Heard of PMMA (Medical Grade) OR Dr Casavantes?

[hunkchunk]

I'm sorry if this seems obvious to others here and especially to those who underwent PMMA injections, but what is this ridge and where is it located - right beneath the gland or at the base?

HC

[supa]

... "Don't let it turtle for 72 hours."

post-op stretching device then (following the article's logic).

[supa]

@so

I venture to say that nothwistanding the eery sound of the word, GRANULOMA to appear in the long term is an issue only if it required incision (read: knife into your cock).

So, what is the conditional probability P(A/B)? That is, assuming the event B occurs (granuloma in 10 years time say) what is the probability that I cut your cock open like a fish? Any "subjective" view?

[supa]

apologies for typo in my previous post:

corrige: what is the probability that it is required to cut your cock open like a fish? Any "subjective" view?

[alexbstn10]

At 5 days post op I'm starting to see some of the shaft/base swelling subside but not much improvement in the circ skin swelling/puffiness. I'm wondering if any of the other guys who experienced this can tell me how long it was before a marked improvement was seen? Aside from a slight soreness when touched everything else feels ok. Bruising is starting to look better I just want the puffy ring behind the glans to go away so I can get some idea if that area retained a sufficient amount of the pmma or if slight turtling after the procedure caused a gap. I have plenty of pics to share and I've sent some to SO so if you're interested just ask either one of us to take a look.

[justabitmore]

Thanks SO,

I mentioned you and this site too and told them the service you are doing for all of us and also them.

I have a short 18 hour flight I am staying in Switzerland currently so I think its Geneva-Franfurt-Denver-Sand Diego!

Flying business to get extra leg room and taking some melatonin to sleep through most of it!



SUPA

Its hard to get subjective views on this I think Smartman is the guy who has had it in for longest on this site (3 years I believe).

Pmma has been used for a long time though and I believe the product as evolved especially with a view to eliminate those complications. solutions are now much thinner and beads are smaller from what little I understood.

I cant give you a subjective view but I would say that yor chances of being sliced up like a fish in ten years time are pretty slim.

On the other hand fft has many well documented examples of people having to get sliced up to get it removed.

But. Viel who is my doc is very good at doing that procedure as even Wade will testify too. so I guess you need to weigh up your goals.

Jun 7, 2011 18:38:49 GMT -5 Skeptical One said:

@jam

Good luck! I actually got off the phone with Wade myself about an hour ago or so. He is most definitely helpful and both Wade & Dr. C are very pleasant to be around in person.

Are you flying in or do you live in Southern California?

[hoddle10]

Jun 8, 2011 5:59:21 GMT -5 supa said:

@so

I venture to say that nothwistanding the eery sound of the word, GRANULOMA to appear in the long term is an issue only if it required incision (read: knife into your cock).

So, what is the conditional probability P(A/B)? That is, assuming the event B occurs (granuloma in 10 years time say) what is the probability that I cut your cock open like a fish? Any "subjective" view?

They'd just use the circumcision incision. Getting the cock cut open is nowhere near as bad as it sounds. Of all the areas of the body where one could be cut open, the cock is actually the area that will be least effected asthetically, as the circ line provides and undectable entry and exit point. When i say undectable I don't mean that it wont be visible, but that one expects to see an incision line in that area, so it will look totally normal. The cause of concern isn't having your cock cut open like a fish, but that when removing any PMMA it doesn't damage the skin and cause necrosis. If this happens you could lose your entire shaft skin and need a graft. But if it's just the odd lump or two, they should , I'd imagine, be able to just remove those specific lumps, rather than all the PMMA and thus I think it would be unlikely you'd damage the skin sufficiently to the point you might lose it.

[dd72]

@hoddle the doomsday scenario of needing to remove ALL the pmma is the biggest inhibiter of me getting this procedure done. Even when I asked wade about total removal, he was very mum about it and acted as if it would never be required. I just can't get the idea out of my head that something would go awry in the future and NO dr would be able to correct it. As for granulomas and nodules; that the least of my worries after all my research suggests they are relatively easy to correct.

[supa]

Fellas, thank you for your feedback on my questions!

Can anyone answer the following:

1) Over the years spanning his career, how many times do you think Dr Casavantes have to remove PMMA, in percentage of all operated bioplasty procedures (face, buttocks, belly, penis ...)?

2) Outside his practice, how many of such events is Dr Casavantes aware of (from contacts with, say, Mexzican and Brasilian colleagues)?

A final point: size of PMMA particles (as well as homogenoues shape) seems crucial as to prevent migration, as far as I understand. Meaning the supplier is key.

Last but not least: good luck to justabitmore!!! have a safe journey and speak soon.

[hoddle10]

Jun 8, 2011 11:22:08 GMT -5 dd72 said:

@hoddle the doomsday scenario of needing to remove ALL the pmma is the biggest inhibiter of me getting this procedure done. Even when I asked wade about total removal, he was very mum about it and acted as if it would never be required. I just can't get the idea out of my head that something would go awry in the future and NO dr would be able to correct it. As for granulomas and nodules; that the least of my worries after all my research suggests they are relatively easy to correct.

Same here. But losing the skin is worst case scenario. It is possible to remove it, without losing the skin. There are photo's on Dr Reeds site when he's removed silicone and the skin has survived. The odds seem incredibly slim. The odds of getting a granuloma seem small, then even if you do get one, it seems most respond to steroid treatment etc. And then if that fails, you'd have to be unlucky enough to have had such a severe reaction that it requires total removal, as opposses to selective lumps. And even then, there is still a chance the skin could survive. I wouldn't want to encourage anyone to get anything done that I haven't had myself or that there is so little in the way of long terms results to look at. However, going on what we've read from the available studies etc, I'd say there is more chance of you going completely impotent through natural causes in the next 30 years, than there is from PMMA.

