October 9, 2011

Would like information regarding penile lengthening & widening as well as an estimated cost. My husband & I are very interested in the procedure & would like to know the pros & cons to it. Thank you.   Sarma

Good morning Sarma,

Thank you for your interest in what we do.  Dr. Whitehead is retiring and referred your inquiry to our office.  My phalloplasty experience dates back to1986 and includes several thousand procedures.

Our fees are published on our web-site, as are the informed consents.  This is a low risk procedure.  You may be surprised to know that lengthening can be accomplished without surgery, although as they say in the
morning traffic reports, “it is a slow go.”

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, M.D.
Phalloplasty Services
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Florida 33154
305-865-2000

October 9, 2011

In regards to Penile Lengthening/Widening procedures or treatments; I would like to know, considering the fact that I am a resident of Arkansas, how many consults would be needed to schedule possible surgery. Please send me all information regarding risks,probability of success/failure rates following this procedure,as well as any other information available regarding this matter. Thank you for your time   Berwind I.

Good morning Berwind,

Thank you for your interest in what we do.  Dr. Whitehead is retiring and referred your inquiry to our office.  My phalloplasty experience dates back to1986 and includes several thousand procedures.

Seeing patients from out of town is routine.  If you are below the age of forty, in good health, have good height-weight conformation, you probably do not need medical clearance.  We do need to have a consultation with me and this can be initiated over the phone.  This will also include your first visit to the office (not lab work).

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.  Please review our informed consents posted on the web-site and the attached. 

Cordially,

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

attached:

Many thanks for your E-mail inquiry and visiting our web-site
http://www.penisdoctor.com/enlargepenis.htm

We hope you can relate to our photo gallery of befores and afters.

Our fees are posted on our web-site.

Patients who have lengthening usually leave for home the next day.  You could probably return to an office environment in 3 days.

Or consultation on Thursday, surgery on Friday.  Monday, back to work.

From surgery anticipate a 3/8″  increase in length and with dedicated
use of traction, 8 hours a day in divided sessions, anticipate a 1/8″ gain each

month such that after 6 months you’ll have 3/8″ plus 6 x 1/8″ or 9/8″.  We say
about an inch longer erection in 6 months.  Flaccid lengths will be corresponding

longer.

Whenever you stop using traction whatever you have gained is permanently yours. 

If you continue, more length gains will be accrued.

We do not do simultaneous surgery, such as any combination of length, girth of shaft, girth of glans, circumcision, or pubic liposuction.

Hardly a week goes by when some disillusioned patient done elsewhere calls us for a revision.  And we told you so.

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.

Most likely you will have many questions and we are available for consultation only, if that suits your purposes.

Candidates who wish to schedule surgery with our facility are required to have phone
consultation with a favorable response to questions of concern.  Assuming this, you will be given the nod to send in a 50% deposit which is non-refundable.

All patents will require these blood tests: a recent CBC,  platelet count, PT and PTT.  This can be done at our office the day before surgery or in your home town. These tests run about $100.

If you are over 40 or are on medications, please call the office before scheduling surgery, as a letter of medical clearance may be required.

If you are a smoker, you must stop completely for 2 months before surgery (girth enhancement especially) and please never again.

Smoking causes vaso-spasm, impairs wound healing, produces excessive scarring, tissue necrosis, irritates and inflames pulmonary membranes and enhances anesthetic risk.  However, most of our penile surgery is done under local anesthesia with IV sedation.

This goes also for any products containing nicotine or nicotine like agents including nicorette gum, nicotine patches, Nicotrol inhalers, and second hand smoke. 
Again not for 8 weeks before and not for 8 weeks afterwards. Hopefully never again.

Please no aspirin or aspirin products, no anti-inflammatory drugs such as Motrin, Advil, Alleve, or Cox 2 inhibitors such as Celebrex or Vioxx for a week before surgery. No Vitamin E or excessive alcohol or spices for a week before surgery as this may promote bruising. Bruising can be reduced (many believe) with Bromelain 500 mg 1 twice
a day, Arnica montana (Boiron brand) dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery. Do take these medications unless there are specific reasons why you choose not to and let’s discuss it beforehand.
 
Boiron brand is available at Whole Foods and on the web at http://www.vitaminshoppe.com for “pennies” and we do notice a difference.  You will need 2 vials.

We recommend the Baltic Hotel (advanced tourist class)  in Miami Beach (877-622-5842), 7643 Harding Avenue where Cristina the owner-manager takes a special interest in our patients.  Somewhat more posh is Daddy O’s Hotel (305-868-4141).   In that I need to follow you there every day,  we strongly advise if you have any other thoughts, please confer with us, as these Hotels are the exception to the concept that doctors don’t  make house calls anymore.

