--- title: "Getting PMMA after HA -- is it better to dissolve the HA first? - PhalloBoards - Phalloboards" description: "I'm starting to lose my HA gains and ready for PMMA and seeking advice about whether it's better to dissolve my remaining HA first. If so, what's the cost to..." url: "https://www.j4.phalloboards.info/general-forum/progress-reports-the-patient-support-group/10157683-getting-pmma-after-ha-is-it-better-to-dissolve-the-ha-first.html" date: "2026-08-07T00:02:25+00:00" language: "en-GB" --- PhalloBoards - An Online Community to Discuss Penile Girth Enhancement General Forum Doctors Forum Username Password Remember me - [ Forgot your password? ](https://www.j4.phalloboards.info/component/users/reset.html?Itemid=101) - [ Forgot your username? ](https://www.j4.phalloboards.info/component/users/remind.html?Itemid=101) - [ Create an account ](https://www.j4.phalloboards.info/register.html) # TOPIC: Getting PMMA after HA -- is it better to dissolve the HA first? ## Getting PMMA after HA -- is it better to dissolve the HA first? 4 months 2 weeks ago [\#1308724759](#1308724759) - **[ZenStar](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html "View ZenStar's Profile")** - [![ZenStar's Avatar](https://www.j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html "View ZenStar's Profile") Topic Author - [ Offline](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html) - Pending Email Verification - ![Pending Email Verification](https://www.j4.phalloboards.info/media/kunena/ranks/rank2.gif) - Posts: 3 - Thanks: 0 - [ ](https://www.j4.phalloboards.info/pms.html?task=new&recip=6767905) I'm starting to lose my HA gains and ready for PMMA and seeking advice about whether it's better to dissolve my remaining HA first. If so, what's the cost to dissolve and how far in advance of the PMMA should I dissolve? It took me multiple HA procedures with Dr. Carney starting 6 years ago to increase my EG from 4.25 to 6.0 (my EL is 5.25.), and I don't want to go back to my baseline if I don't need to. But my top priority is doing whatever I can to get the best PMMA outcome. It seems like PMMA injectors differ on this. Some examples: Dr. Carney: He advised NOT to dissolve my remaining HA before Bellafill because he believes it helps improve Bellafill outcomes. He said the HA acts as a buffer to help prevent Bellafill from causing too much inflammation, which can lead to complications like nodules and granulomas. In fact, he requires Bellafill patients to start first with a layer of HA. Avanti Derma: I haven't yet consulted with them, but I understand from other posters that they require patients to completely dissolve all HA at least 30 days beforehand. Why? I've read that it's because the HA could prevent the PMMA from setting uniformly. This makes sense to me. For example, my HA has dissolved unevenly, leaving pockets of HA that are bigger and denser in some areas. It makes sense that those blobs of HA could block the PMMA from settling in those areas and push it into areas without as much HA. Rupeka: I haven't consulted him yet or read anything about his views. Any ideas of why opinions differ? Is it because of a difference in Bellafill used by Carney and Linnea Safe used by Avanti Derma? Is Bellafill more inflammatory because of the bovine collagen carrier and therefore needs the HA buffer more than Linnea Safe? Is Bellafill less likely to settle unevenly when applied over HA because of the same bovine collagen carrier? I'll be consulting AD and Rupeka and getting another consult with Carney, but real life experiences and thoughts are appreciated. . Last edit: by [ZenStar](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html "View ZenStar's Profile") Please [Log in](https://www.j4.phalloboards.info/login.html?return=aHR0cHM6Ly93d3cuajQucGhhbGxvYm9hcmRzLmluZm8vZ2VuZXJhbC1mb3J1bS9wcm9ncmVzcy1yZXBvcnRzLXRoZS1wYXRpZW50LXN1cHBvcnQtZ3JvdXAvMTAxNTc2ODMtZ2V0dGluZy1wbW1hLWFmdGVyLWhhLWlzLWl0LWJldHRlci10by1kaXNzb2x2ZS10aGUtaGEtZmlyc3QuaHRtbD9tYXJrZG93bj0x) or [Create an account](https://www.j4.phalloboards.info/register.html) to join the conversation. ## Re: Getting PMMA after HA -- is it better to dissolve the HA first? 4 months 2 weeks ago [\#1308724760](#1308724760) - **[jon11](https://www.j4.phalloboards.info/general-forum/user/6760448-jon11.html "View jon11's Profile")** - [![jon11's Avatar](https://www.j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://www.j4.phalloboards.info/general-forum/user/6760448-jon11.html "View jon11's Profile") - [ Offline](https://www.j4.phalloboards.info/general-forum/user/6760448-jon11.html) - Pending Email Verification - ![Pending Email Verification](https://www.j4.phalloboards.info/media/kunena/ranks/rank2.gif) - Posts: 49 - Thanks: 4 - [ ](https://www.j4.phalloboards.info/pms.html?task=new&recip=6760448) I had PMMA after HA and have had zero problems so far. My last PMMA was almost 2 years ago. Best of luck whatever you choose Please [Log in](https://www.j4.phalloboards.info/login.html?return=aHR0cHM6Ly93d3cuajQucGhhbGxvYm9hcmRzLmluZm8vZ2VuZXJhbC1mb3J1bS9wcm9ncmVzcy1yZXBvcnRzLXRoZS1wYXRpZW50LXN1cHBvcnQtZ3JvdXAvMTAxNTc2ODMtZ2V0dGluZy1wbW1hLWFmdGVyLWhhLWlzLWl0LWJldHRlci10by1kaXNzb2x2ZS10aGUtaGEtZmlyc3QuaHRtbD9tYXJrZG93bj0x) or [Create an account](https://www.j4.phalloboards.info/register.html) to join the conversation. ## Re: Getting PMMA after HA -- is it better to dissolve the HA first? 