Archive for August, 2009

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Thailand MTF patient requests vagina

Friday, August 28th, 2009

no im not on hormones,havent took a hormone shot in months, i have the srs surgery done i went to thailand in 2001 and had the srs surgery i believed my vagina is closed and they didint do my surgery right because i have alot of skin that pertrudes from out of my vagina, i am overweight and currently have had the lapband surgery done i know u said drop down to like 200 thats what im doing but i want to know the cost to fix my vagina and labia plasty i am lookin forward to you helpin me with this problem so please contact me asapSpecific_Questions: no im not on hormones,havent took a hormone shot in months, i have the srs surgery done i went to thailand in 2001 and had the srs surgery i believed my vagina is closed and they didint do my surgery right because i have alot of skin that pertrudes from out of my vagina, i am overweight and currently have had the lapband surgery done i know u said drop down to like 200 thats what im doing but i want to know the cost to fix my vagina and labia plasty i am lookin forward to you helpin me with this problem so please contact me asap

Letrisha

Good afternoon Letrisha,

If you look at the photo galleries from Thailand, there seems to be a tendency from many surgeons to put too much penile and scrotal skin in the perineum.  To my eye, doesn’t look right.  Please A-B this with our post op results.

Please initiate a consultation with our office by sending us your name, address, phone number, any below the waist photographs, your critique of what needs to be done, along with a check for 250 and we’ll get started ASAP.  When you are seen at the office, there will.be no further charge for your first visit.

With  every best wish,

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

Posted in Feminizing vaginoplasty, MTF, MTF Grants, Vaginoplasty, Vaginoplasty revision, sex change | No Comments »

Reason I am Considering a Smoothie

Friday, August 28th, 2009

Dr. Reed, the reason I may be interested in a smoothie is thay I have a wife of 30 years and she is completly supportive of my transition, intercorse is not something either of us think we,ll miss, we have lived as two women for more than 10 years now. my main concern is than I would stiill be able to have sex either oral or manual, is this possible? Madelaine

Good morning Madelaine,

Many thanks for your continued interest in what we do.

Yes, we can do that.

With kindest regards,

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

P.S. We have cared for several patients like you and should
be able to provide the result you anticipate.

Posted in Feminizing vaginoplasty, MTF, Vaginoplasty, Vaginoplasty revision | No Comments »

Is Partial Below the Waist Surgery an Option

Friday, August 28th, 2009

 

I am interested in more onformation on orchiectomy with scrotal removal. I may not ever be interested in having a vaginia but I may be interested in removing my testicials, creating the labia and later removing my penis and creating a neo-clit. is this possible.  Madelaine

                                                                                                                                                                                                    

Hi Madelaine,

It is difficult to create labia without a vagina, as the inversion helps create the cleft.  Please do not consider a smoothie, if you are sexually active.

Yes, we do scrotal removal, but unless you are forsaking sexual activity, and just wish to get rid of the “valise”  you will need to scrotum later on for depth.  If you wish just a penectomy, that of course is available, but discuss these options with your therapist.

“Measure twice and cut once.”

All the best,

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

Posted in Feminizing vaginoplasty, MTF, MTF Grants, Vaginoplasty, sex change | 2 Comments »

FTM needs some advice before male chest reconstruction and metoidioplasty/

Thursday, August 27th, 2009

possible phalloplasty.

Dr. Reed,

 I have been on T since Jan 2008. I am looking into having a hestorectomy, but also want to have both top and bottom surgery as well.
Specific_Questions: I am on psychratric medications. Seroquel, Methylphenidate ER, Methylphenidate, and Lexapro. Would these medications be a complication?

 Armando

 Hi Armando, 

Thank you for your interest in what we do.

Hysterectomy is performed by others, but if you have this done, please go for a laparoscopically assisted vaginal hysterectomy and simultaneous oophorectomy (removal of ovaries) as well.  2 letters of therapy clearance should be obtained prior to this irreversible surgery.

We operate on patients taking your medications all the time, and this is not a contraindication.  A letter of clearance from your psychiatrist will be requested, and also we do advise your taking any AM medication on the morning of surgery with a sip of water. 

