TOPIC: Avanti Derma & Dr. Morales PMMA Journal - Beginning Dec 6, 2019 (Photos Inside)

Just an introductory post to lead into my upcoming experience. I'm having my first round of PMMA with Avanti Derma (Dr. Morales) coming up soon.

Looking forward to sharing my experience and all it brings with it. And have really appreciated reading everyone else's experiences here over the years (was on the previous board just soaking in the info from 2011 on).

The day has finally come so I want to update this thread more than my quick post before.

I'm 32 years old. Healthy, non smoker. I don't work out regularly but am physically active with my job. I underwent a Circumcision earlier this year (back in May off the top of my head). If anyone ever has questions regarding that aspect, feel free to PM me.

I decided to go ahead with PMMA from @Avanti Derma. Since the Circumcision I've been happy, it solved my tight Foreskin issues and honestly improved my sex life exponentially. I've had Girth enlargement on my mind ever since finding this forum years ago.

I'm going in for my first session in a few hours now, I received a first round of laser treatment this morning first thing. Ian is honestly great to deal with it, really good to chat with and calm you down, nice guy. Dr. Morales I met briefly yesterday after my arrival but honestly, I wasn't really myself. It had been almost ten hours of flights, then the shuttle (which was great by the way) and then checking in. All this while being in some pain from a pulled groin at work the day before and just being tired in general. She was incredibly calm and nice to talk with, really put me at ease and I'm looking forward to talking some more today prior to my procedure.

The facility is a nice office! Fresh, professional, private. I honestly don't know why I was so nervous and anxious the last week or so. I'm actually pretty calm right now.

I'm going to attach pics, there's quite a few but pics are what comforted me in my decision so I'm not afraid to post more here, and Avanti also is supposed to be documenting everything to share as well.

In these pics I range from soft, to Erect (or mostly Erect... I gave a bit of a squeeze to mimic normal with the tape measured Girth pic). I didn't snap one of length but generally I'm in the 7.25" length range hard. Since my Circumcision I've found I tend to have more variance in my Flaccid state in general. And over the past week while being anxious I've found my sex drive has dropped a bit and honestly, my Flaccid size retracts more. Today it's more inline with what I'm usually like, which is the original pics I sent in to Avanti. I'll post those separately after this one to separate.

Typical current measurements PRE-OP:

FL: 5" range (when I sent in I literally dropped my pants in a gap from work and it was more like 5.5). Today it's a bit less more in the 4.5-5 range
FG: 4.5" typically and it's quite uniform

EL: 7.25"
EG: 5.5"

My long term goals with this I've discussed with my wife and touched on in the clinic. I already know I want about 1.5" total Girth gain eventually. I don't personally care how many CC's this takes to reach or how many sessions or what % of product they use. I'm leaving all of that up to them. But I will discuss that I plan to come back (barring any issues) until I reach that range. It's what my wife is comfortable with, what I want, and as long as they feel it's attainable I'll just take it as it comes. I have no plans of going for more and more after that point or anything along those lines, I just have a clear idea of where I want to be down the road at some point. I also am not majorly hung up on aesthetics personally. I don't have a vision of my perfect penis. I care more about safe results and fairly consistent size. Which is why I'll just trust them to do what they feel is best for each session, which I plan on two and then re-evaluating, I might be totally satisfied then. After living my entire sexually active life up until now fighting with the tight Foreskin issue, I'm not hung up on anything.

Anyway, I'm going on and on because I'm killing time here waiting, but I'll post pics now and have post procedure ones later.

Thanks for the extensive introductory post.

A couple of questions:
- how did Circumcision improved your sexlife? Did you have a serrated Phimosis untill then?
I’m not considering Circumcision myself as of now, cause I’ve read it can be pretty traumatic in some guys that get it done as adults. This vary a lot from guy to guy, but some report a feeling of “mutilation” which takes a big mental tool on them.
Also, i read it can take some time to adjust to the different stimulation and sexual sensation.

- did you do any previous natural Penis Enlargment? You were pretty big to start with, especially if that length is NBPEL.


Looking forward to see your progress, good luck!

