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Dream

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Reply with quote  #1 
Hi there!

I am very strongly thinking about getting PMMA (http://phalloboards.websitetoolbox.com/post/planning-pmma-procedure-journal-dr-ivana-nemeckova-prague-8368135?pid=1294527032).

Because of this i have to research about aftercare after the operation, it seems to be very critical to the success of the whole endevour.

So in an attempt to make this clear for me i will automatically make 'one big thread' about PMMA aftercare. All the info is already on this forum, the info about aftercare just seems to be in bits and pieces in eg the progress threads. Comments and points to other threads appreciated. I will edit this main first post with the feedback from the comments below, so this first post shall form into something nice. (Suggestions for formating also welcome)



Before operation:
- Buy an all day stretcher like ESL-40 and bring it
- edit: Made a big collagen thread:
http://phalloboards.websitetoolbox.com/post/collagen-in-pmma-aftercare-collectionsummary-thread-8421950?pid=1294892627#post1294892627
Result: it's an automatic immune reaction - you cannot make your body put more collagen around the pmma beads by eating something (eg collagen, and suppliments; or even growth hormone)

- Ideas for supplements to help Collagen Production in the body: (guess should look up what scientifically helps collagen production)
Bromelain 500 mg 1 twice a day,
Arnica montana dose 30C (take 4 small tablets sublingually, 4 times a day),
Vitamin C 500 mg (3 times a day)
hydraulic acid 30mg a day, joint care supps, hydrolysed collagen, Anavar 25mg a day for my collagen building stage (alwan)
“vitamins a, c & e”
collagen supplement
starting 1 week before Surgery
- Get all other stuff that I need for post-op care
- Bring bandages and tape for wrapping?
- Take some pain medication with me

At operation:
Probably nothing

olafspo 11/24/14
https://phalloboards.websitetoolbox.com/post/show_single_post?pid=1285181482
Quote:
"I wore the cup of the penimaster plus.  First of all, it´s much easier for her to have a good grip as she does not need to pull on the glans / skin (as she only injects when your unit is stretched ). Afterwards it is much easier to do a nice wrapping. The penis can not turtle as the base of the penimaster cup will push against the thick wrapping. Just use the cup and wrapping material and you will be able to wear a comfy all day stretcher. Use it for 10 days."


After operation:
- The idea is to spread Pmma evenly, because when it clumps up it forms Nodules, and you can only prevent Nodules that formed in the 72 hours after the operation
- Wrapping from her after the thing
- Penis should ideally probably free-hang [smile]
Meaning when you have a trouser on that carrying it left or right it could make irregularities? (Sherger speculation)
So.. driving home is a nono, sitting in train for 3 hours and going home is a nono?
A jogging-trouser is much better than jeans?

- Stay in the city of operation for 3 days, let it check up by doctor on 2nd and 3rd day? (1st being day of operation)
I guess Dr C Tijuana does this, don't know about Dr N Prague. How did you guys do it?

- Take 3 days for really checking on your penis, if there is some irregularities massage till it's regular again
- Eventually even wake up every 3 hours and take a look?
I guess sleep is the most dangerous time, eg when you lie on your penis with your body?

- The entry points are most often problematic, look at that extra

- Stretch for 2 weeks with ESL-40 (or all 6 weeks in which collagen is forming); tom kat writes some people lose ~0.3 inches temporarily and this is against it
(- don’t pump)
- Don't jelq or clamp anymore after pmma (sizemic, tom kat)
- Dr N wrote no sex or jerking off (sexual activities? no physical pressing the penis) for 10 days

Here 9_in_Richard writes that he made himself a big nodule or something by jerking off lightly at day 10: https://phalloboards.websitetoolbox.com/post/does-pmma-move-about-8342718?pid=1294226334
-> so, no sex or jerking for 14 days i would say

- Slight irregularities at first become bigger with time

- Use roller instead of massaging with your hands:
Read it’s 100 times better than with a hand (‘Method of the koreans’). But what roller to buy?

Miracle8x7 on 07/19/13
https://phalloboards.websitetoolbox.com/post/miracle8x7s-pmma-progress-report-5391236?&trail=820
Quote:
“I used a stainless steel bar 1/2" diameter, covered it in the antiseptic gel and rolled (like dough) the top part of my shaft

after scouring the web for the ideal roller (in my estimation 3" wide by 1/4" - 3/8" diameter) I came up empty handed.  I've viewed probably 400+ carpet seam rollers but none that are perfectly suited for the task at hand.  I've recruited Smartman to help locate such a roller.

Guess what?  The top part of my shaft is as smooth as a baby's butt.  No bumps, lumps, hard areas... it is PERFECT.  

