When considering penile augmentation with PMMA or HA filler injections, a common question arises: should the procedure be done while flaccid or erect? This topic has generated much discussion, and there are various perspectives on the advantages and disadvantages of each method. Understanding the various techniques can help individuals make informed decisions.
What is PMMA?
Polymethylmethacrylate (PMMA) is a type of biocompatible filler used in penile augmentation procedures and penile enhancement procedures, to increase girth. The procedure involves injecting PMMA microspheres suspended in a collagen gel carrier (Bellafill) into the penile shaft. Over time, the collagen gel is reabsorbed and the PMMA induces the formation of collagen, because. The PMMA is not reabsorbed body continues to form collagen creating a semi-permanent to permanent result.
Flaccid vs. Erect Injections
When it comes to PMMA filler injections, the state of the penis during the procedure—flaccid or erect—can impact the process and outcomes. Both approaches have their proponents, and the choice often depends on the injector’s preference and the specific circumstances of the patient.

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Advantages of Flaccid Injections
1. Ease of Procedure: Many practitioners find it easier to work with a flaccid penis as it is more pliable and easier to manipulate. When there is an erection there is less space for injection of the filler. This flexibility allows for more precise injection placement.
2. Patient Comfort: For some patients, remaining flaccid during the procedure is more comfortable. Achieving and maintaining an erection can be challenging and stressful for some, especially in a clinical setting. Medication can be used to induce erection but this this created a whole new set of potential complications.
3. Common Practice: Most providers perform PMMA injections while the patient is flaccid and have excellent results. This method is more commonly practiced and might be considered standard.
Disadvantages of Flaccid Injections
1. Potential for Uneven Distribution: A flaccid penis can change shape and size significantly when erect, potentially leading to uneven distribution of the PMMA filler if not carefully managed. However, an experience physician will know how to place the filler when flaccid so it looks great erect. Also remember flaccid or erect technique touch-up are commonly needed.
2. Difficulties in Spotting Problem Areas: Identifying areas that might need more attention or correction can be harder when the penis is not erect, as certain imperfections may only become apparent when engorged. However, there may be problem areas that not visible when erect, as bunching may occur when the erection goes down.
Advantages of Erect Injections
1. Better Visualization: An erect penis allows the practitioner to better visualize and address any asymmetries or problem areas, ensuring a more even distribution of the PMMA filler. However, an experience physician will know how to place the filler when flaccid, so it looks great erect. Also it maybe that less filler is able to be placed because of the erection necessitating more treatments.
2. Immediate Feedback: With the penis erect, any immediate issues with PMMA filler distribution can be addressed on the spot, but remember some issues with PMMA are due to uneven collagen production over time to you may still need touch ups.
Disadvantages of Erect Injections
1. Patient Discomfort: Achieving and maintaining an erection during the procedure can be uncomfortable or difficult for some patients, leading to increased anxiety or discomfort.
2. Technical Challenges: The rigidity of an erect penis can make the injection process more challenging, potentially leading to difficulties or less filler and more procedures in the long run.
Factors Influencing the Choice of Injection Method
Several factors can influence whether a practitioner decides to perform PMMA injections while the penis is flaccid or erect. These include:
1. Injector Preference: The experience and comfort level of the practitioner play a significant role.
2. Patient Anatomy: Individual anatomical differences may make one method more suitable than the other. For instance, men with significant differences in their flaccid and erect states might benefit more from one approach.
3. Desired Outcomes: The specific goals of the penile augmentation procedure can also influence the choice. If the aim is to address asymmetries visible only when erect, performing the procedure while erect might be preferable. This is unusual.
PMMA Injection Experience at GMG
It is common to experience minor asymmetries following a penile girth enhancement procedure. At GetMoreGirth, we advise patients to anticipate needing a touch-up to achieve the desired perfect outcome. This approach is advantageous because using the flaccid technique allows for the placement of more filler, leading to a more uniform and satisfactory result.
By utilizing the flaccid technique, we are committed to providing our patients with the highest standard of care and the most satisfactory results in penile enhancement.
1. Research and Choose an Experienced Practitioner: The skill and experience of the practitioner play a crucial role in the success of the procedure. Look for practitioners with extensive experience in penile augmentation with PMMA filler injections .
2. Discuss Preferences and Concerns: Have an open discussion with your practitioner about your preferences and any concerns you may have. This will help ensure that your needs and expectations are met.
3. Follow Pre-Procedure Instructions: Your practitioner will provide specific instructions to follow before the procedure. Adhering to these instructions can help minimize complications and improve outcomes.
4. Understand the Risks and Benefits: Like any medical procedure, PMMA injections come with risks and benefits. It is a great filler but with all medical procedures complications are possible.
Conclusion
At GetMoreGirth, we believe the best approach for performing penile enhancement procedures with PMMA is with the patient in a flaccid state. This method allows our specialists to achieve a more precise and even placement of the filler. By working with the penis in its natural, relaxed state, we can ensure that the PMMA is distributed more uniformly, leading to a smoother and more natural-looking result.
Using the flaccid technique also enables us to place a greater amount of filler, which can significantly enhance the overall outcome of the procedure. This method not only maximizes the aesthetic benefits but also helps to minimize the chances of irregularities and asymmetries. We advise patients to anticipate a possible touch-up session to fine-tune the results and achieve the perfect outcome. Don’t wait get bigger today!