Dr. Reed, I am looking for gender reassignment surgery before and after pictures. Are you able to show any from your own practice at the Reed Centre in Miami? Why does a patient’s weight have some much impact with whether you can accept a patient who otherwise is ready for surgery? Marisha
Dear Marisha, We have numerous male to female “bottom
surgery photos on our web-site. Just visit srsmiami.com/vaginoplasty/ and scroll down for a gallery of photographs. Vaginoplasty is the specialty of the house. We also have photos there of breast implant of breast augmentation surgery
We like to think of BMI as divided into 4 groups, below 20 underweight, from 20 to 25 normal, from 25 to 30 overweight, and from 30 on obese. Patients with BMI’s below 23 tend not heal as well. More wound separation. Same for patients over 30, as fat against fat does not heal as easily as well vascularized tissue. Add to that your torso weight which could be over 100 pounds. One hundred pounds of pressure when sitting directly on your perineum can definitely open incision lines. The recommend ring pillows be worn at all times for 6 weeks after surgery unless sitting on the commode which works like a ruing pillow in that the support is on your lateral buttocks. This is emphasized again and again, and some many post op patients are seen at the office and we ask “where is your ring pillow” and they reply “it’s in the car.”
Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami
Vaginoplasty patient of Dr. Reed with moist lubricious vulva
Breast Implant patient before and below after surgery with Dr. Reed. Note we strive to place incision lines at the new infra-mammary fold, not the lower pole for all to see or the outer areola margin, again which may detract from an otherwise beautiful result.