Archive for the ‘Phalloplasty surgeon’ Category

Questions about phalloplasty techniques

Saturday, March 31st, 2012

March 31, 2012

Dear Dr. Reed,

I understand that the suspensory ligament is detached from the pelvic bone to help pull the portion of the penis out. Once that is done, do you reattach the suspense ligament? There’s a urologist that reattaches it, just wanted to be sure you do the same.

Secondly, after doing the lengthening and the girth with alloderm or Belladerm, how will it reflect recover/post op exercises for lengthening?

Thirdly, how is sensitivity of the penile shaft after the girth process and can any strange displacement occur if the penis were to be grabbed and squeezed?

Thank you for your time and I look foward to the possibility of scheduling the procedure soon. 

Bradley

March 31, 2012

Good morning  Bradley,

Once you become an established patient by sending in your consultation fee there is a lot more information I can provide about others.

Q.  I understand that the suspensory ligament is detached from the pelvic bone to help pull a portion of the penis out. Once that is done, do you reattach the suspense ligament? There’s a urologist that reattaches it,  just wanted to be sure you do the same.

A.  I do not know of any doctor who completely detaches the suspensory ligament from the pubic bone lest you have a free floating penis, and with great risks to your neuro-vascular bundle as well.

Once at a certain depth of release is accomplished, just that portion which retains the penis in an arched position under the central pubic area, further release will provide no more added length, and will promote penile instability.  We do not reattach nor put in artificial spacers.  We do bring the loose fibroareolar tissue from side to side to find in that space so your penis will not reattach, which would accomplish absolutely nothing.

Think this way, although the cardboard on the back of a canary yellow pad is not glued fully to the sheet above.  If you lifted the sheet from the back without tearing it off, would the sheet be any longer.

Q.  Secondly, after doing the lengthening and the girth with AlloDerm or BellaDerm, how will it reflect recover/post op exercises for lengthening?

A.  We do not perform girth and lengthening together.  Only have girth once you are happy with your length result.  Once you are, even if you are not opting for girth enhancement there is no maintenance required as the length gain is predicated upon new cell growth.

Q. Thirdly, how is sensitivity of the penile shaft after the girth process and can any strange displacement occur if the penis were to be grabbed and squeezed?

A. While this is a theoretical concern, in our experience this has never happened in over 2000  cases.
This is an operation above the penis, not on the penis.

Sincerely,

Harold M. Reed, M.D.

Getting there all at once (simultaneous surgery) not advised

Sunday, December 4th, 2011

December 2, 2011

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

Vietnamese man comments on length and asks about circumcision

Friday, December 2nd, 2011

December 2, 2011

Dear Dr. Reed,

Hi Dr. I am 44 years of ages, i am some what or kinda interesting do cricumcision, but i am very don’t know what to expected or healling. P.S. my is not that big very small about 3′, should i do or not thanks Dr.

Quang

December 2, 2011

Good morning Quang,

Thank you for your interest in what we do.  Your penis is one of the most important functional and cosmetic features of your body.

Oriental men may be smaller but still this is normal for you and 500,000 years of evolution and reproduction cannot be all that wrong.  Having a circumcision contrary to what you have been told, unless the foreskin is overly tight, will not enhance your length, but traction could and mention is made above in the attached.

Can’t say enough, for most men a circumcision is not medically necessary, but also true 85% of our circumcisions are done for patients who simply prefer to be circumcised.

We have performed over 6500 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.”
 
Be assured we will show you every courtesy,
 

All the best,
 

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

Junior in name only wants to expand further

Thursday, November 17th, 2011

November 17, 2011

I am looking for a surgeon who does both fat transfer and alloderm. This way they know the difference first hand and know the short/long term results. I’d like these questions answered please: Which procedure do you suggest? Do you use lasers? Is their erect length gained? Does the penis stay at erect length and not grow with fat transfer? Does the penis feel real and not too soft with fat transfer? What is the average of erect girth gained for each procedure? (I’ve seen 30% flacid and 5-10% erect) These are the questions I have. You are the only surgeon I have seen that does both procedures. I’d like to come to FL to have this done, assuming you are confident in positive results. I’m 3′ flacid length, 6.25′ erect length, 4.75′ flacid girth and 5′ erect girth. Please let me know your thoughts. I appreciate your time!  Junior

Good morning Junior,

Thank you for your interest in what we do.  Yes, we are having a promotional month this November. Kindly call Anne for details.

Taking your thoughtful questions in the order posed…

Which procedure do you suggest?For girth AlloDerm is the most consistent performer (IMHO).  We very seldom do autologous fat transfer as a primary procedure, only if a patient insists and has me
in a half Nelson.

Do you use lasers?

No, not for this purpose (unnecessary)

Is their erect length gained?See attached.

Does the penis stay at erect length and not grow with fat transfer?

Sorry question not clear

Does the penis feel real and not too soft with fat transfer?

Yes generally, but I do not recommend fat transfer because of many potential complications.

What is the average of erect girth gained for each procedure? (I’ve seen 30% flaccid and 5-10% erect) 

Sorry, can’t be that specific

I’m 3.5 ” flaccid length, 6.37′ erect length, 4.8′ flaccid girth and 5.4′ erect girth.

Your stats are great now and you can rest on your laurels.  Please reconsider having surgery.

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.  Answers always beget more questions.

Cordially,

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

What girth method is permanent?

Saturday, November 5th, 2011

November 4, 2011

Dear Dr. Reed,

my friend went to dr so and so and after surery his penis was huge and he was happy after it the swelling went away he didnt see much differece. If i choos eyou and I have this problem would i be able to go back to you for free of no charge to correct iit?

Jason

Good afternoon Jason,

We have not seen AlloDerm girth enhancement dissipate once the final result is reached, that is after the bruise effect subsides.

I am of the opinion if you have not have previous girth enhancement procedures, from one “extra thick” AlloDerm you can expect about 3/4″ increase in circumference.  If you do not get this, yes I will insert an additional strip about 8 months later to permit the first strip to have sufficient capillary ingrowth.  Putting one complete strip on top of another is not a great idea in that there is a greater chance bacteria may seek refuge between the layers. 

Hope this is a fair response to your concern,

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

Simultaneous length and girth sought

Tuesday, October 25th, 2011

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

4 more inches and I’ll be happy

Sunday, October 23rd, 2011

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

Retractile penis (first I see it and then I don’t)

Sunday, October 23rd, 2011

October 22, 2011

Dear Dr. Reed,

Hi – I’m pretty fit guy, but I suffer from retractible penis and testicles. I wanted to know about your penis tacking procedure to prevent the penis from retracting. It happens mostly when i go for a run. What are the risks with this procedure? Could it cause more retraction if it doesn’t go well? How often do you perform on skinny adults with it. I know mostly children and overweight adults have this problem but what about thin adults? Also, is there a way to lengthen cremaster/spermatic cord?   Jeffrey

Good morning Jeffrey,

Thank you for your interest in what we do and visiting our web-site
http://www.penisdoctor.com   Shrinkage of the pen.s during
exercise is normal for a few physiological reasons such as
enhanced adrenalin flow and diversion of blood the your voluptuary muscles.
.
You have many options.  Yes, we have skeletonized the cords to allow
the testes to hang lower.
 
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

Sarma writes for her husband about phalloplasty, penile enlargement

Sunday, October 9th, 2011

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

Penile enlargement questions

Thursday, August 11th, 2011

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


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