Dear Dr. Reed

My penis is 5 inches in circumfrance and 6.25 inches long. While I know that this is within the normal range I would like to achieve a 6 inch circumfrance. My question to you is three fold. First, what is the cost of the procedure, and can I get financing? Second, Will my penis look abnormal if I do not get the glans enhancement as well? Third, what are the chances that I will lose sensation in my penis?

Benjamin

Good morning Benjamin,

Your stats are excellent as is and you can rest on your laurels.   Don’t think you can qualify for compassionate financing.  Your’re way too big.

Please review the attached.  We have not had patients report loss of sensation.

Any further questions, our office is available for consultation, fee 250.

Sincerely,

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

Dear Dr. Reed,

Penile Lengthening and Penile Widening and Glanular Enhancement and Circumcision. if wanted can this procedure be performed all at the same time?

Jerry

Good morning Jerry,

Please do not have simultaneous surgery as this is a blueprint for disaster or at best an inadequate length result.

You can have circumcsion first, or lengthening and then circumcsion to follow.   But always circumcision before girth enhancement. My preference is to save glans enhancement for last.

Please review our website http://www.penisdoctor.com/ for the answers to many commonly asked questions.  Our fees are also published there.

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

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

Dear Dr. Reed

I would like to know fee for a combined, penile lengthening, and thickening opp? can this be done together and how soon? what is the healing process ?

Inhman

Good afternoon Inhman.

These procedure should not be done together as this is a blueprint for disaster and at best poor length result.  You need to apply tractio0n within a few days after lengtrerhnibng surgery to miainatin what we asccomplsihed in the oeprating room ands buiold upon that.  If you have an incision on your penis (not pubis) the area will be too tender and you’ll be inclined to procrastinate.  Even if you started traction immediately you’ll tear your suture line apart.

Please review our web-site before calling the office http://www.penisdoctor.com/ Our fees are posted on our web-site.

Cordially,

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

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

Do the implants lengthen the penis as well as girth?  Budd

Good morning Budd,

Thank you for your interest in what we do.  Implants are not a good way to lengthen the penis.  It is being done by others and last week we saw an unhappy camper who will be having the silicone removed ASAP. 

Every doctor has some good results from procedures which tend to have a higher complication rate.  If overly long implants (or any implants for that matter) are inserted into the erectile tissue space then you forfeit or lose natural erections.  If implanted under the skin, they tend to stretch the skin over the head of the penis in the flaccid state, and that doesn’t look too pretty.  Can be painful as well and often leads to extrusion or avulsion of the implant (a pressure sore from within).  Any implant manufacturer, especially AMS and Mentor-Coloplast will advise do not put into the corporal tissues a larger implant than comfortably fits, lest it break through.  Implants under the skin (IMHO) cannot extend the glans any further out, as the head is attached to corporal tissue which resists stretching from an object placed over it.

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

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

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

Dear Dr. Reed,

I have a few questions for you. If you could answer them  with some good information for me.

1. My girth is 4 1/2 erect. That’s quite skinny. Can i get to a girth of 6 inches through your surgery ?

2. The alloderm once it’s in the penis…when it’s erect, how does the alloderm feel ? Is the penis still rock hard like my erections now ? Or is it kinda squishy and you loose a little of the firmness and hardness ?

3. Does the surgery affect the erectile angle of the penis ? Angle is actually extremely important in sex and having a good angle around 2 o clock position is a huge plus. Would the surgery affect the erections angle so it points lower and cant rise to where it once was ?

4. Do you have any erect before and after pictures ? I see ones on all the sites in flaccid but im interested in the erection as well.

5. Is there any way to determine how much penis is inside a man’s body for lengthening surgery ? What is the average amount inside and what is the largest amount you’ve seen ?

Thank you,

Charles M.

Dear Charles,

Thank you for your interest in what we do.  Taking your thoughtful questions in the order posed…

1. My girth is 4 1/2 erect. That’s quite skinny. Can I get to a girth of 6 inches through your surgery ?Perhaps with 2 applications of AlloDerm

2. The alloderm once it’s in the penis…when it’s erect, how does the alloderm feel ?
Is the penis still rock hard like my erections now ? Or is it kinda squishy and you
loose a little of the firmness and hardness ?

Seems to feel by and large like normal penis. If your penis flaccid is not soft and squishing now, neither will
it be with AlloDerm, nor will it be that way erect.

3. Does the surgery affect the erectile angle of the penis ?No, for reasons we’ll discuss when you initiate a consultation over the phone.

4.  Angle is actually extremely important in sex and having a good angle around 2 o clock position
is a huge plus. Would the surgery affect the erections angle so it points lower and cant rise to where it once was ?
Do you have any erect before and after pictures?   I see ones on all the sites in flaccid but im interested in the erection as well.When you become an established patient by initiating a consultation, I’ll show you a photo that will answer question concern
not shown on our web-site.

5. Is there any way to determine how much penis is inside a man’s body for lengthening surgery ?No.

6. What is the average amount inside and what is the largest amount you’ve seen ?3/8″ on average, nothing more impressive than that.

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 n 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

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