TOPIC: Turning my boy toy into a Hunk Chunk

@ All Members


I have recently posted a follow up thread relating my 2nd PMMA Session difficulties. It is in the General Phalloplasty section of the forum because it raised a number of issues to be addressed which go beyond my individual case. In a few days once that feature is working again in this forum, I shall post photos. Here is the link, I look forward to seeing you there.


phalloboards.websitetoolbox.com/post/PMM...and-The-Ugly-5972441


Hunk Chunk

Tomorrow is my third PMMA session with Dr C mostly for corrective purposes but also to even out with more Girth at the base. I will keep you posted on the progress as it unfolds, and will post pictures once that feature is running atain in the forum.

Cheers,

HC

Good Luck HunkChunk!!Am sure it will go well

Best of luck HunkChunk!

Thanks Hans and Messageman ! So far it seems you were quite correct which you can read in my post reproduced from my other thread \"The Good, The Bad, The Ugly\":



SESSION 3


Well folks, while I cannot attest to the final results yet, I have to say that I am very impressed, once again, by the professionalism and genuine caring for patients of Dr Luis Casavantes, Wade Zobel and Mel.


Today I went in for a full corrective session and had a long talk with all three of them regarding what was done, what problems arose and what could be done to address the issues.



CORRECTIVE MEASURES


Give the many imponderables, and the difficulty in isolating the factor(s) which resulted in irregular collagen formation, Dr C chose to eliminate every potential cause which could be acted upon:


- I wondered if it might be due to the pressure of swelling, which went rather wild, so Dr C first checked for its safety and then agreed to double my cortisone injection. Mel was kind enough to give me the two shots in the buttocks since the last one was noticed by a girlfriend who is a nurse, this way it is more discrete.


- I also wondered if I might not have had an adverse reaction with my metabolism attacking the carrier substance in which Metacryl is suspended. It is a different carrier in New Plastic recently renamed Linnea. Although costing more it seemed worthwhile to remove this risk by going back to the New Plastic with which I had great success in my first session.


- Finally, I was worried (although it seems unlikely) that issues might mixing or diluting the original factory packaged product sold in either 10% or in 30% concentration, so Dr C injected me with 10 CC\'s of 10% Linnea to fill and unify the surface of my unit and with 7 CC\'s of 30% Linnea to make the base the same Girth or wider than the shaft. Each vial was removed from its box before me and used in its original syringes furnished by the factory.


Regarding my issues, Dr C and Wade carefully inspected the trouble spots they had already taken note of in photos I had emailed to them. They discussed options and then agreed on the best way to proceed. Here is what was done:


- the semi-circular ring under the glans to the left side had already been softened enough by my applications of 10% hydrocortizone cream along with DMSO cream (applied sparingly in small quantity only a for a few days) that Dr C decided that a cortizone or Kenalog injection was not necessary. So he simply broke it up using a canula. This is done by punching holes in it to weaken the structure of the clumped material so that it collapses instead of standing up rigidly. Checking it out only a few hours after the session it now feels soft and natural and not at all like before.


- the thick clumped areas with clustered PMMA were similarly broken down until they became spongy and easy to integrate to the new material to permeate the area and englobe them. I hope this works as well as it seems to right after the intervention.


Injections were made through 4 entry points near the top of the shaft and the usual 2 entry points near the base. Wade took his time to show me in detail how to massage, and this might also be one of the reasons why I had bad results as I probably started too late and then used way too much force to smash material as well as my unit, likely contributing to the complications. He also agreed that since I was going to the hotel next door, it was best to not wrap it at all as I would just be unwrapping it minutes later.


As it turns out one sort of sculpts it as if it were made of wet clay (those who have done ceramics will know what I mean). You simply gently stroke the surface to ensure it is perfectly smooth, and very softly repeatedly with only a tiny amount of pressure rock the bumps back and forth until it smooths out on its own. This must be done in the initial period when the material sets. The border can take a long time to cross, and for this reason I recommend staying in Tijuana as I did, the Marriott is right nearby.



INITIAL CONCLUSIONS


It was only a few short hours ago but I must share my temporary conclusions.


