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Post by hunkchunk on Jun 11, 2011 3:56:36 GMT -5
mustang2020An additional factor is the fact that the best place for each procedure, permanent staff PMMA injections and temporary Glans injections, is in Southern California. This means that anyone travelling from far away will probably want to stack both procedures during one of their trips. I will even go so far as to suggest a travel protocol which I might follow myself: This summer - first PMMA injection series with Dr Casavantes and first Glans injection with Dr Rosenthal. This winter chemical PE and strenuous effective manual PE length enhancement. Next summer - second PMMA injection series to correct for longer shaft length with Dr Casavantes and Glans injection renewal for one more year with Dr Rosenthal. If by this time next year Dr C has evaluated and experimented successfully with a permanent PMMA Glans enhancement injection, this can take the place of the second temporary one by Dr Rosenthal. That only leaves a more straightforward (pardon the pun) length extension procedure providing durable erect results to be attained by reliable means. Until that time we must persevere experimenting with manual regimens, using accessories such as pumps or extenders and trying out chemical agents which might somehow stimulate lengthening. At least there is more hope on the horizon with two out of three parameters of PE being at long last fully safe, one which is permanent (PMMA for girth) and the other temporary (hyaluronic acid gel for glans). There need be only a few remaining parameters of PE, namely a safe permanent solution for glans diameter increase and a safe and reliable temporary or permanent method of increasing erect shaft length. HC
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Post by mustang2020 on Jun 11, 2011 12:33:27 GMT -5
So far, increases of erect length has been the most difficult if not impossible (very few people got decent results with manual PE). I think we all agree that this is the next major hurdle toward penis enhancement. Women have many cosmetic surgeries and I hope men will have as many options when it comes to our little (may be large) buddy down there...
I still think it may be better to do the glans first, let it settle as best as possible, then go for pmma and then stretching....Just my 0.00000002 cents!
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Post by hunkchunk on Jun 11, 2011 14:17:26 GMT -5
mustang2020I think you're right because in a short trip, there's no way that Dr Rosenthal is going to dare touch a highly enlarged and swollen post-operative PMMA shaft, whereas there's a tiny chance that Dr C might be willing to be understanding of foreign travel constraints and do a PMMA procedure a few days after a Glans Enhancement even if the tip is quite swollen. I will have to ask him whether it would be possible, and also price Dr Rosenthal's intervention on the Glans. I will assume that it isn't way too outrageously priced since it requires an annual return to his office and shouldn't take huge amounts of product or an inordinate amount of time to inject? HC
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Post by sheldon on Jun 12, 2011 12:02:57 GMT -5
hunkchunk, You may want to PM yardstick - he had some less than optimal results with Rosenthal to say the least, and check this thread out: phalloplasty.proboards.com/index.cgi?board=articles&action=display&thread=76&page=1Even though you want glans enhancement in CA, I would like to mention Dr. Reed in FL. He does do glans enhancement. It may be worthwhile getting his opinion - not saying he is the best, but might offer you some advice. Just a suggestion...
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Post by hunkchunk on Jun 12, 2011 19:30:29 GMT -5
Hi Sheldon,
Thanks for that word to the wise. While Dr Rosenthal might indeed do glans enhancement I sure don't want a physician to vanish on me as soon as I have a problem with the consequences of his intervention.
So I'll pass on him for now and consider other options. Maybe there's even a surgeon in France who can perform glans diameter increase injections prior to my trip for PMMA girth enhancement?
I checked out Dr Reed's website and don't mind travelling to Florida, only I'll already be in Southern California and thought it would be easier to do it all in the same general area.
Have you heard anything about Gary J. Alters in Beverly Hills? He may be expensive but injections can't cost that much...
Thx
HC
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Post by sheldon on Jun 12, 2011 23:16:40 GMT -5
@ HC,
Check out what injured has to say regarding Dr. Reed...
From what I have read about Dr. Alter is he is no longer doing girth enhancements only length surgery and he is somewhat conservative in that. I think it may have been on the old MNS that someone wrote about their lengthening surgery with Alter; that they really didn't gain any length after the surgery with Dr. Alter, because Alter is too conservative in cutting the ligs, but on the positive side, this person wrote, "Dr. Alter will NOT F___ you up".
