---
title: "PMMA or Ellanse? - PhalloBoards - Phalloboards"
description: "Ok so I have come to a fork in the road. My two options are: Ellanse, the 4 year version here in London with Moorgate or Androfil.... - Page 4"
url: "https://www.j4.phalloboards.info/general-forum/general-phalloplasty-discussion-archive/9886212-pmma-or-ellanse.html?start=45"
date: "2026-08-06T12:01:31+00:00"
language: "en-GB"
---

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#  TOPIC: PMMA or Ellanse?

##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305853143](#1305853143)

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> biggy wrote:
> What information? I've pointed out the total absence of information on Ellanse as a high volume filler. What information do you have to contradict that?
>
> They aren't my medically unsupported theories, I merely posted the theories of medical professionals. If it was spoken with the confidence of an experienced physician, it's because I learned it reading the work of experienced physicians. I did comprehensive research and reviewed actual medical papers before getting my procedure. Hence I was aware of this and am sharing it with the forum.
>
> Here are some quotes regarding biofilms infections and reactions to fillers from a few studies:
>
> "biofilms form when bacteria is introduced during filler injections or are seeded in the filler during bacteriaemic episodes.14 Once present, they remain dormant for months or years on the surface of the filler and become a target of a delayed immune response, resulting in granuloma formulation."
>
>
> "Based on their clinical course and response to treatment, most reported hypersensitivity reactions are likely due to an infectious process"
>
>
> "Delayed reactions associated with dermal fillers have often been attributed to hypersensitivity reactions; however, the evolving literature suggests that biofilms may represent an underrecognized cause and a difficult diagnosis to establish"
>
> "The biofilm can either be dormant or active depending upon the external triggering factor. When the cell metabolism shuts down, it becomes dormant (persister). Thus it gets out of reach for antibiotics and also becomes difficult to culture in vitro."
>
> [ aestheticsjournal.com/feature/granuloma-management](https://aestheticsjournal.com/feature/granuloma-management)
>
> [ www.ncbi.nlm.nih.gov/pmc/articles/PMC2890130/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890130/)
>
> [ www.ncbi.nlm.nih.gov/pubmed/25207761](https://www.ncbi.nlm.nih.gov/pubmed/25207761)
>
> [ www.ncbi.nlm.nih.gov/pubmed/21246453](https://www.ncbi.nlm.nih.gov/pubmed/21246453)

Biggy as Ellanse filler dissolves in 12 weeks, would not the bacteria show up by that period and not months and years?

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305869783](#1305869783)

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 Go non permanent. PMMA has great reviews soon after but then with time it hardens and clumps.

The reviews of the Dr. in Italy are to early to call. wait till patients are a year or two out before you judge the reviews. Dr. N had great reviews first but then went bad with time as complications that occurred sometime after procedure happened to her patients. No reason the same won't happen to the other doctor when they are using the exact same filler. The review by the Dr in Italy is a bit manic TBH.

PMMA from my experience seems to harden and clump. I am 21 months out from just one procedure in the last few weeks I have noticed it has got even harder and clumped into one big lump running down shaft that can easily pulled away from shaft when Flaccid. IT IS STILL CHANGING NEARLY TWO YEARS AFTER PROCEDURE.

If you just care what the tape says and not on aesthetics and particularly feeling then maybe PMMA is best for you.

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##  PMMA or Ellanse?

   7 years 9 months ago [\#1305843930](#1305843930)

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 Ok so I have come to a fork in the road. My two options are:

Ellanse, the 4 year version here in London with Moorgate or Androfil.

PMMA with Supermans new doctor in Italy. Using the little by little method of 8-10ml injected each session. I have spoken to him and he is willing to see for two sessions 12 Nov and then again on the 26th Nov.

The disadvantages of both.

Ellanse:
- More expensive
- Not permanent (I like the idea of not having to constantly worry about absorption as this is something i'd like to fix in order to permanently move past my penis issues)
- If I decided lateron that I want to go for PMMA then it will be impossible to dissolve and I would need to be sure all the Ellanse was disolved before having PMMA. This would be impossible to tell and could be an extremely long time.
- Would need to keep hiding trips from partnets over the next years to get more injected.

PMMA:
- Potential complications
- Not much known about this new doctor
- Higher risk of unpleasing aesthetics

Advantages:

Ellanse
- Probably easier to mold
- The softness of it compared to PMMA would probably disguise bad aesthetics better
- If things look terrible then its not for the rest of your life!

PMMA:
- Harder firmer feel
- Permanent (Means I can move forward with my life and leave these insecurities behind) Don't have to worry about constantly needing to hide trips to get my Dick enlarged from partners.
- Would save a lot of money in the long run.

Any advice would be greatly appreciated. I am ready to pull the trigger but just not sure which way to aim. I am worried that If I go the Ellanse route I will just be conscious that over the next 4 years I will be slowly returning back to normal which means I won't ever feel completely comfortable.

Money isn't really an issue although obviously PMMA being cheaper is an advantage.

Help guys!?

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305846239](#1305846239)

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> Ellanse
> - If things look terrible then its not for the rest of your life!

Hoddle10 had a really good point about this one.
While it is true, and for the long term i would get Ellanse for this specific reason, you have to consider that short term complications for Ellanse and PMMA are basically the same.
Things like granulomas, infections, lumps etc. you can't live with for 4 years (or more, because we don't actually know if it lasts more than that) so you would have to take the exact same medical measures to solve them, unless you would accept to live with them for years.