My unit has not at all reacted in the same way as before. It could be because I took 4 daily doses of homeopathic arnica montana in intakes spaced 6 hours instead of 24 hours apart. It could also be because I rubbed Arnican cream many times on my unit in the 12 hours preceding the session. It could also be due to having a double dose of cortisone injection. Or it might be because I avoided an adverse reaction to the Metacryl carrier (do I have an allergy?) by Dr C\'s use of \"Linnea/New Plastic\" instead.


Also for some reason the product seems to be hardening more gradually and more slowly than the 2nd session\'s Metacryl did. Could this have to do with the solution it is suspended in or might it be that my body reacts differently to the two products? In any case I am able to intervene on the lumps forming which wasn\'t the case last time, as they were lost and buried under thick masses of fluid from swelling. This time around it is only slightly swollen six hours later and I can still intervene - this was not at all the case last time. Go figure, as my case seems different than most.


Tomorrow morning I am scheduled for inspection by Dr C and Wade and they will still be able to intervene should anything be an issue. I am not only very reassured but once again pleased with having chosen the PMMA path for Phalloplasty. I have high hopes for the results of this session which so far seems both corrective and enhancing. Thus far the shape is perfectly tubular, I took photos I shall post the day that this re-becomes possible here. It looks quite natural and pleasantly proportioned. I will keep you posted on the progress as it unfolds.


Cheers,


Hunk Chunk

Good luck HC....I had faith in Dr C and his staff as I had mentioned to you. Now we wait and see...

yea good luck and great post

Best of luck! I just missed you myself. Flight was delayed and it was later in the eve before I even got started. Hope this round gives you the results you want n the end. Those guys sure do try to please and that\'s very refreshing to me.

Hunkchunk,

Could you share what your current stats are?

I also read in a recent post of yours since the last(3rd) session, you stated \"I shall say that most of my issues were addressed by Dr C during my 3rd session which also brought a most appreciated enhancement as far as the ladies are concerned.\"

Would it be possible to elaborate on that a little bit?

Thanks

@Mustang2020


Yes, you were absolutely right and we were well advised to trust Dr C and Wade for their genuine virtues:


Care for patients first
Concern for the best possible desired results
Astute professionalism and dedication to a job well done
Constantly improving techniques to achieve best effects
Striving to reduce and eventually eliminate unwanted effects



@thatguy2


Hi there, thanks for your kind wishes - it seems that my luck has indeed turned. The issues I had were pretty much fully eliminated by Dr C\'s last intervention, which goes to prove that with a highly skilled professional you can counter any number of adverse effects.


I outlined for him the numerous possible reasons my second session might have backfired, and together with him and Wade we examined all the potential causes, working to eliminate them from any chance of recurring again.


There is no hard science which at this time can establish which might have been the cause, so he simply applied a wide range of preventive measures to reduce insofar as possible any risk of negative results recurring after session 3. This is why I chose the use of the slightly more expensive Linnea Safe just in case I had had a rare allergy to the carrier used in Metacryl.



@PMMAallTHEway


Sorry we didn\'t see each other there, that would have been a blast! I stayed at the Marriott in Tijuana this time, to be there as quickly as possible in order to not waste time in transportation and get to quickly massaging to ensure perfect circumference coverage of the PMMA.


I was carrying valuables, so Christian took me downstairs, negotiated a Cab ride for $3 and I got there within two minutes. The next morning I returned on foot to the clinic. It was morning, a time of lessened risks, and also it was very close. I got there within about twelve minutes at a rapid pace. Often I wished I were swarthy and not Scandinavian looking because it helps blend into the crowd more in many countries. If so I\'d go local a lot more.



@stormy


I haven\'t measured myself just yet, suffice it to say that my length hasn\'t change an iota, remaining at about 5.5\" BPEL. However my Girth has gotten a lot better. One girl has even gotten a dildo called \"big daddy\" to help widen herself to accommodate my unit. lol This time Dr C used 10% Linnea Safe to both envelop the ridge which he had collapsed by punching holes in its structure with a cannula, and also to better fill the are beneath the glans.


After 4 weeks time I have a very nice taper between that area which no longer has any trace of a ridge, and the area beneath the glans looks entirely natural and even is aesthetically pleasing - as several woman can attest, having at length raved about their obsession with my unit since this last visit.


To kindly humor one of my requests and to comfort my unlikely worry that my issues at session 2 might be caused by the mixing of 10% Metacryl with 30% Metacryl (my concern not Doctor C\'s due to it being highly unlikely) he injected the base with factory supplied syringes of Linnea Safe in pure 30% concentration. After 4 weeks this hasn\'t presented any signs of irregularities, ridges, clumps, bumps or granulomas.


