Polymethylmethacrylate PMMA has been used as an injectable filler to treat hollows and reduce rhytids. PMMA injections have been associated with several side effects, however, the literature is scarce on periorbital complications and their treatments.
The purpose of this study is to report a series of complications after periorbital PMMA injections to the midface and to describe their management. The authors identified 11 cases of complications of PMMA injections to the midface.
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Patient ages ranged from 36 to 62 years mean, 47 years; median, 44 years. Adverse effects began between 2 to 24 months after injection mean, 7. All patients had edema, erythema, and contour irregularity.
Histopathology demonstrated a giant cell inflammation in 5 of 6 cases. Corticosteroid injection was tried in 6 cases but was associated with minimal clinical improvement. PMMA injection to the midface may be associated with chronic inflammation, fibrotic nodules, yellowing of the skin, and eyelid malposition.
Intralesional corticosteroid injections yielded minimal or no improvement; surgical debulking achieved favorable results. Injectable fillers are increasingly popular alternatives to incisional aesthetic surgery to reduce facial rhytids. Alloplastic fillers may be classified as temporary or permanent. Hyaluronic acid HA is commonly administered as a temporary filler that slowly disappears through enzymatic degradation. PMMA is a rigid, transparent and colorless, thermoplastic material.
Complications of fillers may be seen early after injection or late. Weeks to months after injection, massage may be effective for contour irregularity. Inflammation may respond to corticosteroids or other anti-inflammatory treatment.
HA can be reversed with enzymatic agents eg, hyaluronidase or managed expectantly. Treatment options may be fewer and more complex for the adverse effects of permanent fillers. Contour irregularities, color changes, and nodularity after injection may be more evident in the periocular region due to thin skin and intricate orbitofacial contours.
Inflammation and edema are other sequelae that may be difficult to manage in this highly visible zone.So I found myself with a longish penis with avg girth, and wanted more. Roughly 12 weeks after round 2, stats had dropped a bit. I think this is because they were artificially inflated due to pumping on a frequent basis. After stopping pumping in entirety, stats were as follows:.
Flaccid: 5. Round 3 was completed on January 17, Again, got the PRP shot, some micro drops.
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Again, after time some additional swelling inflammation dropped stats a bit. It takes time for everything to really settle. For now. I had good gains in all rounds, and while aesthetics are not perfect, they are fine with me and my significant other. Here are some personal thoughts and opinions about the various parts of this process. These are just my opinions, keep in mind others may have very different points of view and if you are considering this procedure, I encourage you to spend time doing your own due diligence and considering the decision before pulling the trigger.
I went into this procedure caring more about gains than aesthetics.
For me, this was about getting a big, fat hog. I personally like it, but I think others might have different opinions. In my personal readings, it seems everyone is different, and each round is different. Every person is different, every dick is different. I think this is a big part of it.
I did nothing for two days but stay in my hotel room, eat, rest, recover, and massage. A good decade of manual PE.Polymethylmethacrylate PMMA injections have been increasingly used by plastic surgeons and dermatologists for cosmetic soft tissue augmentation and facial rejuvenation. Today, PMMA products are the most widely used dermal fillers.
These injections are also used to achieve penis enlargement.
An injection of silicone into the penis and scrotum is used to gain girth. However, this method is associated with many complications. PMMA penile augmentation procedures are associated with several complications, including pain, bleeding, swelling, infection, and hematoma. Risks and complications associated with PMMA penile enlargement procedures are based on injecting:. The extent of damages and complications caused by Polymethylmethacrylate penis augmentation injections are often permanent and hard to treat.
It is best to review all the safety guidelines before choosing this procedure of PMMA injection for penile enhancement. Fortunately, complications are rare but if these do occur, they can be severe and impossible to treat.
View Larger Image. Complications of PMMA Injection for Penile Enlargement Polymethylmethacrylate PMMA injections have been increasingly used by plastic surgeons and dermatologists for cosmetic soft tissue augmentation and facial rejuvenation.New patients want to see what results they can expect to achieve with enlargement surgery.
Some patients who have already undergone surgery allowed us to post their before surgery and after surgery pictures in our photo gallery. Surgical Options. Morganstern Medical offers a number of options for men seeking enlargement. In fact, we currently have twenty variations of selections at our clinic. For men who believe they have a micropenis, we have procedures available for correction.
See micropenis photos below. Have a question about the number of inches you can expect to gain after penile surgery? Request a call back from Morganstern Medical to discuss penis enlargement options discreetly with our staff.
Our male patient liaisons who can answer any of your questions about procedures, best options, and whether you are a good candidate. The photos on this website show the size change after a procedure. In some of the pictures, we included a tape measure to show the penile size increase.
Results vary. Many factors play into the estimated size increase men may achieve with this procedure. Surgical Options Morganstern Medical offers a number of options for men seeking enlargement. Penis Surgery Photo Gallery The photos on this website show the size change after a procedure.
Maximum Length Gain Procedure. View Larger. Micropenis Corrective Surgery Images. Before After Penile Enhancement Photos.
Complications of PMMA Injection for Penile Enlargement
Contact Us. See more penile enlargement photos. Founding physician and best-selling author Dr.The men having penis fillers to boost their self-esteem - BBC News
Steven L. Morganstern was on the forefront of men's sexual health long before others even talked about it - he continues to transform treatment solutions that change the industry and improve patient outcomes. Morganstern Urology, P. Patient Portal.The patient has done an excellent job in moulding this amount of filler for a smooth, natural, result.
