Archive for the ‘breast implants’ Category

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Breast implants (augmentation mammoplasty) silicone versus saline

Sunday, August 1st, 2010

July 30, 2010

You charge $5k for the saline…what do you charge for the silicone ones…do you just stick thme in  ( I woiuld prefer incision under the arm)
DO you use a chart and go by body size and frame??
 
 
thanks..
 
kayla

July 30, 2010

Hi Kayla,

Silicones are 1000 more and require MRI’s according to FDA guidelines every 3 years which is very costly in a lifetime. Also silicones require a larger incision.  They come in different sizes about 1 ounce apart.  Salines can be adjusted almost drop by drop to match perfectly, as usually most breasts are not symmetrical. 

We use an infrapectoral approach. which works best at the inframammary line.   For saline allow perhaps a 2 inch incision and for silicone somewhat over 3 inches.

Saline are inserted empty and rolled over like a cigarette prior to insertion.  That’s how we get by with a smaller incision.

Most MTF’s select saline are very happy and given the deep placement as not easily detectable as such.

We use the Tebbetts formula for the proper size implant.  Most importantly, your “home gtrown”  breast should cover the implant, rather than the implant borders  pooching out from the sides (called the “double bubble” sign or we say, looks like the Michelin tire man).

Please look at photographic examples of our breast implant work, I think you’ll be pleased with what you see.  Also excellent cosmesis regarding a relatively small incision.     http://srsmiami.com/photography-breast.html

Sincerely,

Harold M. Reed, M.D.

305-865-2000

At 07:25 PM 7/29/2010, you wrote:

Hi Doc Reed………..
 
Thanks for the reply…..
 
I was just a little scared of the depression….and don’t remember it doing like that the first time..
 
 
I am sure I will feel better after those sutures are taken out…
 
SOOOOOO….next thing I want to get are BOOBS….haha..
 
I don’t really like the saline ones as they wrinkle to easily and don’t look real…as far as I know the silicone gel ones are better…
 
—–Original Message—–
From: Harold M. Reed, M.D. <admin@srsmiami.com>
To: sotospeak@myself.com
Sent: Thu, Jul 29, 2010 5:13 pm
Subject: Hi Kelli from Dr. Reed!!! Re: revisions

July 29, 2010

Good afternoon Kelli,

The photos you have sent me look typical at this time and yes you are right. 
Much too early to consider this to be a final result.  The leathery feeling is entirely normal.
This is called “inflammatory fibrosis” which usually subsides.

Please remember how you were after your first stage, the same amount of time out.

Do not use any larger size stents until another 3 to 4 weeks have passed.

Please exercise a little patience.

Sincerely,

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

Posted in augmentation mammoplasty, breast implants, silicone disaster | No Comments »

Pretty face requests breast augmentation and vaginoplasty

Sunday, July 4th, 2010

In MTF-SRS-FTM@yahoogroups.com,  Charisse <skretch01@…> wrote:

I’ve been on hormones and in therapy for the last 8 years.  I’m 27 years old and currently in the process of changing my documents that I can from male to female.  I work in clubs doing shows and pageants and also model.  I have my own business doing hair and make up.  My question is I was wondering the cost of the srs.  I’m hoping to get my implants done this year.  My breasts are a large B cup and I’m getting a large D-DD implants.  I also have some silicone injections done in my hips and butt.  Dr. Reed I would love to hear from you when you get a chance.  Thanks soo much

Hi Charisse,

Happy and safe July 4th.   Please think twice about D, or worse double D, implants for 2 reasons.  One, if you do not have sufficient “home grown” coverage you may have a double bubble effect.  Secondly, heavy implants will ultimately sag and you’ll be back in the operating room for a breast lift.  You may not like the scarring and O R costs.  This also happens to well endowed women who have never had any breast implants.

About 2 weeks ago, I posted an article from the MSNBC news about Hollywood looking for new talent with normal breast sizes, because natural is more believable, and may be, may be even more sexy.

So please desist with liquid silicone injections as the technicians often produce exaggerated, grotesque results which again, don’t seem really normal.   Also liquid silicone from the butt  may travel microscopically to the perineal area and poses wound healing problems for some.  Silicone insinuating through the tissues is NOT a healing substance. It decreases healthy vascularity.  We see silicone disasters at our office almost every month.

