Archive for the ‘Phalloplasty surgeons’ Category

Penile Enhancement went too far south, what to do

Sunday, October 17th, 2010

I am a victim of a botched Penile Enhancement surgery. Does Dr Reed perform Penile Reconstructive Surgery? Will provide more info when Dr Reed responds.

Bennett

October 17, 2010

Good afternoon Bennett,

Thank you for your interest in what we do.

Hardly a few days go by, that I do not hear  a “tale of woe” similar to yours.

The most common cause is “get-there-itis” with too much simultaneous surgery. I could show you some photos, but you might find them too gruesome.

The attached is what we send to prospective patients, but could be of more than passing interest.

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

Unsightly pubic scar from phalloplasty, what to do

Thursday, September 30th, 2010

September 30, 2010

Dear Dr. Reed,

Had a combined penile procedure which resulted in some loss of length, and in my pubis, a divot is seen along with a spreading scar extending onto my scrotum.  Plus there’s a bald spot in my pubic hair line. 
Is this something you can correct?

Sincerely,

Unhappy Ken

Hi Ken,

We see these scars almost every other month at the office and the reason is distal based flaps usually do not heal well, unless many precautions are taken.  The reason is the blood supply which starts out in the heart is flows down (that  part is OK) but is then turned around and expected to go up or make a U-turn. 
In pre-operative anatomy, blood flow is normally not like that.

At any rate please look at correction of such a case.
http://penisdoctor.com/photo-penis-enlargement.htm.  Figure
9/1-4.

Harold M. Reed, M.D.

Phalloplasty, weights and traction

Sunday, August 1st, 2010

Hello Doctor I was wondering if you could help me with this question.  After penis lengthening surgery when weights are required for 8 hours a day, how is this done?  Does that mean that the patient would stand with weights on his penis for 8 hours daily?
 
Thanks
 

Bernie 
 

 

July 31, 2010

Good afternoon Bernie,

When we think of weights, more generally we are speaking of  traction which should be started a day after surgery simply with manual extension for 2 minutes (with you lying down) up towards the ceiling for two minutes and down (towards your feet) for two minutes, a least 8 times a day.  Give your penis a chance to accommodate.  You will notice towards the end of the two minute interval your penis is longer.  Also immediately following surgery, your penis has been wrapped, extended outwards, like in a cervical collar.  This helps too.

After 5 days the wrap is removed and slowly you will progress into serious traction graduating up to 8 pounds if your doctor feels your diameter is capable of that much tension without injury.

I could talk for many minutes about how traction should be and not be applied.

You can accomplish a good deal of the minimum 8 hours a day needed while on bed rest.

Sorry the information is vague, because without knowing you, or having a doctor-patient relationship with you, I cannot go into specifics, but I am available for consultation over the phone if you wish.

Our fee is 250 and this is a one time charge, thus there is no charge for your first visit at the office, excluding any lab work which may be needed.

Sincerely,

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

BellaDerm vs. AlloDerm Phalloplasty for Girth

Saturday, July 31st, 2010

I am thinking about PE surgery and wanted to know the difference between alloderm and belladerm.  What are the differences between the two and which one gives a superior results as far as girth enhancement?

After girth enhancement surgery, with either alloderm or belladerm, can a second girth procedure be done?

How long after lengthening surgery can you start to stretch with thegrip?

Any thoughts on the Dr. E’s silicone implant and the late Dr. Perovic’s bio-scaffold?

How was it possible the patient in example#2 was able to get such a great girth enhancement?

Are you going to post some before and after pictures of patients with glans enhancements?

You are probably aware of the forum, mynewsize.com/forum and the owner/moderator, C. H, had trouble with his 2nd girth surgery. Good or bad, your name is not mentioned all that much on that forum.

Can the $250 consultation fee be applied towards surgery?

Thank you for your time.

Sincerely
Carl

July 27, 2010

Good morning Carl,

Thank you for your interest in what we do.

As consultation (by us) is an independent event, so we do not  co-mingle or reapply fees.  Nor do we try to sell.  We have told many a well hung man he can rest on his laurels and no surgery is needed.

Taking your thoughtful questions in  the order posed…

What are the differences between the two and which one gives a superior results as far as girth enhancement?Personally I do not see any difference in the ultimate result.  AlloDerm comes from a deceased donor, BellaDerm from a live donor (usually tummy tucks with massive amounts of skin removed).  The same corporation that sells BellaDerm also sell deceased donor products as well.