[smartman]

gamecock about what you have said its true


1- (( "Generally speaking, tunneling (or line threading) is the method recommended for most
indications. Following this technique and using different patterns such as fanning or
crosshatching (to name a few), the initial implant is deposited slowely (~0.3 cc/min)
and deeply intradermally (ie, into the reticular dermis just above the junction between
the dermis and the subcutaneous fat). A trained injector will know exactly where that
plane is. The rate of injection is also critical to minimize bruising and pain and to
ensure accurate product placement."

I think it was a post by Smartman that brought up how the PMMA feels like threads along the length of the penis. This seems to line up with their recommended method of injection, called tunneling. ))

Thats what my doctor did to me tunneling technique, thats what I feel when I try to dig my finger between the collagen ( they are like thick- (rubber) strands along the longitudinal axis of my penis,cannot be seen even with touch you cannot notice them only when you force your finger into the collagen (btw no girls had noticed or felt that, never).

2- I agree that the final result its not 6 weeks, I think > 3 months your penis will look much better ( I know some doctors will say after 6 wks you can have the following session what they mean it is safe to inject pmma after 6 wks and they try to avoid injecting pmma within this period).

3- (( PMMA is a "host-tissue growth stimulator" and not a volumizer ))
It is 100% true , to explain that after around 2 wks the volume of the whole gel injected will decrease in its size but from 3-6 it will increase in its size again by the formation of the new collagen ( it is like manufacturing a pearl (new collagen) by implanting an irritant (pmma) in an oyster).

4- (( "It is necessary to instruct the patient to minimize facial mimicry for 72 hours following
injection to avoid implant displacement."

Don't let it turtle for 72 hours )).

Its true the injected area should not be dynamic esp. in the first few days (e.g. lips and penis).


supa,

(( So, what is the conditional probability P(A/B)? That is, assuming the event B occurs (granuloma in 10 years time say) what is the probability that I cut your cock open like a fish? Any "subjective" view? ))

If you get a granuloma you dont need your cock to be cut open like a fish , you will need a local injection of steroid (kenalog) and most of these granulomas will be cured by this method and in very rare cases (if it is still persist) you will need small incision to remove it .
There is no risk of infection from pmma (except if you had a previous girth procedure (e.g. alloderm, belladerm or DFG) and you inject pmma over it there will be a chance of infection of the previous graft if the doctor didn't take a precaution e.g. antibiotic before and after, sterile surgical field and avoid water coming in contact with the entry holes).

justabitmore,

(( Its hard to get subjective views on this I think Smartman is the guy who has had it in for longest on this site (3 years I believe) )) .

Its true I had penile pmma injection (metacrill) 3 years ago , but I have mentioned before in my past medical history, that I had also pmma injection (artecoll) in 1996 on one side of my cheek bone due to an old trauma to correct my facial asymmetry with one session and I have a great result (so I didn't have to go under the knife) so it is about 15yrs ago, so thats why I went for the penile pmma injection without any hesitating .

[mustang2020]

What if you get injured in an accident in the groin area and some how get an infection in the penis. Will the infection be easy to treat with simple anti biotics or will the pmma complicate things.

Believe it or not, damage to groin area is common especially with athletes, sportsmen and race drivers of all kinds. I know a guy who had a motorcycle accident and his dick separated from his ligs and he now has a slight ED problem.

I am not scaring any one off, we can get hit by a bus crossing the road. We are just discussing the possibilities!

[smartman]

mustang2020,

good question to answer this - first we have to know that

(1) for pmma injection you dont need antibiotic afterward its only a waste( that was the words from the inventor (Lemperle and from my brazillian doctor) like any other fillers injected in the face , so its mean it is safe (when I had artecoll 15 yrs ago in one side of my face they didn't give me any antibiotic, but Dr.C. is very precaution and I agree with him.

(2) Dr.C. mentioned (as far as I remember) you can have a shower 1 or 2 days post injection in other girth surgical procedures you are not allowed to let any water to the wound for 3 weeks (Dr.Rosenthal).

So from these two points we can understand that if you have an infection of your penis (with pmma) e.g. due to trauma ---> if it is only cellulitis and deep tissues infection you will need agressive i.v. antibiotic fro a longer period (the same as for a non-phalloplastic penis) and if an abscess has developed you will need incision+drainage with i.v. antibiotic) but if you have other type of graft or implant you will need definitely removal of these infected graft ( e.g.in Chad case DFG+Alloderm) and infected silicon implant.

[mustang2020]

So let's say you cut your self shaving your penis area near the pmma or on the main shaft on top of it (I cut myself shaving a few times mid shaft) and somehow you get an infection, will it go thru the pmma, will the pmma get infected and hence it is hard to cure it by the use of anti biotics either pills or IV? Will the pmma get filled with infection that removal is needed? I do not know!

[smartman]

mustang,

great question, I have sent an e-mail to Prof. Lemperle about an infection of the pmma and if the infected pmma has to be removed and this is his answer :


I have not heard of an infected PMMA implant ! It contains millions of macrophages , which would kill every bacteria at once !

However, if an abscess is close by, one has to open and drain the abscess as usual - without antibiotics ! The near PMMA will help the healing of the abscess hole since it is well vascularized and bleeds when you cut through. It has not to be removed but heals like fresh scar tissue.

Best - and regards, Gottfried

So the trick is the millions of macrophages around these beads will protect the beads and the new collagen and they attack any bacterias .

He has also mentioned to me before, he flys often to China and he has a great contact with many doctors who are using pmma injection over there ( about 500,000 PMMA patients in China) and he gets all the report(i.e. complications) from them NO infection what so ever only some cases of granulomas which are treated with local steroid injection.

Cheers