penisdoctor.com

I was wondering if it were possible for you to perform a partil circumcision. I am happy with my foreskin, have no problems with it, etc. It is just a bit too long for my taste and I would liek to have it maybe 1/2 an inch shorter. I have read online that this surgery is called a partial circumcision or a minimal circumcision. Have you done this procedure before? How exactly would it happen? I would like to have minimal visible scarring and keep the retracting nature of the foreskin intact. Would this be a sleeve resection method? Would the frenulum be removed? Thanks, I appreciate your response.   Daryl

Hello,

Yes the outcome in that figure is how I want my penis to end up. I have heard that partial circs often result in scar tissues causing phimosis, is this true?

July 22, 2010

Good afternoon Daryl,

A partial circ will certainly result in a lot more swelling
and may make it impossible for you to retract your foreskin for several
weeks for daily hygiene.  You will need to use a Q-tip with warm
water and very dilute soap.

Phimosis would most likely persist if the patient had that to begin
with and the doctor did not remove enough scar tissue.

We are very careful about that.

With kindest regards,

Harold M. Reed, M.D.

Would the frenulum need to be removed in a partial circ? Also, I’ve never had problems with phimosis, just a long foreskin, so i’m assuming that phimosis would not happen after a partial circ. What about scarring? is it on the inner or outer foreskin? Are most people happy withtheir partial circ procedures?

August 6, 2010

Good afternoon Daryl,

The frenulum does not have to be removed.

The incision line can wind up at the end or further inside
or outside.

Please initiate a consultation with our office by sending us
a check for 250 when there is further interest.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Thank you sir.  When you get the chance, could you kindly answer the questions in my email which are concerning to me?.and I will be sure to 4leave you alone until I?m ready to contact you for consult.  Thanks very much for taking your time to provide me some information.  Have a great day!  Thanks Dr. Reed!!
 
Benson
 

July 21, 2010

Good afternoon Benson,

Taking your thoughtful questions in the order posed…

Seriously, I’ve wondered if it ever restricted the size when erect?.since the skin gets so tight??.of course only you would know this answer. ??

Probably yes, as men who have phimosis report that their glans gets bigger especially when erect.

I wonder if the ?Corona? is still intact and with proper ?form? being enclosed all these years. ?? 

Again based on our experience with bridges and phimosis I would think yes.  There may be some adhesions which will have to re-epithelialize over.   There are no iron clad assurances in medicine.

So you don’t see any issues with this repair?

No sir, I do not aside from the usual advisories for any incision.

Truly you are fostering a premalignant (that’s saying it kindly) situation, could even be exuding carcinogens during sexual relations.  I know you would not get on board a plane even if there was a 2%
chance of a serious mechanical malfunction.  Why take a chance with your glans?

Sincerely,

Harold M. Reed, M.D.
305-865-2000

June 13, 2010

Good afternoon Benson,

Thank you for your interest in what we do.  Sorry, we do not maintain a directory of handful of urologists who are exceedingly gifted in cosmetic circumcision.

We do preputial bridges almost monthly here at the office.

There may be a slight pigment change at the base of each bridge pedicle, but usually not noticeable to a casual observer.   As a rule these areas are very thin, so this works to your advantage.

Yes, I am confident we can address your concerns and do an excellent cosmetic job.

I have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  We have done sons of physicians, brothers, religious circumcisions, men who have not seen the heads of their penis for 20 years! This is your circumcision and we do it the way you want with respect to 4 parameters.
 
Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected. I was wondering when i recover can i get a consultation with you.” Photos sent and received (unspoken comment “disaster zone”)
 
Be assured we will show you every courtesy,
 
All the best, and take good care of little Benson

Harold M. Reed, M.D.
305-865-2000

July 17, 2010

Sure Benson , send photos.

The head of the penis is no stranger to malignant transformation and have such a patient now who had a partial penile amputation and a course of radiotherapy, going from 8 inches (he says) to about 3 measured at office.

If your bridges are covering desquamated skin, simple body dirt, smegma, you name it, best for that area to get a good washing on a daily basis.

More important than cosmesis (and we fuss over that) is hygiene.

Awaiting your photos,

Harold

July 21, 2010

Good afternoon Benson,

Thank you for taking time to send to photos.

What I am seeing is a corona (rim) that yearns to breath free.  I do not envision any problems with releasing what nature has given you and needs to be exteriorized.

Suggestion, let us do your vasectomy at the same.  Vasectomy fee is 500; if done as “an add-on” 400.

So far, how’s our driving?

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Hi Dr. Reed,

Just wanted to let you know I made it back to MD this afternoon…there was some minor patches of blood from all the walking, no real pain, just discomfort. I put ointment on it and got the sudafed, is that suppose to stop the night erections?

I know you said not to remove the wrap for 7 days, but the underside of the head has a yellowish goo (maybe from the ointment? it looks gross) and bloodstains, can I wipe that off or should I just leave everything how it is until day 7? It’s not risking infection right?    Peter

Aug 4, 2010

Good evening Peter,

Yes the Sudafed, pseudoephedrine hydrochloride 30 mg, take 2 every 6 hours as needed especially before sleep to suppress painful erections.  If you are no longer having painful erections, please do not take Sudafed.