 

The maximal thicknesses are comparable, but BellaDerm comes in 20% lager widths, so when patients are buying volume and the doctor is charging the same amount for either, BellaDerm provides more volume for the same money.

After girth enhancement surgery, with either AlloDerm or BellaDerm, can a second girth procedure be done?Yes, but I think you’ll be happy enough with one application that you should not have any more girth enhancement surgery.

 

How long after lengthening surgery can you start to stretch with The Grip?We have our patients doing penis pulling exercises (manually) the day after surgery and it is not painful.  The Grip could be applied about 5 to 6 days after surgery (the zero day).

 

Any thoughts on the Dr. E’s silicone implant and the late Dr. Perovic’s bio-scaffold?Dr. E claims good experience with the product.  Our early experience with “crescentic” molds despite use of permanent mltiple Prolene sutures showed that as the spermatic cord occasionally lifts the testicle which is a normal thermo-regulatory mechanism, the capsule which tended to fixate to the scrotal wall separated from the testis and some patients reported “empty cup”.  We also did seminal analyses before and after cups and were really taken aback when they dropped to near infertile levels. 

 

Dr. Perovic my dear recently departed friend introduced the scaffold also pioneered by Dr. Kim from Korea.
At first they were impregnated with tissue culture cells of the implanted patient to permit more inward cell growth.

Dr. Atala noted research worker on tissue engineering and past president of the AUA has said if a scaffold is one cm or less in thickness, prior implantation of tissue culture cells growth is not needed.  Ingrowth of cells follows blood supply and capillaries will grow into a one cm. matrix without difficulty.

As for the results, I would suggest you speak to patients who have had this done.  I personally never used this product because we had excellent success with AlloDerm. 

How was it possible the patient in example #2 was able to get such a great girth enhancement?Example #2 had 3 layers of AlloDerm put in over 1 1/2 years.  We don’t recommend that, but this was his insistent wish.

Are you going to post some before and after pictures of patients with glans enhancements?

Yes, when we have some mature results.

You are probably aware of the forum, mynewsize.com/forum and the  owner/moderator, C. H, had trouble with his 2nd girth surgery. Good or bad, your name is not mentioned all that much on that forum.

Not aware.

 

Best wishes,

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

Penile silicone disaster patient seeks a better way

Saturday, July 3rd, 2010

Hi Dr. Reed,

I found this email address on www.penisdoctor.com, I am hoping to arrange a consultation regarding a variety of things!

First of all, a few years ago I received silicone injections – 60cc in my scrotum and 10/20cc in my penis.I love the sensation of having a foreskin ( from the silicone in my penis shaft, I was circumcised as a kid), I love the size and the way it feels, however, I am dissatisfied with its appearance. My penis shaft is lumpy, there is a small area that looks inflamed, it looks inflated when flaccid rather than dangling down like a normal penis,

Therefore I am looking to reverse the silicone procedure, and would like to review other augmentation methods.

I am not sure if I am able to have everything done at once or whether it would have to be done in stages, so please provide me a breakdown of costs, and what you would do for the following:

1. removal of silicone
2. foreskin restoration (do you do this surgery?)
3 penile lengthening and augmentation
           (there seems to be lots of techniques in AlloDerm, scaffolding, fat transfer etc – what’s the difference in using each of these )
4. glanular enhancement
5. penis lengthening
            (is there a way to disguise/minimise the scars)
6. testicular enlargement

I have part-time work in adult entertainment, which I love to do. Therefore I want to go as long, and wide (within sensible limitations) as possible.

Ideally I would love to have something close to the porn star Max Delong as seen here (forgive me for the pornographic nature of the content)
http://monstercockland.com/files/2047.jpg
http://pacificsunwholesale.com/photos/DVDs/549/cover2hires.jpg

Also I am pleasantly impressed with one of your after-pictures of one of your patients
http://www.penisdoctor.com/images/larrybuff2.jpg
(exmple #2: 2/1 from page http://www.penisdoctor.com/photo-penis-enlargement.htm#1)

Also, are there any techniques (frequent penis pumping, jez extender, or exercises) that you recommend would compliment the surgery?

I’ve noticed that I have seen any ‘new’ advances in cosmetic surgery to the penis – are there any new techniques that I should consider waiting for?