4 months 2 weeks ago [\#1308724765](#1308724765) - **[ZenStar](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html "View ZenStar's Profile")** - [![ZenStar's Avatar](https://www.j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html "View ZenStar's Profile") Topic Author - [ Offline](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html) - Pending Email Verification - ![Pending Email Verification](https://www.j4.phalloboards.info/media/kunena/ranks/rank2.gif) - Posts: 3 - Thanks: 0 - [ ](https://www.j4.phalloboards.info/pms.html?task=new&recip=6767905) Thanks Jon11. Can you give me an idea of how much HA you still had left when you started Bellafill and was your remaining HA still evenly distributed? My remaining HA is now uneven because it degraded faster in some areas like the area between the circ scar and glans and the very bottom of the base. Also, how much Bellafill did you end up getting? Last edit: by [ZenStar](https://www.j4.phalloboards.info/general-forum/user/6767905-zenstar.html "View ZenStar's Profile") Please [Log in](https://www.j4.phalloboards.info/login.html?return=aHR0cHM6Ly93d3cuajQucGhhbGxvYm9hcmRzLmluZm8vZ2VuZXJhbC1mb3J1bS9wcm9ncmVzcy1yZXBvcnRzLXRoZS1wYXRpZW50LXN1cHBvcnQtZ3JvdXAvMTAxNTc2ODMtZ2V0dGluZy1wbW1hLWFmdGVyLWhhLWlzLWl0LWJldHRlci10by1kaXNzb2x2ZS10aGUtaGEtZmlyc3QuaHRtbD9tYXJrZG93bj0x) or [Create an account](https://www.j4.phalloboards.info/register.html) to join the conversation. ## Re: Getting PMMA after HA -- is it better to dissolve the HA first? 4 months 2 weeks ago [\#1308724766](#1308724766) - **[jon11](https://www.j4.phalloboards.info/general-forum/user/6760448-jon11.html "View jon11's Profile")** - [![jon11's Avatar](https://www.j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://www.j4.phalloboards.info/general-forum/user/6760448-jon11.html "View jon11's Profile") - [ Offline](https://www.j4.phalloboards.info/general-forum/user/6760448-jon11.html) - Pending Email Verification - ![Pending Email Verification](https://www.j4.phalloboards.info/media/kunena/ranks/rank2.gif) - Posts: 49 - Thanks: 4 - [ ](https://www.j4.phalloboards.info/pms.html?task=new&recip=6760448) I do not remember the exact amount of HA that I had but I do remember that I went to PhalloFILL Dallas 4 times. My HA just kept dissolving very quickly. William did a great job - it just wouldn't stay around long enough to make it worth the cost. When I went to get PMMA I was very slightly "lumpy" but Mila then at Jiva Med Spa smoothed things out fairly well. At this point almost 2 years since my second and last PMMA treatment I am happy. I am considering going back for one more touch up but I am waiting a long time to let things settle completely. Please [Log in](https://www.j4.phalloboards.info/login.html?return=aHR0cHM6Ly93d3cuajQucGhhbGxvYm9hcmRzLmluZm8vZ2VuZXJhbC1mb3J1bS9wcm9ncmVzcy1yZXBvcnRzLXRoZS1wYXRpZW50LXN1cHBvcnQtZ3JvdXAvMTAxNTc2ODMtZ2V0dGluZy1wbW1hLWFmdGVyLWhhLWlzLWl0LWJldHRlci10by1kaXNzb2x2ZS10aGUtaGEtZmlyc3QuaHRtbD9tYXJrZG93bj0x) or [Create an account](https://www.j4.phalloboards.info/register.html) to join the conversation. ## Re: Getting PMMA after HA -- is it better to dissolve the HA first? 4 months 2 weeks ago [\#1308724769](#1308724769) - **[Alittlebigger](https://www.j4.phalloboards.info/general-forum/user/6775559-alittlebigger.html "View Alittlebigger's Profile")** - [![Alittlebigger's Avatar](https://www.j4.phalloboards.info/media/kunena/core/svg/person.svg)](https://www.j4.phalloboards.info/general-forum/user/6775559-alittlebigger.html "View Alittlebigger's Profile") - [ Offline](https://www.j4.phalloboards.info/general-forum/user/6775559-alittlebigger.html) - Pending Email Verification - ![Pending Email Verification](https://www.j4.phalloboards.info/media/kunena/ranks/rank2.gif) - Posts: 224 - Thanks: 20 - [ ](https://www.j4.phalloboards.info/pms.html?task=new&recip=6775559) Dr Sullian recently posted some comments regarding mixing of HA and PMMA. I don’t want to misquote him so you may want to search for those. If you check his web site you will see that he mixes HA and PMMA in his treatments….good luck and let us know what you find out and decide to do….thanks Please [Log in](https://www.j4.phalloboards.info/login.html?return=aHR0cHM6Ly93d3cuajQucGhhbGxvYm9hcmRzLmluZm8vZ2VuZXJhbC1mb3J1bS9wcm9ncmVzcy1yZXBvcnRzLXRoZS1wYXRpZW50LXN1cHBvcnQtZ3JvdXAvMTAxNTc2ODMtZ2V0dGluZy1wbW1hLWFmdGVyLWhhLWlzLWl0LWJldHRlci10by1kaXNzb2x2ZS10aGUtaGEtZmlyc3QuaHRtbD9tYXJrZG93bj0x) or [Create an account](https://www.j4.phalloboards.info/register.html) to join the conversation. 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