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TOPIC: Combining Procedures?

Combining Procedures? 3 months 3 weeks ago #1308698244

Hi, I am wondering if I have done an FFT procedure in the past, are there any complications or difficulties which are there if I wanted to get a PMMA procedure done later, or is it equally safe to get PMMA?

I am considering getting an FFT procedure first, and then because I have heard that this can have some issues with fat reabsorbing in different places leaving an uneven result, I was thinking perhaps a second PMMA procedure would combine well with it.

My other concern is that I am looking for a 1.5" gain, and as I understand it, it would require 3-4 PMMA procedures for this gain, which it seems everyone agrees is really too many procedures and risk of complication is high.

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Combining Procedures? 3 months 3 weeks ago #1308698246

gamblinsam wrote: Hi, I am wondering if I have done an FFT procedure in the past, are there any complications or difficulties which are there if I wanted to get a PMMA procedure done later, or is it equally safe to get PMMA?

I am considering getting an FFT procedure first, and then because I have heard that this can have some issues with fat reabsorbing in different places leaving an uneven result, I was thinking perhaps a second PMMA procedure would combine well with it.

My other concern is that I am looking for a 1.5" gain, and as I understand it, it would require 3-4 PMMA procedures for this gain, which it seems everyone agrees is really too many procedures and risk of complication is high.


While obviously everyone is going to suggest you get the smallest amount of product (PMMA) possible to achieve your goal, there are plenty of guys with 3+ sessions and higher total volumes who have had no significant issues. I think a key to that is not pushing the envelope with each session and of course each person is unique. However, given your post and options, I would personally be more likely to just get enough PMMA only OR FFT. There tends to be more issues for guys who have had multiple types of procedures. I'd pick one or the other, research each option, talk to your practitioners of choice and then make a decision.

I can't endorse anything for anyone else, but I myself was comfortable with the filler route and multiple sessions since the risk vs reward was favourable in my opinion.
LinneaSafe PMMA @ Avanti Derma w/ Dr. Morales Session 1 - Dec 6, 2019 - 11 cc x 30%, 9 cc x 10% Session 2 - Jan 20, 2020 - 12 cc x 30%, 7 cc x 10%

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Last edit: by justn8.

Combining Procedures? 3 months 3 weeks ago #1308698286

gamblinsam wrote: Hi, I am wondering if I have done an FFT procedure in the past, are there any complications or difficulties which are there if I wanted to get a PMMA procedure done later, or is it equally safe to get PMMA?

I am considering getting an FFT procedure first, and then because I have heard that this can have some issues with fat reabsorbing in different places leaving an uneven result, I was thinking perhaps a second PMMA procedure would combine well with it.

My other concern is that I am looking for a 1.5" gain, and as I understand it, it would require 3-4 PMMA procedures for this gain, which it seems everyone agrees is really too many procedures and risk of complication is high.


With each type of procedure comes a particular set of risks. I.e. PMMA has different risks than FFT, etc. It is my impression that combining procedures you are essentially exposing yourself to a wider range of risks than if you just stuck to one type of enhancement. While some guys will have multiple types of procedures throughout their PE careers, to start out mixing them as an intentional strategy to lower risks doesn't make much sense to me. Relatively speaking, there's also way less data on the long term impact of mixed procedures than patients getting multiple rounds of a single type of procedure. As @justn8 pointed out above, there are many guys on here who have had multiple rounds of PMMA and are satisfied with the results.

However, it's of course your call, man. If you feel more secure going one way than the other then go for it.
March 2019: BPEL- 6"
December 2019, manual PE: BPEL- 6.75", MEG- 4.8", BEG- 5.25"
January 2020, Round 1 PMMA (12cc 30%, 12cc 10%): BPEL- 6.5", MEG- 5.5", BEG- 6"
June 2020, Round 2 PMMA (15cc 30%, 4cc 10%): BPEL- 6.5", MEG- 6", BEG- 6.5"
July 2020, Round 3 PMMA (4cc 30%, 16cc 10%): BPEL- 6.5", MEG- 6.3", BEG- 6.8"
Read my progress report here.

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Last edit: by Jacks10.

Combining Procedures? 3 months 3 weeks ago #1308698288

Jacks10 wrote:

gamblinsam wrote: Hi, I am wondering if I have done an FFT procedure in the past, are there any complications or difficulties which are there if I wanted to get a PMMA procedure done later, or is it equally safe to get PMMA?

I am considering getting an FFT procedure first, and then because I have heard that this can have some issues with fat reabsorbing in different places leaving an uneven result, I was thinking perhaps a second PMMA procedure would combine well with it.

