Archive for the ‘AlloDerm’ Category

PMMA ( polymethyl-methacrylate ) for girth enhancement. Is it safe?

Saturday, May 5th, 2012

May 5, 2012
I’m looking to add girth to my penis. I’m currently making plans to go for PMMA. Im just not sure PMMA is safe? Why would you reccommend your procedure over PMMA?
Stan

May 5, 2012

Good morning Stan,

In medical school and residency there are many sayings you acquire that forms a basis of instruction and guidance on how to practice medicine.  One is “don’t be the first of the last doctor to try something new.”

PMMA is FDA approved for use in the hip joint to fasten a  hip prosthesis to the bone (like Duco Cement, if you will).   It does not have specific FDA approval to be used as micro particles in the penis, as far as I know, but the application can be extended.  So this makes it very experimental.  It is an FDA approved filler and sold as Artefill.

Could be the greatest thing since sliced bread, but as a rule US doctors may be more cautious, for medical legal reasons.   I had been receiving about one letter about every 3 weeks from gents like you, and could only say what I mentioned above, until in the past 2 months, we have had 2 patients say, all did not go well, and one patient’s chart about 1 and 1/2 inch thick, copies of records form another doctor  are on my credenza top for review this weekend (what went wrong?).

I do have a lot of confidence in AlloDerm.  Any injectable product (see silicone disasters on our web-site) has the propensity for settling in planes of least tissue resistance.  Despite manual molding in the operating room.   What happens when you turn your back on the patient for the next 24 hours is key.  So I would not be cautiously optimistic about PMMA, just plain super cautious (read wary).

Sincerely and have a restful weekend,

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

More on PMMA….  (from another web-site)

PMMA (polymethyl-methacrylate) fillers contain about 20 percent of tiny PMMA microspheres that are suspended in 80 percent of purified collagen gel. A few months after it is injected, the collagen gel breaks down and your body produces its own natural collagen to fill out the space under the skin.

This type of dermal filler is considered semi-permanent, and is most often used to treat medium-to-deep wrinkles, folds and furrows, particularly nasolabial folds. It can also be used to fill out pitted scars and to augment thin lips.

When a more permanent solution to facial wrinkles is desired, PMMA is often used instead of collagen replacement therapy or hyaluronic therapy. PMMA has been used for many years in permanent surgical implants. Because of this, your surgeon will likely under-fill on the first treatment, adding more later if needed.

One of the downsides of PMMA is that a number of injections are needed to create volume and it can take up to three months to realize the full effects. It may also be visible under the skin. To avoid any unwanted results, it’s key that your plastic surgeon is familiar with the proper technique, which involves injection at the dermal subcutaneous junction using threading or tunneling methods.

PMMA, properly delivered, offers long-lasting results.

The only brand of PMMA that’s FDA approved is Artefill.

PMMA injections are sometimes performed with no medical oversight, often in conjunction with facial spa treatments. You can avoid any risks or complications and achieve optimal results by visiting a qualified plastic surgeon. Although the surgeon may not perform the procedure, you can rest assured that the surgeon’s employees are properly trained and supervised.

 

 

 

questions about phalloplasty from a man of no small dimension

Saturday, March 31st, 2012

March 30, 2012

Dear doctor,

I was reading your website with interest but I’m a little confused about some things:

1) my penis is almost 7 inches when erect but was considering the lengthening procedure to possibly get another inch. will this be realistic?
2) when erect, my penis is a straight line and if I am standing, it will be 90 degrees to my body. I have heard that the lengthening procedure affects the anchoring and the penis will be weaker and point down a little lower. Is this true?
3) there seems to be several thickening procedures (alloderm, belladerm, dermal-fat grafts ) What are the differences between them in terms of longevity, maintaining sensation and evenness. I have heard about fat injection. is this another procedure? Is the girth negated when the penis is erect or does it add to the erect penis?
4) is it right that the girth procedure is more pleasurable to a woman than the lengthening?
5) is it possible to get post op patent testimonials, references or discussion forum?

Many thanks

Adail

March 31, 2012

Good morning Adail,

I would not recommend you have a lengthening procedure done as your stats are already well above normal.  You can rest on your laurels.

Our preference is for AlloDerm.  Once you become an established patient we can go into detail.

Cannot respond to what is most pleasurable to a woman, but can tell you a recent article shows women have deep receptors and length will provide pleasure in that area.

Girth and clitoral stimulation has always been acknowledged as part of the female orgasmic process.

You are welcome to post a question on our blog and see who replies.

HIPAA laws prevent me from revealing our patients’ contact information.

