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wildcat44!

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Reply with quote  #16 
As of June 24. Can tell some of fat has absorbed after last procedure. In February. 6.25 erect girth is probably 6. Now(was 5.5 after 1st procedure. which I don't believe I lost any fat after 6 months. 4.5-4.75. To 5.5 with Dr Maercks Most fat survived. ) but not so great aesthetics .....Can see lump again when erect. more fat list towards lower shaft. ... Maercks. doesn't centrifuge to process. Very difficult to get information from doctors how they process fat. At what g-force and how many minutes. I believe I read that a comparison was done. Where g force of 1200 or 1300. for about 3 minutes was best if centrifuging. Waiting till first of year. And will only do again if get specific answers. from doctors. On how the harvest, process. And inject the fat. I do think the G force is important and how long .. it clearly effects the survival of fat. Not the only factor. But still important. Might do HA. If I lose anymore fat., will have to do something. Maybe Morganstern...He won't do anything until he looks at lump. and since I had curvature issue after first procedure, want want to check that before doing anything. Afraid other doctors will want to cut out lump. Morganstern office says they can easily fix without surgeryn
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wildcat44!

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Reply with quote  #17 
Need to correct measurements
1) 4.5-4.75 EG prior to any procedures(cant remember exact)
2) 5.5 EG after 1st procedure(Dr Maercks)
3) 6.0 EG after 2nd procedure(Dr Ibrahim) maybe 6.25 at base

some fat gone ..he said 75 % should take so should end up 5.875..I think that's about where it might be

Is most of fat lost in 1st few months? or do people continue to slowly lose?
Didn't seem to lose any from Dr Maercks for 6 months

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wildcat44!

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Reply with quote  #18 
What made you get FFT over pmma?
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wildcat44!

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Reply with quote  #19 
Hello...For me PMMA was not an option. There is no way I could go to Mexico to have it done..My wife would raise a fit. I had heard really good things about Dr Casavantes from a local physician who has a large practice and ha smet him at cosmetic surgery/plastic surgery seminars. It was suggested to me to see him. Bt. Im very far away from Dr Casavantes. It seems obvious that PMMA with the Dr Casavantes seems to provide the best aesthetic results and at a reasonable cost. However, I had to go another route. Dr  was closest to me and his credentials looked good. If HA was permanent, I would probably have gone that route, but the cost was an issue(and lasting only a year). I liked that idea of using my own tissue and also stem cells caught my interest. I was aware of past problems of fat transfer(poor aesthetics, lumps,reabsorbtion), but thought I'd take a chance that the procedure had improved. It has not been a cost effective solution for me. I don't blame either doctor.I could tell the first procedure would be difficult because of my small size and the fact that the skin was very tight.............If I had waited a year longer, I would have used Dr Morganstern in Atlanta since he is a urologist and has done over 4,000 procedures..I also had a slight curvature before the first procedure..which became signicantly worse..and the second procedure did mask it ..I don't know if the PRP or placement of more fat did it..but wish I had gone to Morganstern...he thinks I need to have lump checked out and check the underlying cause of curvature(check for peyronie's disease)before anymore procedures....2nd procedure looked great the first 2 to 3 months..but not as good now(still good,but not what I want)...He says he caneasily fix lump without cutting...I will probably see him if I spend anymore money...I think I could have saved a lot of money by seeing Morganstern and could probably have gotten a satisfactory result... His method seems quite diiferent from othe doctors who do FFT and I like the fact that his practice focuses on urology...and not everything else
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Reply with quote  #20 
Quote:
Originally Posted by wildcat44!
Hello...For me PMMA was not an option. There is no way I could go to Mexico to have it done..My wife would raise a fit. I had heard really good things about Dr Casavantes from a local physician who has a large practice and ha smet him at cosmetic surgery/plastic surgery seminars. It was suggested to me to see him. But I'm married and in my 50's and this is a very small conservative town and discretion was important. Im very far away from Dr Casavantes. It seems obvious that PMMA with the Dr Casavantes seems to provide the best aesthetic results and at a reasonable cost. However, I had to go another route. Dr Maercks was closest to me and his credentials looked good. If HA was permanent, I would probably have gone that route, but the cost was an issue(and lasting only a year). I liked that idea of using my own tissue and also stem cells caught my interest. I was aware of past problems of fat transfer(poor aesthetics, lumps,reabsorbtion), but thought I'd take a chance that the procedure had improved. It has not been a cost effective solution for me. I don't blame either doctor.I could tell the first procedure would be difficult because of my small size and the fact that the skin was very tight.............If I had waited a year longer, I would have used Dr Morganstern in Atlanta since he is a urologist and has done over 4,000 procedures..I also had a slight curvature before the first procedure..which became signicantly worse..and the second procedure did mask it ..I don't know if the PRP or placement of more fat did it..but wish I had gone to Morganstern...he thinks I need to have lump checked out and check the underlying cause of curvature(check for peyronie's disease)before anymore procedures....2nd procedure looked great the first 2 to 3 months..but not as good now(still good,but not what I want)...He says he caneasily fix lump without cutting...I will probably see him if I spend anymore money...I think I could have saved a lot of money by seeing Morganstern and could probably have gotten a satisfactory result... His method seems quite diiferent from othe doctors who do FFT and I like the fact that his practice focuses on urology...and not everything else


I don't think being a urologist is beneficial when we are essentially talking about a fat transfer here. 

