TOPIC: Infections, Complications, Risks of PMMA?

Red - lol!!! Dr C, Wade, and I discussed my junk in the operating room just prior to round three. Both asked me if I was sure I wanted the third round because after two rounds it was virtually undetectable and looked great. They both said that after a third round the implant would be much more like an implant and likely noticeable to the touch. I don\'t think the percentage makes a difference in the feel - if you get enough rounds of 10 percent to build up the implant, it will become noticeable. However, I do think that clumping of the beads is more likely with a higher percentage round of PMMA. It was for me but now it seems that even they will soften and dissipate over time on their own. I would love to get a fourth round and achieve a 6.75\" MSEG but will not even think about it until this last round has completely healed to include the softening of the lumps. The calcium deposit - LMAO!!!

Glad you enjoyed that

Wow. My touch up session is a real mess considering it was just a \"touch up \". The implant is totally detectable now. It\'s uneven and lumpy around the base. You can feel where the 30% ends and the previous 10% begins. The right side bulges so much it\'s palpable and very visible. It almost feels like my Dick has a rib cage. It\'s so different from my round 1 and 2 results. Post op care was the same except I was more aggressive as Wade told me to really squeeze the lumps, which I did with no luck in getting rid of them.

The only thing different about this round is that Wade wasn\'t there helping DR C. He was on a phone call. Maybe the product wasn\'t spread around properly on initial injection.

I really hope that a fourth corrective round can fix this.

Found some articles regarding foreign body granuloma formation after PMMA. Apologies if they have been posted before.

www.hindawi.com/crim/dm/2012/945205/
archderm.jamanetwork.com/article.aspx?articleid=479114
www.medicinaoral.com/odo/volumenes/v4i4/jcedv4i4p244.pdf

My attempt at summarising points of interest:

- FBG reaction can arise 5 months to 15 years after injection. Average seems to be 5-7 years.

- Current cases are from the days when PMMA was less uniform and had more impurities. According to the first quoted source about a third of patients studied eventually develop FBG! The Brazillian products are now apparently of higher quality and this is postulated to reduce complications, although it is unclear whether this merely delays them. It is also not clear whether the carrier (bovine collagen or CMC) has any role to play in this.

- Current reported cases are from those who had small amounts injected superficially. I remember seeing personal (non-medical) accounts on some blogs or forums of complications from injection of large volumes into the buttocks although I am not sure whether this is related to FBG formation or other causes.

- Treatment can be with steroid tablets or injection, allopurinol or surgery. Reported cases tend to respond well to treatment although it is entirely possible that unsuccessfully treated cases are not reported by doctors.

I found this article on line, which is quite an interesting read and a postive report all round on the complication rate and dealing with them on PMMA and this was based on older products as well

www.dralaindansereau.com/art_ref/article_2.pdf

apologies if posted before

HB

This is my first post, I have to say this is one incredible place. I never thought Id find place with support and such knowledgable people. Iv probably read well over 150 pages on this forum in the last week. I actually feel pretty comfortable sharing on here and asking people there advice.

I would like to ask if any one has any updated information on this topic? It seems the last major updates were about 2 yrs ago. Has anyone had any other complications or updated research? I am considering scheduling an appt with dr. C for PMMA in July but just like everyone here, I\'m taking my time and due diligence with proper research. I only want to gain an Inch of Girth.

Has there been any research on how much is the best dosage for the least amount of complications.

Iv been lurking here and on the net, In the last maybe year or year and a half, there have not been any (from what iv seen/read) major reports of problems from either dr.C patients or people in general who have had PMMA. Have they worked out a better formula or better technique?

It would seem to me that since a complications such as the granula start coming out, after a couple years of having PMMA injected in some patients. With majority of people hear having it for 2 or 3+ years, Do you guys have any updates you would be willing to share?

fusion2007 wrote: This is my first post, I have to say this is one incredible place. I never thought Id find place with support and such knowledgable people. Iv probably read well over 150 pages on this forum in the last week. I actually feel pretty comfortable sharing on here and asking people there advice.

I would like to ask if any one has any updated information on this topic? It seems the last major updates were about 2 yrs ago. Has anyone had any other complications or updated research? I am considering scheduling an appt with dr. C for PMMA in July but just like everyone here, I\'m taking my time and due diligence with proper research. I only want to gain an Inch of Girth.

Has there been any research on how much is the best dosage for the least amount of complications.

Iv been lurking here and on the net, In the last maybe year or year and a half, there have not been any (from what iv seen/read) major reports of problems from either dr.C patients or people in general who have had PMMA. Have they worked out a better formula or better technique?

It would seem to me that since a complications such as the granula start coming out, after a couple years of having PMMA injected in some patients. With majority of people hear having it for 2 or 3+ years, Do you guys have any updates you would be willing to share?

You might want to take a look around the patient support group section. PMMA affects everyone differently.

Yeah I did, so far It seems to me, people who have had more then 2 rounds or high dosages of PMMA are the ones who experience the worse side effects. what do you think?

If you read my thread you\'d see that my complications came from having a bacterial infection which caused an auto immune reaction where my body started attacking all my joints and sadly also my implant. It all subsided after a few months and with a few touch ups from Dr C my implant looks and feels like a real Dick now.

If you have pmma make sure you do not receive interferon or any other type of immunostimulatory medications as they may trigger a severe immune inflamatory reaction resulting in painful and disfiguring granulomas.

\"A 48-year old woman received subcutaneous injections of peginterferon alfa-2a (80 ?g/wk) and oral ribavirin therapy (400 mg/d) for chronic hepatitis C infection. Ten weeks after the initiation of therapy, she presented with a 2-week history of progressive disfiguring facial edema. She had blue-red swelling mainly involving the upper and lower lips, nasolabial grooves, and glabella (Figure 1). Ten year earlier, these sites had been treated with the polymethylmethacrylate (PMMA)-containing cosmetic permanent filler Artecoll (Artes Medical Inc, San Diego, Calif) to smooth wrinkles and to augment the lips. \"

\"The normal host response to a cosmetic filler is a weak granulomatous reaction. Interferon and other immunostimulatory medications can lead to an exacerbation of this preexisting low-grade chronic inflammation\"

This is not surprising to me. I always suspected pmma caused low grade chronic inflammation otherwise the scar tissue would diminsh and gains would disappear. So it is very important to avoid anything that will make the reaction spiral out of control like in the case documented here.

archderm.jamanetwork.com/article.aspx?articleid=412112

hello all,

I see this thread has gone cold for some time. Did anyone has this procedure lately ? And for those how had the procedure, do you guys still recommend this method ?

Hi Bentzub,
I\'d keep reading many people have had this done lately - in the patient progress threads is where I would start.
Best.

I made this thread to describe the nodule complication. In my case, it was quite severe - possibly the worst we\'ve seen on the board. So, at the very least, I wanted people to have the info that I learned going through this for 4 months...in the event that they have anything similar.

phalloboards.websitetoolbox.com/post/pmm...85148?pid=1288601027

I believe I have an infection or reaction. It\'s been at least 1 year since my last treatment but all of a sudden my penis has swollen considerably to the point that the skin hurts to even touch it. Has this happened to anyone else?

Is it soft to touch?