Sincerely,

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

More on AlloDerm, shaft and glans enlargement

Sunday, March 4th, 2012

February 26, 2012

ok, do to the fact that i work overseas the juvederm is kind of inconvenient.  if i elect the alloderm option for the glans enlargement what kind of risks am i looking at??  any risk of loss of sensation in my penis??  and im not quite sure what you meant when you said “an undesirable compression during early wound healing when there is a transient swelling.”  all i care about is that when its fully healed will it look good and feel the same if i opt for this method(the alloderm for glands enlargement).  and when is the soonest i’d be able to have sex after the operation?  thus far i think we can look to book a date for at least the shaft girth enlargement procedure.  what openings do you have for the first week in april? april 2nd is preferable  Manny

February 26, 2012

Good morning Manny,

Possibly compressing nerves and hope they’ll recover is not the best of medicine.  Doctors who extend AlloDerm from the shaft onto the head have actually cut nerves.  I’ll show you the anatomical drawings when you are at the office right out of a textbook. 70% recovery is not 100%, so I have to be very cautious and advise you the same.

With AlloDerm into the shaft, not one patient has complained of loss of sensation, although conceivably if a 1000 cases were done, it might happen.

We have availabilities the week of April 2nd.   We could see you on April 2nd in secondary consultation at the office, and do surgery the following day.  The procedure  is done under local with or without IV sedation and is very well tolerated.

Your primary consultation has to be done before on the phone so I can obtain a thorough medical history, make recommendations to assure you will have a smooth recovery, and of course answer every question you have.

If this is agreeable to you, our consultation fee is 250.

Sincerely,

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

Considering AlloDerm for penile girth enhancement

Sunday, March 4th, 2012

February 25, 2012

Dear Dr. Reed,

my names manny and im looking to get an alloderm/belloderm girth enhancement along with a glans enhancement.  im a contractor that works overseas and the next time i’ll be back in the United States is April, and i’d like to get the surgery done then.  my penis is about 7 inches when erect so i dont know whether or not that constitutes me purchasing another strip of alloderm/belloderm.  what would the total cost be of a girth and glans enhancement?(i can pay in full, no bank loans or anything)  what kind of a recovery time am i looking at?(whens the earliest i can go back to work?  whens the earliest i can have sex afterward?)  the initial face to face consultation would probably have to be the same week as the surgery becaause im only gonna be in florida about 2 weeks.  will that be a problem?

February 25, 2012

Good morning Manny,

Thank you for your interest in what we do

Yes, a man of your dimension will require extra AlloDerm. (actually it will be one continuous but larger strip).

For glans enhancement, there are 2 ways this can be done.  First is with AlloDerm, but in that we would insert the strip over the neurovascular bundle for the shaft and under the neurovascular bundle for the glans, this could provide an undesirable compression during early wound healing when there is a transient swelling.

Other glans alternative is to use a filler called Juvederm Ultraplus. However, there will be a need for a touch up in 6 months as this is known to reabsorb.

Or we can do just the shaft.

If you op for a simultaneous procedure the combined fee would be discounted… Whereas 9200 plus 3950 equals 13,150, your fee would be 1250.

Please advise on your thoughts and have safe a restful weekend.  “Play it cool in the company pool”,

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

AlloDerm on top of flip-flop dermal-fat graft, risky business

Saturday, February 11th, 2012

February 9, 2012

Dear Dr. Reed,

Had a dermal-fat graft performed 3 years ago and the graft is mobile under the skin, not fixed.  Could use more girth.

Do I increase my risk in getting erectile dysfunction when I get into a second surgery or with alloderm.

Samel-ElHira

February 9, 2012

Dear Samel-ElHira,

While there is no significant increase if any on erectile dysfunction in that the graft is subcutaneous, there are more untoward cosmetic results with secondary and tertiary procedures in that the vascularity is less optimal, and tissue handling and surgical judgement has to be very apt.

If your graft is moving about, this suggested a poor vascular connection on its surface in some areas.  Dermal surfaces usually adhere quite well to the underlying penile skin.  If we place AlloDerm over this, what does this prognosticate for the success of our surgery?  Best to work with a clean base and healthy tissue.

Sincerely,

Harold M. Reed, M.D.
1111 Kane Concourse, # 311
Bay Harbor Islands, Florida 33154-2041

vasectomy with length and or girth

Friday, January 13th, 2012

January 5, 2011

Dr. Reed,

Would it be possible to have a vasectomy in conjunction (simultaneous) to a penis lengthening and girth (belladerm) operation?

Thank you,

Jafer

Good morning Jafer,

Yes, we can do a vasectomy in conjunction with penile lengthening or with girth enhancement, but lengthening and girth enhancement cannot be done together.

That’s a blue print for disaster.

Sincerely,

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

Getting there all at once (simultaneous surgery) not advised

Sunday, December 4th, 2011

December 2, 2011

Dear Dr. Reed,

I would like to know how many inches i could gain with the penile lengthening program, a saw a picture of one of your patient that achieved flaccid length slightly greater than 6 inches.

thanks  Adalberto

December 2, 2011

Good morning Adalberto,

The length result is more dependent on dedicated use of traction than surgery or after surgery, although surgery can be a facilitator.  Surgery typically provides only 3/8? increase in length if you use traction as directed for 3 to 4 weeks afterwards.

