Dear Dr. Reed,

 I have been on hormones for 3 years. had orchiectomy 2 years ago, and have lived full time for 4 years. I am currentkly undergoing electrolysis. My next goal is Breast augmentation, followed in 3 years with SRS
Specific_Questions: would it be possible to do a consultation over the phone. also how do I find out about a nearby hotel. How long would I need to stay. would my Dr be able to remove any stitches or monitor any follow up care needed. Would I need any prescriptions, and if so, would I be able to get them filled where I live so I could use my insurance for them. Should I stop taking my estrogen befor breast augmentation,? When?  Angie

Good morning Angie,

Thank you for your interest in what we do.  In that estrogens can be thrombogenic, that is produce unwanted blood clots, which may even be life threatening such as a stroke, heart attack or pulmonary embolism, the party line (conventional wisdom) is to stop them 1 month before surgery.  Even 1 case out of 400 is too much.

For breast augmentation we will use special skin sutures that dissolve
on their own under steri-strips.  We do recommend you stay here
for 2 to 3 followup days after surgery at one of 2 hotels, The Baltic
or Daddy O and I will see you there daily.

This December, 2011 we re-opened a Grant program with the slogan
“the first 12 cases in 2012″ (was formerly the first 10 in 2010),
based upon need of course.  7 positions have already been taken.

After reading the attached, if you believe I am the doctor
for you, please initiate a consultation over the phone with our office
by sending us your name, address, and telephone number
in an envelope along with a check for 250.  We’ll
get started ASAP.  We’ll have a lot to talk about.

The grant should reduce your fees by about 10 to 20% from our
typically affordable price.  Certain restrictions regarding age
and medical history may apply.

Cordially,

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

Dr.Reed.
I am MTF, i ahve been in transition for 3 years now. For work and safty i have been unable to dress as female full time, but still wear what i can when not fully cross gender dressed.
I am interested in full SRS,FFS,Breast augmentation,trac shave, hair transplant,etc.
Are their grants or loans available to help in paying for these proceedures?.Thank you Amanda.

Hi Amanda,

While I can understand perhaps why you not be able to dress 100% en femme now, will you be doing this after surgery, and if so why would it be possible then?

Yes, I would love to help make your dreams come true.  Please call Anne at the office on Tuesday.  Anne is the maker of deals and the brains behind pa.

You will need 2 letters of therapy clearance before surgery.

Best wishes,

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

Dear Dr. Reed,

I am looking to have breast implants and srs in about 1yr to 1.5yrs i need to how much for both if it can be done together thanks for your time Sonja Eastman

Good morning Sonja,

Thank you for your interest in what we do.  While there may be some doctors who do simultaneous surgery.  I would respectfully propose you just have one done at a time.  Just too much surgery, too much anesthesia.  Vaginoplasty requires 4 or more hours, in of itself.

After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 250.  We’ll
get started ASAP.  We’ll have a lot to talk about.

Please keep in mind…  This July will be a promotional offer month if you stay at the Baltic Hotel (advanced tourist class, 877-622-5842).  Ask for Christina and mention my name.

Cordially,

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

Not at this time, but wanting to start soon
Specific_Questions: Is being a heavy smoker going to be a problem with the surgery?
Angie

Good afternoon Angie,

Yes, Angie, smoking is a big enemy of a good cosmetic
result, but also of your entire cardio-vascular system
and lungs. Ocks.

We do hormones.  A letter of therapy clearance is required by a licensed
therapist with a doctoral degree.  Our fee is 250 for consultation, and 600
per year to follow you with needed lab tests, office visits, prescriptions,
counselling, numerous telephone calls, and medical records documentation. 

Lab tests are an out of pocket expense as is the medication.  We may
recommend a laboratory, but you can have them done at a nationally recognized
laboratory of your choice.