We surely enjoyed having you here.

Best wishes,

Harold

Aug 6, 2010

Good morning Peter,

Thank you for the update.

My bias is to leave it alone, or place some hydrogen peroxide on a wash cloth which you wrap loosely around for stained area for a few minutes and then remove and let drip dry.  Do not rub please as this skin is very fragile.  Do not overuse hydrogen peroxide as it destroys new cell growth.

What you are describing is a normal situation.  Probably a mixture of serum and coagulum.

Have a blessed Sunday,

Harold

I have had excess fatty tissue in my chest for years. I work out so I have good muscle tone underneath but I can’t get rid of the superfluous surface fat. I am also hopeful that insurance can pay for removal surgery.
contact: Email   Juan

August 1, 2010

Good morning Juan,

Thanks for reviewing our web-site
http://penisdoctor.com/gynecomastia.htmWe hope you can relate to the befores and afters.

Naturally if your breasts can be reduced with liposuction alone that would be desirable.  The new micro oscillating  PAL cannulas shake a lot more tissue loose than with vacuum alone. 

If the tissue is firmer and more glandular, a small incision just outside the disc (areola), not the nipple, will be needed.

Our affordable fee for consultation, which can be initiated over the phone is $250.  This is a one time charge and when you are seen at the office there is no charge for your first visit, followup telephone calls or E-mails.  Comprehensive breast reduction fees based upon examination include use of the facility, anesthesia, surgery and any followup care we provide.

A 50% non refundable deposit will be needed to schedule surgery.   We have availabilities most months.

When your travel plans include the greater Miami area, please avail yourself of a proper evaluation.

With regards,

Harold M. Reed, M.D.
305-865-2000

Hello Doctor I was wondering if you could help me with this question.  After penis lengthening surgery when weights are required for 8 hours a day, how is this done?  Does that mean that the patient would stand with weights on his penis for 8 hours daily?
 
Thanks
 

July 31, 2010

Good afternoon Bernie,

When we think of weights, more generally we are speaking of  traction which should be started a day after surgery simply with manual extension for 2 minutes (with you lying down) up towards the ceiling for two minutes and down (towards your feet) for two minutes, a least 8 times a day.  Give your penis a chance to accommodate.  You will notice towards the end of the two minute interval your penis is longer.  Also immediately following surgery, your penis has been wrapped, extended outwards, like in a cervical collar.  This helps too.

After 5 days the wrap is removed and slowly you will progress into serious traction graduating up to 8 pounds if your doctor feels your diameter is capable of that much tension without injury.

I could talk for many minutes about how traction should be and not be applied.

You can accomplish a good deal of the minimum 8 hours a day needed while on bed rest.

Sorry the information is vague, because without knowing you, or having a doctor-patient relationship with you, I cannot go into specifics, but I am available for consultation over the phone if you wish.

Our fee is 250 and this is a one time charge, thus there is no charge for your first visit at the office, excluding any lab work which may be needed.

Sincerely,

Harold M. Reed, M.D.
305-865-2000

Hello I’m interested in getting circumcised I have no problems sometimes I do get burning .. but if I do what are the risks? Will I have loss in sex drive? I heard that you will have loss in sensation.. can you please tell me a few things about it I’m really interested im 31 male thanks hope to hear from you
HEAR: online   Donald

July 31, 2010

Good morning Donald,

Thank you for your interest in what we do.  Your questions are entirely normal.  but can only respond “if done by an expert”…

Large studies involving cohorts of 20,000 men who had circumcision and those who did not (Kaiser Permanente Clinic) have shown no difference in sensation on average.  We see premature ejaculation (a sign of heightened sexual excitement) in circumcised as well as uncircumcised men.

Sex drive relates usually to testosterone levels and if you are a youngster, you will be putting in your regards for decades on a regular basis.  It is no secret most women (certainly a majority) prefer circumcised men (“cleaner”). 

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.

This is your circumcision and we do it the way you want with respect to 4 parameters.

Please don’t be like the patient who writes: “Dr. Reed I just got circumcised two days ago and my result was not what i expected.   I was wondering when i recover can i get a consultation with you.”   Photos sent and received (unspoken comment “disaster zone”)

Be assured we will show you every courtesy,

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

I am thinking about PE surgery and wanted to know the difference between alloderm and belladerm.  What are the differences between the two and which one gives a superior results as far as girth enhancement?

After girth enhancement surgery, with either alloderm or belladerm, can a second girth procedure be done?

How long after lengthening surgery can you start to stretch with thegrip?

Any thoughts on the Dr. E’s silicone implant and the late Dr. Perovic’s bio-scaffold?

How was it possible the patient in example#2 was able to get such a great girth enhancement?

Are you going to post some before and after pictures of patients with glans enhancements?

You are probably aware of the forum, mynewsize.com/forum and the owner/moderator, C. H, had trouble with his 2nd girth surgery. Good or bad, your name is not mentioned all that much on that forum.

