccid it sometimes feels like fluid in a membrane. Do you think it might become firmer as the other areas?

Maybe in the areas you feel there is fluid you do have some retained swelling. I think we keep waiting and see

- the voluma injections involve a lot of very intense massaging and pressure. I already have a slight curve (dent) on the left which i presume is Peyronie\'s involving scar tissue. Could all this massaging make it worse?

So you had a slight curve prior to the filler? I don\'t think the massaging is going to make it worse. The penis is designed for a lot of massaging/activity.

- assuming we all do 3 sessions every 18 months, isn\'t that an awful lot of antibiotics? In the past 10 years i have taken antibiotics maybe twice so this is an issue for me. Health authorities globally continuously advise against taking antibiotics too often due to resistance but surely not great for the individual taking them either. So is this wise?  

We don\'t plan to do 3 sessions every 18 mths. Most guys have 2, maybe 3 sessions to get to the size they want. Maybe in the next 2 years another 1 maybe 2. That amount of AB is pretty insignificant. There are lots of people who, for various reasons, take AB\'s constantly or weekly or monthly. The problem is probably more for the environment.

keep us posted!

Thanks!

mato23 wrote: Dr. Oates, might it be that address the glans a different filler could be better? I\'m thinking about the lips HA as an example.

sg0123456 wrote: \"We don\'t plan to do 3 sessions every 18 mths. Most guys have 2, maybe 3 sessions to get to the size they want. Maybe in the next 2 years another 1 maybe 2\" 

Dr Oates thanks for the reply.

I am not sure that the numbers above add up. I estimate that to get where I need I will have around 30 to 35ml. My understanding is that according to the manufacturer the product lasts 18 months. So to retain my full size I have to get another 35ml after 18 months. As its not advisable to get 35ml in one session, i would be looking at 3 sessions of 11-12ml. Even if I chose to maintain once a year that would mean 23ml which again is too much for one session. Even two sessions of 12ml each may be too much filler in one go (I did 15ml in one go and would definitely avoid it in the future).

I have read from other posts of yours that you expect it may last longer but am i right that your reasoning is speculative? This is a big long term commitment for us in many ways (money, time, health risks, days of no sex) and i think its wise to plan based on the manufacturers guidance.

mat744 wrote: Dr Oates i have some quick questions, i did pe for a while after my first procedure and my skin is pretty loose or at least i have a lot of it and sfter the second procedure i first felt like it was a bit more squishy or soft than the first time ( even if it is now improving after a month). i still have 4 ml to be injected : - Do you think that it might be a critical amount of HA to be injected in case of loose skin ? Like once there is enough qty tension with skin is higher and therefore Erect result firmer ? - is it nornal that it feels mich firmer on the side and side bottom of the shaft that on the top surface (top is definitely more squishy than sides and bottom faces) ? Thanks a lot