October 25, 2011

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

Armani

October 25, 2011

Good morning Armani,

Thank you for your interest in what we do. 

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

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

Cordially,

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

October 23, 2011

Hello how are you? I would like to enlarge penis.i would like to have at least 4 extra inches. How much will all this cost me. how long after can i have sex.will i have any surgery marks on my peepee.

Yowser

Good morning Yowser,

Thank you for your interest in what we do.  Traction is the key to length gains with or without surgery.  It would take you a few years to get 4 more inches, and with that added length, you might hurt your partner.  All incisions have the potential to heal with small noticable scar.  Please see our web-site for photographic examples so you may have some idea.  Honestly, may be more noticeable than what is shown there.

Erections after surgery are encouraged and you may resume penetrating sex in 6 weeks.

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

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 11, 2011

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

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

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

April 1, 2011

I’ve had the girth enhancement fat transfer done in the 90′s. I would just like a “touch up” to even out after weight loss. Can you help me with this? If so, what would the cost be?

Thanks
 Richard

Good afternoon Richard,

Thank you for your interest in what we do.  Yes, can be
done assuming some essential conditions such as available fat stores
and laxity of penile skin.  Our fee: 4000.

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

February 9, 2011

Dear Dr. Reed,
My hopes for a more erect angle on my penis after the surgery on Sept. 21^st 2010 has not really done anything to move the angle upward like we hoped? Easier to wear a condom though? The suspensory ligament is obviously the reason it is firm at such a low angle? any thoughts of how this angle could be helped? I believe none?.Thanks for any response or referral? would X rays show you something ?  Tyrone

February 10, 2011

Good evening Tyrone,

Your records were reviewed this evening.  Pre-op your erection curved somewhat upwards.  However, with release of the suspensory ligament we can certainly expect the erection to be more deflectable downwards with
gentle pressure.  “Two wet towels versus one wet towel.”  To tack your penis to the pubic symphysis which can be done (by others) will predictably result in penile shortening as that portion of the penis is sub-cutaneous. 

Please do not have this done.  

Hoping this addresses your concerns,

Harold M. Reed, M.D.

PS: If you wish, kindly send me a photo of how the revision has healed.

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

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