Gg82 wrote: Thanks for the extensive introductory post.

A couple of questions:
- how did Circumcision improved your sexlife? Did you have a serrated Phimosis untill then?
I’m not considering Circumcision myself as of now, cause I’ve read it can be pretty traumatic in some guys that get it done as adults. This vary a lot from guy to guy, but some report a feeling of “mutilation” which takes a big mental tool on them.
Also, i read it can take some time to adjust to the different stimulation and sexual sensation.

- did you do any previous natural Penis Enlargment? You were pretty big to start with, especially if that length is NBPEL.


Looking forward to see your progress, good luck!

No problem!

I had mild Phimosis. I couldn't retract when I was Erect, and if for some reason it managed to start to (if I was using a lot of lube for example) it would get stuck/hung up and then that pretty much interrupted the moment. I had to try and get it back over, sometimes it almost had flipped itself if that makes sense. It was more than enough to really affect sex.

I won't lie... I was *extremely* nervous getting it done, at least prior to meeting my doctor. I put it off for years, avoided it, let it affect my relationships. I was terrified of regretting it, or it not being done correctly, or too tight again in a different way. I read about guys feeling how you mentioned, regretful or mutilated, not able to reason with why they did it to themselves.

The Urologist/surgeon that did it was awesome. He was fairly young and enthusiastic. He told that me irregardless of what I've been told or read, if I go ahead with it, I would be happy given my situation. He took a ton of time showing me what he was going to do and how. And that some more senior surgeons who were also doing it via government healthcare tended to just basically clamp and cut. He assured me he'd work carefully and give me a result I'd be happy with and proud of, with enough skin left to be comfortable at all times but look good. He just was really calming. So my advice to you, would be to find the right person to do it. The stimulation thing is less of a big deal than I thought. At one point prior, I pulled it back deliberately while Flaccid and tried going about some normal activities and it drove me nuts. I mentioned that to the doc and he basically said by the time I'm done with the surgery, go through the healing process and how all that feels, I won't be concerned with how that felt before. And you know what, he was correct. I haven't lost sensitivity yet like they say you do over time with full exposure, but it doesn't bother me 99% of the time. I did find I preferred tighter, softer boxer briefs after as opposed to loose boxers. But even that has gradually changed, now I don't mind wearing them. I'll be honest with you, the two worst parts of the whole experience to me were 1) the lead up and anxiety over all of these listed issues and 2) the damn stitches after surgery (and unintentional erections while you have them). The stitches drove me NUTS. Snag on your shorts when you move, so you feel it, a wind blows they move, you feel it. That was the worst aspect over all, hands down.

No natural PE consistently. When I was a teen I discovered this thing called Jelqing (lol) on the internet and I did do a fair bit of that because.... hey, I'll get a big Dick! I think that's partially where the desire started. I actually swear I was longer around 17-20 age range but it's awhile ago now. Could be weight or even Erection quality or whatever. I'm a fairly ok weight of about 170-175 and I'm 5' 10". Next up came the pump... I did pump a bit but nothing crazy. However, that REALLY made me want a thicker penis. Actually, waking up this morning and how I felt after the procedure reminded me of the shape and feeling after I pumped fairly large the first time.

Anyway, if you're debating a Circumcision and feel you have a legit reason, don't be afraid of it, just get the right doc and go over what you want thoroughly.

I'll be doing an update on my post status hopefully today before I have to leave, I should have a gap after my check up and right now I'm going to go back to resting and trying to keep this thing engorged and massaged.

Hey justn8, how many cc's of what % did they give you? It should be on the piece of paper with the stickers they handed to ya.

I'll be doing an update hopefully today... messaged some questions to SO.

I forgot the actual paper with the stickers on the desk in the hotel room but I remember. I got a total of 20 cc.

11 cc of 30% and 9 cc of 10%.

How's yours going? My last two injection sites closed over last night and I think I'm reaching the end of really being able to move anything around.

justn8 wrote: I'll be doing an update hopefully today... messaged some questions to SO.

I forgot the actual paper with the stickers on the desk in the hotel room but I remember. I got a total of 20 cc.