So I am a very happy camper! Thanks Dr C, Wade and the entire team at Avanti Derma.


Hunk Chunk

Hi HunkChunk

I\'m going in or round 1 in November. I\'m mostly concerned with ascthetics vs Girth. Would you recommend going with Linnea over Met.? Based on what I\'ve read regarding the irregularities from using 20% Met. I\'d feel more comfortable using 10% and 30% regardless of brand.

Curious on your thoughts...

Hi Red1975,

I am not the most unbiased person to ask. I am the only person on this board who had a better reaction to New Plastic known more recently under the new brand name Linnea Safe than with Metacryl. Most others have had good experience with Metacryl. The Linnea Safe costs a bit more, so if it isn\'t necessary due to issues you\'ve had, I don\'t see why you\'d rather have that. I did because of a very different reaction. It might be some form of allergy to the carrier in Metacryl? Somebody else might have a similar allergy to the carrier in New Plastic. Otherwise it is pretty much the same material which is the active agent inside each of these. Many here have great results with Metacryl. Hope this helps.

Cheers,

HC

I feel though even if different solutions or concentrations have less or more chance of irregularities it comes down soooooooo much to immediate after care. I\'ve seen great results posted from all sorts of concentrations and mixtures, and from a purely aesthetic stance they all obviously have the capability I\'m sure. It comes down to how the patients treat it and how the doctor does. Initial dislike for high (30%) concentrations stemmed from it being linked to Brazilian doctors who\'s only real negativity could be seen as lack of artistry or willingness to overfill, but then now we see Dr. C using it now and also Dr. N who appears to have good results. The other aspect of different questions is the physical feeling of the matter once injected, and I\'m sure the higher it is, the harder it is which is usually undesirable as its more apparent when Flaccid.

They generally say the higher the concentration the higher risk of irregularities? That makes sense as you\'re dealing with more material, so if there is an uneven spot the likelihood of it being visible is greater. I was personally debating between the old question of 10% versus 20% for my first round, and I understand everyone thinking a lot about it before hand, but as soon as I actually got to my appointment and started discussing my goals and them analyzing my penis and later my internal anatomy I decided to take their best judgement above all of our outsider reason. Besides personal body reactions (which are hard to account for prior) Most \'irregularities\' which people talk about are uneven distribution or clumps, both things that are caused and best remedied at the initial setting period. Once things concrete you\'re looking at another round and or chemical dissolving options.

I feel like the best idea is to make sure you\'re staying in town the night ff, pay good attention to the massaging techniques, and have sound wrapping. Aftercare is two parts, massage and reducing initial shrinking both different sides of the same issue of correct and ideal PMMA placement in the initial period before it solidifies.

Sizemic\'s result is almost universally loved here, and he is also the most outspoken and detailed after-care person on the board. I don\'t know why some people act like it was a magical result. His aftercare was very intensive and methodical. I think my result was pretty great too, and I attribute that mostly to close inspection and specific area massaging aswell as my sleeve.

Wade and I were discussing numerous aspects, and things like whether my silicone sleeve would be an ideal option after or not, and it was hard for him to be sure as he had to keep noting that no matter what everyone\'s after care is almost completely different and that makes it hard for them to draw conclusions because they don\'t really see what the patients do after. Some do nothing and walk out and just hope for the best, and others are like Sizemic.

jlmb wrote: I feel though even if different solutions or concentrations have less or more chance of irregularities it comes down soooooooo much to immediate after care. I\'ve seen great results posted from all sorts of concentrations and mixtures, and from a purely aesthetic stance they all obviously have the capability I\'m sure. It comes down to how the patients treat it and how the doctor does. Initial dislike for high (30%) concentrations stemmed from it being linked to Brazilian doctors who\'s only real negativity could be seen as lack of artistry or willingness to overfill, but then now we see Dr. C using it now and also Dr. N who appears to have good results. The other aspect of different questions is the physical feeling of the matter once injected, and I\'m sure the higher it is, the harder it is which is usually undesirable as its more apparent when Flaccid.