I personally believe that placing the penis on a flat surgical tray and stretching it out by pulling on the glans and rolling with even pressure along the length of the shaft will yield near perfect results; homogenizing the filler.  I am still in awe of just how smooth the portion I rolled is. “


Smartman on 07/20/13 same thread, about Korean technique
Quote:
“So they have changed their technique (directly post-injection) by using a roller (which will provide equal forces over the shaft but in the other hand hand manipulation or massaging will provide unequal forces over the shaft) with a light force to homogenize the product ; and in their article if you see the pictures (dorsal and lateral views - before and after 18 months) they had smooth and v. good esthetic results after 18 months.

Btw these korean use a compressive dressing with an elastic bandage directly after the usage of a roller.“





What to expect after the operation:
- Leaking from the entry points (what to do there - ok, wrap)
- Swelling and pain, redness and itching
- I am uncircumcised, so more chance of complications (https://avantiderma.com/wp-content/uploads/2016/09/girth-enhancement-journal-sexual-medicine.pdf says it, but i don't know why exactly)
- Size going down first (after first week eg it looks like you never did anything), then later after some weeks it getting bigger again
- Small irregularities become bigger with time
- You can feel the pmma under the skin a bit
- It changes a bit over the years
- You perhaps now worry if people 'find out' because it looks a bit weird



Between sessions:
- take 3-6 months between sessions.

(question down below)

When irregular:
- Touch-up session with 10% pmma
- Or silicone dripplets (don’t know advantages/disadvantages). I guess only Dr C Tijuana does this, not Dr N in Prague


Questions:
- Is getting hard often good or does it not matter? (If it matters could take Cialis)

- When do nodules start to exist? Stupid question, but when do they form – in the 72 hours after the procedure? 1 month after the procedure? Any time? After sleeping in a bad position?

I guess the penis is swollen after the operation. But best case you already superlightly touch your penis, find irregularities and massage (press?) lightly till the irregularities are gone -> well, don't touch with hands, but do it with roller!

Also: I guess don't sleep on your tummy? But you turn around in sleep.. I normally always sleep on tummy.. is sleep *the* time that irregularities are formed, eg when body lies on penis?

After operation i get penis wrapped up and should leave it like this for 48 hours!?
I guess if you are in a hotel room or at home again and you have time to be careful you should do the wrap away and instead inspect - and roll with roller if necessary.

- How can i imagine the aftercare in real life?
eg what about the leaking - just do it away with paper towel?

And testing for nodules and stuff: do i carefully lightly touch the penis, find anything i don't like (visually or extra hardness) and massage superlight so long till it's ok again?
And if i don't feel and see something i don't like of course don't roll/massage.
And just do this every hour?

Dr N and Dr Cho from South Korea both say not to massage (and Cho says just leave the wrap on for 7 days and only take off for shower; Dr C says to keep it on for 48 hours)

Entry points are most problematic, they get hard often - i guess massage softly there
-> no, probably never massage, but always use a roller
(massaging hard seems to me to be dangerous in actually making nodules)

- How long to wait ideally between sessions?
Make pmaa-injections like only after 6 months after the last one? Idea being that after 6 months the penis is finally done changing from the injection and in best state for touchup? And: You see if Nodules come up + if they resolve again on their own. So I can make the ‘corrections’ and ‘next session’ in one?

(Todo now:
- look through these: http://phalloboards.websitetoolbox.com/search?searchid=48869962&trail=25)
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Southdub

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Reply with quote  #2 
Thanks very much for this post. Just got had it for the first time last Friday so timing is good.
It's very interesting the different advice between Dr C and Dr. N regarding after care. I have done a mixture of both. Followed Dr. N for the first 2 days when very swollen. Just messaged very gently twice a day. However when I took of the wrap I noticed a lump so I then took Dr C advice of messaging a lump away which seems to have done.

What do uncut guys think about pulling therefore skin back in the days after the procedure. Mine went very tight after so stretching it back a few times a day now even tho was not advised. I read Shergars PMMA report
https://phalloboards.websitetoolbox.com/post/shergars-pmma-progress-dr-n-6922633?highlight=shergar&pid=1289762850
he missed this after. I wonder should uncut bring in after care to make sure the foreskin stays as lose as it was before.
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Cashew

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Reply with quote  #3 
Good thread I was wondering about aftercare too. What's the conclusion? Simply leave the wrap on? Who does the wrap is it the doctor? No or yes to massaging or will massaging just screw things up.
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Reply with quote  #4 
Quote:
Originally Posted by Cashew
Good thread I was wondering about aftercare too. What's the conclusion? Simply leave the wrap on? Who does the wrap is it the doctor? No or yes to massaging or will massaging just screw things up.


What ive read is the doc foes the first wrap then he does it agian on day 2 and 3.
Massaging is needed only if there are uneven areas.
I haven't had pmma its just what ive read.
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jogift

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Reply with quote  #5 
From what I've gathered, massaging when swollen is a hit or miss thing as it cannot be known where the lumps are beneath the swelling.