Many thanks,

Ted

July 3, 2010

Good morning Ted,

Thank you for your interest in what we do.  The attached may provide some helpful background information.

To best advise you, you would need to be seen at the office.

If you wish to take photos and talk over the phone, our consultation fee is 250 (a one time charge).

We perform all of the procedures mentioned on your wish list.

Have a happy and safe July 4th holiday weekend,

Harold M. Reed, M.D.
1111 Kane Concourse, # 311
Bay Harbor Islands, Florida 33154-2041
305-865-2000

AlloDerm for girth enhancement, few questions

Sunday, May 23rd, 2010

Hi Dr,. Reed,

I am interested in your Alloderm girth enhancement procedure.  I currently reside in Atlanta, GA. If decided to have this procedure done, I would fly in.

I have a few questions:

- What are the payment options? Are there any specials right now?

- Where are the incisions made for this procedure? Under the head of the penis? At the base?

- What is the recovery time for this procedure? How long before intercourse?

- I read patients who undergo this procedure must stay 4 days, is this still standard procedure? Why 4 days?

- Do you perform this procedure on weekends?

- What tasks do out of town patients usually perform before coming into town for this procedure?

Thanks in advance for answering my many questions!

Sergio

Good morning Sergio,
Thank you for your interest in what we do.

Taking your thoughtful questions in the order posed…

What are the payment options?

You have to be prepaid before surgery.   Yes, we accept pre-payments
and many a patient has done that a 1000 dollars at a time. 
For a line of  Medi-credit, please try

Reliance Finance Company, LLC
http://www.reliancemedicalfinance.com/
1-888-502-8020

or

Chase Health Advance, USA only
www.unicornfinancial .com

or

Medicard Finance,  Canada only.
http://www.medicard.com/

or

www.carecredit.com
automated phone application #  is (800) 365-8295

Are there any specials right now?

No.

Where are the incisions made for this procedure?
Under the head of the penis? At the base?

Yes there is a 9 to 3 o’clock incision in the coronal sulcus,
the groove in back of the head of the penis and a vertical incision
about 1/2 to 3/4 on an inch long at the peno-pubic junction.  Both incisions
are closed very cosmetically and usually heal quite neatly
and fairly inconspicuously.

What is the recovery time for this procedure?

You need to be on strict bed rest for 4 days at the Baltic Hotel
following procedure, and keep a wrap on for 7 to 8 days.

How long before intercourse?

About 8 weeks,.

I read patients who undergo this procedure must stay 4 days, is this still standard procedure?

Absolutely.  A.  To prevent shifting and sliding of the dermal-matrix product,
and to minimize post-operative swelling and bruising.

Why 4 days?

Usually maxes out by that time.  I have to see you at the Hotel everyday.

Do you perform this procedure on weekends?

No.

What tasks do out of town patients usually perform before coming into town for this procedure?

Please initiate an over the phone consultation.  Our fee is 250 and is a one time consultation charge.

All the best and have a restful weekend,

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

Reconstruction of new penis

Sunday, January 17th, 2010

Ali from Pakistan

iam 36  yeas olad man.In trumatic accidant my penis cuuted .now iwant to construct it.

Ali from Pakistan

Hi Ali,

In Europe a phalloplasty can be obtained for $15,000 to $30,000.  A completed phalloplasty requires several stages and the likelihood that all stages will proceed without any complication or produce a perfect result without revisions is quite remote. 

Anticipate revisions and discuss with your intended surgeon what you may reasonably expect as related to his/her technique.  Please confer if you wish with Dr. Stanley Monstrey in Gent, Belgium or Dr. Sava Perovic or Dr. Miroslav Djordjevic in Belgrade,  Serbia (djordjevic@uromiros.com).  All are excellent surgeons.

Dr. Monstrey does an excellent forearm flap.  I have personally seen each do this surgery
several times.
 
An ideal phalloplasty will produce a phallus that looks upon close inspection to be a penis with good glans (head) formation and a corona (rim).  The phallus must be completely sensate and beyond that orgasmically sensate.  Within the phallus shall be a urinary channel of decent caliber so the patient can void urinating from the glans as with normal males. 

