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TOPIC: Nodules after 10% PMMA surgery

Nodules after 10% PMMA surgery 7 years 7 months ago #1293328722

Today is my 3rd week after receiving 20cc of 10% PMMA with dr.C.
Around day 17 I noticed a Nodule on my left side. When Flaccid is unnoticeable but when Erect if obvious and
Gives me a deformed shape.
What recommendations can you provide as to how to minimize the size or eliminate it?

I felt like the Nodule appeared after one session of pumping with the bathmate a little longer and harder than I should have. Or perhaps it was already there and pumping made it worse? Not sure.
I don\'t want to go for another session since I feel I gained enough .65\" from the first procedure.
Any thoughts?

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293330874

A shot of Kenalog might help. With only 10% - maybe you have a better chance to reduce this Nodule with Kenalog. It didn\'t help that much with my 30% nodules though there was some reduction.

If they add 5-fu to the Kenalog, it\'ll be even stronger. It\'s better to do this sooner rather than later because once the tissue is formed, 5fu doesn\'t do much. 5fu can prevent further fibroblast proliferation / collagen development.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293330967

\"I don\'t want to go for another session since I feel I gained enough .65\" from the first procedure.\"

Keep in mind that, if you\'re only less than 3 weeks out, there\'s still a chance that .65\" might not be your final gain.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293334628

Restoration wrote: A shot of Kenalog might help. With only 10% - maybe you have a better chance to reduce this Nodule with Kenalog. It didn\'t help that much with my 30% nodules though there was some reduction.

If they add 5-fu to the Kenalog, it\'ll be even stronger. It\'s better to do this sooner rather than later because once the tissue is formed, 5fu doesn\'t do much. 5fu can prevent further fibroblast proliferation / collagen development.


I agree with Restoration - go for the Triamcinolone shot asap +- 5FU. Better to treat it while small and prevent a big lump.

Last week I treated a guy with lumps from PMMA with A40 (triamcinolone) 5FU and small dose botox(works well in Keloid scars). Will start a threat soon. Also will be looking for guys with lumps to let me use their photos on our new website to show that PMMA can have long term issues.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293334999

Oh wow botox could wok in scars? That\'s really interesting. What amount do you use for a Nodule? Just like a unit or two?

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293336738

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Dr. Oates I know PMMA isn\'t your speciality, but you have a high understanding of PE procedures of any sort obviously.

There is buzz about linnea safe not being as good as metacrill. I\'ve heard a few guys say there it shouldn\'t matter what the carrier is, it seems it might though.

Can you give your opinion?

Restoration posted a picture of the linnea safe manufacturing facility. questionable looking outfit.


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Nodules after 10% PMMA surgery 7 years 7 months ago #1293336778

Resto, if doctors are gonna start agreeing with your recommendations, we\'ll start calling you Dr. Resto. :-)

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293358158

Thanks for all the advise guys, I\'m just afraid the shot will eat up some of the collagen and then end up with a hole or a surface more uneven.
I\'m going to give it some time to see if it reduces or disappears, it isn\'t noticeable unles is Erect and retracted, otherwise is fine and there no pain during sex but the retraction makes it bunch up at the base specially while having sex.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293359316

@enhancedone: I totally agree with you. Patience is key here. Continue to heat and massage. Extend, pump, whatever you do. But remember to heat and massage. It may take months but I predict if you keep doing these things that eventually you\'ll find it dissipates. Don\'t have anyone cut it out. That\'s crazy talk. Sorry Dr Oates but I think most of these things can be massaged out and if so that should be the first option.


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Nodules after 10% PMMA surgery 7 years 7 months ago #1293359489

Dr Oates wrote: Will start a threat soon. Also will be looking for guys with lumps to let me use their photos on our new website to show that PMMA can have long term issues.


Would you say these \"long term issues\" are largely aesthetic in nature(?), or are there other complications that you\'ve personally diagnosed with PMMA patients that go above the realm of nodules, lumps, & bumps? Thanks in advance.

