wildcat44! wrote: Hello...For me PMMA was not an option. There is no way I could go to Mexico to have it done..My wife would raise a fit. I had heard really good things about Dr Casavantes from a local physician who has a large practice and HA smet him at cosmetic surgery/plastic surgery seminars. It was suggested to me to see him. But I\'m married and in my 50\'s and this is a very small conservative town and discretion was important. Im very far away from Dr Casavantes. It seems obvious that PMMA with the Dr Casavantes seems to provide the best aesthetic results and at a reasonable cost. However, I had to go another route. Dr Maercks was closest to me and his credentials looked good. If HA was permanent, I would probably have gone that route, but the cost was an issue(and lasting only a year). I liked that idea of using my own tissue and also stem cells caught my interest. I was aware of past problems of fat transfer(poor aesthetics, lumps,reabsorbtion), but thought I\'d take a chance that the procedure had improved. It has not been a cost effective solution for me. I don\'t blame either doctor.I could tell the first procedure would be difficult because of my small size and the fact that the skin was very tight.............If I had waited a year longer, I would have used Dr Morganstern in Atlanta since he is a Urologist and has done over 4,000 procedures..I also had a slight curvature before the first procedure..which became signicantly worse..and the second procedure did mask it ..I don\'t know if the PRP or placement of more fat did it..but wish I had gone to Morganstern...he thinks I need to have lump checked out and check the underlying cause of curvature(check for peyronie\'s disease)before anymore procedures....2nd procedure looked great the first 2 to 3 months..but not as good now(still good,but not what I want)...He says he caneasily fix lump without cutting...I will probably see him if I spend anymore money...I think I could have saved a lot of money by seeing Morganstern and could probably have gotten a satisfactory result... His method seems quite diiferent from othe doctors who do FFT and I like the fact that his practice focuses on Urology...and not everything else
I don\'t think being a
Urologist is beneficial when we are essentially talking about a fat transfer here.
To be honest I think you are possibly being a little harsh of your previous Dr\'s results. I think perhaps your expectations aren\'t realistic.
Let\'s look at it from a different point of view. Forget your experience with
FFT and let\'s focus on our members who have had
HA.
HA is about the most predictable filler there is. There should be no graft survival issues we see with fat, dermis or dermal matrix. It\'s not dependent on how your body responds to create volume, as with
PMMA,
Ellanse or
Radiesse. Yet, despite all of those advantages, look how inconsistent the results are, even when arrived at by the same Dr and with the same filler.
Some people say their
HA feels totally natural. Some say it feels soft. Some have even said it feels firmer than their normal penis. Some have got a good aesthetic result in one round. Others have needed several rounds. Some make big gains from relatively small amount, whilst others have had loads injected for very little. The point is, even the most predictable filler out there creates very inconsistent results. So given how unpredictable fat is, can you really assume you\'d have got a better result from a different Dr? No matter how much anyone wants to believe in free fat grafting, no one is going to make the claim it\'s as predictable as
HA.
So with that in mind, I think you\'ve got to take a step back regarding what you should expect from
FFT. Most of the time it\'s going to be 2, 3 or eve 4 stage process. There are cases where guys have had a great result after 1 round, that has lasted for years. But they are rare and no Dr can claim consistent results with this method. I think it\'s fair to say the most experienced
FFT Dr\'s in the world are the Viel brothers and Dr Giunta. Interestingly both practices offer free top ups of fat. That\'s obviously not because they like doing something for nothing, but because after decades of doing this surgery, they realize that in most cases, it will take several attempts to meet patient expectation. Any Dr claiming otherwise, just isn\'t being honest, as if there was a reliable fat transfer method the cosmetic filler industry would collapse.