While every doctor has some very successful cases, truly the patient gets 65% of the credit.  Assuming your weight remains stable, whatever you gain is permanently yours.

Have a restful weekend,

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

December 3, 2011

Dr. Reed,

thank you very much. do you have a special price if i get both length and girth surgeries at the same time?  Adalberto

December 4, 2011

Good morning Adalberto,

Thank you for your continued interest in what we do.

Doing length and girth at the same time is not advisable for so many reasons.

Just to name 2, first applying traction the next day after lengthening by doing the pulling out and down exercises would not be possible (too much pain and possible rupture of the incision line), second if your penis is going to be longer you will need appropriately longer strips to enhance girth.   If you have lengthening only you can do these exercises a day later and apply traction in about 5 days without any significant discomfort.  What a difference.

But I’ll mention 2 more reasons not to do both at the same time.  the penis does not appreciate too much surgery (think impaired healing) and next…  girth enhancement products such as AlloDerm, BellaDerm will only stretch so far with traction.  They are a dermal matrix essentually devoid of cells.  Your native penis is different.  That elongates by virtue of new cell growth in a longitudinal direction.  Stretching is only the inducement.

Anna our office manager will be happy to provide a discount for girth enhancement, if you have lengthening with us.   Do not proceed to girth enhancement until you are happy with your length result.

Have a restful Sunday,

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

Junior in name only wants to expand further

Thursday, November 17th, 2011

November 17, 2011

I am looking for a surgeon who does both fat transfer and alloderm. This way they know the difference first hand and know the short/long term results. I’d like these questions answered please: Which procedure do you suggest? Do you use lasers? Is their erect length gained? Does the penis stay at erect length and not grow with fat transfer? Does the penis feel real and not too soft with fat transfer? What is the average of erect girth gained for each procedure? (I’ve seen 30% flacid and 5-10% erect) These are the questions I have. You are the only surgeon I have seen that does both procedures. I’d like to come to FL to have this done, assuming you are confident in positive results. I’m 3′ flacid length, 6.25′ erect length, 4.75′ flacid girth and 5′ erect girth. Please let me know your thoughts. I appreciate your time!  Junior

Good morning Junior,

Thank you for your interest in what we do.  Yes, we are having a promotional month this November. Kindly call Anne for details.

Taking your thoughtful questions in the order posed…

Which procedure do you suggest?For girth AlloDerm is the most consistent performer (IMHO).  We very seldom do autologous fat transfer as a primary procedure, only if a patient insists and has me
in a half Nelson.

Do you use lasers?

No, not for this purpose (unnecessary)

Is their erect length gained?See attached.

Does the penis stay at erect length and not grow with fat transfer?

Sorry question not clear

Does the penis feel real and not too soft with fat transfer?

Yes generally, but I do not recommend fat transfer because of many potential complications.

What is the average of erect girth gained for each procedure? (I’ve seen 30% flaccid and 5-10% erect) 

Sorry, can’t be that specific

I’m 3.5 ” flaccid length, 6.37′ erect length, 4.8′ flaccid girth and 5.4′ erect girth.

Your stats are great now and you can rest on your laurels.  Please reconsider having surgery.

After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office  by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk  about.  Answers always beget more questions.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

What girth method is permanent?

Saturday, November 5th, 2011

November 4, 2011

Dear Dr. Reed,

my friend went to dr so and so and after surery his penis was huge and he was happy after it the swelling went away he didnt see much differece. If i choos eyou and I have this problem would i be able to go back to you for free of no charge to correct iit?

Jason

Good afternoon Jason,

We have not seen AlloDerm girth enhancement dissipate once the final result is reached, that is after the bruise effect subsides.

I am of the opinion if you have not have previous girth enhancement procedures, from one “extra thick” AlloDerm you can expect about 3/4″ increase in circumference.  If you do not get this, yes I will insert an additional strip about 8 months later to permit the first strip to have sufficient capillary ingrowth.  Putting one complete strip on top of another is not a great idea in that there is a greater chance bacteria may seek refuge between the layers. 

Hope this is a fair response to your concern,

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

Simultaneous length and girth sought

Tuesday, October 25th, 2011

October 25, 2011

What is the total cost of penis lengthening and penis widening if they are performed together?

Armani

October 25, 2011

Good morning Armani,

Thank you for your interest in what we do. 

Our fees are posted on  our web-site.  Please do not have length and girth enhancement performed together as the incidence of complications is much higher, and length results are not impressive.

After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll get started ASAP.  We’ll have a lot to talk about.

Cordially,

Harold M. Reed
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000


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