We hope to have the pleasure of serving you
whenever your travel plans include the South
Florida area.

With regards,

Harold M. Reed, M.D. FICS

Phalloplasty Services
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

September 1, 2011

If i was born with hypospadius. Does that at all matter to the difficulty of any procedure i am interested in doing ?
Fabian

Good afternoon Fabian,

Thank you for your interest in what we do.  Dr. Whitehead is retiring and is referring prospective patients to my practice.   We both have been doing phalloplasty procedures for over 20 years.

Usually hypospadiacs can have the procedure without difficulty.  Did one such case last week.  The key, is whether you can apply traction to your penis. In his regard, I ask all penile lengthening patients to order traction kits (the Grip is recommended) and try it for several weeks before surgery to make sure, this is for you.

Cordially,

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

August 14, 2011

I am  Dr M. Gustafson , surgeon  from Denmark. I treat patient with impotence causes   injection of hyaluronic  acid ( Macrolane  ) into corpora cavernosa   for 18 months  during procedure of penis augmentation. The hyaluronic acid is still visible in ultrasound examination and there is no blood flow in corpora cavernosa.

Good morning Dr. Gustafson,

Do You know such causes, can You suggest what kind of threatment  should I use?

Injecting fillers into the corpora to produce girth enhancement is a big “no, no” and this may predictably lead to erectile dysfunction.  To the best of my knowledge there are no reports of a specific remedy, but plastic surgeons will treat hyaluronic acid overfill with hyaluronidase.  Over time the body will also break this down based upon general experience in other areas of the body.

For this man’s poor penis all this is very experimental.  Be sure you are properly consented, as patients may attribute a bad outcome to the last doctor who touched them, not necessarily the first who truly caused the problem.

Macrolane is larger particle size than Restylane and can be associated with capsulization and lumps (known to occur in the breast)  In the breast, one English plastic surgeon noted “happiness with result occurred in only 50%.   See http://www.youtube.com/watch?v=-TdX5iLdv5M

To help your patient, a trial of PD-E 5 inhibitors such as a Viagra, or Cialis taken nightly may be therapeutic.  Would be of interest to do a nocturnal penile tumescent study to see if any erectile activity and of course, some here along the way a color coded duplex Doppler ultrasound, to document what you have taken on board.  If no success with oral meds, perhaps some bi-mix intracorporally done at your office initially may help jump start the injured corpora.

Cordially,

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

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Hyaluronidase – for Overfilled Restylane?

Had 1cc of Restlane injected into one side of my face 2 months ago and now that side of my face looks very different from the other side. Too full/ face looks uneven. I don’t want any more Restylane – considering Hyaluronidase. What are the risks? I am concerned by the MANY negative reviews of blistering, allergic reactions, that the skin looks much worse after. If hyaluronidase eliminates the Restalyne and my own hylaronic acid- how do I know the normal contours of my face will return?
Asked 5 months ago by CS122
Tags:
face overfilled risk uneven worried
Sort 4 expert answers by: Votes Date
+1

Hyaluronidase is great for adjusting Restylane

I agree with Dr. Kabaker and Biesman. I have also used hyaluronidase in thousands of procedures over the past 20 year.  It is very effective and rarely causes problems. The body makes its own hyaluronic acid very quickly so your natural hyaluronic acid is replaced and returns to normal.  There are however some people who have an allergy to hyaluronidase.  This can cause swelling, but is very unlikely to be a serious problem. Hope this is helpful. more
 
Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
+1

Hyaluronidase is safe

I use hyaluronidase on a regular basis to treat patients referred to me for correction of poorly done HA fillers (restylane, juvederm, perlane).  I have never seen a problem or serious adverse event despite having administered this drug literally thousands of times for various reasons.  
 
Brian Biesman, MD
Nashville Oculoplastic Surgeon
+1

Hyaluronidase commonly used without problems

There always is some risk with any medical procedure, but hyaluronidase has been added to local anesthetic for decades, by oculoplastic surgeons and some plastic surgeons to make the local anesthetic during elective cosmetic eyelifts (blepharoplasties) spread more readily requiring less needles and less fluid, therefore, less swelling.  If someone is allergic to beestings, they should mention this to the doctor and avoid hyaluronidase.  I have not seen, nor heard from medical… more
 
Ronald Shelton, MD
Manhattan Dermatologist
+1

Use of hyaluronidase

I have used Hyaluronidase in the majority of my facial plastic surgery procedures since the 1970′s . It allows me to have very little swelling from the local anesthetic present while I am working. Therefore I feel I can be more precise in adjustments I make during rhinoplasty, blepharoplasties, facial implants  or face-lifting operations. I have never seen a problem related to Hyaluronidase other than the local anesthetic

August 7, 2011

Dear Dr. Reed,

The operations should be staged?  from what you are saying.   I was wondering how long apart

Celio

Good morning Celio,

Do not proceed with girth enhancement until you are happy with your length result which is 65% dependant upon your use of traction for a minimum of 8 hours every 24.

