penisdoctor.com

 I WOULD LIKE TO HAVE SILICONE INJECTIONS IN MY SCROTUM DUE TO YEARS OF STEROID USE LEAVING MY TESTICLES SOMEWHAT ATROPHIED AND A LOT OF EMPTY SCROTAL SPACE. IS THIS A SERVICE YOU WOULD PERFORM?
HEAR: REFERRAL FROM INTERNET SITE  James

October 24, 2010

Good afternoon James,

Please review the attached.  Please do not opt for silicone injections into your scrotum as this will at best create a fluff bag, may injure your testes even further.  Also look at silicone injection disasters http://penisdoctor.com/silicone.htm (several photos).

Consider insertion of soft silicone ovoids which can be almost any size you wish.  I will make some recommendations of course.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you as well as address all of your concerns, including scheduling and followup care.   Anticipate we will show you every courtesy.

With kindest regards,

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

quests: I would like to have testicular enhancement so that I may have a bigger bulge and feel more confident. How do testicular implants affect my ability to detect lumps on my original testes? Do the implants predispose me to higher risk of testicular cancer? I am 32 years old.

Jonas

October 17, 2010

Good afternoon Jonas,

Hope the attached is helpful.  In that our ovoid implants do not occlude your normal testes, they can be felt as needed for self-assurance and detection.  Silicone implants are at least 30 years old or more and that also includes fluid transfer pumps put in the scrotum to operate an inflatable penile prosthesis.

There has been no report of malignancy associated with these implants that I am aware of.   Having said that please be very cautious about silicone cups that wrap around your testes, as we have seen testes atrophy and sperm counts drop all the way down.

Sincerely,

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

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

I’ve always been self conscious about small testicles, one not visible. Had testerone test and it’s normal which surprised me. After reading your about your procedure I’m interested in achieving a normal appearance.   Adam

July 2, 2010

Good afternoon Adam,

Thank you for your interest in what we do, many cases of testicular implants every year,  with photographic examples on our web-site.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and
you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

Anticipate we will show you every courtesy.

With kindest regards,

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

Hi Dr. Reed,

I am a female to male transsedxual patient, 7 years on Testosterone. 5 years post-op top surgery. Legally male in the state of Ohio.
Specific Question: Do you perform testicular implants as a procedure by itself. I typically take a long time to heal and do not want to complicate my healing by having multiple procedures at once. I’m ideally looking to have the scrotoplasty/implants done first and then decide on whether meta or phalloplasty is a better option for myself.

Sincerely, Seth

Good afternoon Seth,

Yes, we can. The attached may be of some help.  Please see  http://srsmiami.com/photography-f2m.html and http://penisdoctor.com/photo6.htm for photographic examples of our work.

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

I am interested in penis lengthening and possible eventual girth enhancement. I had testicle implants with a west coast doctor and have been ‘stretching’ with some results, however I’d like to make my testicles hang lower. I also have somewhat of a ‘turkey neck’. I would like to know if you can relax the chords on my testicles to make them hang lower and would also like to know what you can do for the ‘turkey neck’. I’d like to know if I can do either of these in conjunction with penis lengthening. Thanks.  Parmuth

Hi Parmuth,

Thank you for your interest in what we do and your excellent clinical presentation.

Several thoughts come to mind.

If the doctor has entered the membrane that surrounds your testicles, this type of surgery frequently results unfortunately in adhesions that bind and fixate the testes  in one position.

That is why our implants are placed in front and below the testes.  We have also noted degradation of testicular function if entry is made into the testicular membrane, the tunica vaginalis.

Peno-scrotal webs are fairly easy to correct.  Please avoid the Z-plasty incision, as this looks like the “mark of Zorro” when it heals

Please review the attached letter and do visit our web-site.  Look at all the documents and photos.  If you feel I am the doctor for you or my level of expertise could provide the best advice that you are seeking, then please initiate a consultation over the phone with our office.

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

I’m interested in the scrotal enhancement surgery and would like to know if you have any offices in either the UK or Europe that I might appraoch for a quote.  Heath

Good afternoon Heath,

Thank you for your interest in what we do. 
Two cases scheduled already for this coming week. 

