TOPIC: AFTERCARE

@itgoesthud
yes it would be bad to stay erect . Your filler have a higher chance of migrating backwards and not staying uniform. You need both: Up and Down.

No, gravity isn't going to pull anything away from the base. and if it does shift forward - you should be heating and massaging / rolling constantly anyway which moves the fillers into the areas they need to be in .

An erection is good. go ahead and get a lot them ( your call how many - haha ); mold and massage in that state, while you have it. No need to keep it a long time or do to much there. Just be sure to do the constant massage moulding in the soft state and things should be just fine.

FYI: PT141 may not be for everyone its strong. Usually cialis will be just fine. It's just another tool that's out there.

Thanks for your input @Texas it's very much appreciated! Yeah, I've read so much on here you advocating for really good heat, it just makes sense to invest in getting a microwave to help with heating rags to help with the massaging. I'm not sure what I'm going to do with it afterwards lol. I want to make sure that my first fill doesn't look as bad/lumpy, especially since my circumcision ring is about an inch from my gland. And to other folks' discretion, I won't be covering up any of the injection points that might produce some leakage.

As for the PT141, is that on top of the Cialis you're taking? I would think that's too much supplement doing the same thing. I've personally never used it, or injected myself with anything like this, so I'm a little hesitant to consider it. I did some quick searches and it seems like they sell it on Amazon for 10mg. Are there any you recommend? Luckily, I have a little over a month to prep. Since February I've been stretching while WFH. I haven't seen much permanent gains, about .3 inches, but hey it's something! I'm at 6 inches length bone pressed so I know my unit will look a little short and hulky after I'm done with round 2.

Finally, I forgot to mention that as far as supplements, I am taking collagen right after my first round. I read a few folks on here state it's probably better to start with taking it right after your injections and as for brands, I know I can I can find that almost anywhere. Is 20g enough once daily for the first month after injections?

Texas wrote: @itgoesthud
yes it would be bad to stay erect . Your filler have a higher chance of migrating backwards and not staying uniform. You need both: Up and Down.

I think that makes sense. If you only mold hard, it looks ridiculous in the flaccid state, and vise versa.

Texas wrote: FYI: PT141 may not be for everyone its strong. Usually cialis will be just fine. It's just another tool that's out there.

Yeah the people I've put onto it I give a stern warning - if there's even a 1% chance you aren't getting laid, don't use it. You'll be miserable. Every time I've done it I've also given the woman a dose, if you aren't both on "that level", gonna be miserable. It came to mind for me because even with 100mg sildenafil after the HA (15ml shaft, 3ml glans)I couldn't get hard to save my life, at best "tumescent", I guess because of the injection site near the base it felt like one of those days you go too hard working your ligs, I couldn't get hard enough to mold, so the aesthetics weren't quite up to snuff - the feel and new girth was great though, so I didn't give a expletivedeleted, but I feel like I could have gotten a better aesthetic result with more, harder boners. This is the problem I'm aiming to solve, it's hard to get hard when your wiener looks and feels like it's been chewed on. But I may be putting too much emphasis on this.

Any way, for fear of seeming like I signed up just to shill a peptide...if excess is going to work against me, the PT is a no-go. I have a script for tadalafil too (love telemedicine!) that I break in half for preworkout, I could do an extra dose and just have a giant flaccid and maybe be in a better state.

Odouble wrote: As for the PT141, is that on top of the Cialis you're taking? I would think that's too much supplement doing the same thing. I've personally never used it, or injected myself with anything like this, so I'm a little hesitant to consider it. I did some quick searches and it seems like they sell it on Amazon for 10mg.

Just saw this, sorry - as for recommendations related to post-surgical aftercare, I am definitely NOT the one to make any recommendations.
One telemedicine provider I did the sob story "doc, my Dick dont work!", prescribed 10mg tadalafil, 30 is a 2 month supply. Reality is I stockpile - I take half a 10mg pill on gym days for nothing to do with my ding dong. Then every once in a while I'll use them for recreation.
Did the same sob story for a telemedicine provider that does PT141, I use maybe once a month for its actual intended purpose - won't speak to sources otherwise, as they're all grey-market peptide types.

The PT141 doesn't work the same way, the science-y bits I'll leave to your Google, but the experience is you just...stay hard, and your craving is insane, it's almost like you're involuntarily thrusting, you almost want the boner to go away, and it wont until you bury it in...something. Like I did it one night and didn't get laid, couldn't sleep, boner wouldn't go away, was terrified I was going to be in the ER, it would go from 80% to 100% to 80%, but never all the way down, and whacking it wasn't going to do the job. It went down JUST enough. Girlfriend described it as "ecstasy from the neck down".