A word about methylphenidate…

Methylphenidate is the most commonly prescribed psychostimulant and is indicated in the treatment of attention-deficit hyperactivity disorder

Contraindications:

Methylphenidate should not be prescribed concomitantly with tricyclic antidepressants, such as desipramine, or monoamine oxidase inhibitors, such as phenelzine or tranylcypromine, as methylphenidate may dangerously increase plasma concentrations, leading to potential toxic reactions (mainly, cardiovascular effects). Methylphenidate should not be prescribed to patients who suffer from severe arrhythmia, hypertension or liver damage. It shouldn’t be prescribed to patients who demonstrate drug-seeking behaviour, pronounced agitation or nervousness. Care should be taken while prescribing methylphenidate to children with a family history of Paroxysmal Supraventricular Tachycardia (PSVT).

Special precautions:

Special precaution is recommended in individuals with epilepsy with additional caution in individuals with uncontrolled epilepsy due to the potential for methylphenidate to lower the seizure threshold.

All the best,

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

Posted in Electrolysis, FTM, FTM chest, male chest reconstruction, metoidioplasty, orchiectomy, phalloplasty, sex change, subcutaneous mastectomy | 1 Comment »

An excellent electrologist offers her services

Sunday, August 23rd, 2009

I perform Electrolysis and Laser Specific_Questions: Removal if you could recommend me i would appreciate it,www.electrolysisbymichelle.com—-786-306-7987—-licensed 34 yrs very experienced with Transgender clients,  Thank you Michelle.Regards to Anne

Good morning Michelle,

We would love to recommend you.

Looked at your web-site http://www.electrolysisbymichelle.com/ and this is exactly what we need.

I am posting your name on our MTF-SRS-FTM yahoo.com group message board and well keep you in mind for patients who need electrolysis.

Please keep in mind our electrolysis diagram for feminizing vaginoplasty. http://www.srsmiami.com/images/electrolysis-pre-op.pdfYou are encouraged to join
http://groups.yahoo.com/group/MTF-SRS-FTM/  and personally introduce yourself
to over 5600 members and be available to answer some questions that members may pose.  This would give you a lot of recognition.

Additionally your announcement will also be up in lights on http://srsmiami.com/blog/

I have always said, “let people know what you do for a living and do it well.”  There is always room at the top.

All the best,

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

Posted in Electrolysis, MTF, Vaginoplasty, Vaginoplasty revision | No Comments »

How old do you have to be for FTM surgery

Sunday, August 23rd, 2009

Good morning Mariah,

We would not recommend any surgery be done until a patient is over 18 years of age, unless there is some very strong compelling reason, and then your parents would need to be a part of the decision making process.

Have a restful Sunday,

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

Posted in FTM, FTM chest, Testicular Implants, male chest reconstruction, metoidioplasty, penile implants, phalloplasty, sex change | No Comments »

MTF patient wants simultaneous orchiectomy and breast augmentation

Sunday, August 23rd, 2009

with cohesive gel  implants. 

Dear Dr. Reed,

Male
BECOME: Female – MTF
Hormones/Conversion: Yes, I have been taking hormones for about 3 and half years.
Specific_Questions: i am interested in having castration and also Cohesive gel breast augmentation, do you have a price package for that?    Sarah

Good morning Sarah, 

Thank you for your interest in what we do.

While our fee for orchiectomy is 2500 and for cohesive gel breasts 6000 (saline 5000), we can put a package together for you for 7000 if both procedures are done simultaneously.

Please understand that with cohesive gels the recommendation is to have MRI scans every 2 years or so
to detect rupture.  Very shortly this will be quite expensive for you.

The US-FDA has recommended that MRIs be considered to screen for silent rupture starting at three years after implantation and then every two years thereafter.

Most likely, you will have a retro-pectoral implantation, in which case salines or gels will be covered with a fair amount of muscle and the palpable result may turn out to be quite similar.  Also keep in mind your present breast masses may not be exactly similar and although cohesives come in various sizes it is possible to tweak fine difference with salines on the table when we sit you up under anesthesia, than with gels.  Although there are sizers, once a gel is in it cannot be augmented.

