TOPIC: Avanti PMMA Round 2 - 6/3/26

mimitassin wrote: How is sex now for you ? Is it better ? (I mean for you, not the ladies reactions)
Do you feel the vagina is tighter around your Dick ?

Did it change your sensitivity in any way ?

Thanks

Hi Eduardo!


Now that it's been about ten weeks since my second procedure on 6/3/26 I have a few follow-up questions:.

1. The biggest issue is the overall shape. When I came in for the second round one main focus was getting the base to be as wide as the midshaft rather than bell shaped. I also wanted to thicken the area between my Circumcision scar and glans. Unfortunately those areas have gotten more pronounced. My penis looks like a bowling pin. It's thickest in the middle and curves inward toward the narrower base. There is no change in the valley between glans and Circumcision scar. It is a steep dropoff that looks weird. Maybe that's just my anatomy, i don't know. I hope we can fix at least the narrowness of the base compared to the midshaft but I will be honest I don't think I should have to pay for this to be corrected since it should have been taken care of last time. 

2. I have several small white bumps at the injection sites. Are these permanent? I kept expecting them to go away but they haven't. Is there anything we can do about them?

3. Finally, I notice some hard nodules under the skin in a few areas. When I come back for what I hope to be my final round of treatment I'd like those to be addressed. 

Otherwise I'm pretty happy. I have gotten good size increases in Girth and other than what I describe above I am very glad to have made the decision to continue this journey with Avanti. 

Happy to send photos or schedule a zoom consult with Dr. M whenever she's available.

Thanks!
 

On behalf of the Management and the entire Avanti Derma team, we would like to sincerely thank you for the trust you have placed in us. We also want you to know that we genuinely understand your concerns regarding the outcome of your second Girth Enhancement procedure and how disappointing it can feel when the result does not appear exactly as you had hoped.

We understand that aesthetic procedures can create important expectations. For this reason, we would like to kindly reiterate some of the points discussed with you before your treatment ( zoom call ), including the expected outcomes, the limitations of the procedure, and the factors that may influence the final result.

Girth Enhancement does not allow us to guarantee a perfectly symmetrical or exact aesthetic result, as every patient responds differently depending on individual anatomy, tissue characteristics, product distribution, biological response, and the healing process. In addition, the final outcome is significantly influenced by the patient’s adherence to the recommended aftercare instructions.

Proper aftercare is an essential part of the treatment and plays a very important role in achieving the best possible result. Following the instructions carefully helps support the healing process, encourage appropriate product distribution, reduce the risk of irregularities, and allow the treated area to settle properly. For this reason, the quality and consistency of aftercare can have a meaningful impact on the final appearance.

We would also like to clarify, with complete understanding and respect for your concerns, that dissatisfaction with an aesthetic result does not necessarily indicate a medical complication or that the procedure was performed incorrectly.

For this reason, any additional procedure, correction, or further product placement must be considered a separate treatment and can only be recommended after an appropriate medical evaluation. This allows us to determine whether it is clinically indicated, safe, and reasonably expected to provide a beneficial result.

It is also important to clarify that touch-up sessions are not an unexpected or optional component of our Girth Enhancement treatment. Throughout our patient information and treatment literature, we explain that follow-up or touch-up sessions are an integral and necessary part of the treatment process. This has been our established protocol for nearly 20 years and has been consistently applied to our patients without exception. These sessions are intended to refine and optimize the result as the treated area heals and settles, rather than to represent a guarantee that a specific aesthetic result will be achieved.

Therefore, we are unable to provide an additional procedure at no cost solely because the aesthetic outcome has not met your expectations. Doing so would imply a guarantee of a specific result, which cannot be guaranteed with this type of treatment.

At Avanti Derma, we truly value our relationship with every patient and remain committed to providing compassionate care, transparent communication, and appropriate medical guidance throughout the treatment and follow-up process.

Thank you again for your trust in Avanti Derma.

Sincerely,

Medical Management & The Avanti Derma Team
Avanti Derma
 

What a weird, tangential response. I waited two weeks for a medical opinion on my detailed description and photos and instead I get this bizarre letter about money and following aftercare instructions that sounds like it was drafted by an AI lawyer. I’m so confused and disappointed. 

I get it. You don’t guarantee results. You won’t do my next round for free. But why did you focus so much on one line in my email saying i didn’t *think* I should have to pay to have an issue corrected? All you had to do was say that wasn’t an option and move on.  I didn’t make any demands or threats. I just said what I thought. I said I’d be coming back for another round and I wanted advice for that treatment step. 

To be blunt your message was rude and unprofessional. It didn’t address any of my concerns or offer a plan going forward. I need to know what these white bumps are. I have nodules that need Kenalog. And I want the shape to be fixed so it’s not like a bowling pin. That’s why I took the time to draw the shape I want to achieve. Can you do that or not? I expect a response more quickly this time, from an actual medical professional not some strange legal boilerplate that doesn’t address my questions. 

It has now been two weeks since I sent my last email and a month since I first asked for follow-up advice from my medical care provider. To date no one has addressed any of my questions. I am beyond frustrated with the way I have been ignored and admonished by Avanti after spending more than $10,000 for treatment. Please tell Dr. Morales to contact me immediately. 

 Are you going to do the touchups on the entry points?