Archive for the ‘AlloDerm’ Category

Circumcision and girth enhancement requested

Sunday, March 20th, 2011

March 20, 2011

I would like to discuss Price & payments. styles of circumcision. possible shaft enlargement.

Jesse

Good afternoon Jesse,

Thank you for your interest in what we do.  Our fees are posted on our web-site and you must be pre-paid before surgery.  Your penis is one of the most important cosmetic and functional features of your body.

We have performed over 6000 cosmetic circumcisions and revisions 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
(elsewhere) 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”)

Generally speaking the penis does not appreciate simultaneous surgery with a few exceptions.

With AlloDerm, we can say quite conservatively you can anticipate a 3/4″ gain in circumference if you have not already had penile girth enhancement which is permanent as far as we know having followed patients for 8 years or so who have had AlloDerm. 
 
Most patients will do a lot better than that.   AlloDerm patients must be on strict bed rest with the exception of getting up to use the commode or eating in their room for 4 days.  Surgery is the zero day, and we certainly recommend you stay at the Baltic Hotel (877 622 5842) so I can see you daily as your penis will continue to swell for several days, and your dressing will be replaced often to accommodate a larger sized penis.  Mention my name for a discount.

AlloDerm is like particle board, when immersed in body fluids, it swells and swells for several days.  This spreading of the collagen fibers is helpful to permit ingrowth of a capillary bed and new cells of your own making.
 
Whereas AlloDerm comes from a cadaver, BellaDerm comes from a live donor.  There are many subtle differences which require telephone explanation.  I have not seen any communicable disease emerge with either product.  AlloDerm is packaged dry and swells like particle board.  BellaDerm is pre-packaged in solution and what you see after surgery is more or less what you get.

Early mobilization  is the great enemy of good graft take.   Again plan on staying in your room, stocking up on food or sending out for food.  Good Italian, Greek and Chinese restaurants abound with delivery service only a telephone call away..  I’ve have been known to go shopping for some patients at Publix.  You won’t starve.

If you have AlloDerm surgery on Tuesday, you could be back in an office environment on the following Monday.  If you do manual labor you may wish to wait a good week after surgery and avoid trauma to your genitals.

Be assured we will show you every courtesy,
 
All the best,
 

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

Friday, November 26th, 2010

I am 57 years old. And am considering a Penile Prosthesis because of E.D . My doctor skirts around some very important questions I have. Length and girth. I would consider a trip to FL to get the operation. Thank you for your time.  Geoffrey

November 26, 2010

Good morning Geoffrey,

Many thanks for your in interest in what we do.  Since 1975, I have installed about 2000 implants and the closest and most appreciative relationship I have with patients relate to those who have regained the wherewithal to penetrate.

There are some thoughts about combining  enhancing length with implant surgery I’d like to share with you.   Yes, this can be done.   However, doing girth at the same time is too much surgery.  I would  respectfully propose you defer this until after your implant is well healed and encapsulated, a good 6 months later perhaps.

Be assure we look forward to your initialing a consultation over the phone (one time fee of 250) and when you arrive, anticipate we will show you every  courtesy.

Have a restful Holiday week!

Yours faithfully,

Harold M. Reed, M.D.
3050-865-2000

Circumcision, done by a ? trainee

Tuesday, October 26th, 2010

Hi there again dr Reed  yes you can use my pics on your web sites of which you have a few ,its  was july 21st  that  i had this done to me  i am still  very senceative on the scar line and   it  has  gotten  no  better ,  i  am  not  sure  how long  its ment to  take  to  come  good  but  i  sure  hope  its  not  to much  longer,  its  making  life  hard for  one  it looks  ugly  as  sin  and  2  i tryed masterbating  which  turned  out  to  be  a bad  idea ,it  left  me  so sore  i  dont think  intercourse will be  to  comfee too, i wanted  to ask  is  it possible  to  get  a belladona graft  at the  same  time  as  a revision i am  very  thin down  there  it would help  me  feel  like  a  man i have  tryed  everything  accept  surgery , also  as  i come  from  australia its  costly  to  keep  flying  over  for  surgery ,is  this at all  possible   as  i have pritty much made  my  mind  up  that  i want you  to do  this  for me if  possible ,also i  was  wondering  is  there  any  chance  of  some  pic`s  of  the  before  and  after  work  you   have  done ?       thank  you  dr  Reed         Lemuel   i  wait  with  patience  for   your  response

October 25, 2010

Good afternoon Lemuel,

Thank you for your continued interest in what we do.

If the tissues are well healed enough we probably could do BellaDerm at the same time.  Your will need to stay here for a good week after surgery so I can follow you on a daily basis.