Sincerely,

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

Dear Dr reed
I am a pre-op male to female transsexual and am looking for a place to have the surgery done so I am considering your place I like the job you have done in this picture I want exactly the same but without any hair as I do not like body hair at all,what I wanted to ask you was do you do vocal surgery too and breasts enlargement because I would like my vocal chords tightened to sound female and breasts from my current size 38C to a size 38G and the genital gender reassignment can you do this privately and what are the requirements for surgery, please also list all costs for the whole procedure enlisted below thank-you.  Kyli

1.Breast enlargement from 38C to 38G
2.Gender reassignment male to female
3.Vocal chord  tightening male to female

Also would you provide a stay for my recovery and transport to and from the airport as i am in the UK.

Good morning Kyli,

Thank you for your interest in what we do.  Sorry to disappoint you on so many levels.   While we can make  recommendations for travel and assist with your reservations, you have to pay for that.

Tracheal shaves are done by others.  We decline to do G size breast surgery as they will sag with time.

After reading the attached, if you believe I am the doctor for you, please initiate a consultation over the phone with our office by sending us your name, address, and telephone number in an envelope along with a check for 300.  We’ll gt started ASAP.  We’ll have a lot to talk about.

Please keep in mind…  April is a promotional offer month if you stay at the Baltic Hotel (advanced tourist class, 877-622-5842).  Ask for Christina and mention my name.

Cordially,

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

Dear Dr. Reed,

Thank you for that information.
I can never resist clicking that link ?.bundled up and went trudging though the woods to go fishing today.. good exercise I guess. Lots of snow here.
 
I am a small ? A? and would like to go to a large ?B? or small ?C?  ?. guess I really want the ?C?.  It?s hard too picture.  I would prefer under the muscle because I have read there is less chance of loss of sensation which I would HATE to lose and you have stated that the feel is close?  Is this all true?  I?m 5 6 1/2 tall and 128 lbs so I am kind of small framed. I have been thinking about it a lot and I guess I have to consider my age in the equation. How much money do you stick into an older car?  LOL  The cost of the MRI?s is a major consideration.
 
My left breast is slightly larger than my right so I guess Saline would be an advantage there. I have read that they can try to match silicone by using different pre-made sizes but that seems like it could be a bit hit or miss to me.
 
Question ? let us say that after three years one breast deflated. Would you be able to just put one replacement in?  Failure rates are not super high to begin with but I am curious what happens should one rupture.  Brenda

Good morning Brenda,

For a lady of your height, I would recommend you gain a good 10 pounds before surgery, in that with more protein on board you will heal better and be less likely to have wound healing complications.

Yes, of course, if one side deflates it can easily be replaced (unilaterally).

For sure, you should have a subpectoral implant and I can assure you thus far we have not seen any loss of sensation, but if you are a very athletic person, you need to be pre cautioned your arm strength may be slightly affected.  Practically speaking this has not been an issue in any patients we have done thus far.

Sincerely,

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

Brenda

February 1, 2011

Good afternoon  Brenda,

Our fee for silicone breast implants is 6000 which includes surgery, anesthesia and use of the facility.

The implants alone cost about 1000 each.

We can do saline for 5000.

There are many caveats about silicone, and I wish I could advise in detail, but larger incisions lest you break the silicone (silent rupture which manifests itself later on), not all that much different in feeling if you go subpectorally, need for MRI 2 years later (FDA and manufacturer’s) recommendations and one every 3 years, soon will outpace cost of the implants themselves, inability to make fine gradations between each breast as one could do with saline, etc, etc.

Sleep warm,

Harold M. Reed, M.D.
35-865-2000

Dr. Reed,
 
Thank you for that information.
I can never resist clicking that link ?.bundled up and went trudging though the woods to go fishing today.. good exercise I guess. Lots of snow here.
 
I am a small ? A? and would like to go to a large ?B? or small ?C?  ?. guess I really want the ?C?.  It?s hard too picture.  I would prefer under the muscle because I have read there is less chance of loss of sensation which I would HATE to lose and you have stated that the feel is close?  Is this all true?  I?m 5 6 1/2 tall and 128 lbs so I am kind of small framed. I have been thinking about it a lot and I guess I have to consider my age in the equation. How much money do you stick into an older car?  LOL  The cost of the MRI?s is a major consideration.
 
My left breast is slightly larger than my right so I guess Saline would be an advantage there. I have read that they can try to match silicone by using different pre-made sizes but that seems like it could be a bit hit or miss to me.
 