Can the $250 consultation fee be applied towards surgery?

Thank you for your time.

Sincerely
Carl

July 27, 2010

Good morning Carl,

Thank you for your interest in what we do.

As consultation (by us) is an independent event, so we do not  co-mingle or reapply fees.  Nor do we try to sell.  We have told many a well hung man he can rest on his laurels and no surgery is needed.

Taking your thoughtful questions in  the order posed…

What are the differences between the two and which one gives a superior results as far as girth enhancement?Personally I do not see any difference in the ultimate result.  AlloDerm comes from a deceased donor, BellaDerm from a live donor (usually tummy tucks with massive amounts of skin removed).  The same corporation that sells BellaDerm also sell deceased donor products as well.

The maximal thicknesses are comparable, but BellaDerm comes in 20% lager widths, so when patients are buying volume and the doctor is charging the same amount for either, BellaDerm provides more volume for the same money.

After girth enhancement surgery, with either AlloDerm or BellaDerm, can a second girth procedure be done?Yes, but I think you’ll be happy enough with one application that you should not have any more girth enhancement surgery.

How long after lengthening surgery can you start to stretch with The Grip?We have our patients doing penis pulling exercises (manually) the day after surgery and it is not painful.  The Grip could be applied about 5 to 6 days after surgery (the zero day).

Any thoughts on the Dr. E’s silicone implant and the late Dr. Perovic’s bio-scaffold?Dr. E claims good experience with the product.  Our early experience with “crescentic” molds despite use of permanent mltiple Prolene sutures showed that as the spermatic cord occasionally lifts the testicle which is a normal thermo-regulatory mechanism, the capsule which tended to fixate to the scrotal wall separated from the testis and some patients reported “empty cup”.  We also did seminal analyses before and after cups and were really taken aback when they dropped to near infertile levels. 

Dr. Perovic my dear recently departed friend introduced the scaffold also pioneered by Dr. Kim from Korea.
At first they were impregnated with tissue culture cells of the implanted patient to permit more inward cell growth.

Dr. Atala noted research worker on tissue engineering and past president of the AUA has said if a scaffold is one cm or less in thickness, prior implantation of tissue culture cells growth is not needed.  Ingrowth of cells follows blood supply and capillaries will grow into a one cm. matrix without difficulty.

As for the results, I would suggest you speak to patients who have had this done.  I personally never used this product because we had excellent success with AlloDerm. 

How was it possible the patient in example #2 was able to get such a great girth enhancement?Example #2 had 3 layers of AlloDerm put in over 1 1/2 years.  We don’t recommend that, but this was his insistent wish.

Are you going to post some before and after pictures of patients with glans enhancements?

Yes, when we have some mature results.

You are probably aware of the forum, mynewsize.com/forum and the  owner/moderator, C. H, had trouble with his 2nd girth surgery. Good or bad, your name is not mentioned all that much on that forum.

Not aware.

Best wishes,

Harold M. Reed, M.D.
305-865-2000

I’m 27 years old and seriously considering this procedure of circumcision. I just need to know if the procedure is painful & if my insurance will cover it. Thank you Everett

July 25, 2010

Good afternoon Everett,

Thank you for your interest in what we do.  Next to the nose on your face, your penis is one of the most important cosmetic features of your body.

We are contracted providers for Medicare and Blue Cross/Blue Shield (non Blue Options/non HMO) only.  If your insurance policy does not include us in the network of your providers, we will fill out your form for maximal reimbursement to you.  Please confer with your carrier beforehand.

We have performed over 6000 cosmetic circumcisions in the past 35 years and usually do several cases every week.  I can tell you ourright, you will not have any pain during the procedure, and discomfort aftrewards is variable, but for most usually controlled with a few Tylenols.

We do ask that you stay for one, ideally 2 days at the Baltic Hotel (advanced tourist class) on bed rest and I will see you there daily.

You could return to an office environment 3 days after circumcision.  Our 2 layered wrap of soft conforming gauze and Coban will provide comfort and reduce swelling.

Be assured we will show you every courtesy,

With kindest regards,

Harold M. Reed, M.D.
305-865-2000

hello my request is about a circumcision revision im currently 25 i chose to get circumcised when i was 23 just about to turn 24 im very please with my choice how ever my girl friend and i are very unpleased with the outcome of the procedures looks i have a relatively loose circumcision and the scar line came out very uneven with lots of skin tags and scar bumbs i was curious if it was possible to correct these flaws as well as creating the aesthetic look i was hoping for when erect and flacid if there is any information or help you can provide it would e greatly appreciated thank you
HEAR: from yahoo groups  Robert

July 25, 2010

Good morning Robert,

Thank you for your interest in what we do.  What you described is quite common but did not have to be.  A circumcision should be the highest cosmetic calling of a urologist.

We have performed over 6000 cosmetic circumcisions in the past 35 years and quite a few revisions as well, usually doing several cases every week.

Harold M. Reed, M.D.
305-865-2000