Of course, we do breast augmentation as well as below the waist surgery.  You are welcome to peruse our web-site http://srsmiami.com/

I am truly happy to learn you are a successful entrepreneur and keeping busy.  Your God given good looks of course is always an asset.  Perhaps you’ll post a photo or two in our gallery.

Best wishes,

Harold M. Reed, M.D.

Posted in Feminizing vaginoplasty, MTF, Vaginoplasty, breast implants, sex change, silicone disaster | No Comments »

How long hormones before breast implantation

Tuesday, May 25th, 2010

Specific_Questions: i would just like to have brest for now.do i have to be on hormones for a year in order do have them?

Rhoda

May 25, 2010

Good morning Rhoda,

The longer you are on hormones the better, at least for 2 years to maximizer your “home grown” results.  As a rule,
you should be one cup size smaller than your mother or sister.

Implants always look best when covered by a sufficiency of estrogen produced breast mass.

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 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

Posted in breast implants | No Comments »

Breast augmentation

Sunday, October 18th, 2009

I have done nothing right now,but in Mar of ‘10 I plan to be on hormones.
Specific_Questions: how long do I have to be on hormones to get the breast implant surgery and how long for the SRS surgery and can you tell me more in detail about the grant and the deal you offer. lastly, do you do the body cotouring surgery and how much is it!! thanx :o )   Kendra

Good afternoon Kendra,

Timely question. Just discussed on our MTF web-site.
“Always best to be on estrogens for a good 2 years before breast implantation.   The reason being, the implant sits under and inside the periphery of your home-grown breast mass. If the implant extends outside the periphery, you will have the double bubble or Michelin tire man effect. Like a 2 decker beehive.

Yes very true, breast mass is part fat and of course part glandular tissue. But please do not gain weight to have more breast mass. You don’t want to be in competition with obese men on the beach, as their fat mass is more a roll than breast like.”

Sorry the grant was great about 100,000 disbursed to over 80 patients in varying degrees.  Based upon a research project which had concluded.

No more fund are available, but we do give individual consideration.

All the best,

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

Hormones/Conversion: I have done nothing right now, but in Mar of ‘10 I plan to be on hormones.
Specific_Questions: How long do I have to be on hormones to get the breast implant surgery and how long for the SRS surgery and can you tell me more in detail about the grant and the deal you offer. Lastly, do you do the body cotouring surgery and how much is it!!

Thanx :o )
CONTA

Tags: , ,
Posted in Feminizing vaginoplasty, MTF Grants, breast implants, sex change | No Comments »

Male to Female Surgery, Vaginoplasty, Breast Implants

Wednesday, October 14th, 2009

Good morning Jasmine,

While we do breast augmentation and feminizing vaginoplasty, FFS and tracheal shave are done by others.  Our fees are posted on our web-site.

I certainly appreciate these are difficult economic times, and any news that recovery is around the corner is pure cheer up.   The good USA cannot be fighting wars and expending billions of dollars and printing paper money with unemployment at the rate it is, and expect prosperity.

For that reason, we do offer individual consideration to move you along, further to your goals.

Anne, our office manager is the maker of deals and the brains behind pa.  Please read over the attached and see if I am the doctor for you.

All the best,

Harold M. Reed, M.D.
305-865-2000
At 11:20 PM 10/13/2009, you wrote:

Specific_Questions: What is the cost of a total male to female make over (breast,face,voice,vagina) thanks  Jasmine

Posted in Feminizing vaginoplasty, Vaginoplasty, Vaginoplasty revision, breast implants, sex change | 1 Comment »

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 »

Grants replaced by “Individual Consideration”

Sunday, July 19th, 2009

To Tara at Tarareources.net 
Dear Tara, 
This is to advise you that we have not been able to offer grants, which had been solely based upon testicular donation,  for over 2 years. That project was concluded by the research lab.
We do offer individual consideration for needy people only. However, without any contingency funds to cover the unexpected, we cannot operate.  A financial statement may be requested. 
Thank you for referring the many nice patients who have made inquires, some of whom we have been able to assist.
As is, our fees run about 6000 below what other charge in North America if that is of any help. Unless you have an impulsive need for genital ablation, please select a doctor whose work is pleasing to you
and who may respond to your request for assistance (circumstances change for us all, for example some doctor may have a cancellation and be willing to fill that time slot for less).