I consider that a shrink wrap over the shaft and an esl40 is good. At night, the extender needs to be kept by something on the floorto maintain tension whilst sleeping on the stomach, the prick through a hole cut in the canvas of a camp bed or hammock. Three days of this won't kill anyone, however far-fetched it sounds ...
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Dream

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Reply with quote  #6 
Quote:
Originally Posted by jogift
the prick through a hole cut in the canvas of a camp bed or hammock


Excuse me, what? Do you suggest cutting a whole in your mattress so your penis hangs in there when you sleep on your tummy? [smile]

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jogift

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Reply with quote  #7 
"canvas or hammock" - it means sleeping rough for a few days. Is it too much of a sacrifice ...
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Dream

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Reply with quote  #8 
Quote:
Originally Posted by jogift
"canvas or hammock" - it means sleeping rough for a few days. Is it too much of a sacrifice ...


Very interesting
Did anyone really do that?

I have no hammock

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Cashew

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Reply with quote  #9 
I own a phallosan forte and a penis master pro. I currently use the phallosan but after PMMA I would use the penis master pro because it requires no sleeves which may cause the PMMA to become misshapen.
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buttercups

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Reply with quote  #10 
Sterile jogging pants, sterile jogging pants, sterile jogging pants.

Just free ball it in a pair of sterile, baggy, freshly steamed, clean jogging pants.

The airflow will heal the entry points quickly, the lack of constriction will let things hang and develop naturally. Do what you can to keep it erect or near erect for the first 48 hours.

Arnica gel works great for keeping the swelling down.

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Disclaimer: what worked for me may not be suitable for another person. We all have different bodies, medical history, etc. What worked for me now could change in the future.
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Dream

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Reply with quote  #11 
Quote:
Originally Posted by buttercups
Sterile jogging pants, sterile jogging pants, sterile jogging pants.


Oh, cool, thanks. Hmmm.. just washing jogging pants in washing machine does not make it sterile, does it? Or does it?


I guess the best jogging pants would be some where there is 'no crotch', i mean ideally the penis would really free fall in the middle - and not get pushed right or left with the pants. I once saw some strange clothe like this, but it was a woman wearing it and i don't know the name of this thing.


Quote:
Originally Posted by buttercups

Do what you can to keep it erect or near erect for the first 48 hours. Arnica gel works great for keeping the swelling down.


Oh, ook.. having erections is good? But of course only touch it superlight i guess.

Ok Arnica.. just eg this 35% creme
http://www.amazon.de/Arnica-35-Gel-Creme-biologischem-Konzentrat/dp/B01FI4DQ4E

I don't know what happens in body with the swelling (and what Arnica does). Is it when you bruise something, it swells?

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Reply with quote  #12 
Great stuff from this thread from mike81:
http://phalloboards.websitetoolbox.com/post/uncommon-pmma-tips-8412594?pid=1294839218

- Sleep on your back

- wear lose jogging pants without underwear

----

I think i will open the bandage. And just carefully look at my penis every 3 hours.
I don't want to take the bandage off after 3 days and then see the 'end result' of a lump.

But i guess it's like this.
First it's swollen.
Then only when the swelling goes away, you notice the lumps?

Can you detect (and correct) the lumps while there is swelling?
And i guess i have to find a roller. The guy in this one thread just speaks soo highly of the results.



Are erections good? People seem to say it.
Then it would be best to pop Viagra and watch porn (and self-stimulate super super slightly and careful) for 72 hours, wouldn’t it?
smartman wrote being erect is also a good time to massage away irregularities in first 72 hours.
Made a thread: http://phalloboards.websitetoolbox.com/post/erections-in-pmma-aftercare-watch-porn-8419902?pid=1294875161

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Reply with quote  #13 

http://phalloboards.websitetoolbox.com/post/10-vs-30-8111981?pid=1292268625
smalljay: after my first round I wore a sleeve which compressed much of my 30% into an even higher concentration (probably more like 60-80%!!) in one area, which formed a rock hard mass because of this.
if you do go with PMMA my biggest pieces of advice for you are: DON'T WEAR THE SLEEVE, UNDER ANY CIRCUMSTANCES, EVEN IF THEY ASK YOU TO, and REFUSE THE ANTI INFLAMMATORY PILLS THEY OFFER YOU PRE OP (i think its ibuprofin) - these pills absolutely kill your gains (I found out in round 2) and are completely counteractive to the process that PMMA is supposed to create (tissue inflammation and swelling). I have no idea why they try and give those to people and I think it's something they need to change. Because of those pills I gained only 1/8" from a full round of 30% in round two. Wouldn't you know it - when I went in for round 3 and didn't take them, I gained almost half an inch.