Question ? let us say that after three years one breast deflated. Would you be able to just put one replacement in?  Failure rates are not super high to begin with but I am curious what happens should one rupture.
 
Hope you have a good day.  I keep my apartment very warm.
 
Brenda

Dr. Reed,

Thank you for your response. I had too try. I have been going back and forth over the silicone vs saline argument. From the two different letters you have sent to me I get the impression that in your opinion saline is the way to go? I have heard plenty of opinions from other women but as a doctor yours carries a bit more weight. Every woman seems to like what she has…. I guess from my research ” Wrinkling” seems to be the major complaint. Is this a problem you have seen? An honest opinion from a surgeon would be helpful.

Hope to hear from you. We are buried in snow

Hope you have a good day,

Brenda

February 2, 2011

Good afternoon Brenda,

Silicones are proving more popular than saline. Rippling is more common
in small breasts B’s and A’s with saline.

Detection of rupture with saline of course is easier.

We have seen only minimal rippling in one saline patient in one breast only
and not visually noticeable.

An interesting objective review… http://en.wikipedia.org/wiki/Breast_implant

Your choice,

Harold M. Reed, M.D.

Washington ­ A Food and Drug Administration review has uncovered a possible link between breast implants and a rare form of non-Hodgkin’s lymphoma, MedPage Today reports.

The review identified 34 cases of anaplastic large-cell lymphoma (ALCL) in women with breast implants. Twenty-seven cases involved silicone-filled devices.

A statement posted on the FDA website notes that agency officials are aware of another two dozen or so cases of ALCL among implant users worldwide.

It says that although the possible link requires confirmation, “The FDA believes that women with breast implants may have a very small but increased risk of ALCL. Because the risk of ALCL appears very small, FDA believes that the totality of evidence continues to support a reasonable assurance that FDA-approved breast implants are safe and effective when used as labeled.”

MedPage Today reports that in a press briefing, William Maisel, M.D., of the FDA’s Center for Devices and Radiological Health, said, “We need more data and are asking that healthcare professionals tell us about any confirmed cases they identify. We are working with the American Society of Plastic Surgeons and other experts in the field to establish a breast-implant patient registry, which should help us better understand the development of ALCL in women with breast implants.”

The agency also will work with implant manufacturers to update product labeling information.

Other review results discussed during the press briefing:

• Most of the ALCL cases were diagnosed after silicone implants returned to the market in 2006.
• The diagnoses tended to occur a median of eight years after implantation
• Most lesions arose in the fibrous capsule that formed around the implant.
• A majority of cases involved implants for breast augmentation as opposed to reconstruction following breast cancer surgery.

Happy Thanksgiving??????.

Was wondering something??????..

I know a breast augmentation with saline is around $5k?.   What would the silicone ones cost???   Was also wondering if you would have a XMAS special on them this year?????..

Hey?can?t hurt to ask?.right???

Have a good holiday..

Kathy

November 25, 2010

Good morning Kathy,

Happy Thanksgiving to you and your loved ones (hope that includes me),

Silicones when done retropectorally do not feel that dramatically different from saline.  The incision has to be bigger, because silicones are inserted “pinch by pinch” into the incision until; it’s more than 50% in and then the rest follows somewhat more easily.  Salines on the other hand are completely collapsed, rolled like a cigarette, can be inserted into a 1 1/2″ incision fairly easily which usually heals inconspicuously if the surgeon realizes that the incision line is not where you would think it should be but lower in that any breast implant lifts the incision line if done in the infra mammary fold.  Please see photographic examples…

http://srsmiami.com/photography-breast.html    See how incision lines are not conspicuous.

Salines are reputed to fail every so often, but in our experience we have not seen one fail.  Silicone may leak, even cohesive gels can rupture, and for that reason the FDA advises MRI’s every 3 years.  Very costly.

To help you out Kathy, we can deduct 500 from each price (5000 and 6000), good for 1 month and to be to be secured with a 50% deposit, and to be scheduled anytime within one year from now.   Silicones cost us almost twice what salines do.

Have a very wonderful Thanksgiving again, and yes we think of you often,

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