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

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

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

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

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