Our office probably does more scrotal enhancement surgery
than any other in the world.  Please do not have
your scrotum injected with silicone or fillers as this
will produce a fluff bag appearance. What you need to
see are 2 beautiful large gonadal contours.

Our only office is in Miami.  When I first started out, I was very
impressed with a mentor whose business card listed 3 offices
in the greater Miami area.  I later learned if you are busy,
you only need one office.

Be assured we will show you every courtesy.  Visits from the UK
are really commonplace here.

Happy Holidays and a specially productive and healthy New Year,

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

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

 

 

 Thank you,

DE Lightfoot

Dear Mr. Lightfoot,

Taking your thoughtful questions in the order posed…

Additionally, they have never really dangled to my satisfaction. With this in mind ….

1.  The testes may be elevated either because the spermatic cord is too tight for various reasons or the scrotum which is a hammock of sorts is not dependent enough and your testes simply have settled down as far as they can go.

2.  Does the implant procedure itself eventually cause the scrotum to  stretch and therefore not draw up as radically?

No although a purse string suture can be placed above, this does not work predictably well.  What will work is a small belt, if you will, made by companies such as http://www.leatherpost.com/static/TC001.html or http://www.leatheretc.com/Merchant2/merchant.mvc?Screen=CTGY&Category_Code=Cock_Rings  Use it with care as you do not want to injure your existing testes.

3. How much down time after surgery? 

Plan on spending 3 to 4 days on bed rest at a near by motel before returning home, and you could be in an office environment in about 2 days after that.

Thank you for your reply.  I hope you don’t mind additional questions.
Do any of your patients ever opt to have testicular implants removed after installation?  Even if there is no occurrence of infection, does this procedure ever “go bad” even after some time has elapsed?
 
Do any of your patients have trouble adjusting to testicular implants?  I ask this because it’s hard to imagine having a foreign object in my scrotum.  My testicles are very sensitive because of their small size.  Do implants add to or detract from testicular sensitivity?  (I am not asking about scrotal sensitivity.)  As I am on testosteroone injections, would implants have any effect on how my testicles currently function?  I know that implants would not function in any way like a real testicle.
 
As I live in Arizona, does your clinic offer discounts for air fare or hotel accomodations?  Do you provide shuttle services to/from your cllinic to hotel?
 
Thank you again for your time.

Mikail

 

Good morning Mikail.

Taking your thoughtful questions in the order posed.

1. Do any of your patients ever opt to have testicular implants removed after installation? 

Yes, one patient did and brought to the office two perfectly normal implants.  Could not relate to his complaints and he continues to come to the office and have other procedures done.  So one out of about 200 to 300 cases.  The implants were removed abroad.

2.  Even if there is no occurrence of infection, does this procedure ever “go bad” even after some
time has elapsed? 

Not to my knowledge.
 
3.  Do any of your patients have trouble adjusting to testicular implants? 

Not one.

4.  Do implants add to or detract from testicular sensitivity? 

Neither.  The implants are outside the membrane that surrounds your true testes, so there is no known adverse effect on there function.

5.  As I live in Arizona, does your clinic offer discounts for air fare or hotel accommodations?  Do you provide shuttle services to/from your clinic to hotel?

Compared to other phalloplasty surgeons and considering our experience and results, we find our fees to be reasonable.  Shuttle service is available for about 19 dollars at both Fort Lauderdale Airport FLL (Go-Transportation formerly Share a Ride) and at Miami MIA with SuperShuttle.  Any starter in a kiosk at ground transportation
will help you.

We do recommend you stay at an advanced tourist class hotel, the Baltic Hotel, where the resident owner manager Christine, has shown a great partiality to our patients.  The Hotel is an 8 minute ride from the office and I will be seeing you there after surgery daily for a few days.  Yes, you pay for the hotel usually
about 85 per day.  Gourmet Danish and coffee is served every money and many convenience restaurants of almost every ethnic stripe will deliver.  There is also a small refrigerator in our room and an abundance of supermarkets nearby.  We have had doctors and attorneys, professional people, and people of means stay there.  There were very pleased with the value they got for their money.

We try assiduously to avoid merchandising or selling procedures with package deals.

Have a restful Sunday,

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