They generally say the higher the concentration the higher risk of irregularities? That makes sense as you\'re dealing with more material, so if there is an uneven spot the likelihood of it being visible is greater. I was personally debating between the old question of 10% versus 20% for my first round, and I understand everyone thinking a lot about it before hand, but as soon as I actually got to my appointment and started discussing my goals and them analyzing my penis and later my internal anatomy I decided to take their best judgement above all of our outsider reason. Besides personal body reactions (which are hard to account for prior) Most \'irregularities\' which people talk about are uneven distribution or clumps, both things that are caused and best remedied at the initial setting period. Once things concrete you\'re looking at another round and or chemical dissolving options.

I feel like the best idea is to make sure you\'re staying in town the night ff, pay good attention to the massaging techniques, and have sound wrapping. Aftercare is two parts, massage and reducing initial shrinking both different sides of the same issue of correct and ideal PMMA placement in the initial period before it solidifies.

Sizemic\'s result is almost universally loved here, and he is also the most outspoken and detailed after-care person on the board. I don\'t know why some people act like it was a magical result. His aftercare was very intensive and methodical. I think my result was pretty great too, and I attribute that mostly to close inspection and specific area massaging aswell as my sleeve.

Wade and I were discussing numerous aspects, and things like whether my silicone sleeve would be an ideal option after or not, and it was hard for him to be sure as he had to keep noting that no matter what everyone\'s after care is almost completely different and that makes it hard for them to draw conclusions because they don\'t really see what the patients do after. Some do nothing and walk out and just hope for the best, and others are like Sizemic.

It thin it has far more to do with skin compliance and PMMA concentration, than after care. I\'m sure after care is important, but if the PMMA is injected is such a way that an area has a greater number of beads than another, than even with massage, it will be very hard to prevent lumps. This is part of the reason (the main one being patent laws) Artefil chose a different carrier, as it keeps the beads more evenly distributed and prevents lumps. If someone has very tight inner skin above the circ line, then again post op care is limited in what it can do. The same goes for the base, where often guys have a constrictive ring where the shaft skin meets the pubic skin.

Aesthetically speaking between the line where the shaft skin meets the pubic area and the circ line, basically the area of normal shaft skin, it\'s actually rare that someone has a poor result. Where the skin is naturally compliant, results tend to be good. In my opinion, as well as good post op care, I think good pre op care is just as important. If one were to pump for several months prior to the procedure, thus making the skin more stretchy (compliant) they are much more likely to have a good aesthetic result and I think possibly better gains.

The guy who had the biggest gains we\'ve seen on the forum from single sessions was BigBizo (sp?). He was a long time pumper and had plenty of pliable shaft skin. We can see from the trouble Dr C has injecting above the circ line, that tight skin prevents PMMA settling and collagen forming. So it makes sense that collagen growth in terms of volume would be better under more compliant skin and the PMMA is far more likely to settle there.

This is an interesting discussion and after two rounds I still can\'t figure out what is more important. I did 17 CC\'s of 20% and 1 CC of 10% round 1. According to Wade round 1 is the riskiest session and which is why they prefer to use 10% round. I had pretty good results from my first session. I stayed in San Diego but my shuttle got stuck crossing the border to pick me up and then we hit traffic on the way back so it was about 4 hours before I got back to the hotel. I immediately started massaging and did massage my Erect penis. I would say I did a decent job of after care but was not as diligent as others.

Round 2 I think I had 17 CC\'s of 20% and 2 or 3 CC\'s of 10%. I flew home right after but was home in about 8 hours after the procedure. I was not as diligent with aftercare because I was home with the kids and wife and didn\'t have the opportunity to play with Dick all day. My aesthetic results were not as good as round 1. This evidence would point to after care being more important.

However, the massaging was much more effective round 1. By that I mean, I was able to actually move the PMMA around after round 1. After round 2 I had a ton of swelling and my skin was so tight and bruised it didn\'t seem like the massaging was really effective. Maybe it was because it was already settling after 8 hours? I seem to remember that I was able to break up some nodules 24 hours later after round 1.

I think aftercare is very important but may be over-ridden by other factors. H10 - I think you are spot on about the pliability of skin. The skin at my base is really tight right now and that is where I\'m having a hard to getting the Girth to match the mid shaft. I think this would be one reason to have 30% done at the base because you can get more PMMA squeezed into that tighter area.

That being said, I will definitely be staying in San Diego for my next visit and try to do a better job massaging and working out any issues.