To be honest I think you are possibly being a little harsh of your previous Dr's results. I think perhaps your expectations aren't realistic. 

Let's look at it from a different point of view. Forget your experience with FFT and let's focus on our members who have had HA. HA is about the most predictable filler there is. There should be no graft survival issues we see with fat, dermis or dermal matrix. It's not dependent on how your body responds to create volume, as with PMMA, Ellanse or Radiesse. Yet, despite all of those advantages, look how inconsistent the results are, even when arrived at by the same Dr and with the same filler. 

Some people say their HA feels totally natural. Some say it feels soft. Some have even said it feels firmer than their normal penis. Some have got a good aesthetic result in one round. Others have needed several rounds. Some make big gains from relatively small amount, whilst others have had loads injected for very little. The point is, even the most predictable filler out there creates very inconsistent results. So given how unpredictable fat is, can you really assume you'd have got a better result from a different Dr? No matter how much anyone wants to believe in free fat grafting, no one is going to make the claim it's as predictable as HA. 

So with that in mind, I think you've got to take a step back regarding what you should expect from FFT. Most of the time it's going to be 2, 3 or eve 4 stage process. There are cases where guys have had a great result after 1 round, that has lasted for years. But they are rare and no Dr can claim consistent results with this method. I think it's fair to say the most experienced FFT Dr's in the world are the Viel brothers and Dr Giunta. Interestingly both practices offer free top ups of fat. That's obviously not because they like doing something for nothing, but because after decades of doing this surgery, they realize that in most cases, it will take several attempts to meet patient expectation. Any Dr claiming otherwise, just isn't being honest, as if there was a reliable fat transfer method the cosmetic filler industry would collapse.
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wildcat44!

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Reply with quote  #21 
thanks  I apreciate your input


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wildcat44!

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Reply with quote  #22 
Who would you see if you were me since the small lump has appeared.. Should I see the ... I dont want anyone cutting..I do want to use someone who has the most experience removing lumps... and would feel better with a urologist..Ibrahim, Mata, and Morganstern are only urologists Im aware of that do Fat transfer in USA ..or Giunta since he has done so many...Would like to know if anyone on this board has used any of these doctors to get a lump removed


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Reply with quote  #23 
The most common thing for dissolving a fat lump is Kenalog10 or higher, or 5FU. What you want is a specialist who knows how to dissolve fft lumps - and it shouldn't matter if they know PE or not, it's as very specific knowledge as too much will cause damage to the surrounding fat and too little won't get rid of the lump. The lumps are a form of fat necrosis from poor blood flow. I think the second best answer to your question is the internet, I'd make some calls and have a few phone consults and go to realself and there are loads of discussions about these issues with Dr. Feedback. But maybe someone on this board has more fist hand experience.
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wildcat44!

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Reply with quote  #24 
Talked to Ibrahim about lump. Very small. Going to quit obsessing over it. Says to wait and leave alone . Will get another round next year to cover up. Good result last time just hope more fat doesn't reabsorb
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Reply with quote  #25 
It's not a good idea to just keep adding fat to get rid of lumps, your best of trying to get rid of it using DMSO/steroids/Lipodisolve or something similar. If you add more fat that might create another lump and if it wears of then you still have the original lump which might mean your left with more lumps than what you started with.
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wildcat44!

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Reply with quote  #26 
Reklaw. Do you know which doctors have experience doing it.. or do people do it themselves.. when I've talked to doctors they seem to imply that cutting it out is how they do it.. don't want to make appt with just anyone. That's why I contacted Morganstern in Atlanta. They said they can easily fix. I'm assuming by one of methods you suggest.. Maercks said he would fix without charge. But nervous. Don't want to mess up more. Would you go to initial doctor whose procedure resulted in lump ? He wants to make it right ..I'm really paranoid about scewing things up worse. You are right. Covering up won't fix it. And might eventually reappear or more lumps. Only reason I keep mentioning Morganstern is I haven't heard anything bad. But then again haven't heard of any reviews. His overall urology practice seems to be excellent ..
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wildcat44!

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wildcat44!

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Reply with quote  #27 
1st procedure -summer 2016
1st picture 2 months after 1st procedure
2nd procedure- February 2017
2nd picture 1 day after procedure
3rd picture 1 month later

Attached Images
jpeg IMG_0084.JPG (10.56 KB, 29 views)
jpeg IMG_0085.JPG (277.58 KB, 9 views)
jpeg IMG_0086.JPG (376.17 KB, 11 views)


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wildcat44!

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wildcat44!

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Reply with quote  #28 
2nd procedure straightened out curvature. 3cc of platelet rich plasma was used along with 15cc of fat.....pictures may not be in correct order. Last picture by pillow
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wildcat44!

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Reklaw

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Reply with quote  #29 
Am I correct in think your original username was Sugarmill? The 2nd procedure was a huge improvement on the 1st
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wildcat44!

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Reply with quote  #30 
Yes
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