TOPIC: soma's bella to pmma

Great news soma and I wish you the best, and in regard of this recurrent swelling:- there is a good sign about it esp. the reoccurring swelling is getting smaller each time (imo this could reoccur until this part of Belladerm in this localized area is totally absorbed). Btw try to take vit. C esp. if you are taking the antibiotics for a long period. And you did absolutely the right thing by following the instructions of Dr.R.

Smartman- You have allo under your PMMA- have you experienced any complications or feel any attrition of that material? Do you believe it will just simply reabsorb underneath the PMMA? I\'m curious as to your thoughts on this matter as there are only a handful of us with allo/bella and PMMA combined. Regards

Hi Rondo,
Yes this is true I had alloderm in 2007 but it was almost all of it resorbed after 10 months, and I had no complications whats so ever before or after PMMA.
Usually allografts e.g. allo 50-100% of its thickness will be absorbed in the 1st yr, after this period the resorption will either stop?? or will be only minimum.
So it doesn\'t mean that the rest of the alloderm graft will definitely be reabsorbed after the PMMA injection, some people will have still partial thickness of this graft for a longer period under their PMMA.
N.B. But it could be the resorption of the alloderm will be more enhanced after the PMMA injection (macrophages will be more after PMMA injection can attack the alloderm ??) I will confirm that for you later on.
The most important thing imo is how to avoid the risk of infection of the remnant alloderm or any other allografts from the PMMA injection (bacteria--> thro the cannula or open entry holes and becoming esp. in contact with water---> bacteria reaching the old graft ---> disaster \"severe infection of the allograft\"

I\'m sure all of us wish we knew why this is the case for some (absorbtion) and not others. Although I\'ve had some absorbtion, or really what seems to be more attrition (shrinkage/retraction/toughening) of the graft, I\'ve still retained 50% plus of it\'s original volume. This is 8 years later. I truly believe it is now whatever it\'s gonna be... permanently. Perhaps that\'s wishful thinking- as I prefer it (hopefully \'tulsaguy\' won\'t comment on this assertion- I know,... I\'m gonna die tomorrow, right? Oops.. just kidding, but really, how bout more positive polly and less negative nancy.. eh?) I will assume there had to be some remnant of that material prior to your PMMA. Don\'t you believe that this ultimately becomes assimilated? I\'m sure there isn\'t anyone who truly knows as this combination of procedures is very rare and recent- you may be the \'pioneer\'? Here\'s one for ya: What are the chances or viability of having allo/bella after PMMA? What are the chances or viability of having anything done after PMMA? this is a question some of those \'new\' to this might want to ask themselves. (Perhaps a new thread? Sorry to piggy back your PR Soma- seems appropriate for your progress and situation). Regards

Allografts will not work on top of PMMA. The doctor\'s need to stitch the graft down tightly to the penis and then the penis needs to vascularize the graft. Absent PMMA this can be a tricky process. Sometimes it takes far longer to vascularize than the 6 weeks doctors tell you. Aside from the fact that there would be nothing but collagen to stitch to, the penis could not vascularize it easily.
My personal opinion after three surgeries (1) allo insertion, (2) partial reconstruction, and (3) bella insertion and complete allo Removal is to be very skeptical about doing an allograft. I can say now that I would have chosen to start over if I could. Putting PMMA on top of it eliminates the ability to remove the allo graft (I would say easily, but it is never easy). Putting a graft on top of PMMA is likely very dangerous and will not work out well.
My advice at this point...either use conventional methods or acknowledge that PMMA is a risk because it is new and jump on the bandwagon.
I know in the beginning we all want to hear about measurements and success and the like. The reality is that if you did PMMA a few times and never had a complication I would call it a victory and never worry about the extra Girth a graft would have gotten you on top of that!
Nomad1

Soma,
I am curious how the last 48 hours have treated you. I feel selfish asking you to post a pic and I know I do not feel like when there are problems. That said if you feel up to it I would like to see how the swelling is doing. Otherwise I just wish you well and hope for a speedy recovery. The complications are very, very mentally taxing so I know you have been through a lot over the past few weeks.
Nomad1

Soma- Wondering how you\'re doing as well. Hope all is well. I\'m sure we would all appreciate your post when/if you feel up to it. Regards

Also to insert allograft on top of PMMA will be v. dangerous ---> the risk of skin Necrosis and dartos muscle injury with adhesions to the skin is v. high (due to the dissection between the PMMA-collagen below and the dartos m. or the skin above).
IMO the only good thing about allo or bella their texture feel smooth and normal on touch better than PMMA which feels more rough (in my case 30%) on touch.
But if you had allograft (without any complications) you should expect some absorption in the future and if you did enjoy the thicker penis before you had the partial loss, you will be sad and definitely you will think for another procedure for more Girth (it will be definitely an addiction) then the risk of complications will be much higher.
In regard of the alloderm\'s absorption rate increased after PMMA injection (more macrophages) ?? I got the answer from Lemperle :-
Alloderm, e.g. acellular dermis stimulates no foreign body reaction, e.g. is seldom attacked by macrophages - so hypothetically I believe that there is not increased absorption after PMMA injection close to it. - Best regards, this time from China, where Artecoll is a premier injectable...
Gottfried

Damn I am pretty smart, but Smartman your last post clobbered mine! Haha not a competition and glad we are BOTH posting.
Guys, the big thing for PMMA on top of Bella/Allo... If you develop a problem with the graft and have no PMMA you can have it then out. Yes I know of stories that had worse consequences from that. I had my allo taken out. I like having the option to remove the bella should the need arise. If I did that in say five years and you guys are having low complication rates with PMMA, then I would likely leave it alone or go PMMA.
You know what would be really helpful for some people by the way? HD video. Problem is I would not want to speak for anonymity reasons. But a video is way better than photos and narrated video would be super helpful to all of us. I have been experimenting with Dr. R. He has not been able to open first file. Next one will be in a different format. Sometimes you take a picture and look at it and it just looks great, but the issue you are concerned about does not come out.
OH AND A TIP FOR ALL PHOTO POSTERS. No flash looks orangey, sometimes flash looks whited-out. We who have taken many pictures of our equipment know what I am talking about when using a real digital camera. Ok so the tip is this. USE FLASH. BUT put a piece of tissue over it to dim the flash (sometimes two layers). I did not do that in any of my pictures, but in sending so many to Dr. R. I now realize that you get WAY BETTER DETAIL with moderate flash. The pics come out awesome. Feel free to repost this somewhere more relevant moderators!
Nomad1

Had a very busy week-
Infection seems to be gone and there is minimal, if any, swelling in the area. I can still feel some \"squishiness\" if I palpate enough. Last week (one full week ago actually) when I would exercise this area would drain again, clear fluid that looked like sweat, although it generally looked and felt better. I email (with photos) Dr R again and he said to lay of the intense exercise for a bit and to continue antibiotic till drainage stopped. He also called in an extension of my meds and to continue for another week. I haven\'t exercised since. His advice, again, has been wise and the area hasn\'t drained since and seems to be infection free. I\'m a little nervous to stop the meds though, to be honest-
I\'ll take and likely post more pics around the six week mark (next weekend)-

Great news

Great to hear!

Hey buddy! Any updates?

Likewise Soma (wishing you well)- hope things are headed in the right direction for you now. I\'m guessing your complication has had a fairly substantial impact on your life and training, I\'m sure it\'s turned around for the better and you\'ll have the gains you were hoping for! Regards

All is well! I\'ve been off the meds for a a bit now and things are continuing to improve. I\'ll post a report in the next day or two-