11 cc of 30% and 9 cc of 10%.

How's yours going? My last two injection sites closed over last night and I think I'm reaching the end of really being able to move anything around.

Did I ever get or address those questions by chance? It would be nice to know how your unit is coming along as well.

Just curios, what made you want to get this procedure? I ask because your above average in length and Girth already. Does it still feel small to you? Most guys are getting this done to be at your starting stats. Just a lot of risk to achieve when you’re already winning.

Hey S.O.

Not exactly... From what I recall, the pics I took on my phone are too large/MBs to upload direct so I was wondering what the easiest way is to resize. Unless that isn't an issue now? I just got frustrated and didn't have a ton of time then so I've put it all off until now when I have time.

I'm transferring pics over to my computer and have today and tomorrow off for recovery (session #2) so I'd like to update everything while I'm home with no one around. Any guidance? Program I should use?

Last time I was literally just screenshotting them full screen, cutting them out in Paint and saving as jpg that turned out to be small enough in size lol. Which is a pain in the ass.

New1inch wrote: Just curios, what made you want to get this procedure? I ask because your above average in length and Girth already. Does it still feel small to you? Most guys are getting this done to be at your starting stats. Just a lot of risk to achieve when you’re already winning.

Valid question for sure and I've seen it asked before. I guess it's kind of vague to say I have my personal reasons as far as wanting more, but it is what it is. I wouldn't say it was because I felt small. I also wasn't bragging about my previous size in my personal life, it just was it. There was no insecurity in the decision, and it wasn't a snap choice either. I've always wanted more, it just is what it is. I had completely written off the idea or hope of ever being significantly bigger than I was but it was always a very strong "if I could... I would". I stumbled across this site after reading tons on pretty much every Dick related site I could find ranging from Thunders to LPSG to equivalent of blogs and articles and.... everything. I found this place I believe around 2011 (S.O. could probably confirm that from the old version) and it was intriguing, stuff regarding a few options was showing up and PMMA was one that got the jump obviously. Still freaked the shit out of me. I had written off injections as NO WAY. And I mean... prior to this, yeah, I had that "oh what if I got just a smidge of silicone" thought, which was really, really quickly extinguished by the internet. It still baffles me why anyone would do that.

Anyway, as I was catching up on this forum then, I still had the thought in my head "yeah, ok... I'm just going to wait for these guys to start having train wrecks". Not that I wanted or wished harm on anyone, just from an observer's perspective who knows no one personally and had seen the horrors of other options (especially silicone), it kind of led me the thought that this would be no different. Plus I had heard of guys being told they're getting one thing injected... and getting another and disaster ensues. While this place had some convincing reports emerging then, I was still super skeptical and cynical about it, and remember this is when some really major 'success' reports were happening in live time. I also want to make it clear, that before some of those reports happened, I had already wanted something substantial if I was going to do something/anything/ever. They didn't skew or make me feel a new insecurity or anything really, just some fascination. I also was aware of the issues... not everyone was happy by any means. I've read the couple instances of Removal. I read another more recent guy's issues with Bellafill from his Dermatologist in the States (so... board approved injector I'd assume with an FDA approved product). How serious his issues were, I can only take at face value that he was suffering more in ways we couldn't see, I personally felt visually it wasn't that bad but that's none of my business, it's just to make my next point. Internal pain and suffering aside, mental suffering aside, I was very aware of all the complications and potential risks. Which I'll be frank, aren't as terrifying with this route as lots of other things out there. The vast majority are aesthetic from this provider. My understanding is their only issue/Removal has come from one or two (I asked and can't remember the number they said) PMMA patients (and connecting the dots, I'd assume this is the uncircumcised one listed in their journal paper) and since then their only other more major complication or issue came as the result of Silikon which they have terminated using based on that.

