April 28, 2012

Hi Dr Reed if I want both procedures, the lengthening and widening do you still charge the same as I have to travel from UK to USA twice as you recommend the procedure to be separated.

And so would you consider a slight discount to take into account my travel.

Adan,

Good afternoon Adan,

Thank you for your interest in what we do.  Yes, the procedures should be separated.  Do not have girth until you are happy with your length result.  Then I will place in an appropriately longer graft.

Your discount comes in when your return for lengthening and we can take 10% off.

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 300.  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 26, 2012

ok, do to the fact that i work overseas the juvederm is kind of inconvenient.  if i elect the alloderm option for the glans enlargement what kind of risks am i looking at??  any risk of loss of sensation in my penis??  and im not quite sure what you meant when you said “an undesirable compression during early wound healing when there is a transient swelling.”  all i care about is that when its fully healed will it look good and feel the same if i opt for this method(the alloderm for glands enlargement).  and when is the soonest i’d be able to have sex after the operation?  thus far i think we can look to book a date for at least the shaft girth enlargement procedure.  what openings do you have for the first week in april? april 2nd is preferable  Manny

February 26, 2012

Good morning Manny,

Possibly compressing nerves and hope they’ll recover is not the best of medicine.  Doctors who extend AlloDerm from the shaft onto the head have actually cut nerves.  I’ll show you the anatomical drawings when you are at the office right out of a textbook. 70% recovery is not 100%, so I have to be very cautious and advise you the same.

With AlloDerm into the shaft, not one patient has complained of loss of sensation, although conceivably if a 1000 cases were done, it might happen.

We have availabilities the week of April 2nd.   We could see you on April 2nd in secondary consultation at the office, and do surgery the following day.  The procedure  is done under local with or without IV sedation and is very well tolerated.

Your primary consultation has to be done before on the phone so I can obtain a thorough medical history, make recommendations to assure you will have a smooth recovery, and of course answer every question you have.

If this is agreeable to you, our consultation fee is 250.

Sincerely,

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

February 25, 2012

Dear Dr. Reed,

my names manny and im looking to get an alloderm/belloderm girth enhancement along with a glans enhancement.  im a contractor that works overseas and the next time i’ll be back in the United States is April, and i’d like to get the surgery done then.  my penis is about 7 inches when erect so i dont know whether or not that constitutes me purchasing another strip of alloderm/belloderm.  what would the total cost be of a girth and glans enhancement?(i can pay in full, no bank loans or anything)  what kind of a recovery time am i looking at?(whens the earliest i can go back to work?  whens the earliest i can have sex afterward?)  the initial face to face consultation would probably have to be the same week as the surgery becaause im only gonna be in florida about 2 weeks.  will that be a problem?

February 25, 2012

Good morning Manny,

Thank you for your interest in what we do

Yes, a man of your dimension will require extra AlloDerm. (actually it will be one continuous but larger strip).

For glans enhancement, there are 2 ways this can be done.  First is with AlloDerm, but in that we would insert the strip over the neurovascular bundle for the shaft and under the neurovascular bundle for the glans, this could provide an undesirable compression during early wound healing when there is a transient swelling.

Other glans alternative is to use a filler called Juvederm Ultraplus. However, there will be a need for a touch up in 6 months as this is known to reabsorb.

Or we can do just the shaft.

If you op for a simultaneous procedure the combined fee would be discounted… Whereas 9200 plus 3950 equals 13,150, your fee would be 1250.

Please advise on your thoughts and have safe a restful weekend.  “Play it cool in the company pool”,

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

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