As for the topic at hand, I\'ve found smaller bumps/nodules have softened with time, others correctable with Revision work. Massaging post-op definitely aids in limiting and/or eliminating Nodule formation. This is based on my own personal experience as I\'m sure results vary person to person. The last thing you want to do is take drastic measures and bazooka-the-heck out of a truly small problem (that is, small relative to more serious complications like infection, structural/nerve damage, etc)... time & patience! Take steps, start with the basic massaging and passage of time. If this does not work, look into either minor Revision work (not major reconstruction) and/or the sort of injections in the aforementioned posts. It isn\'t until (or if ever) the issue at hand is significant enough to warrant highly invasive de-gloving, which I\'ve never been a fan of and would never advocate, lest a truly pressing issue warranted it.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293361770

what I find really interesting is that a lot of guys say massaging helped preventing their nodules. I honestly didn\'t even feel my Nodule during that \"post\" after care phase. It just felt like one massive blob of swollen tissue.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293364530

Massaging did not help anything in my third round. I stayed in TJ for four days as usual. No different protocol. It was some other factor. I had a lump in round one but it wasn\'t much. It went away. Massaging is necessary for all fillers to prevent unevenness. Usually it does help but even in the face people get PMMA lumps later on for no apparent reason. This is more common with PMMA. there\'s much more about this in Portuguese on the web but you have to use google.com.br

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293365017

@Restoration: Two plus months after my round 2 I was over aggressive on pumping and I got a Nodule on my circ scar. I stopped pumping after that and proceeded to aggressively heat and massage my penis. I spent a lot of time on the hard area. After two months it soften and was completely gone after 3 months (maybe 4 months). I\'m not sure if that hard area was exactly what you\'re experiencing but it was really hard and it was pronounced. It\'s gone now. Surgery isn\'t always the only option. Just saying...

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293370401

To be clear, I would argue that surgery is the last option for lumps...but it is not \"crazy talk\" or out of the question. Some understanding of cell biology & the inflammatory response is required, which I have discussed in the \"Nodule info thread\".

In your case, you likely created some kind of local inflammation that just felt hard from the over aggressive pumping. Swelling often feels hard. People who have open rhinoplasty will always have hard nasal tips for up to a year. Nothing was put in the tip (maybe some Sutures) but it will feel rock hard until time goes by. That doesn\'t mean you have surgery and cut off the tip of your nose. They used to say NO pumping altogether (this changed apparently). Sizemic and other board members advised against pumping for many years for various reasons like you described.

In my case, my lumps got harder as time went on (it\'s over a year post now) and previously soft areas also began hardening. There\'s no predictable way that this issue will progress, but maybe it will soften if you\'re lucky. In fact, a Nodule I had at R1 did dissipate completely around 8 weeks post. That\'s why I have waited a year before further surgery. I have done everything after my first Nodule Removal was so badly botched, but nothing helped. Most of it is documented on here. You may not have read the posts where I\'ve described that I work in healthcare with other MDs and PhDs and that\'s how I have photos of my pathology slides and other information as well as such immediate access to Kenalog, 5fu, Radiesse (for camouflage), and other things.

So, while it is true that you can wait out inflammation - and I was hoping the hardness would subside in the last year, your body can just as easily have a chronic inflammatory response OR just wall it off entirely with fibroblasts that will never soften because they are surrounding a foreign body that they won\'t let go of. So it\'s like scar tissue around a clump of plexiglass (PMMA). This happens in the face too. It is a known complication of PMMA, regardless of brand. In my case, as you can see in the slides I posted, there was 90% PMMA hardened in several areas on a microscropic level. No amount of heating pads, DMSO, Kenalog, 5-fu, pumping, traction, or needling (all tried, by the way) for months... would help. It just wasn\'t enough. This is a case by case issue. There was a case on the TV show \"Botched\" where they removed product like this with a bone saw (combined with human collagen, some of which calcified). Heating pads and massages don\'t help that. A scalpel didn\'t even help - they needed a power tool.

I had a very successful Nodule Removal in the beginning. What turned into a shit show was that the other Nodule that was removed never healed for 2 months...which then required surgery...which then caused another area to open o nthe same side...which required more surgery...which made my right scrotum go half way up my shaft. I am over 1 year from r3 and the hard lumps I had at day 10 are the same I have now, except they are harder.

Of course - maybe if the \"rock stars\" wade and Dr. C ever returned my emails or bothered to respond to me when I had complications, I wouldn\'t be in this situation and could have had a better resolution. When they wouldn\'t reply, I made an appointment - but then wade texted me not to come. No reason. Just \"we cancelled your appointment. don\'t book your flight\" ... I can post the text. Rock stars. He reads all my posts, so I am posting this to see if he\'ll come out of hiding and actually let me know why the fuck they treated me that way and basically fucked up my life - because to this day I still do not even have an answer. Even more crazy is the fact that there was a board member there on the SAME day who also had lumps and nodules - and they let him come back for Kenalog on day 10. These were the same guys who came to my hotel room at 8 PM after Round 1 when I had issues. They know something went wrong in R3, but I will never know what it was.

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Nodules after 10% PMMA surgery 7 years 7 months ago #1293372160

Peace. I wish you luck on your journey.

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