We will use your photos after we do the revision.  Thank you for that.

Sincerely,

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

Combining length and girth, primrose path to disaster

Sunday, September 12th, 2010

Which procedure do you recommend for girth enhancement? Which one feels the most like pre op flesh?  Would girth enhancement alone prevent the penis from shrinking and do you gain any length from the girth procedure?  Do you use any implants in the lengthening procedure to prevent retraction?  

Can any type of girth procedure be done together with lengthening?
Would I be able to drive home 3 days after the procedure (10 hr drive)?   Calvin

September 12, 2010

Good morning Calvin,

Thank you for your interest in what we do.

Either AlloDerm or BellaDerm would be acceptable and in our hands produce similar results.  No sir, do no combine length and girth enhancement as the results for length are lackluster at best and often disastrous.  We have patients coming to our office every month who have had “get-there-itis” and rue the day.   You cannot drive home or go to the mall after the procedure.  Right to bed at a nearby motel and bed rest for 4 days.  Yes, sir. 

You want a beautiful result or do you want your penis to have more wrinkles than a stewed prune?

Girth enhancement will not prevent the penis from flaccid contracture as the material is soft (like a wet chamois).

We tried implants for length about 12 years or so ago, and desisted because of the overly high incidence of extrusion of the silicone strips.  We have also heard repeatedly that other physician(s) who employ this technique are (in the here and now) having patients with similar experiences.

Not all that glitters is gold.

Have a restful Sunday,

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

Interested in BellaDerm

Sunday, September 12th, 2010

Hello there,
I am interested in the belloderm procedure. My measurements are 6 x 4.5 what sort of gains would I expect. do the grafts reabsorbe over time. I live in Australia, how would I have to stay in USA for recovery. And how long is recommended to have off work, I work in construction.

Thank you,  Harnon

September 12, 2010

Good morning Harnon,

Thank you for your interest in what we do.

The grafts may, (may) reabsorb by about 10% but this is more than offset by replacement with cells of your own making. Please expect some added girth from the bruise effect which will subside, but afterwards the wind up is you should have a noticeable difference in girth.

Please avoid any possibility for genital trauma or straddle injury for a good 6 to 7 weeks. Yes, if caution is exercised you could return to work earlier, perhaps 2 weeks after surgery.

Cordially,

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

BellaDerm vs. AlloDerm Phalloplasty for Girth

Saturday, July 31st, 2010

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

Penile silicone disaster patient seeks a better way

Saturday, July 3rd, 2010

Hi Dr. Reed,

I found this email address on www.penisdoctor.com, I am hoping to arrange a consultation regarding a variety of things!

First of all, a few years ago I received silicone injections – 60cc in my scrotum and 10/20cc in my penis.I love the sensation of having a foreskin ( from the silicone in my penis shaft, I was circumcised as a kid), I love the size and the way it feels, however, I am dissatisfied with its appearance. My penis shaft is lumpy, there is a small area that looks inflamed, it looks inflated when flaccid rather than dangling down like a normal penis,

Therefore I am looking to reverse the silicone procedure, and would like to review other augmentation methods.

I am not sure if I am able to have everything done at once or whether it would have to be done in stages, so please provide me a breakdown of costs, and what you would do for the following:

1. removal of silicone
2. foreskin restoration (do you do this surgery?)
3 penile lengthening and augmentation
           (there seems to be lots of techniques in AlloDerm, scaffolding, fat transfer etc – what’s the difference in using each of these )
4. glanular enhancement
5. penis lengthening
            (is there a way to disguise/minimise the scars)
6. testicular enlargement

I have part-time work in adult entertainment, which I love to do. Therefore I want to go as long, and wide (within sensible limitations) as possible.

Ideally I would love to have something close to the porn star Max Delong as seen here (forgive me for the pornographic nature of the content)
http://monstercockland.com/files/2047.jpg
http://pacificsunwholesale.com/photos/DVDs/549/cover2hires.jpg

Also I am pleasantly impressed with one of your after-pictures of one of your patients
http://www.penisdoctor.com/images/larrybuff2.jpg
(exmple #2: 2/1 from page http://www.penisdoctor.com/photo-penis-enlargement.htm#1)

Also, are there any techniques (frequent penis pumping, jez extender, or exercises) that you recommend would compliment the surgery?

I’ve noticed that I have seen any ‘new’ advances in cosmetic surgery to the penis – are there any new techniques that I should consider waiting for?

Many thanks,

Ted

July 3, 2010

Good morning Ted,

Thank you for your interest in what we do.  The attached may provide some helpful background information.

To best advise you, you would need to be seen at the office.

If you wish to take photos and talk over the phone, our consultation fee is 250 (a one time charge).

