TOPIC: PMMA injection for Glans enhancement can be done

I met Professor Dr. Sava Perovic before he passed away last year after battling cancer for some time. He was one of my choices for my peyronie's corrective surgery. He was one of the best in the world. Bar none. Augmenting the glans is going to prove "tricky" to say the least. I would advise the use of HA over other current modalities as it appears to be "safe" for the most part. Use of Alloderm' or any other material that requires incising of the glans is a bad move as the chance of de novo ED is high. Been to the best in the world... just passing it along.

this doctor from brazil might put pmma on penis head
i dont know if he is experienced or famous someone from brazil could help us
he even might be a good option for girth, for bigger increase.
www.aumentopenis.org/

well given the option of keeping my current glans or getting a slightly larger one with that outcome, i will keep what i already have!

I have received an e-mail from Dr.Cho with some pictures before and after :-


"The unpleasant irregular or rounded or flowered-like Glans" which you pointed out is the common outcome of injecting Hyaluronic acid superficially.

Lipen D is injected into the deeper layer, and the surface looks even. It does not matter much whether the injecting route is corona or periurethral.

If HA material is injected into the layer in which Lipen is injected, the effect will be lost just within two weeks because most of the material will disappear.



Lipen D does not contain PMMA.

Session? One session is usual.

If you mean the number of times of sticking the needle end? Usually the number of times is 4 and will pass through the corona region.



The cost is about 550 dollars per 1ml injected. The amount of injection varies depending on individual differences and can be injected up to 10 ml.

However, usually 5-7ml is injected. This will have enough effect."

---

I found out what is the difference between Lipen-D and Lipen-P :-

Lipen-D contains 100% Dextran only and no PMMA ---> it lasts > 2 yrs
Lipen-P contains 85% Dextran and 15% PMMA and there 3 types (Lipen-P1 , Lipen-P2 and Lipen-P3) it could be they have diff. conc. of PMMA ??

The most important you have to inject the material deeply to avoid any unpleasant esthetic outcome and the entry points are not that significant. And as you go near to the urethral orifice and centrally the thickness of Lamina Propria is more than near to the corona, so it is better you inject the material where you have more thicker lamina propria.


I have asked him does he use Lipen-P for the glans or he just prefer the 100% Dextran (Lipen-D) only and why ?? Does Lipen-P give an unpleasant esthetic results or is there any other reasons for not using it ??

jjiwani.blogspot.com/2012/10/living-tran...on-filler-lipen.html

As most of you remember that PMMA injection has been tried in Glans enhancement ; some doctors e.g. in Berlin mentioned that it has a temporary result (which I think the injection was done too deep (deeper than 3 mm of the Glans epithelium) i.e. into the CS into the blood stream, and others like Dr.C. has mentioned to us that there was an unpleasant esthetic result (uneven or flowered-like Glans) ---> And now I have just found the reason and the answer for that unpleasant result and definitely the one who solved this problem were these amazing korean doctors who were the 1st one in the world who did Glans filler injections.

As we know most of the doctors who are doing this technique were injecting the filler into the corona of the Glans :-

en.wikipedia.org/wiki/Corona_of_glans_penis

www.urologicalcare.com/educational-resou...photo/list.php?ID=48

This technique was wrong and there is a new study which proved that (just recently 5 days ago):-

And this is why we get uneven or flowered-like effect of the Glans because of the thickness of the lamina propria layer at this area, these korean doctors have solved this problem by injecting a filler which has a high collagen-stimulating function ( PMMA or Dextranomer also there is a product made in korea as most of you remember "Lippen-10" for penile shaft girth enhancement and there is now new one for Glans enhancement it is called Lipen-P) :-

www.ec21.com/product-details/FILLER-Lipen-P--7271558.html .

The injection site is just near to the urethral opening, you just need two injections one on each side of the urethral opening :-

www.faqs.org/patents/imgfull/20130066148_01 .

They have found that the lamina propria (where the PMMA it should be) at this area forms the thickest layer:-

www.faqs.org/patents/imgfull/20130066148_03 .

This is the paper :-

www.faqs.org/patents/app/20130066148#b

I have received today an e-mail from Dr. Dae Yul Yang I asked him about Lipen-10 and Glans enhancement (esp. the new technique mentioned above) :-


Thank you for your concern about Lipen.

Lipen is nowadays very popular tissue filler in Korea.Mainly this material is using not only for penile/glans enhancement but also for facial filler in cosmetic purpose.

As for glans penis augmentation, Dr. Cho(This email address is being protected from spambots. You need JavaScript enabled to view it.) who is the developer of this material and is also an expert in regard this procedure.

I as a PI for clinical study for this marterial would like to recommend you to contact Dr. Cho. Best, Dae Yul Yang.


I have sent an e-mail to Dr. Cho already asking him about (pic.s before and after, the cost, the number of sessions, the injected volume in each round, the conc. and the complications ????