Sorry for the long winded above, especially if it's a bit all over, but this is what led to my choice to do this: it's the best option. My wife has breast implants. The satisfaction rate with them and chance of long term complications is at the very best the same as with this. And they always require re-operation with time. If the long term success rate of this procedure is the same (or better), and the long term complication rate is the same (or better), I was comfortable with that risk. Even with smaller sample sizes, implants have problems. I personally know two other people with issues with implants, which is a bit ridiculous on one side because they seeked out a surgeon willing to do what others said they wouldn't, and the other was just luck of the draw with a great surgeon. So *who* does things does matter as well to some extent.

After all that thought process and reading... I more recently had decided I would eventually do it, I just figured I'd wait until I could easily spare the money with the added benefit that more time would pass to observe. It was a bit after that decision that the promotional offer popped up, which sounded great so I ... didn't jump lol. I filed it away and just thought nah, not right now. My wife and I went away quite awhile after (I think it was a few weeks even?) and it was kind of itching in my mind. She casually was talking about how she's had her implants for close to ten years and might start saving up to have them redone or have a fund if an issue came up. I jokingly said well if you get that, I want a thicker penis. We laughed... and less than a week later I said, "so about that thicker penis...". At first she thought I was joking that it was even possible. But then once we talked it over, she was skeptical, but was more than fine with it if I did my research and wanted it. And I mentioned that financially with the promotion it made more sense. I at that point thought well, if a second candidate has taken the spot then it wasn't meant to be and I'll wait (I'm not big on meant to be but whatever). Second spot hadn't been filled. So I sweat buckets for a night and decided to do it.

So to sum up your question with my answer/explanation/story... the risk was worth it to me for the outcome. I'm not a hypochondriac, it was likely if I had issues, they'd be less serious in nature or just superficial and I'm married so I didn't care if it was a designer Dick or had some irregularities.

Which is important. It's why I still wouldn't recommend it to anyone just for the sake of it even though I'm very satisfied. Especially if they're happy with what they have (for the most part happy even) *unless* they're ok with possible trade offs or issues. IF they are determined to get something, this the route I would suggest for having the best likelihood of an acceptably safe and permanent outcome. I actually did have a pretty significant lump at an injection site from my first session (which I'll post pics). It was due to my aftercare or lack thereof in that spot. I didn't realize how serious keeping product out of the injection sites is. It definitely formed collagen around it. They were able to break it up and manipulate it in my second session, especially because I went in right at 6 weeks vs several months.

I honestly never posted on here while lurking because until I was serious, I never wanted to mention my starting stats to upset anyone. There are experiences here that were quite a level up from me in terms of starting sizes as well though and I'm sure out of the thousands and thousands that Avanti has done at least a few have been significant prior to the procedure that we've never heard about. I can empathize with the pain and feeling some guys go through who genuinely are depressed about their size, and I wouldn't want to add to that. But nonetheless, this is an elective procedure and available to anyone willing to stomach it. Now that I've done it, my story might help someone have more info to make their own choice.

And again for the record, although I am happy, my idea of a great outcome isn't everyone's, and I would be ok living with minor issues. Some guys I'm sure would have freaked. I also am married and have gone over all this with my wife and what we're comfortable with might not be what others are.

Man, sorry if that was too long lol!

Ok so here's some updating. Below is a couple pictures right after the wrap was off about four hours after the first session and then a few hours later that night, more swollen.

Experience over all was good. It's a roller coaster for sure.

Below are a few with some measurements after the first session. Obviously swelling.

And here is one fully Flaccid pic around the end of Dec, one semi pic at the same time and the Erect pic is the very last pic I took of it at 6 weeks. It shows my final visual appearance from session one along with an irregularity. My right side didn't take product as well, and I neglected an entry point on the right side closer to my circ scar which resulted in a Nodule lump (they were able to resolve this is session number two).

My final size then was just over 5.5" at the circ scar, then gradually progressed to 6" mid shaft and for whatever reason spikes to 6.75+ at the base Erect. I do have some webbing I guess, but prior to all this my base was the same as the rest so... it was kind of an interesting result to me.

I'll do an update with my second session at the 6 week mark again. I like to process things a bit and sit on it.

I did receive 19 cc on Jan 20th though. 12 cc of 30% and 7 cc of 10%.

Great shots & angles. It's not often we can see all "longitude & latitudes" of a post-op unit.