I can't really recommend only PE doctor, perhaps except Dr. C.
Virtually all PE doctors have had less than optimal cases ranging from the infamous Rosenstein to Rheinschild, Rosenthal, Reed, Giunta, and some lesser know docs here in the US. Not sure about European doctors... The one PE doctor who I have not heard any bad things is Wineland. Unfortunately he is no longer doing PE surgery. Wineland did corrective surgery on 8ball after the surgery from Rheinschild. I believe 8ball was pleased with Wineland.
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Post by hunkchunk on Jun 13, 2011 14:11:27 GMT -5
Hi Sheldon, Thanks for sharing your knowledge and I appreciate leaning whatever I can about who is doing what in this field. I wrote to Dr Alter and it looks like I'm going to have a hard time finding anyone in California to do the resorbable hyaluronic acid gel injections to the glans given that I received this reply: "I am sorry but I do not perform these injections since the eventual effect on erections is unknown."
Dr. AlterOf course I'm ready to travel anywhere else in the USA or Europe to have this done, thinking that it would be smart to do so prior to the first series of PMMA injections so that the shaft taper could be tailored to the aesthetics of a wider diameter glans, enabling maybe a thicker shaft through more concentrated formulation of the injected PMMA. I am also considering having the ligament severing done by Dr C's colleague in Tijuana, Dr Camacho-Melo. It is maybe a bit more reasonably priced than in the USA, and I think that it possibly might be combined with the PMMA injections during a single trip to Tijuana, both doctors intervening the same day in the same building. But I'm still researching this possibility before inquiring officially, especially considering the reports of loss of length and more generally the risks of length retraction during healing is such might still occur even when using extenders for several months afterwards? I'd like to save the years of yanking and clamping that it would take to hopefully get some small length gains. And since I don't really see much likelihood of gaining significant erect length anyways, I'm wondering why not go for some flaccid stretch especially as I am quite the grower and it would be nice for a change to become a shower. Sure the ladies might be disappointed that it won't extend much further once erect, but if the girth is there I will work hard to console them. HC
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Post by sheldon on Jun 13, 2011 17:23:34 GMT -5
@hc Did you contact Dan Salas to see if Dr. Camacho is doing glans injections? There are several reliable sources which state that Dan Salas is working with Dr. Camacho. On Dr. Rosenthal's website it states, about hyaluronic acid: The results are not permanent and can only be expected to last 12-18 months. I wonder if both Dr. C's would be interested in offering dual augmentation - getting the ligs cut by Dr. Camacho and then PMMA injection by Dr. Casavantes? Dual/Triple augmentation used to be done by Rheinschild, and Reed; Rosenthal still might do it. Reed no longer does dual augmentation, he stages things. Giunta does do lengthening and FFT at the same time. I don't know how much Dr. Rosenthal and Dr. Reed charge for the glans enhancement with hyaluronic acid, perhaps in the $1000-3000 price range...I'm just guessing, but I would be certain that if Dr. Camacho does do glans enhancement with hyaluronic acid, it would be cheaper than either Rosenthal or Reed. If you do decide to contact Dan Salas, find out how much he is going to charge for a broker's fee and what all he is going to do for you as a broker. On second thought, perhaps it might be better to contact Dr. Camacho and ask him if he does hyaluronic acid injections for the glans and explain to him why you want it done first for a aesthetic reason. Best of luck to you!
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Post by hunkchunk on Jun 13, 2011 18:44:30 GMT -5
sheldonThanks for your very helpful advice. However I have recently been told privately that Glans enhancement using Hyaluronic acid gel is possibly not at all as lasting as claimed, with the injection results being photographed after injection swelling and not once it has subdued. I find it very touch and go if it only lasts a month or two, not to mention both cost ineffective as well as impossible to regularly maintain at such a distance and in the required visit frequency. Have you heard testimony of successful and lasting (namely 12 months) because otherwise it is only a claim without feedback from actual recipients? HC
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Post by hunkchunk on Jun 13, 2011 20:54:18 GMT -5
Hi Guys,
In the quest for a solution for glans size, I came across the following description from The European Institute UGRS at Bermingham Centre UK:
Surgical procedure for glans enlargement:
"To enlarge the glans penis, a specially developed, high-quality natural material is fitted beneath the skin under local anaesthetic. The technique used is a clearly defined procedure that leaves no trace of scarring.
