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

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

March 26, 2011

Hi Dr. Reed, I saw your website online and may be interested in surgery. I have a few questions and concerns first however. Do the widening procedures “cover up” the nerves responsible for ejaculation with fat or Alloderm? Or will these nerves stay “on top” of the new material? I already have a harder time than most ejaculating so any decrease in sensation that might come as a result of the nerves being harder to stimulate absolutely can’t happen. (The main reason I am considering surgery is for better contact and thus easier stimulation during intercourse.) Is one widening procedure better than the other in terms of keeping (or if possible improving) sensation? How common is loss of sensation with both procedures? With the Alloderm or Belladerm, will it feel like there is a “barrier” during sex or will it just feel like part of my penis?
Also, is your glanular enhancement surgery permanent or will I need touch ups?
I noticed on your website that you say to expect 3/4 inch in gains with the Alloderm widening procedure. Is this flaccid or erect? If it is flaccid, what erect gains can I expect? Thanks for your help. I look forward to hearing from you.    Geoff

Good morning Geoff,

Thank you for your interest in what we do.

Happy to answer some starter questions for you.

Please be mindful that no surgeon can make a promise of specific performance and that every operation, even if performed by an experienced surgeon, has the potential for complications. Please review our informed consents posted on our web-site.

Do the widening procedures “cover up” the nerves responsible for ejaculation with fat or AlloDerm? Or will these nerves stay “on top” of the new material?  I already have a harder time than most ejaculating so any decrease in sensation that might come as a result of the nerves being harder to stimulate absolutely can’t happen.  (The main reason I am considering surgery is for better contact and thus easier stimulation during intercourse.)

There is a medication that is helpful to reduce ejaculatory latency time and works in over 80% of my patients. You may wish also to see urologist/neurologist to do some nerve conduction studies. Conceivably increased frictional contact could be helpful.  There are also postural remedies as well.

Is one widening procedure better than the other in terms of keeping (or if possible improving) sensation?

Doubtful as widening procedures are not touted to predictably enhanced sensation.

How common is loss of sensation with both procedures?

Surprisingly, I have not had any patient complain about loss of sensation but conceivably this could occur.

With the AlloDerm or BellaDerm, will it feel like there is a “barrier” during sex or will it just feel like part of my penis?

Based on what patients have said, I would think the latter.

Also, is your glanular enhancement surgery permanent or will I need touch ups?

Please review our web-site as this question is answered there.

I noticed on your web-site that you say to expect 3/4 inch gains with the AlloDerm widening procedure. Is this flaccid or erect?  If it is flaccid, what erect gains can I expect?

The web-site says “about 3/4 inch increase with AlloDerm.”  This is in the flaccid state and for circumference not diameter.  Yes, your erections will also be fuller, but exactly how much cannot be specified.

As always, answers beget more questions and if there is further interest please initiate a consultation by sending us your name, address, and phone number in an envelope along with a check for 250. This is a one time charge which also provides for further discussion and examination at the office, should you wish.

Sincerely,

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

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

How much (on average) does a penis lengthening and girth widening normally run.
I would assume insurance doesn’t cover any of this?

Also I have had a kidney transplant.  Is it safe to do this surgery?

And finally do men (after having this surgery) still have sensitivity?

Thanks, Benton

January 25, 2011

Good afternoon Benton,

Thank you for your interest in what we do.  If you don’t need this operation my suggestion is not to have it done, although we did elective surgery on a patient who had a cardiac transplant and is a professional golfer.

Best to confer with your transplant team.

Sensitivity is maintained, however my informed consent reads there’s always a possibility.

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 keep in mind…  April is a promotional offer month if you stay at the Baltic Hotel (advanced tourist class, 877-622-5842).  Ask for Christina and mention my name.

Cordially,

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

Is testicular enlargement or penile widening (with transferred fat) safe for diabetics or offer any positive health benefits (other then appearance) for diabetics or just guys in general? Also anyway, to increase chest hair surgically & easy?   GW

November 26,2010

Good morning GW,

Thank you for your interest in what we do.

Both of these procedures are to be considered cosmetic and of course medically not necessary or even helpful.  Psychologically?, that could be another story.

Diabetics do have a higher incidence of infection, but not that astounding, with any surgical procedure.  We install penile implants on diabetics routinely with erectile dysfunction as this is a well known etiology or cause of ED.  If the diabetic is in good control (hemoglobin A1C) and the surgeon is technically very mindful of many details, patients usually do quite well.

Please confer with others regarding chest hair, as I have in on my chest and back to spare with little on top.  Go figure.