Incidentally, when you are sat up, at least 4 people, usually 2 women and 2 men (associated with the case) give
their opinions for final adjustments.

Please look at photographic examples and we hope you like what you see.   http://www.srsmiami.com/photography-breast.html

Orchiectomy is a procedure we understand quite well and you certainly do not want a tootsie roll effect (retained spermatic cord), that goes too.   Orchiectomy is a procedure we understand quite well and you certainly do not want a tootsie roll effect (retained spermatic cord), that goes too.  Additionally when you are ready to have a feminizing vaginoplasty we will give you a 1000 credit to our already low prices, which are 6000 below what others charge in North America, in that we own our surgical facility.

With every best wish for a peaceful Sunday,

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

Posted in breast implants, orchiectomy, sex change | No Comments »

Phalloplasty Patient Seeking an Implant

Saturday, August 22nd, 2009

Yes, two years on testosterone, have already had top surgery
Specific_Questions: It’s hard to find information about phalloplasties and sex. I’m just wondering, for phalloplasties, once the surgery is successful with an erectile device and is fully healed.. 1. what percent (estimate of course) of guys have complications with the device during sex? is there a big risk in the phalloplasty ripping or the device coming out…is it really suitable for sexual intercourse? 2. does the phalloplasty last long-term?  Nelson

Hi Nelson, 

It has been touted the incidence of revision surgery with an inflatable implant for FTM men is about 50%.   For genetic men, we tell them on average they may need a revision every 6 to 8 years.  Rarely a problem can become manifest in 3 months and recently revised one that had lasted 16 years.

Like a set of tires for you car, they don’t last indefinitely.

Semi-rigid rods may never require a replacement but there is a concealment problem (sometimes) and the continued pressure may lead to erosion.

We have done a few implants for FTM patients and the patient satisfaction rate has been good.  Most inflatable
implant manufacturers do warranty their product for life, bit the surgery and associated costs are not funded. 

If you have a friendly relationship with your urologist, usually he’ll understand you are not a money tree and charge token fees for revision to cover expenses only.  Please look at photographic examples of our work on penisdoctor.com   http://www.penisdoctor.com/prosthesis.htm

…

Have a restful weekend,

Harold M. Reed, M.D.

305-865-2000

Posted in FTM, penile implants, phalloplasty | 2 Comments »

Do I need to be on hormones for vaginoplasty

Saturday, August 22nd, 2009

Hello my name is Revelations,

I am a Transgender woman now living in the UK and an American citizen previously living in Palm Beach.  I am however unsure as to how long i need to be on hormones prior to the operation and to your scale of finances it will take for the procedures and any availabilty that could be afforded to me
  
Thank you for your time,  Revelations 

 

Good morning Revelations, 

Please do not rush into surgery.  Let’s dot all the i’s and cross the t’s.
Be sure all your questions are answered.You do not need to be on hormones if your are effeminant in your appearance, but could be helpful in producing more secondary sex characteristics such as breast growth.  We do advise stopping all hormones 1 month before surgery and spironolactone for 2 weerks before surgery.

All the best,

Harold M. Reed, M.D.

Posted in Feminizing vaginoplasty, MTF, Vaginoplasty | No Comments »

Fat Injection to Labia Majora

Saturday, August 22nd, 2009

Hello Dr. Harold, i would like to enlarge my labia mayora, i had a procidure done where the doctor injected fat into the labia maiora,but didnt work, the body absorve the fat.Is there any other procidure?   Ronica

Good morning Ronica,

Autologous fat transfer is subject to reabsorption.  Sometimes if another application is done, it holds or lasts better.  Liposuctioned fat transfer can also produce lumps called fibrofatty nodules.

Please make an appointment for consultation.  Our office is a 3 minute walk from where you live.

Have a restful weekend,

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

Posted in Feminizing vaginoplasty, MTF, Vaginoplasty, Vaginoplasty revision | No Comments »

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