Additionally there needs to be a mechanism for producing a penetrable erection.  Alternatives include: an inflatable penile prosthesis carrying a 50% complication rate and in genetic males having an average survival of 6 to 8 years (less in transgendered patients); or a semi-rigid prosthesis (possibility of extrusion from continued pressure); or a bacculum (silicone rod) which is inserted into a special channel just for sex.

Many dance steps to go through.  Also there will be a noticeable deforming harvesting scar which represents the donor site, could be in the forearm, back, lower abdomen, or thigh. 

We do not perform primary phalloplasty but will do revisions.

Sincerely,

Harold M. Reed, M.D.

305-865-2000

 

Penile Implant, not what I asked for

Saturday, October 31st, 2009

 I asked for the Ultimate AMS I was given the step down with out my conscent. Ilost 2′ and some Dimension. The Pump leaks and partially fills when its deflated. Can I get back my inches and a better girth?    Rudy

Good morning Rudy,

Thank you for your interest in what we do.  Hope you can relate to our gallery of “ups and downs.”   Have been doing implants since 1975, and probably have done over 2000.

Fortunately your AMS product has a life-time warranty applicable to any treating physician.

We have been known to perform some magic in situations such as yours, but you do need to be seen at the office so I can best advise you.

Please understand it may be as simple as revising some technical errors during your previous installation, but you do need to have this reversed ASAP as scar contracture will make it more difficult to regain the length loss.

Also bear in mind any operation is associated with risk.  The experience of your urologist and his focus to the problems at hand will help minimize this.

You may wish to initiate a consultation over the phone by sending us your name, address, and phone number in an envelope along with a check for 250.

All the best,

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

Limited Traction following penile lengthening procedure

Wednesday, October 14th, 2009

Just a quick question regarding traction following surgery.  What would be the minimum period of time that you would reccommend using traction in order to avoid retraction.  I would be happy with the immediate gains but would not want to loose them!.  I know that you suggest 8 hrs per day.  If this was done for a month for example would this period of time be sufficent to hang onto surgery gains?

Doug

October 14, 2009

Good morning Doug,

Right on.  Yes, I would think if you apply traction as we recommend for 4 to 6 weeks, you will certainly maintain what was accomplished in the operating room.  An incision does not regain full tensile strength for 6 weeks.

But for 3/8″, and never to use traction again, is it worth it?

Once that is accomplished, you could resume full time traction whenever you wish, and you will not have lost anything.

All the best,

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

Penile Augmentation, long shopping list

Friday, August 28th, 2009

as im going to be flying in from the UK. im going to be limited on how long i can stay in america for i was just wondering how long do you thing i should wait between having the two stages of surgery ie 4 weeks 6 weeks or longer? im eager to get as much done in one sitting as im going to be traveling a long way to have the procedures im intrested in…. and then  if the wait is only 4 weeks between surgerys…i could stay in the states in stead of flying home and then back???????
 
scrotal altreation (turkey neck pushed back?)
left testical enlargement
head glans enlargement
lengthening
and widening
and may be some pubic fat removal?
 
i know these can not all be perforemed at the one sitting (surgery) so i just wanted to know how much you think we could do at one go  and then how long before i can have the otheres completed??
 
ie stage 1 = glans enlargement,lengthening,widening and scrotol pushing back under the shaft?             then       stage 2 = fat pad lipo,testicular enlargemnt
 
im not looking for monster girth only a very modest increase of say 1″ all over,thanks again good doctor  Brian

Good morning Brian,

Lengthening, insertion of left testicular implant, and perhaps release of penile scrotal web, could be done at the same time.  Girth enhancement and glans enhancement need to be done separately as insertion of AlloDerm  works like a fixative to reduce length gains produced by traction.

Pubic liposuction could be done with either of these procedures, but is not advised as the transient lymphatic injury impacts on wound healing of the penis and scrotum. To do a proper job think of the pubic fat pad as an inverted U which extends down into the scrotum along side the penis.   This needs to go also. Tenderness for a few weeks in  that area, may cause you to procrastinate on use of traction,  which ideally should be done within a few days after surgery to maintain exteriorization of the penis.

Please understand the results in length are 35% me (with surgery) and 65% you (with traction).  To gain  an inch in erect length you would need to apply traction for am minimum of 6 months. 

Don’t rush to have the second stage done as you will obviate the potential gains with length enhancement.

You are spending a lot of hard earned money and we wish to have  as many assurances in place you will have a gratifying result.

Cheers,

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