We perform all of the procedures mentioned on your wish list.

Have a happy and safe July 4th holiday weekend,

Harold M. Reed, M.D.
1111 Kane Concourse, # 311
Bay Harbor Islands, Florida 33154-2041
305-865-2000

BellaDerm for penile girth enhancement

Monday, June 28th, 2010

Many patients have been asking for photographic examples of BellaDerm for penile girth enhancement.  We posted some new photos on our web-site. 

http://penisdoctor.com/photo-penis-enlargement.htm  

Hope you like what you see.

BellaDerm and AlloDerm are similar, and the choice is made by the patient.  Fees are the same for both.

Harold M. Reed, M.D.

AlloDerm for girth enhancement, few questions

Sunday, May 23rd, 2010

Hi Dr,. Reed,

I am interested in your Alloderm girth enhancement procedure.  I currently reside in Atlanta, GA. If decided to have this procedure done, I would fly in.

I have a few questions:

- What are the payment options? Are there any specials right now?

- Where are the incisions made for this procedure? Under the head of the penis? At the base?

- What is the recovery time for this procedure? How long before intercourse?

- I read patients who undergo this procedure must stay 4 days, is this still standard procedure? Why 4 days?

- Do you perform this procedure on weekends?

- What tasks do out of town patients usually perform before coming into town for this procedure?

Thanks in advance for answering my many questions!

Sergio

Good morning Sergio,
Thank you for your interest in what we do.

Taking your thoughtful questions in the order posed…

What are the payment options?

You have to be prepaid before surgery.   Yes, we accept pre-payments
and many a patient has done that a 1000 dollars at a time. 
For a line of  Medi-credit, please try

Reliance Finance Company, LLC
http://www.reliancemedicalfinance.com/
1-888-502-8020

or

Chase Health Advance, USA only
www.unicornfinancial .com

or

Medicard Finance,  Canada only.
http://www.medicard.com/

or

www.carecredit.com
automated phone application #  is (800) 365-8295

Are there any specials right now?

No.

Where are the incisions made for this procedure?
Under the head of the penis? At the base?

Yes there is a 9 to 3 o’clock incision in the coronal sulcus,
the groove in back of the head of the penis and a vertical incision
about 1/2 to 3/4 on an inch long at the peno-pubic junction.  Both incisions
are closed very cosmetically and usually heal quite neatly
and fairly inconspicuously.

What is the recovery time for this procedure?

You need to be on strict bed rest for 4 days at the Baltic Hotel
following procedure, and keep a wrap on for 7 to 8 days.

How long before intercourse?

About 8 weeks,.

I read patients who undergo this procedure must stay 4 days, is this still standard procedure?

Absolutely.  A.  To prevent shifting and sliding of the dermal-matrix product,
and to minimize post-operative swelling and bruising.

Why 4 days?

Usually maxes out by that time.  I have to see you at the Hotel everyday.

Do you perform this procedure on weekends?

No.

What tasks do out of town patients usually perform before coming into town for this procedure?

Please initiate an over the phone consultation.  Our fee is 250 and is a one time consultation charge.

All the best and have a restful weekend,

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

AlloDerm versus PLGA and skin flaps

Sunday, February 14th, 2010

I have been interested in PE for quite some time but have put it off until I found the right procedure for girth. I stumbled across a Dr Lim I believe is his name (?). He performs a ‘flap’ surgery that carries more blood to the penis over time. He says the more you stay erect over this period of time the larger it becomes and stays that large. Have you heard of this? What do you think and have you tried this? They say it can be combined with other forms of girth enhancement such as alloderm or dermal grafts etc. What do you think about PLGA Scaffolds and the Elist implant as compared to the other forms of girth enhancements? My penis is average size but I would feel more secure if it were bigger especially in girth. I know I don’t want fat inserted. Thanks for your time.

Tyrole

Hi Tyrole,

I have never heard of him, honestly and the technique of flap surgery is not used by any urologist I know of.    Try to get some more background information, such as articles, photos etc.

We do know of PLGA scaffolds and the “implant” technique and do not recommend this.  I have seen others install PLGA scaffolds and the product is vey friable (tears easily) like an old dried-out sponge that turns to dust when rubbed the wrong way.  Unless great care is taken it may fall apart during installation.  Also be wary of simultaneous surgery.  The results can be anywhere from lackluster, to disastrous.   AlloDerm which we have used for 15 years is very reliable when properly installed.  AlloDerm can be installed via a tunnel and drag technique, for PLGA scaffolds the entire penile shaft skin (as a rule) has to be degloved and sewn back together again.

More involved.

Sincerely,

Harold M. Reed, M.D. FICS

Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America