So, they both do the job of helping you get a boner and plow things. But the mechanisms are entirely different, and the effects from the PDE5 inhibitors aren't nearly as intense, nor long lasting, and because the PT141 works on the brain my thinking was it would overcome the discomfort whereas the PDE5 inhibitors wouldn't.

BUT...and that's a big BUT, that's not a good thing if being Erect too often and too long is a negative thing to aftercare. "too much of a good thing" as it were. My "need more boners" idea came from my own struggles getting hard enough to mold the HA I had way back when.

Regarding nodules on entry points:

Pressing on entry-points:
There is the side effect of tiny-sized nodules (1millimeter diameter) on entry sites (but they look like they are on top of the skin). I have them, but minimal. In past rounds i pressed into entry points with fingers + rolling wiht roller to prevent them more.
Now i think i should not use an instrument as big as my finger, but a smaller instrument, like the tiny size they are. I am thinking about the backside of a ballpoint pen. Don't want to press in far, just a little bit.
-> see the pics for the entry point nodules and ballpoint pen
Avanti says to use the roller and roll toward all sides away from the entry point – but the roller seems cracy big compared to the entry point, doesn't make sense to me.
Let stuff that comes out of holes leak out, i guess press it away outward, cause else these will become nodules.

Taking Ibuprofen or not:
It's supposedly against pain (don't need that) and against swelling.
Swelling is interesting: There was some old speculation that swelling-reaction is good for gains
(one guy reported nearly no gains in one round and speculated it was because he used iboprofen that time). I asked Doc M last time and i think she said could be or could not be, i don’t have to take it.
I guess nearly everybody takes ibuprofen, so probably it is ok.
Last time i didn't take it.
Regarding 'reducing swelling is good, so you see irregularities better', i am not so sure the little reducement in swelling helps. Hm. I guess i will take it.

This is a great post, but simultaneously makes me second guess going through with a filler... at least for a long time.

It really sounds like:
A. most doctors have no clue about proper post-op care, even most of the high volume ones
B. one has sizeable amount of risk for not knowing all of the tips and techniques that would otherwise not be provided by your doctor
C. one needs to be able to take time off from work to TLC their post-filler Dick for one week

If I took a week off work anytime soon my boss would kick me in the ribs. Now if I could get HA or Renuva done on a Friday (taking the day off), and be back to work on Monday without having to mess around with my Dick during the work day, then I could do that.

Being that I have a 3 piece implant (not a size thing, its for guys with ED or horrible peyronies), I think I would absolutely need to take a week off because, for good or for worse, I'm a permanent shower now, and the cylinders of implant would not allow me to hang/stretch my Dick to any capacity. I also have to have my Dick stuffed in my pants in funny ways in order to hide it in public - this isnt an issue for me, but I'm guessing it could be highly problematic if I'm still waiting for the filler to set in during the first 7 days.

I know I'm an outlier with the 3 piece implant, but any input in this regard would be helpful.

On the other hand, my implant surgeon, who is global leader in the implant arena, gave me post op instructions regarding filler that is measurably different than the advice on this specific thread. Not to say one is right or wrong, but maybe his advice is key for impantees like myself. when it comes to implants, you listen and abide by every instruction he gives - but i also recognize that doesnt mean he knows the filler game inside and out like he does implants.

Likely I will just wait until winter when I can take time off.

For the record, I very much do appreciate this thread and thank you for taking the time to put all of this info together.

@MoMoney : I think aftercare for implant and aftercare for pmma have basically nothing to do with each other and are just amazingly different things. And i wonder how you can afford to spend 5k much easier than take 7 days off.. and i can see that happening. I think one 'should' take 4 days off doing aftercare (day 1 being operation), and i guess that's little off-time compared to other operations.


Swelling at Frenulum:
I still have a little foreskin
I use esl40 stretcher, which presses together the glans, the frenulum and uppermost beginning of shaft, which is good. The swelling of foreskin often comes later (hm, ok i think one round it came on day 2, one round only at day 7 - but perhaps that was because of the additional 1ml from the doc some days later), when i don't even use the stretcher anymore. I will use babysocks or something to press frenulum together, i found it makes the swelling go away faster.

Texas wrote:

Dream wrote: I don't understand this yet completely:
I understand the concept of massaging when pmma is in the 'wrong' place, so i would massage from where pmma is 'too much' to area where there is 'too little pmma'.
But when the pmma is in the right place, why would i massage around and move the pmma around?

