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Dr Oates

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Reply with quote  #76 
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Originally Posted by Konino
Dr qates why are you not answering pm?

Konino,

Sorry I dont get to the website every day, but have done so today. As I said at the start of this thread I will probably only get to post a couple of times a week.

Regards

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Dr Oates

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Reply with quote  #77 
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Originally Posted by smalljay
Hi Dr. Oates,

I'm sorry if somebody has asked you this before, but what specific type of HA do you prefer to use on the glans? (Juvederm XC, Juvederm Ultra, Voluma, Restalyne, etc etc etc?)

And what is your technique aka where are the injection points and how deep do you insert the needle, typical # of cc's?

Finally I was wondering if you have had any cases of necrosis from HA to the glans so far that you know of?

Hi Smalljay,

Yes, have gone over this but -
Voluma
I mostly inject around the 'flare'/corona of the glans. If wanting more volume I inject a second ring inside this or do a 'fanning' technique.
The needle is in the deep dermis - so about 1 - 1.5mm deep.
2 - 3 cc
I have never had it and never heard of it with HA. HA is softer than most permanent fillers and it can be dissolved. Got a problem? Lets dissolve it straight away. In the face the necrosis is from injecting into a major artery, in the glans it may be a pressure effect.Too much volume of something too hard.

Hope that helps,

regards

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Dr Oates

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Reply with quote  #78 
Quote:
Originally Posted by Toolman


AB Silicone has some that are white, and between the yellow and blue ridgetity from Autoextender.  But I've found Autoextender to have better ones as they have three different levels of hardness.  The photo shows the softest kind, yellow.  The blue is the middle rigidity, while the red is the most ridged.


Thanks Toolman - I will look them up.

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Dr Oates

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Reply with quote  #79 
HW,

We would definitely need at least 15ml. That would usually get close to 1 inch. then we may need to do a second session of 5 - 7 ml. It adds up unfortunately.

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Dr Oates

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Reply with quote  #80 
Quote:
Originally Posted by Dexterphall
How long does HA last?


Good question!

The Korean's published a study (using a lesser HA - I believe) with 90% retention at 18mths. There was a thread started recently with a member who had glans enhancement 2 years ago with persistent gains.
We started 2 years ago with a cheaper HA (to do the trials) with benefits lasting over a year. We switched to Voluma which generally lasts 18 - 30 mths in the face. HA seems to last longer in the penis - less natural hyaluronidase.

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Dexterphall

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Reply with quote  #81 
Thanks. So, on average around 2-3 years if the HA is the highest quality .

How much girth is possible with a single round of HA ?
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hoddle10

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Reply with quote  #82 
Hi Dr Oates, I'm interested in HA, but I have seen both some great results and some bad ones. The technique seems all over the place, as each Dr seems to do things differently. Can you please tell me a little about yours? For example, do you inject on the top (dorsal side) as well as along the sides? Do you make strips all along the top? I have seen it injected in blobs, jjust on the sides, which can feel squishy if all the volume is added that way. If you make stripes along the top, do you use multiple cannula holes?

I am interested in the procedure, but just want to make sure it will look natural and am not sure why some look good and some look lumpy.

Thanks
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Dr Oates

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Reply with quote  #83 
Quote:
Originally Posted by Dexterphall
Thanks. So, on average around 2-3 years if the HA is the highest quality .

How much girth is possible with a single round of HA ?


Usually we get about 2cm in circumference.

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Dr Oates

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Reply with quote  #84 
Quote:
Originally Posted by hoddle10
Hi Dr Oates, I'm interested in HA, but I have seen both some great results and some bad ones. The technique seems all over the place, as each Dr seems to do things differently. Can you please tell me a little about yours? For example, do you inject on the top (dorsal side) as well as along the sides? Do you make strips all along the top? I have seen it injected in blobs, jjust on the sides, which can feel squishy if all the volume is added that way. If you make stripes along the top, do you use multiple cannula holes? I am interested in the procedure, but just want to make sure it will look natural and am not sure why some look good and some look lumpy. Thanks

Hoddle,

Hopefully we will have a video up soon. I make 2 - 4 access points near the circumcision scar (if they have one. The cannula runs smoothly under the skin. I use probably hundreds of passes injecting tiny amounts continuously and circumferentially.

The procedure started with Urologistist who are not cosmetic injectors and I think that is why they were injecting in a different way. So there should not be strips, blobs, a turtle shell etc.

Initially I was a little reluctant to inject directly over the dorsal (upper) surface because the dorsal penile artery (nerve and vein) run midline on the dorsum. But once confident that the cannula was not going to pierce deeper through the fascia I am totally happy to do that now.



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Reklaw

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Reply with quote  #85 
Has anyone heard of this Dr J Vandeputte who offers HA in Belgium
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jogift

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Reply with quote  #86 
Doc, it will cost me about 5k (USD) and six days round trip to Australia from my region. Please, can you give any indication of costs (per volume, your charges, hospital bills etc.)? Do you have any idea of costs, also, for abdominal and facial lipos? Thanks in advance ...
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Dr Oates

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Reply with quote  #87 
Jogift,

If you were coming all that way you would probably look at 15ml which is $8100 Aust (about $5850 US). It is a walk in/walk out procedure, there are no hospital fees etc. But we like to consult people at least a week out.
I do liposuction in Perth (not Sydney) then it depends on the amount, and it is now a surgical procedure and you should be looking to stay for 2 weeks post lipo.
I really need to set up training courses around the world to train doctors in the technique - that is the eventual plan.

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Konino

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Reply with quote  #88 
Quote:
Originally Posted by jogift
Doc, it will cost me about 5k (USD) and six days round trip to Australia from my region. Please, can you give any indication of costs (per volume, your charges, hospital bills etc.)? Do you have any idea of costs, also, for abdominal and facial lipos? Thanks in advance ...


Jogift your situation is better than mine for sure from my region it will cost me 10k and i still didnt decide which one 7ml or 10 and all of this trip for only for temporary results it sucks but its better than take the risk with pmma at least for my side .. Oh and dear dr qates if i already mentioned that for how long the results will last? I also understand that even after the HA is reabsorbed the penis will be bigger than what he was that's true? Like i will gain about 0.5 inch 0.25 will remain?
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jogift

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Reply with quote  #89 
I understand from earlier in the thread that the HA could last about two years, that's fairly "permanent". Without the risks of PMMA and with the confidence of good results I'd prefer to muster whatever it costs to have it done.

Doc, will pm you when I'm ready ...
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Dexterphall

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Reply with quote  #90 
$6k for 15 ml of HA.

I wonder what the manufacturing costs are.

Still have to say though, if money no object,. it makes a lot of sense.
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