I like what I see in your before & after photos and I think you maybe the doctor for me.

I want to have GRS before the end of this year but I don’t think I can handle electrolysis or laser in that area and so my question is,

1) can I have skin graft ? ( preferably from my lower back so I can hide the scar with a tattoo )
2) if you can do a graft, what would that do to the cost ?
3) does the 14,500 cover the hospital stay and anesthesia ?

Have a great day,

Joycelyn

Good morning Joycelyn.

Electrolysis as done at our office is painless, and takes about 3 sessions.

Doing grafts from hairless portions of your body, as a primary procedure is not good medicine, will leave a lifetime scar, in my opinion, and very costly.

With every best wish for a restful weekend,

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

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

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