First, it is to reduce the edema and flush out all of that excess fluid that is blocking our view and potentially distorting and disrupting our new fillers with a natural type of erosion. But more than that it is to make sure that the filler is staying in a uniform shape underneath the skin and underneath the fluid soaked swollen area. Let me be clear though, Since some of these terms are used for more than one purpose: there is massaging to shape and reduce fluid and achieve the most uniform look possible and then there is massing, in a rather hard manner, to move some material around and to another spot if something appears or is out of place. In the case of the latter, you would want to massage/roll for shape after this hard and rough activity make sure everything evens out.

Thanks!

Right now i am thinking of using the roller (i am not even sure where i got my metallic roller) for soft massaging for i guess stimulating reducing the swelling

Let's see if i do it every 3h or 2 or 1 hour, it's not like i have to do anything else in the hotelroom.. i guess the biggest hustle is the warming up of the penis with water (there is no microwave and i cannot take one)

I guess each massage session is:
(0. eventually watch porn to get erect = see irregularities better)
1. Warming up under hot water
2. Trying to move pmma (from where it is too much to area where it is too little) that is necessary with (strong) force (as needed; with roller and fingers)
3. Pressing on entry points (hm, i guess when there is fluid pressing it out a bit, perhaps with ballpoint pen backside pressing in just a little instead of with the bigger finger, hm)
@Otis : i guess the pinching method you speak of is well, pinching the skin on the entry point and squeeze liquid out?
4. Soft rolling on entire penis
(i was unsuccessful in imagening what kind of massage you do Texas with pinki fingers touching and making a V)

Plan for after the procedure:
- guess look at them doing it, let’s see
- take first cialis, then daily for i guess 4 days
- first 4 hours they say leave on bandage for some reason -> i don't like bandage.. i don't think it is helpful for bandages to press into penis, even if it's slightly.
I guess it is for the entry points to heal (which they do only after a couple days) / or not touch anything
One thought was taking it off when i am in my room and watch porn and get erect
Unsure about that one
I will ask per email how soon after the procedure to do first massage or get erect
- after 4 hours there is next meet with Ian, i guess bandages come off then and first massage
- make pics as soon as bandages are off, make pics of first erection (to show to Ian and also to see where i have too much and where too little pmma) -> on day 2 there is already swelling all around and i don’t see shit anymore

- use esl stretcher stretching, aiming for horizontal (i neigher want filler migration into body nor cracy much fluid in my frenulum
i actually nearly have no retraction at all

- sleep on back, pillows on all sides and with belt so i stay on my back

- „We want to avoid filler migration back into the body.“ – i seriously didn’t know this was a thing.. so i guess the filler at the base is in danger here

- What to expect:
Day 1: operation
Day 2: swelling, don’t see much anymore
Day 3: day of maximum swelling
Day 8: had 0.5cm more girth here than now a year later
Day 21: had same girth as now a year later
Day 30: again 0.5cm more girth than a year later

Dream wrote: @MoMoney : I think aftercare for implant and aftercare for pmma have basically nothing to do with each other and are just amazingly different things. And i wonder how you can afford to spend 5k much easier than take 7 days off.. and i can see that happening. I think one 'should' take 4 days off doing aftercare (day 1 being operation), and i guess that's little off-time compared to other operations.


Swelling at Frenulum:
I still have a little foreskin
I use esl40 stretcher, which presses together the glans, the frenulum and uppermost beginning of shaft, which is good. The swelling of foreskin often comes later (hm, ok i think one round it came on day 2, one round only at day 7 - but perhaps that was because of the additional 1ml from the doc some days later), when i don't even use the stretcher anymore. I will use babysocks or something to press frenulum together, i found it makes the swelling go away faster.

I have money but I dont have time. I make good money (nothing absurd and I would rather not spend the $5k), but I get 3 weeks off from work, and 1 of which usually gets eaten up by health/medical. Those vacation weeks are spent on my SO. Thinking about it more now, it would be even harder to take one of those weeks for filler therapy each year. Makes Renuva or something with 2 total visits ever looks better. My job requires that I work most weekends, holidays, ect. Its a trade off.

I understand that the implant and filler aftercare are 2 completely different things.

Dream wrote: - „We want to avoid filler migration back into the body.“ – i seriously didn’t know this was a thing.. so i guess the filler at the base is in danger here

I asked Morales that question, she said it's not physically possible for the filler to migrate away from the shaft, due to it being to "thick" chemically to traverse.... but it can definitely bunch up at the base... heck I gained 1.6" Base EG on my first (and only so far) round...

