TOPIC: Scheduling Advice - 60 Syringes PMMA w/ Rupeka

Hello all, long time lurker. I've been somewhat active in the PE community for years and my wife and I have been considering PMMA or HA for a few years now. We recently came into some extra funds and have decided to take the plunge and move forward with PMMA with Dr. Rupeka.

I'm currently at
BPEL: 6"
MEG: 5.2"

We would like to settle at 7" Girth after a second or third round. From Dr. Rupeka's posts he seems to recommend a larger first session for guys looking for +2" Girth. We will settle on his recommendation but we're good for as many syringes as needed. Assuming that's roughly 60 first session, then a second at 50-60 and potentially a third for aesthetics?

Our big question is regarding scheduling. We have a very active social calendar and I own a boat and am often committed to getting in the lake local to us in MI. How many weeks do i need to buffer to be reasonable about this? 2 weeks? If so I can go much sooner, assuming he has availability. Otherwise I'll be forced to wait until like Sept 8'th...

I own a boat as well so I know exactly where your coming from. 2 weeks would be more than enough and shit id expect to be in the water on day 5 as long as your healed over and scabs are gone. You really just need to make sure bacteria cant get in and that you stretch/massage daily. It really is mind blowing how quickly the injection points heal up. 60 syringes!!! If he gets that in there put a pair of board shorts and strut your new package. Id expect it to be like stacked tuna fish cans lol. The difference in size from one weekend to the next would not go unnoticed!

Perfect! I just booked for July 10'th, 60 syringe package. We'll have 2 weeks before any social obligations. Then we'll have a friends birthday pool party. Often times peoples aren't getting in, so worst case scenario I just wont get in.

The wife and I are both quite excited to say the least!

You should be excited. We still are on this end and its been a few months lol. Keep us updated and good luck. Easy on the cannonballs off the bow for a while!

Nice! Based on the size estimator Rupeka posted online. we should expect 0.75" - 1.25" from 60 syringes at my size? BPEL 6" MEG 5.2"

I gained 1-1/2" to 5/8" with the 60 total syringes I received. Im still laughing at the 60 on your first visit. I thought I had Balls at 30 on my first go lol.

Oh dang, nice! They did say they’re going to put me down for 60, and he may hold back if he feels it’s necessary. Our goal is to hit 7”, and his posts advocate for a higher volume first visit. Originally my plan was to do two rounds of 40 each round. From his recommendations it seems like either 60 then 20, or 50 then 30 second round might be the better plan.

Do the calculator have a selection for 60 syringes?

I ordered Eurowrap and a Zenhanger noose for use with my total man ADS. I've read its best to put on an ADS almost immediately after the procedure? Any concerns or thoughts on the Zen Hanger cotton noose?

Our plan is to put on the Eurowrap and Zen Hanger immediately after the procedure. We'll be driving back to our home in MI and its like a 4 hour drive. I plan on massaging per instructions every hour or two. Any thoughts or advice on our plan?

Hey man I use a penimaster pro. It attaches strictly to the glans via suction. When you get 60 syringes your going to be in fat city and may struggle trying to get a noose just behind back of glans. Also even if you do your probably going to be very uncomfortable with it as your Dick initially adjusts especially being first time swelling ect. Pretty sure I have a picture posted of me wearing mine. Out of everything ive tried at lengthening which is alot. It seems to be the least invasive to your shaft. Its ridiculously over priced though. My 2 cents and good luck.

I have to admit I’m a set back at the thought of 60 syringes at once. This amount seems way above the normal range that other providers recommend.

If anyone knows please let me know of other providers that recommend this amount at once. I thought AD was generally on the upper range and they generally provide no more than around 20 injections.

Interested in learning of your results and wishing you the best.


Thanks

I wouldn’t recommend 60 at once, especially since it’s your first time. AD will do 20-24 depending on your length, but even accounting for the smaller syringe size that’s still only 30 Bellafill syringes. You’d most likely end up with some serious irregularities with that much. Since you haven’t done fillers before, maybe start 15, because first time you swell way more. Second time maybe 25-30, equivalent to AD. This stuff doesn’t dissolve or go away and the initial swelling makes everything look smooth until you realize it’s not.

I'm following the theory Dr. Rupeka cites in his posts. It logically makes sense to me. The area where the product is injected has more capacity the first round vs the second or third. Second and third rounds theoretically can increase inward pressure from the product as the envelope where the product is being placed, is not longer virgin (empty), both fascia's are in a way glued together.

This is from his posts:
"First session

-You are going to see the largest increase in size here. The tissue is the most expandable.

-Most patients see a gain of 0.4”-0.6” in Girth from this round.

-My injection technique yields more linear spread per CC with a lower risk of Nodule formation.

-My injection technique also allows for me to safely push larger volumes of product ensuring that I can cover the desired surface area in a uniform manner.

2. Second session

-Round two usually adds another +0.2”-0.4” on average.

-The tissue doesn’t stretch as easily the second time because you’ve already built a new layer of collagen.

-The skin envelope doesn’t stretch as easily and there is less “empty space” for the product to spread into.

From my research it seems unevenness is often provider related and aftercare related. I'm not seeing a direct correlation from initial volume. It seems these things can happen regardless of volume.

Additionally it seems serious complications often appear after a third round, and sometimes even a second round. Hence my draw to a larger initial fill, leaving the second round for minor touchups, in hopes of limiting those more serious third/second round issues.

I should also clarify, I'm booked for up to 60 syringes. I am going to speak with Dr. Rupeka the day of the procedure and explain my goals of 7" after round 2, and take his advice on the amount we should proceed with for round 1. This may end up lowering the initial round to 45 syringes. I do have to admit, from my math, it seems like guys my size are gaining 0.25" per 10 syringes. I'm 5.2 MEG, so by that math I would need 70 total syringes. Therefore 50 round 1 and 20 round 2 might be best, but again ill defer to Dr, Rupeka on this.

Wishing you the best.

I wish I could do one or two sessions and be done, with positive results, but it's cases as described in the following topic that serve as caution, to me, regarding high volume injections.

TOPIC: PMMA Gone Wrong: Bleeding, Obstruction, Necrosis

Yes so I believe the user referenced in that article is BobbyBrown229. He encountered his issues after his third round of PMMA. The first two rounds were 20 syringes (so 15cc'ish) , and then 30 (25cc'ish) the third round. He only encountered major issues after the third round.

The question is, are issues like this related to the volume? In this case it was not extravagant. Or is it related to increased potential for adverse outcomes on third sessions? Ad i mentioned there is logic behind the theory I'll call glued fascia syndrome. Essentially pressure went inwards due to the collagen sleeve that was created from the first two rounds.

That being said, I am not going to turn a blind eye to the advice of this forum and will revise my upper limit to 50 syringes and mention I may want less to due concerns and that may push the initial round down to 40-45.