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

September 1, 2011

If i was born with hypospadius. Does that at all matter to the difficulty of any procedure i am interested in doing ?
Fabian

Good afternoon Fabian,

Thank you for your interest in what we do.  Dr. Whitehead is retiring and is referring prospective patients to my practice.   We both have been doing phalloplasty procedures for over 20 years.

Usually hypospadiacs can have the procedure without difficulty.  Did one such case last week.  The key, is whether you can apply traction to your penis. In his regard, I ask all penile lengthening patients to order traction kits (the Grip is recommended) and try it for several weeks before surgery to make sure, this is for you.

Cordially,

Harold M. Reed, M .D.
Phalloplasty Services
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

July 22, 2011

Dear Dr. Reed,

I found one of your blogs on the Internet. I saw you were answering questions from some other men. I decided to write to ask a question of you regarding Penile Implants.

I have a 29 year old penile implant (AMS 3-piece unit) that needs replacing. After the original surgery I was devastated to see the loss of length and girth. Before going through a revision surgery, I have done some research and found studies with positive outcomes with men retaining most, if not all of their original length and girth. Most actually gained using the protocols.

They used VED’s and Penis Traction Therapy for several months. Then, they had the penile implants surgically placed in their penis. The result: a larger than previously possible penile implant was now able to be implanted, offering much better satisfaction from the men.

I contacted two Urologists who conducted a VED study (see attachment) that showed good outcomes in retaining length and girth prior to penile implant surgery. This included first-time implants and revisions. The VED (vacuum erection device) was effective for both groups toward improving the final surgical results. Again, a much larger penile implant was able to be implanted than otherwise would have been possible otherwise. Now for my questions:

One of the Urologists said, “yes, it would definitely help”. The other Urologist said, “It wouldn’t hurt, but due to encapsulation it probably would not be of any help”.

What is meant by Encapsulation? Does your opinion lean in one direction or the other of these two Drs.?

It’s confusing when you get differing opinions from doctors, especially those who were involved in the same study.

Thankyou,

Leonard B.

Good afternoon Leonard,

I am familiar with this concept and have been offering it to all my patients
seeking implantation for the past 9 months since I read about this in AUA News.

We may recommend a somewhat different approach but generally the principle is the same.

Additionally we also offer partial release of the suspensory ligament.

If you wish to confer further, I am available for consultation
which you can initiate over the phone. Our fee is 250.

Have a restful weekend,

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

April 22, 2011

i AM WANT THE PENIS ENLARGEMNET WIDTH AND GIRTH. BUT HAVE BEEN TOLD MANY DIFFERENT THINGS AS FOR AS PROCEDURES GO, BUT NO PRICES.HERE IS MY QUESTION. I AM WANTING TO GET THIS PROCEDURE DONE IS THERE ANY ONEHERE IN TEXAS THAT HAS A GOOD REPUTATION IN DOING THESE PROCEDURES, AND HOW MUCH?

Samuel

Good afternoon Samuel,

There are prices posted on our web-site. Know of no one in Texas that does this surgery.

Sincerely,

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

Well if that’s the case ok, I wanted you to perform the surgery on me anyways.  My name is Jamie Stevens and all I wanted to know was if I qualified for penile surgery with the two conditions I have.  1) Hepititis B   &  2) Low S-Protien .  Yes, if I qualify, I would like to have a consultation and surgery from you.  I hope that clears everything up, unless the whole run around was just a nice way of saying no.  But either way I appreciate your response so far.  Thank you.

-Jason  

Good evenng Jason,   Hepatitis B with a letter of medical clearance no problem.   Low S-protein requires a letter of hematology clearance as there is a potential for life threatening blood clots. 

Sincerely,

Harold M. Reed, M.D.

March 29, 2011

Hi my name is Holter S. I really want to do this procedure because it is so hard to deal with the ‘SHT TALKING’ or other soldiers… Some of the things they say is not good at all even though I can die just like they can…. Iam just wondering if their is a discount for soldiers? I hope to get a response back from u email is the best way to contact me I’ll be home from AFGHANISTAN in a couple of months and dependin on how much money i have will decide if I can do it or not…. Thank You for your help…. Holter

Good afternoon Holter,

You find people who make unkind remarks are probably telling more
about their lack of good role models than anything else. Chances
are you are within normal limits. Some men are tall and some short,
but still most of these are normal.

Thank you for your interest in what we do.

After reading the attached, if you believe I am the doctor
for you, before discussing discounts 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 safe in Afghanistan and thank you for your service
to our country. Play it cool in the company pool.

Cordially,

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

retired Army Capt, MC 2/10 Cav

March 23, 2011

I have been diagnosed with Peyronies. I have ocassional ED. Due to the Peyronies, I have significant shortening and I’m interested in the implant procedure and possible lengthing if possible. email or phone is acceptable means of contact. 

Raymond

Good morning Raymond,

Thanks for visiting our web site on Peyronies’s disease and penile curvature http://www.penisdoctor.com/peyronies.htmPerhaps you can relate to the before and after posted in the gallery. 

The best results for Peyronies’s without question come when there is simultaneous implant of an inflatable prosthesis, which should not be done if there is sufficient wherewithall to penetrate.

We are seeing several Peyronie’s patients every month.  One memorable patient from Ohio was done with a length gain of 1 1/4″ immediately on the table.  When the patient arrived in the recovery room and said to me, “how did I do,” I drew the curtains around his bed and pulled back his sheets and blanket and said, “look.”  An approving smile came across his face.

With post operative use of a vacuum erection device, he’ll even do better than that over the course of the next 6 months.

Correcting penile curvature is one of the mainstays of our practice and the enjoyment we derive is making two people happy.  We see patients from all over the world who seek remedy because of functional or cosmetic disabilities.

My knowledge is updated yearly by attending the AUA meetings.  At any lecture dealing with Peyronie’s you’ll find me sitting very attentively in the audience. 

While our surgical success rate is better than 95%, we do recommend a trial of conservative therapy for at least 6 months as this may often produce a sufficient enough resolution to make you a happy man.  But have you had this without success?

When your travel plans include the Miami – Ft. Lauderdale area please avail yourself of a proper urological consultation.

Or call our office to verify insurance coverage.  Anne is very knowledgeable.  We can even make a conference call with your company to verify your benefits.

If you are over 40 and are on medications other than hormones, please call the office before scheduling surgery,  as a letter of medical clearance will most likely be needed.

If you are a smoker, you must stop completely for 2 months before surgery 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.

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.

No aspirin or aspirin products, blood thinners such as Plavix, Coumadin, 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 dose 30C (take 4 small tablets sublingually, 4 times a day), vitamin C 500 mg (3 times a day) starting 1 week before surgery.

Sincerely yours,

Harold M. Reed, M.D. FICS
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

305-865-2000

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