I also wonder about keeping the bandage on... if possible, I'd rather wear my stretcher leaving the OP table to avoid getting to much filler in my base... Different issue than you though.

PhoenixNow wrote:

Dream wrote: - „We want to avoid filler migration back into the body.“ – i seriously didn’t know this was a thing.. so i guess the filler at the base is in danger here

I asked Morales that question, she said it's not physically possible for the filler to migrate away from the shaft, due to it being to "thick" chemically to traverse.... but it can definitely bunch up at the base... heck I gained 1.6" Base EG on my first (and only so far) round...

I also wonder about keeping the bandage on... if possible, I'd rather wear my stretcher leaving the OP table to avoid getting to much filler in my base... Different issue than you though.

I wore my stretcher immediately upon leaving the procedure. As referenced in my other threads. It is a great idea for that exact reason.

I am pretty sure i did that too - putting on stretcher kinda directly after the procedure.. funny how little i remember
So i guess the bandage stayed on with you Texas while you just put the stretcher on also?

@PhoenixNow
Interesting.. so they put pmma into your penis in flaccid state.. and you think not stretching enough made the pmma migrate to the Base?
Somehow i don't get how this works exactly, why filler.. just moves on it's own? I think there is gravity perhaps moving the filler a bit, and getting-erect and non erect / retracting and less retracting of penis, and probably also material clumping up i guess (i guess clumped up pmma makes nodules)
Was it because the penis retracted even more than in the procedure?

Dream wrote: I am pretty sure i did that too - putting on stretcher kinda directly after the procedure.. funny how little i remember
So i guess the bandage stayed on with you Texas while you just put the stretcher on also?

@PhoenixNow
Interesting.. so they put pmma into your penis in flaccid state.. and you think not stretching enough made the pmma migrate to the Base?
Somehow i don't get how this works exactly, why filler.. just moves on it's own? I think there is gravity perhaps moving the filler a bit, and getting-erect and non erect / retracting and less retracting of penis, and probably also material clumping up i guess (i guess clumped up pmma makes nodules)
Was it because the penis retracted even more than in the procedure?

@Dream
I actually did not use any actually bandages persay: meaning the types the doctors are using now. I preferred the old baby bandanges that Rejuvall used to use - that i dont think they are getting anymore, or supply has greatly reduced. ( NOTE: thats why I have been getting my own made for a while now, and am now trying to turn them into a product. ). I do not like anything that I can not easily remove for Massaging/Rolling/Moulding and then easily re-apply.

All of my fillers were done in the flaccid state.

@PhoenixNow Dr M is WRONG to use such definitive language about the impossibility of migration and I would debate this publicly with her. I can say this from two of the doctors that I consult with - one is a surgeon !
The point is: Its not like there is an open cavity the filler is just going to fall out of; but these can move, whether it be small distances or long and whether it be easily done or hard. They also can and DO permeate their way through tissues that they may otherwise shouldn't have able to . It just fucking happens. Could it be because all bodys are made different ? Could be the lymphatic system at all? Could it be both? Could it be something else or all of these? The bottom line is , it fucking happens. And if we know this and trust in our process then our results will that much better from our management.
I'm sorry, But there are plenty of these docs , on here and off, who are great at injecting but still dont have this after part nailed down. Right wrong or otherwise, there have been more people that have reported great results from them following the plans that we have all laid out here on this board, then have not reported such.

Dream wrote: I am pretty sure i did that too - putting on stretcher kinda directly after the procedure.. funny how little i remember
So i guess the bandage stayed on with you Texas while you just put the stretcher on also?

@PhoenixNow
Interesting.. so they put pmma into your penis in flaccid state.. and you think not stretching enough made the pmma migrate to the Base?
Somehow i don't get how this works exactly, why filler.. just moves on it's own? I think there is gravity perhaps moving the filler a bit, and getting-erect and non erect / retracting and less retracting of penis, and probably also material clumping up i guess (i guess clumped up pmma makes nodules)
Was it because the penis retracted even more than in the procedure?

I did retract heavily during the procedure and was told so numerous times. After my procedure, Ian put a bandage on and no stretcher. I was sent my way, slated to come back 4h later. With my heavy retraction going on, when I came back to see Ian I had a massive filler donut at the base of my shaft, which he painfully massaged back into place as much as possible. Hopefully I don't retract that much this time, but with the stretcher post-op under the bandage it should help.