The body gradually substitutes this material for own tissue. This technique enlarges the glans significantly, while the sensitive nerve endings responsible for stimulation it contains are slightly dulled (reducing the risk of premature ejaculation). The glans retains its natural shape thereby - it just becomes larger overall."[/i]
What strikes me here is that they say that the body substitutes its own tissue for the material. Could this be some sort of Alloderm or would it possibly be PMMA stimulating collagen growth?
HC
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Post by sheldon on Jun 13, 2011 21:17:05 GMT -5
sheldonThanks for your very helpful advice. However I have recently been told privately that Glans enhancement using Hyaluronic acid gel is possibly not at all as lasting as claimed, with the injection results being photographed after injection swelling and not once it has subdued. I find it very touch and go if it only lasts a month or two, not to mention both cost ineffective as well as impossible to regularly maintain at such a distance and in the required visit frequency. Have you heard testimony of successful and lasting (namely 12 months) because otherwise it is only a claim without feedback from actual recipients? HC Some good information there, HC. It would be a shame to spend so much $$$ for only a 1-2 months of glans enhancement.
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Post by sheldon on Jun 13, 2011 21:32:17 GMT -5
Hi Guys, In the quest for a solution for glans size, I came across the following description from The European Institute UGRS at Bermingham Centre UK: Surgical procedure for glans enlargement:
"To enlarge the glans penis, a specially developed, high-quality natural material is fitted beneath the skin under local anaesthetic. The technique used is a clearly defined procedure that leaves no trace of scarring.
The body gradually substitutes this material for own tissue. This technique enlarges the glans significantly, while the sensitive nerve endings responsible for stimulation it contains are slightly dulled (reducing the risk of premature ejaculation). The glans retains its natural shape thereby - it just becomes larger overall."[/i] What strikes me here is that they say that the body substitutes its own tissue for the material. Could this be some sort of Alloderm or would it possibly be PMMA stimulating collagen growth? HC[/quote] HC, Did you see this for glans enhancement: www.penisenlargementsurgeryinfo.com/glanular-enhancement/(I am NOT endorsing or telling anyone to go to Dr. K) Here is what HC is referring to: www.the-european-institute-ugrs.com/uk/Treatments/Treatments-for-men/Penis-enlargement/Surgical-techniques-to-enlarge-the-glans-penis.php?goto=text#textThey don't have any before and after picture of glans enhancement, which is too bad. I wonder if the UK procedure is similar to what Dr. K, Dr. Reed, and what Dr. Rheinschild used to do with dermals/alloderm/belladerm? Perhaps not, since it states a specially developed, high-quality natural material is fitted beneath the skin under local anaesthetic. The technique used is a clearly defined procedure that leaves no trace of scarring. What is exactly is this specially developed, high-quality natural material? As HC suggested maybe it's PMMA or are they using some sort of PRP (platelet rich plasma)? I wish I knew what this specially developed, high-quality natural material is... @hc, Did you contact Dan Salas and/or Dr. Camacho regarding glans enhancement with Dr. Camacho or if Dr. Camacho and Dr. C can offer both lengthening and PMMA at the same time?
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Post by smartman on Jun 14, 2011 14:51:45 GMT -5
I have asked The European Institute UGRS a year ago if they are using pmma they told me NO , they used our body cells (may be highly prepared fat cells or PRP? they didn't mention).
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Post by sheldon on Jun 14, 2011 17:12:51 GMT -5
A friend of mine asked UGRS-International what is that specially developed, high-quality natural material they use when enlarging the glans, and the reply he got back was the material is Macrolane. So, I was wondering if Dr. Casavantes or Dr. Camacho would use macrolane to enlarge the glans and why do US doctors, such as Rosenthal and sometimes Reed, use hyaluronic acid to enlarge the glans when it is temporary instead of macrolane. This needs to be investigated further...
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Post by sheldon on Jun 14, 2011 17:42:38 GMT -5
apologies to HC about the macrolane...
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