My other concern is that I am looking for a 1.5" gain, and as I understand it, it would require 3-4 PMMA procedures for this gain, which it seems everyone agrees is really too many procedures and risk of complication is high.


With each type of procedure comes a particular set of risks. I.e. PMMA has different risks than FFT, etc. It is my impression that combining procedures you are essentially exposing yourself to a wider range of risks than if you just stuck to one type of enhancement. While some guys will have multiple types of procedures throughout their PE careers, to start out mixing them as an intentional strategy to lower risks doesn't make much sense to me. Relatively speaking, there's also way less data on the long term impact of mixed procedures than patients getting multiple rounds of a single type of procedure. As @justn8 pointed out above, there are many guys on here who have had multiple rounds of PMMA and are satisfied with the results.

However, it's of course your call, man. If you feel more secure going one way than the other then go for it.


Exactly. And if you really follow the forum over the years, you start to see certain trends with issues. For PMMA, it's either related to outright lies (not really being a form of PMMA), high volumes being crammed in, inexperienced injectors (related to the penis), uncircumcised guys getting more than 1-2 conservative sessions, or carrier related allergies/reactions. For things like FFT it's usually practitioner related or you see trends develop with less than ideal results from certain places. With the less permanent/temp fillers issues are again usually tied to experience levels. Not many clinics out there are actively doing this at all, so if one does not, and you get them to do it, you're taking an extra risk off the hop. Other bad outcomes for guys have also been one's with extensive histories with procedures (so they've had different things done to their dick over the course of years and years) and then again, you're entering more unknown territory.

Just really do some thinking, find what you're comfortable with, and then don't skimp on the cost or the hassle to get it done. If it's FFT, find the best damn place you can, and don't compromise. If it's fillers, find an experienced practitioner that works with your logistics who has extensive experience, there's several here. But I wouldn't be jumping into mixing options personally.
LinneaSafe PMMA @ Avanti Derma w/ Dr. Morales Session 1 - Dec 6, 2019 - 11 cc x 30%, 9 cc x 10% Session 2 - Jan 20, 2020 - 12 cc x 30%, 7 cc x 10%

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Combining Procedures? 3 months 3 weeks ago #1308698312

gamblinsam wrote: Hi, I am wondering if I have done an FFT procedure in the past, are there any complications or difficulties which are there if I wanted to get a PMMA procedure done later, or is it equally safe to get PMMA?

I am considering getting an FFT procedure first, and then because I have heard that this can have some issues with fat reabsorbing in different places leaving an uneven result, I was thinking perhaps a second PMMA procedure would combine well with it.

My other concern is that I am looking for a 1.5" gain, and as I understand it, it would require 3-4 PMMA procedures for this gain, which it seems everyone agrees is really too many procedures and risk of complication is high.


Hello,
As we all know, there is not an ideal procedure/filler for GE.
FFT is the safest, but the typical results are less than ideal, and irregularities could be significant. It takes months to see the final results.
Patients that had one FFT procedure with low-fat volume that is almost fully reabsorbed at the time of their visit are (most likely) great candidates because the procedure gives consistency and some rigidity to the skin, and the PMMA implant is more stable. However, the best formula for GE is to go conservative and to stick to one technique and product as much as possible. Multi-treated patients present challenges and have the highest risk of permanent damage or deformity.
@gamblinsam, I will be happy to have a Zoom videoconference with you to discuss your personal case, because you may not need to go through the hassle of the double surgical procedure if your anatomy is ideal for the PMMA implant already.
If interested, please contact Diana (This email address is being protected from spambots. You need JavaScript enabled to view it.) to set up the conference.
Dr Luis Casavantes - Dr Palmira Morales https://www.avantiderma.com Reception: info@avantiderma.com US Phone lines: (619) 308-7268 or 7269.

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Combining Procedures? 2 months 5 days ago #1308699030

Hello @gamblinsam ,
I personally don't like combining procedures or fillers.
FFT is known to be a very safe procedure that leaves unsightly irregularities that (in theory) should be corrected with the same material, but it doesn't work that way in real life. However, since there are practices that excel in this technique, I strongly suggest that you stick to one or the other.
Should you decide on PMMA, you know that irregularities can be addressed with the same material.
As for the gains that you're expecting, here comes the grinch again... your expectation for an increase of 1.5" may be excessive. Of course, your existing length may help, but my recommendation for circumcised guys (independently from their length) is to stay under 1 inch; for uncircumcised, under ½ inch.
Bigger gains always come with more irregularities, deformities, and other possible issues like glans dwarfing or the pig in a blanket effect.
Dr Luis Casavantes - Dr Palmira Morales https://www.avantiderma.com Reception: info@avantiderma.com US Phone lines: (619) 308-7268 or 7269.

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