Typically a wait of 6 months, could be a year and a half.

Adding girth requires longer strips.  “Get-there-itis” brings a lot of  revision patients to my office from other primary locations.

Have a restful Sunday,

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

July 22, 2011

Dear Dr. Reed,

I found one of your blogs on the Internet. I saw you were answering questions from some other men. I decided to write to ask a question of you regarding Penile Implants.

I have a 29 year old penile implant (AMS 3-piece unit) that needs replacing. After the original surgery I was devastated to see the loss of length and girth. Before going through a revision surgery, I have done some research and found studies with positive outcomes with men retaining most, if not all of their original length and girth. Most actually gained using the protocols.

They used VED’s and Penis Traction Therapy for several months. Then, they had the penile implants surgically placed in their penis. The result: a larger than previously possible penile implant was now able to be implanted, offering much better satisfaction from the men.

I contacted two Urologists who conducted a VED study (see attachment) that showed good outcomes in retaining length and girth prior to penile implant surgery. This included first-time implants and revisions. The VED (vacuum erection device) was effective for both groups toward improving the final surgical results. Again, a much larger penile implant was able to be implanted than otherwise would have been possible otherwise. Now for my questions:

One of the Urologists said, “yes, it would definitely help”. The other Urologist said, “It wouldn’t hurt, but due to encapsulation it probably would not be of any help”.

What is meant by Encapsulation? Does your opinion lean in one direction or the other of these two Drs.?

It’s confusing when you get differing opinions from doctors, especially those who were involved in the same study.

Thankyou,

Leonard B.

Good afternoon Leonard,

I am familiar with this concept and have been offering it to all my patients
seeking implantation for the past 9 months since I read about this in AUA News.

We may recommend a somewhat different approach but generally the principle is the same.

Additionally we also offer partial release of the suspensory ligament.

If you wish to confer further, I am available for consultation
which you can initiate over the phone. Our fee is 250.

Have a restful weekend,

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

May 21, 2011

I think I would have to go in for a consultation. Another question let’s say I would want the lengthening procedure done, can I later decide I want the girth enhancement… Is there a price difference doing them at the same time or separately. By the way thank you for your response

Alford

Good morning Alford,

We do not do simultaneous surgery, as this is often a blueprint for disaster.  Most patients who have this done elsewhere do not get any appreciable length results, as they cannot initiate  traction within a few days after surgery.  If you have heard the expression unhappy camper, this is aptly applied to this group with “get-there-itis.”

When you have the length result you want, then have appropriately longer strips put in for girth.

Have a restful weekend,

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

May 20, 2011

I’ve been researching on penis enlargement surgery Im currently 20 years old, Im over overweight and working on that. I was interested to know more about the penis girth enhancement. I don’t mind my length as much as my girth. I do realize that since Im over weight my length is affected by it. I have a few questions that id love to ask you. One of my concerns is when penis is made thicker does the penis head look un even? 

Thank you,

Alford

Good afternoon Alford,

At times, yes.  However, most patients who have girth enhancement do not have glanular enhancement.

Congratulations on your taking dieting seriously. Your heart will say thank you.

Sincerely,

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

April 22, 2011

i AM WANT THE PENIS ENLARGEMNET WIDTH AND GIRTH. BUT HAVE BEEN TOLD MANY DIFFERENT THINGS AS FOR AS PROCEDURES GO, BUT NO PRICES.HERE IS MY QUESTION. I AM WANTING TO GET THIS PROCEDURE DONE IS THERE ANY ONEHERE IN TEXAS THAT HAS A GOOD REPUTATION IN DOING THESE PROCEDURES, AND HOW MUCH?

Samuel

Good afternoon Samuel,

There are prices posted on our web-site. Know of no one in Texas that does this surgery.

Sincerely,

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

April 15, 2011

Hi there i was wondering firstly the average gain in erect length i will be able to obtain with say for example a 1 inch increase in length. Seconddlt ive come across this surgical enter who claim to “put in 4-5 sheets compared to 1-3 sheets from other surgeon’s” Is this even safe and how many sheets would Dr so and so  use?

Roland

Good morning Roland,

Dr. so and so is no longer in practice.  We do not stack sheets as this is a blue print for disaster.  We use the thickest strips available, single layer.

Doctors who do stack, have a higher incidence of complications for many reasons.

However, if this is your goal, for sure someone will accede to your request.

Best wishes,

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