All the best to your group.  Your good deeds will not go unnoticed.

Harold M. Reed, M.D. 

Posted in FTM, FTM chest, Feminizing vaginoplasty, MTF, MTF Grants, Vaginoplasty, breast implants, male chest reconstruction, metoidioplasty, sex change, subcutaneous mastectomy | No Comments »

Propspective Augmentation Mammoplasty Patient Writes

Sunday, May 31st, 2009

Yes I’ve been on the estragen patches & spirolacton for about six weeks. Specific_Questions: So far my nipples & areolas has been changing or my nipples have been a larger & harder and becoming tender / painful.

I’m wondering at what or how quickly could I get implants, no more than A’s! or would silicone injections & my left breast area seems more lofty than the right side is that normal that they will development at diffrent levels ?

Thanks Bill or Sarie!

Hi Sarie, 

Consultation is $250 and our otherwise all inclusive fee for saline implants is $5,000.  That includes general anesthesia, use of the facility, surgery fee, the implants, and any followup care I provide. 

Most essential, you do need to be on properly regulated estrogen dosages for a minimum of 2 years to have a successful cosmetic result.  A sufficient amount  of “home grown” breast tissue is always needed to cover the underlying implant.  If not, you will have a double bubble effect and look like the Michelin tire man.Please avoid silicone injections as the results can be disastrous  and exceedingly difficult and very costly to correct. 

If you have asymmetry of your breast size, please don’t worry about that.  It is said your breasts are sisters, not twins.  When implants are put in they will be volumetrically adjusted to make you make as symmetricalas possible.We use the Tebbetts’ formula to determine the appropriate size.  That is large breast prostheses can only be put in if there is enough home grown breast tissue to cover. 

Also please keep in mind, very large breasts, natural or prosthetic, are prone to droop in 6 years or so, and you’ll be back on the table for a lift.  These incision lines as contrasted with a small initial incision are not all that pretty. So if you have enough natural breast mass to cover the implant fine, if not you will have a protruding implant peeking around the edges of your natural breast, called “double bubble. “We can consider a high profile implant with greater projection for any given volume with a smaller base. 

 

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

Sex change 

 

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

Silicone injections, bad news

Sunday, February 15th, 2009

Silicone injection to the male genitalia as well as other parts of the body for enhancement is often done by non-medical personnel or doctors operating in foreign countries. The fees seems affordable, but the results are often disastrous. Silicone like injectable fat chooses paths of least resistance. Once inserted, silicone takes a random walk and the ultimate result is often unpredictable.

We have seen many transsexual females with butts that look like car tires. Way too much material is often unfortunately a feature of silicone practitioners and the results are very grotesque.

Here are some examples including one case of a female breast representative of so many we have seen, with hard lumpy contours.

Lastly although we are removing silicone as frequently as a few cases a month, there are surgical pitfalls. Silicone destroys normal healthy vascularity, so there is a propensity for poor wound healing, including separation and infection. Inevitably some silicone must be left within few milliliters of the skin as removing all of that will certainly result in skin necrosis. Silicone often will track into the lymphatic system. Tissue bulking secondary to ligneous edema may result in periodic swelling depending upon degree of physical activity.

Photos available on srsMiami.com  under breast augmentation and at penisdoctor.com under silicone disasters.

 Please be advised they are not pretty.

Harold M. Reed, M.D. 

305-865-2000

Posted in MTF, breast implants | No Comments »

Previous silicone injection breast patient now requests

Sunday, January 4th, 2009

now requests saline implants to keep her dress up.  The silicone was injected in such a way as to displace the nipple areolar complex on either side very far laterally.  This unfortunately is a serious problem and the placement of implants in the proper location may only cause more deviation.  The patient has been so counselled.   In addition to  very bad fibrosis of the tissues, silcione injections often take a randon and unpredictable walk into tissue planes of least resistance.  This is to be avoided both in the breast and also in my opinion in the hips, where we have seen some real sand bags which don’t look very anatomic.

Harold M. Reed, M.D.

Posted in MTF, breast implants | No Comments »

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