Have a happy Holiday week, yours faithfully,

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

Hello. I had enhancement phalloplasty in 1997 and had a good result, but over the years the fat has all dissolved away, leaving me with my pre-surgery girth. I am interested in having another procedure to increase my penile girth. Length is not so much of a problem for me. I have read about alloderm. I have also read about procedures where the corpus cavernosum is actually incised to help increase girth. I had fat transfer during my initial surgery. I am not opposed to doing it again, but the only concern I have is that after the surgery my penis was so large it made it difficult for me to wear normal clothing. I would be most interested in a procedure that would allow my penis to be very large when erect, and a more normal size when flaccid, if such a procedure exists. I am also interested to learn about the costs. Thanks.

Calvin

November 8, 2010

Good morning Calvin,

Thank you for your interest in what we do.

We have been aware of autologous fat transfer since the early 90′s and our experience has been similar to yours, plus the occasional formation of fibro-fatty nodules. Patients from other doctors have reported
the same.

I think AlloDerm, after 10 years of use, is perhaps the best option for girth enhancement. The results are enduring. We are aware of procedures to incise the tunica albuginea, the covering or casing of the corpus cavernosa to enlarge the penis, and many have met with complications especially erectile impairment. My recommendation is to stay away from this procedure. Sometimes things that look good on the drawing table don’t pan out.

Any procedure that enhances erect girth will correspondingly increase your flaccid girth.  Good news for most men.

With kindest regards,

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

While patients allied with the medical field comprise about 10% of my practice and we do see physicians on occasion, certainly unusual to see three consecutively, one after the other.  The first a pathologist from Australia for penile lengthening.  The next an orthopod from southwest Florida for girth enhancement, and the last anti-aging specialist from Michigan (“me and my wife just love sex”) for revision of phalloplasty done elsewhere.

What a honor.

Harold Reed, M.D.

I received the 2 piece inflatable penis implant after suffering from priapism.

My penis size before was 8″ in length and after surgery is only 5″.

My esteem has been devastated and I am enquiring to see if I could possibly return to my original size (or bigger)

I have being doing some research and reduced length is not uncommon, but 3″ is an unacceptable reduction in size.

The surgery that I have seen offered that looks most appealing to me is the

Penile Triple AugmentationT surgery.

It consists of Penile Lengthening Surgery, Penile Widening Surgery and Penile Glanular Enhancement Surgery (penile head enlargement) all being performed at the same time.

The Penile Widening procedures that I think I need is the Penile Dermal Fat Grafts (DFG) or Dermal Widening Grafts or Allograft Dermal Matrix AlloDerm (R). 

Please let me know if there is any new implants or surgery methods (fat implant, cutting internal to allow extra length)

Ideally I would like to get to my original 8″ in length and a large increase in thickness. 

I understand the best 3 piece implant is the AMS 700 LGX.  What is the maximum implant length available?

Would this be possible and approximately what are the costs?

I would appreciate feedback on this as I want to feel good about myself again and regain my man-hood.

Yours hopefully,

Damien

October 17, 2010

Good morning Damien (today is Sunday),

Thank you for your interest in what we do.  If your stretched
penile length was or close to 8 inches immediately before surgery,
this is a big “wrongo-mundo.”  I could only begin to explain this by
saying, the proper size implants were either not on the back table or in the
operating room at the time of surgery.  Even if you had lost length secondary to Peyronies
or fibrosing cavernositis, when implants are installed this is the perfect time to recoup.

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

I received the 2 piece inflatable penis implant after suffering from priapism.

My penis size before was 8″ in length and after surgery is only 5″.

My esteem has been devastated and I am enquiring to see if I could possibly return to my original size (or bigger)

I have being doing some research and reduced length is not uncommon, but 3″ is an unacceptable reduction in size.

The surgery that I have seen offered that looks most appealing to me is the

Penile Triple AugmentationT surgery.

It consists of Penile Lengthening Surgery, Penile Widening Surgery and Penile Glanular Enhancement Surgery (penile head enlargement) all being performed at the same time.

The Penile Widening procedures that I think I need is the Penile Dermal Fat Grafts (DFG) or Dermal Widening Grafts or Allograft Dermal Matrix AlloDerm (R). 

Please let me know if there is any new implants or surgery methods (fat implant, cutting internal to allow extra length)

Ideally I would like to get to my original 8″ in length and a large increase in thickness. 

I understand the best 3 piece implant is the AMS 700 LGX.  What is the maximum implant length available?

Would this be possible and approximately what are the costs?

I would appreciate feedback on this as I want to feel good about myself again and regain my man-hood.

Yours hopefully,

Damien

October 17, 2010

Good morning Damien (today is Sunday),

Thank you for your interest in what we do.  If your stretched penile length was or close to 8 inches immediately before surgery, this is a big “wrongo-mundo.”  I could only begin to explain this by saying, the proper size implants were either not on the back table or in the operating room at the time of surgery.  Even if you had lost length secondary to Peyronies or fibrosing cavernositis, when implants are installed this is the perfect time to recoup.

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