An increase of 1. Penis filler injected too close to the surface will result in lumpy sub-optimal results. A very long penis will require more filler to achieve the same increase in thickness as a shorter penis. Patients can customise their result like this, to some degree, in the first few days before the filler sets in place. The filler added extra thickness at the right spot to provide extra stimulation to my female companions.
BPEL 8. I considered different options but preferred to go with something temporarily and reversible. I have been doing PE for many years mainly clamping, stretches and bends exercises with the occasional pumping and hanging.
As I was no longer gaining much anymore I decided it was time for a change. Horn who seems to be a good and professional doctor but of course less chatty than Francis. I informed him I wanted 20 ML due to my current size. He checked my flaccid hang which unfortunately shrivelled up to a new record, made worse by my Turkey neck penile Scrotal webbing.
He then mentioned he could not do more than 14 ML. I was a little bit bummed out but I took his advice and went with the 14 ML. All the bruising and swelling from injections was gone I heal fast.
No lumps returned and by the end of the day you could not even see anymore where the injections punctured the skin. My biggest surprised was how big it got and how amazing smooth and good it looked.
My curve being almost gone as well. I measured my midshaft girth at 18 cm 7. In total 1. The patient in the above photos subsequently returned for an additional 18 ml of filler Voluma to add to the size increase he had already achieved.
The entire length is now filled, and the patient has increased his girth to 7. The patient is displaying more bruising than is typical and swelling may take up to 1 month to subside fully. The increase in girth in the photograph above may be accentuated a little by swelling at this early stage.
It is difficult to increase the girth of the penis to this degree by using the fat transfer method. In a fat transfer, the initial result is impressive, but most of the fat will reabsorb in a few months time. My wife loves it. The photos above were taken 2 days following the procedure, with swelling and bruising still evident. Given the thickness attained, the patient has requested a slightly tapered result from base to glans.Reed, I would like to have penile enlargement.
Can this be done without surgery? You can achieve a longer penis without surgery using penile traction. Surgery may accelerate length gains but has added risks. Once you have achieved your desired a penile length, then you may wish to consider penile girth. Penile vacuum erection devices produce a bruise effect, which enhances girth for a while. Please avoid injected agents of all kinds including silicone, PMMA, autoogous fat, etc.
For girth we propose AlloDerm which is a sheet of donated tissue of fairly uniform thickness. Hope you like what you see. Harold M. Reed, M. Penile lengthening after picture. Are you able to restore the appearance pretty much. Roger Dear Roger, We are not advocates of injecting silicone, fat, or products such as PMMA into the penis, or inserting silicone sheets.
The outcome is… … Continue Reading. Am interested in penile lengthening and girth enhancement with AlloDerm.
Male Enlargement Surgery — Penile Enlargement Revisions and Silicone Disasters Fluids, gels and pastes tend to dissipate to tissue planes of least resistance. Unfortunately despite manual molding, these products do not necessary set-up right away.
When you turn your back on what you have done, the results might not be as you expected. Penile girth… … Continue Reading. I have several lumps under my shaft and a few in the scrotum.
Can this be easily fixed? Please see penisdoctor. The doctor had injected twice. A large number of plastic surgeons utilize… … Continue Reading. Dear Dr. It provides a uniform girth and if you visit penisdoctor. Harold Reed Blog. Cordially, Harold M.Non-absorbable microspheres PMMA for permanent results.
Slowly absorbable microspheres Polycaprolactone for results that last up to 3 years. Absorbable microspheres Calcium Hydroxylapatite for temporary results.
Absorbable gel Hyaluronic Acid for temporary results. As experts in phalloplasty penis augmentation, penile girth enhancement penile corrective procedures, and other male enhancement techniques, Dr. Casavantes and Dr. Morales have documented their results in the prestigious, peer-reviewed Journal of Sexual Medicine. Five physicians and their network of other medical specialists will participate in the prevention, diagnosis and treatment of skin, hair, and nail diseases ; our services include Dermatologic Surgery, laser treatments, botulinum toxinfillersand all available modern technology.
We offer the modern nonsurgical alternative of phalloplasty with injectable soft tissue fillers. Permanent — Semi-Permanent — Temporary. Contact us today for a complimentary consultation.
Talk to a Professional! Phalloplasty: How does it work? There are two main alternatives to obtain a thicker penis: Non-Surgicalin-office procedures performed under local anesthesia, minimal downtime, and no residual scars.
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Surgical implants of silicone prosthesis or degradable biological membranesfree fat transfer and dermal fat grafts that require general anesthesia, de-gloving of the penis, hospital time, stitches and drains which associate with long and painful downtime, and leave permanent scars. Comparing different techniques used for penis enlargement. Soft Tissue Fillers: Clinical Indications Facial Rejuvenation: cheek, jawline, chin, lip and nose enhancement; acne scars and other congenital or acquired soft tissue deficits.
Facial Reconstruction: facial wasting associated with distinct chronic infections and diseases. Phalloplasty Penile girth enhancement and scrotal enhancement. Hand Rejuvenation. Contact us today for a free consultation. Real Patients, Real Reviews If you want to read about the experience of some of our patients and to learn more about this procedure, please visit: Phalloboards. March 24, Please email us at info avantiderma.
We expect to be back in full operation by April 20, Thank you very much for your business.