Archive for the ‘breast implants’ Category

Pee and Pack, more economical than surgery

Sunday, August 24th, 2008

Good morning Aramis,
For those women who think like you wife does, surgery
is not needed.

There is a whole line of plastic prosthetics for the
“pee and pack” crowd of FTM transsexuals which
your wife could also use.

I think at the end of the day, your wife will
void in privacy like most women do.

Best wishes,

Harold M. Reed, M.D.

P.S.  Surely, breast implants can wait.

On the hermaphroditic fringe

Sunday, August 24th, 2008

Dr.  Reed,  

Would it possible to add a penis to a female for urination purposes only and still have a operating vagina for natural child birth. does urine play a roll in the monthly activity of the vagina or is it just a way out of the body? My future wife is a vet student and she is always out in the field when she has to urinate, I thought having a penis would make life easier for her, I don’t mind the extra parts as long it makes her life easier. she’s no swim suit model! P.S. A penis is less noticeable and more useful than breast implants. 

Aramis

More breast augmentation photos posted

Saturday, August 9th, 2008

More breast augmentation photos from my practice.

http://www.srsmiami.com/photography-breast.html

Figure 3 includes 2 new followup photos Amazing the way some fabrics
and the bodice complement each other perfectly.

Figure 6 relates to a case of synmastia, fusion of the breasts (really
close approximation of breast implants, when a surgeon overtries to get
cleavage), sometimes called “uniboob.”

Figures 6/3-6/5 show how this was resolved.

Harold Reed, M.D.

4 MTF Vaginoplasty patients in 2 weeks, all doing well.

Sunday, July 20th, 2008

We have had a very busy 2 weeks here at the office, this past week alone did 3 MTF vaginoplasties and a breast augmentation , explant/ implant penile prosthesis to mention a few.  Our MTF from the week before and all three this week are doing well.    Interestingly 2 patients are accompanied by their daughters, both lovely and very sociable.

It is so good to see this type of support. 

Harold M. Reed, M.D.

and a breast aug

The thong brassiere after synmastia surgery

Thursday, June 19th, 2008

The thong brassiere after synmastia surgery

Had an MTF patient who had saline implants and a urethral spongiosum rest from surgery done elsewhere who requested an exchange from saline to silicone cohesive gel.  Prior to  revision of breast augmentation done by an accomplished plastic surgeon, synmastia (often spelled symmastia) or in layman’s talk (uniboob) was noted.  The medial borders of the implants seemed to touch each other at the upper sternum and lifted the skin upwards more than expected.  This is the inherent danger when one releases pectoralis muscle attachment to the sternum above the 7th rib.   Most synmastias occur with subpectoral implants.  Women normally do not have cleavage unless they wear a bra which pulls their breast together.   Doctors who try to comply and get too close may over-dissect the tissues.

The implants were dealt with first.  “Always do the most sterile part of the case initially.”   Some adhesions in the capsule were opened which allowed the new implants to move more laterally and downwards.  This caused the nipple areolar complex which was unusually lateral in this patient to assume a more central position.   A male nipple areolar complex tends to more lateral, so thought must be given to avoid pushing it even more laterally with too medial a placement of the implant.

To prevent reentry of the implant into the sternal area, a thong bra is being used for 8 post-operative weeks.  The central strap has a soft wedge underneath which compresses the midline skin and keeps the implants somewhat laterally.

Today she was quite excited about their appearance and feel.  That’s her job; had my chance.  Did look really nice though.

Perhaps a photo soon.

Harold M. Reed, M.D.

Lady had breast biopsy and requests silicone implants

Sunday, May 11th, 2008

Difference between ultimate size is 50 cc. You can do that with today’s implants, as they are not sold in pairs but singly. After any breast implant, the patient under anesthesia is sat up on the table and everybody stands by her feet an offers an opinion as to symmetry and position.

The time to make augmentation mammoplasty right is in the operating room.

Harold M. Reed, M.D.