Hi, I'm Italian too. In Italy, there are no clinics that offer
PMMA, only
HA or fat transfer. They don't even offer
Ellanse, which is semi-permanent. Beware of so-called doctors who offer significant, permanent
Girth enhancements without specifying the product used. They inject silicone oil, causing serious long-term problems. If you're looking for
PMMA, you'll have to travel to the U.S. or Mexico, where there are sponsored clinics here on the forum with hundreds of reviews. Although widely used,
PMMA is not without risks and complications, and the microspheres will remain in your body for the rest of your life. It's a decision you should carefully consider before taking the plunge. The excitement of increased
Girth initially improves self-esteem, and the difference during sexual intercourse is significant. However, complications can arise immediately after treatment (infections) or months or years later, often granulomas, or worse, chronic inflammation and pain that are often difficult to treat. Most clinics require
Circumcision at least three months before the filler, and follow-up visits over the years are worth considering, especially if anything changes. Multiple rounds are generally done (two for increased circumference and one for cosmetic touch-ups), although it all depends on your goals and starting stats. The goal for many is 6 inches (15.2 cm), but over the years I've seen people go beyond this magic number, and the more
PMMA you inject, the greater the risks you'll face if problems arise. Good luck.
