Archive for February, 2009

Status post Dermal-Fat Graft and Liposuctioned Fat Transfer

Sunday, February 15th, 2009

QUESTIONS:i have dermal grafts and fat transfer,but the dermal graft is almost gone and the fat transfer is very insignificant, due to very low body fat.i would like to have the fat takin from my buttock area moved to my penise. how much would that be?  thank you…  Benson

Good morning Benson,

Thank you for your interest in what we do.

This is a story we are all to familiar with.  I could talk for almost 30 minutes about liposuctioned fat survival and the need for dermal fat grafts to secure excellent vascularization to survive.  (Been there, done that)  Most likely you not only have atrophy of the graft but perhaps a fibrous tether as well with some loss of penile length.

We are always responsive to patient requests, but we do make recommendations based upon 35 years of medical experience and common sense.

Please consider initiating a consultation with our office, could start out on the phone, as you do not want to continue to revisit your penis with one surgical procedure on top of another.

Our one time charge for consultation fee is 250.  If you do start with a phone consult there is no further consult fee once you come to our office, or any additional charge for followup questions.

Have a restful Sunday,

Harold M. Reed, M.D.

Phalloplasty Surgeon
305-865-2000

At 06:44 PM 2/14/2009, you wrote:

_________________________________________________

SURGERY:Penile Enlargement
OTHER_SURG:

Waiting list for cosmetic adult circumcision, suture removal

Sunday, February 15th, 2009

 In PROCIRCORG@yahoogroups.com, “John O” wrote:

 Hey again Dr. Reed,

 I’m trying to put together a plan for myself, so I have three quick
questions.

 1) How long is your current queue/waiting list? That is to say,
if I were to call your office, say, Monday, around when would you
likely have an available spot? Do you have a busier or less busy
time of year?

 2) You might recall in my e-mail correspondence with you I said I
was afraid I’d be pretty wussy watching the procedure. You’ve been
very reassuring trying to put me at ease, but I still don’t trust my
ability to not be a trainwreck. A friend suggested I ask you if I’d
be okay to take a Valium before the procedure to smooth the edge off
my anxiety. Sound like a possibility?

 3) In spite of what I write in Q#2, in the past I’ve always gotten
a kick out of taking my own stitches out, but those were plain-jane
cat-gut. From what you’ve said about plastic surgery sutures, it
doesn’t seem like it’d be appropriate this time for me to do the
job. Can you recommend someone in the Washington area (suburban
Maryland) who might be good?

Thanks again for your time …and humor!

 John O.

Good morning John,

Taking your thoughtful questions in the order posed…

1. For circumcisions, we have availabilities almost any week.

Please call our amiable office coordinator Anne and schedule in. Typically we will meet in consultation for about 1/2 hour and your circumcision will follow that day. We do expect you to stay overnight
at a nearby motel, the Baltic is recommended (877-622-5842), Christine, very friendly owner and manager who presides there, has shown great partiality to our patients. Please see us the following day for a dressing check.

2. Valium is old fashioned because of a sustained serum level. Please consider Xanax 0.25 mg the night before and the morning of. If you are like 99% of our patients, you’ll say “what was all this fuss about.”

3. True, the sutures we put in are absorbable, but don’t let any health care professional talk you out of not having them removed on the 12 post operative day. This avoids ghost lines and pin holes. (This is a cosmetic circumcision, not the mark of Zoro) Most urgent care centers and quiet ER’s in a community hospital, not a county zoo, will remove your sutures. What is needed is a bright overhead light, loupes (like jewelers use), and delicate plastic surgery instruments found in every ER, because that’s where plastic surgeons often work. Or come back and see us and we would be delighted to emove your sutures.

All the best,

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

Adult cosmetic circumcision with Dr. Reed, payment plan?

Sunday, February 15th, 2009
Re: how much???

 In PROCIRCORG@yahoogroups.com, “sergio” wrote:

How much will this cost and is there some type of payment plan… i
really want to cut my foreskin off of my penis… this message is
mainly for the doctor

Sergio,  when considering adult circumcsion, think cosmetic adult circumcision.

Your penis is your calling card. I have done over 5000 circumcisions and still going strong. Whereas other doctors can do it in 10 to 15 minutes, we take close to an hour, and you have a hand held mirror to be sure it is being done exactly to your specifications. There are at least 4 considerations, high or low, obliquity of cut, remove or not the frenulum, loose or tight and all stages in between.

Our fee is 250 for consultation and 1500 for cosmetically performed adult circumsion. While we do not accept deferred payments, we have noted our credit worthy patients can get a cash advance on their credit card.

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