---
http://phalloboards.websitetoolbox.com/post/10-progress-reports-6202291?&trail=30 02/11/13
Dance With Dragons: My humble opinion based on limited experience is that 30% is a powerhouse product, although I fully admit that I spent 48 hours straight staying erect as much as possible, massaging out trouble spots constantly, and literally holding it stretched out when I was erect or massaging. I slept only an hour or two at a time that whole 48 hours. I did not let it turtle at all. I think if you let 30% just sit and do whatever, you would have bad results. I'm still on 16 days in, and I may change my stance on this, but so far everything is pretty damn good.

----
http://phalloboards.websitetoolbox.com/post/advice-needed-big-aesthetic-problem-7406907?pid=1287191016#post1287191016
smalljay:
Unfortunately for me, no this is not a nodule but a much larger dense area. It's like a half of a ring, encompassing the entire top half of my penis below the fat pad. It being below the fat pad is what made it easy for me to miss during the massaging process, especially flaccid. For newbies, because of this reason I can't overstate the importance of massaging while erect in the few days after PMMA. When you're erect directly following the PMMA treatment, you see imperfections that just aren't noticeable while flaccid.
----
phalloboards.websitetoolbox.com/post/nodules-after-10-pmma-surgery-8235035?pid=1293328722
never pump
----
http://phalloboards.websitetoolbox.com/post/nodules-after-10-pmma-surgery-8235035?&trail=30
enhandedone: My mistake was to stop massaging bad spots all together 5-6 days after the procedure thinking it
Was too late and the PMMA had already solidified.
---
http://phalloboards.websitetoolbox.com/post/show_single_post?pid=1294294370&postcount=2&forum=196666
manitou: I woke up every few hours the first couple day to ensure I moved everything back to where it should be while sleeping, and massaged every 1-2 hours during the day.  Focus on the entry points.


------- Side-topic: What to do with lumps?
http://phalloboards.websitetoolbox.com/post/lump-removal-after-30-6305119?pid=1277703629
Miracle8x7: That's a "No" from me on the kenalog injection.  It will not require removal.  Creams will likely be ineffective.  Time could possibly resolve the issue as it can take upwards of 1 year for the implant to completely soften/stabilize.  If it remains and is bothersome, IMO the best treatment would be to have Dr. Casavantes break it up with a cannula and soften the resulting rough collagen matrix with 10%.  Should provide a near flawless result.

HunkChunk: I got rather large lumps, around 1.5" by .5" on either side of my shaft. In round 3 Dr C spent a good bit of time and effort breaking them up with a canula and they totally collapsed. Then he encapsulated what remained in fresh PMMA. Although this time it was 30% Linnea-Safe, I got zero clumps from it. My unit became a bit rigid and rubbery after the 30% PMMA, but I no longer have any lumps at all.

---
Made a big collagen thread:
http://phalloboards.websitetoolbox.com/post/collagen-in-pmma-aftercare-collectionsummary-thread-8421950?pid=1294892627#post1294892627


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Reply with quote  #14 
Ideal time to wait between rounds?
One idea is to wait for 6 months, so the round has totally stabilized. The idea being the new pmma is put where it is really needed?

Another idea is here:

http://phalloboards.websitetoolbox.com/post/ideal-time-to-wait-between-pmma-round-1-and-pmma-round-2-for-best-results-7758317
Restoration:
I waited 9 months between R2 and R3 and it was a mess.  I think part of the problem was that my R1 + R2 implant was very fibrous and solid and tight...and the linnea safe that was injected just got pushed out the injection sites until I got some massive nodules.  The pmma had nowhere to go.  If I went back earlier (and maybe if he used less) I think i would've been better off.
Then again, many people here have had layer after layer into many months post op - so there's no one answer.

smalljay:
I've heard of guys having a second session 6 weeks later and getting shitty gains - I've also heard of guys waiting over 9 months and getting shitty gains.

justdoit:
I waited 11 weeks.  That could be too long.  I don't think it's too soon though.  I think this layer stabilization theory has merit, so you need to strike while the iron's still hot and get a subsequent round right after the 2 month mark. Do I think 6 weeks is too soon?  Perhaps, because maybe you need to heal a bit more, i.e., scar tissue, but don't let it heal too much and harden too much  Although I don't believe there's collagen growth after 2 weeks, I  believe there's hardening of the scar tissue up till about the 8th to 11th week.  That's why I think if you get another round before your body is completely healed up you'll be able to have one layer continue to graft into the old layer thus creating optimal results.  I think the pumping thing is true and that's why Wade says to pump so that the scar tissue can expand out rather than close up and harden.  Once it's "too" healed so to speak, I think then your scar tissue has matured like Letsee said and then you'll have two independent layers growing and that might just cause issues down the line.

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Dream

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Reply with quote  #15 
Found this kind of special trousers
('Haremshose' in german)


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