TOPIC: Avanti Derma PMMA Journal

Pictures would be helpful

Here are some pics of my really messed up round 1.

My round one is terrible. Very lumpy, ridges, nodules. I'm really regretting getting PMMA. I wish I could go back to my old penis.

GrandMarkster wrote: Here are some pics of my really messed up round 1.

I don’t want to sound dismissive, but it doesn’t seem as bad as I was expecting. I’ll share some of my experience. After round 1, I had a small macaroni Nodule on upper left side near circ scar. I don’t know what they did during round 2 but it’s completely gone. After round 2, I got another small macaroni sized Nodule on upper right side circ scar, and 2 small nodules on shaft. They were noticeable. My wife thought the two nodules were ingrown hairs. I went with it. It’s been 3 months since round 2 and the two small nodules are almost completely gone. I don’t know if the body absorbs them or they get diluted with the collagen growth, but they are almost completely gone. The small macaroni Nodule is still there but about 25% the size. Again, is my body absorbing it? I don’t know, but I’m going for round 3 this month and confident if it’s still there by the time of my procedure that Dr M will disappear it like she did the last one.

I’d say, hang in there. It’s only been 6 weeks since your procedure. Give it time and I bet they go away or shrink to hardly noticeable. Or, go for round 2 and they’ll clean them up hopefully.

Good luck bro and hope it all works out in the end.

GrandMarkster wrote: My round one is terrible. Very lumpy, ridges, nodules. I'm really regretting getting PMMA. I wish I could go back to my old penis.

Man. I’m sorry bro. Hate to hear that. I’m not you, but I’d honestly go back for round 2. Even if it’s just a touch up and to possibly remedy your concerns. Just my two cents but given your experience, I can understand hesitation.

Yeah, it's hard to see any problems visually unless I bend my penis and put the irregularities in the light, but it's super noticeable by touch. Which is the issue really. My wife says it feels like bone fragments near my circ scar when we have sex, so hopefully I can get those taken care of and get the dip at the base filled in. And 100% more noticeable by touch when Erect. I'm definitely going to wait a few more months and then go back for a 2nd round to try and clean up what's going on. Whether I go back to Avanti is another story. I may go with Youthology Medspa or another doctor here in the US. Dr. Rupeka (Youthology Medspa) is $3000 per round, so I'm going to e-mail him pictures of what's going on and see what he says. I'll let you guys know what happens and post pics as I go. Thanks guys for the support. I'll try and keep you up to date as things progress.

Sorry to hear your dissatisfaction with Round 1, although I would like to impart some advice & opinions that I feel aren't shared often enough (and that's partly my fault).

Firstly, and not to be dismissive of your results, but (with the exception of the first picture) I couldn't tell the difference between what the pictures show and that of veins. No one literally bends Flaccid penis around under bright light, so I would describe this examination a bit hypercritical. I mean we're artificially increasing the size of our penis with dermal fillers, no result can ever be 100% natural. I would classify these are remarkably minor aesthetic irregularities. Now again, this may sound dismissive but it is not - it's meant to suggest that these are quite correctable through Revision. Some of these may even soften up on their own over time.

What I need to do is create a PSA article on this site regarding the inevitability of follow-up appointments with injectable fillers. There are many factors at play, including volume injected, concentration of filler, length of shaft, how the skin "takes" takes the product, Circumcision/uncircumcision, your body's immune response to a bio-stimulatory foreign substance, your overall health, among other things. For this reason, there is a degree of unpredictability in a final result, especially after a first round, irrespective of the experience or s of the injector. Typically, the worst results I've seen were from Clinics that aren't even known by name on this site, because technique plays a significant role in ensuring the best possible outcome after a first round, even when this degree of uncertainty exists.

I'll take it a step further: Every practitioner I've ever heard of, I've seen at least one less-than-stellar result after a first round. You can go to your favorite restaurant 365 days a year, and they're bound to overcook your steak one of those nights. It's how they go about treating the customer and resolving the matter that means a lot. Did they apologize, prepare your steak correctly and even provide a complimentary dessert? My favorite barber hits it out of the park every month, but has had one instance that left me disappointed. That's okay though, because he ensures I get in whenever I want, clearing his schedule for me even on days he's off. This is why in the same breath I would at the very least give Avanti Derma the benefit of the doubt.

Furthermore, these are non-threatening issues as far as the health of your penis is concerned. You are fortunate to have a significant other who is supportive and just know that these issues are relatively minor. Oh and as for the first picture, I too had that same lump. It's gone and has been gone for nearly a decade.

1) Don't panic. Things improve over time and you can always get a touch up or two to mitigate issues, but as with all cosmetic enhancements there are trade offs and there will always be little things.

2) Rupeka is 'only' $3,000 US per round? What does a round there entail as far as product type and volumes? I always thought PMMA providers in the States were comparatively expensive so... Please share.

3) From personal experience... It will all be ok. I was not 100% thrilled with aesthetics after my first PMMA session, but I went in expecting that (and personally not caring to be honest). When I decided to try the HA route, same thing after the first session(s). I say sessions because he's a local provider so I had very small volumes done each time. I'm strongly of the belief that it takes at least a certain amount of any type of product to create an even layer in a typical penis. It's just a volume vs area to cover thing. Overall the most uniform PMMA results I've seen, baring examples on both ends of the volume spectrum, were two sessions with a cosmetic touch up/one full session with two touch ups.

It's a process man, let it be for a bit, evaluate and plan out your next move. Best of luck!

did you get this fixed?