Just food for thoughts.

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305850339](#1305850339)

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> think wrote: See Dr. Alter's comment that I referenced. The benefit of Ellanse regarding that particular concern is that it will be gone in 4 years time. I follow your logic with complications arising in the first year, but I don't see why you can't see the benefit of Ellanse in that regard.
>
> And I read 3 of the 4 papers that you listed on biofilms. That applies to all fillers, and is not a reason to opt for PMMA over Ellanse. Also, it's not like you only have the Ellanse clinical studies to go by, as PCL has a 40 year history of safety in biomedical applications and FDA approval. I'm sure that physicians like Dr. Oats and Dr. Morganstern, who are concerned with safety, took that into account before they started offering it. The credentials from Morganstern's practice include a chief Urologist at a leading teaching university. They tend to know how to do medical research.

Dr Alter didn't say anything we didn't already know or worry about. He wasn't revealing anything, just cautioning. I was just saying that in studies done on fillers, the majority of complications are reported in years 1-5 and not beyond. Most complications occur in the first year. That's also what we've observed from PhalloBoards over the last 7 years. So the point I was making is that we don't actually have any real evidence of late onset complications of PMMA in large volumes, beyond one year. Where this get interesting is that it's postulated that fillers are far less likely to react when injected under the dermis, than actually into it, due to far fewer immune cells. This probably explains why we'e seen so few complications.

The relevance of the biofilm studies isn't to compare PMMA and Ellanse directly, but to highlight the school of thought that these late reactions are due to biofilm infections. If you have a biofilm infection they can be impossible to treat. The advantage of HA is that you can dissolve the filler and then treat the infection. You can't do that with either Ellanse or PMMA. You can't just leave the infection either, so intervention is required, hence the "advantage" Ellanse being temporary is negated. Now I totally understand your point that with Ellanse you only have to worry about this for 4 years, but after that time, most people are still likely to want a bigger penis and will have to have it filled again. It's hugely unlikely that something that offers the same benefits as PMMA or Ellanse is going to come along in the next 10 years. On top of that, late onset of granulomas reaction from PMMA, in the penis, seems to be totally absent in the literature and from all the cases we have here. In short I don't think we've ever encountered an issue with PMMA, that required a dramatic intervention, that came after the life span of Ellanse products.

But I totally understand your point about hoping something better comes along in the future and therefore you like the fact Ellanse lasts only 4 years. Also Reklaw does make the point that for teenagers and younger men, a stop gap option may suit them. But I think there is little chance of anything in the next 10 or so.

Ultimately, if these late onset reactions are caused by biofilms that get in at the time of injection, any non reversible procedure that requires redoing every few years, is probably more risky than a one off permanent procedure (i know people keep going back for more and more but that's a choice), unless you only do it once and then decide you don't want it again.

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305865187](#1305865187)

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 What I dont understand is if both fillers are collagen stimulators why the collagen growth stimulated by the Ellanse disappears and the PMMA collagen doesnt? Does your body just digest the collagen when the Ellanse eventually dissolves? I would of thought the collagen would stay regardless of whether the Ellanse was there or not!?

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305849572](#1305849572)

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> Herbert West wrote:
> I'm afraid that there's a strong chance that this will not happen nor in 5 nor 10 years.Do you have any reliable information or at least your own assumption of what it could be? Like some new or some old improved injectable filler? Are you talking about this area?

Well, look where we were 10 years ago.
No good option avaible, literally stone age of PE.

I've no idea what we'll have in 5-10 years, but who can really know.

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1306079207](#1306079207)

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> glam82 wrote:
> The graph was very accurate for me. I'm just at the 12 weeks mark now.

How firm does it feel and can you feel any noticeable lumps or ridges at all? Do you think its obvious from the touch that you'\ve had something done?

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1307765742](#1307765742)

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 @Androfill

You seem to promote HA over Ellanse for safety reasons. How many Ellanse procedures have you done so far?

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1306065134](#1306065134)

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 Can anyone tell me how much softer Ellanse will be over PMMA? Is it logical that they will be the same firmness because of the collagen. I am thinking that Ellanse might be better at hiding slight aesthetic abnormailites because it is a little softer and won't be so obvious to the touch. Can this be backed up at all?

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1305871866](#1305871866)

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> chester wrote: Where on Earth are you getting this information from?? Ellanse is a collagen stimulator and does not eliminate your collagen growth. It does the opposite.

 I think he was asking about whether or not the collagen generated by ellanse lasts after the PCL is gone in 2/3/4 years. People talk about it lasting 4 years, but not much is known how much of the collagen you keep after that, and how long. I had to dig to find Dr. Oats comment on that:

[ phalloboards.websitetoolbox.com/post/ell...&amp;highlight=half-life](http://phalloboards.websitetoolbox.com/post/ellanse-procedure-8376629?pid=1296792567&highlight=half-life)

It seems to be saying in theory, you'd have half of the type 1 collagen that was produced 15 years later. All this remains to be seen ... I really was not able to find any further info on this, besides Dr. Oats comment.

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##  Re: PMMA or Ellanse?

   7 years 9 months ago [\#1306726911](#1306726911)

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