You guys buy my ticket to Brazil and I will go and check it out and also sample some of their beautiful women , I will do all this work just for the benefit of this board members

@smartman
You are definitely deserving of your name and it holds promise that there will be a valid procedure one day for glans enhancement so we're on our way... Regarding lengthening aside from the mechanical means it looks like nothing much holds promise unless you buy into the chemical dream. I'm almost over that phase.
Cheers,
HC

Hi Smartman,
You will see in my post operative progress report that I was thoroughly examined by a neuro-Urologist who rubbed around my instrument taking special care to for some reason massage the glans. I wondered why but while he was so doing I realized how small it is compared to the enhanced Girth of the shaft and find that I cannot justifiably go for any more Girth if the glans doesn't get at least a temporary boost in diameter. This is why I am quite focused on this semi-permanent solution to not have a repeat procedure each year. Let me know if you hear anything new or I might just head out their myself and buy their sales pitch..
HC

Hello friends,
these interesting novelties but the glans spongiosum is extremely delicate and vascularized.
The intention of using Hyaluronic Acid in the beginning was to treat men with primary premature ejaculation problems, because the injection of Hyaluronic Acid would decrease the sensitivity of the glans.

I am awaiting news on the application of a biodegradable polymer that can be used for this purpose but this is nothing certain yet.

Dr Witehead NY Alloderm applies to enhacment glandular but never saw one member of PE forum to show how it is after the enhacment and frankly I do not know how Alloderm could help enhacement glandular.

HC,
I have just spoken to Dr. El-Seweifi on the phone (he was very nice and he answered most of my Q.s) he told me :-
I have used Artecoll injection for years but the results will stay only for one year and he prefers the DFG; he inserts it through two lateral incisions . He has stopped doing Artecoll for a year only because of its duration, but he told me if you want Artecoll I can do it for you ??? He had no cases of Necrosis or other serious complications from it.
I was so surprised with his statement I told him PMMA is a permanent material , and I have Artecoll in my body for 15 years, I told him about the Korean paper that the injection should be superficial and not deeper than 3 mm (deeper than that you will inject PMMA into the Corpus Spongiousum) .
My conclusion in regard of his Artecoll's injection is either :-
1- ?? His technique :- he is injecting the beads deeper than it should be and implanting the beads into the blood ???
2- Or less likely there are no or little new collagen formation around the beads in the laminae propria of mucosa: I doubt that .
The only good thing I conclude from this is:- There was no serious complication from injecting PMMA into the Glans, so it can be done but the only Q. is how long it will stay, is it the Technique ???
I would like if somebody can show Dr.C. (during his consultation with him) about these 2 points and to know his opinion :- 1- The Korean paper in injecting PMMA into the laminae propria of the mucosa of the glans .
2- And also about Dr. El-sweifi Artecoll injection.
I know that he will still refuse doing it , but there is no harm of showing him these informations .
Thanks

I have asked Lemperle's opinion about Dr. A.El-seweifi's Artecoll injection results :-

"You are correct ! He either used another product (Radiesse or Sculptra) or went too deep into the spongious tissue...
We all know that dermal fat grafts will be absorbed over time...otherwise, we ALL WOULD DO IT ! "-

I know some people wouldn't agree with Lemperle but I just want you to know all the information I get .
I have also sent an e-mail to Dr.Samy Passy in Rio. about the Korean paper and also about the doctor in Berlin , I just want to know his opinion too.
I would like to know what is Dr.C.'s opinion about these informations (in Korea and in Berlin) ---> no serious complication ???
Did he ever try it ? Did he inject e.g. a very small amount of Newplastic in a small area of the corona???

I have sent an e-mail to Lemperle about this doctor's technique in using Artecoll for the Glans and that was his reply :-
I know Dr. El-Seweifi well - but never met him in person, because I asked him some 10 years ago to publish his method of wrapping a non-absorbable net (mesh) around the penis in my book on Aestetische Chirurgie (aesthetic surgery). Concerning a glans augmentation, my feeling is to augment the corona only to make it fit to the shaft. This can be done by Artecoll, as it has been done with a temporary fillers before , but it must be applied very superficially - because the rest of the glans is a spongy tissues , where you may get intravascular and may inject it into the blood stream. However, Artecoll is not anymore on the market since the Chinese bought the factory EMCM in Nijmegen, Holland. Dr. El-Seweifi could buy the Artecoll directly from EMCM, as I know. Best, Gottfried

@Allgood
Here is a link to the thread:
PRFM Resultshttp://PhalloBoards.websitetoolbox.com/post?id=5415968
Cheers,
HC

We started clinical trials of Glans enhancement using Lipen D to get approval from Korea FDA. It is go along under management of KFDA.
I think non-biodegradable PMMA materials is not suitable on glans enhancement even if there is previous successful experiences.
<Reasons>
Since the target area of injection is connected right with Corpus Spongiosum without anatomical septum , I suggest it will not necessarily be safe even though the particle size of PMMA 100 micon.*And cross linked Dextran could be long-lasted in the human body, it remains stable within the collagen tissue capsule at any cost, and if there is no tissue capsule, it biodegrades. I have many successful experiences about it.