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

hello dr. i talked to u a few months ago about wantin depth. i had surgery in bangkok and never had a chance to to dialate. so i may have to have a skin graph done. an was wantin to know again how much would u charge me? an when can i come down for a consultation, i live in atlanta.      Virginia

Good morning Virginia,

Thank you for your continued interest in what we do.

You touched upon one of the most important aspects of  achieving a successful and enduring depth.  Dilation.

I would propose a skin graft obtained from the lower abdomen as this area should heal with a fine transverse scar, as opposed to an inner thigh graft which may always cause as second look.

Then it is dilation for 15 minutes 8 times a day with numbing cream if needed, but you must, must dilate aggressively for a few weeks.   With time, especially if you are sexually active, you can space out the sessions.

Our fee is 7600 which includes anesthesia, probable overnight with a registered private duty nurse and myself  in attendance, use of the facility and any aftercare we provide.  You will need daily visits for one week.

On the 7th post operative day, the packing will be removed, and you could return to Atlanta that day and rest for one more overnight.

We will also have to examine the lower abdomen for any hair which needs to be removed by electrolysis.  Usually that area has sparce hair growth, if at all.   If your doctors left an excessive amount of labial tissue,  we may employ that as well.  By all means we will strive to avoid a colonic vagina for many reasons probably well known to you.

Perhaps you may opt to be seen first in consultation and without committing to surgery the next day, to give you time to reflect upon my recommendations.

You will need to have a bowel prep starting the day before surgery.   There is a remote possibility that we may be able to dilate you under anesthesia avoid incisional surgery altogether.

Please reviewed the attached as many of the advisories are applicable for you.

All the best,

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

I had my SRS in July 2008 with Dr. —- in Thailand, and have been on hormones for over three years. I’m essentially fully transitioned.
Specific_Questions: Hello Dr. Reed, I believe that I have what a patient in your blog described as a ‘urethral spongiosum rest’ and am inquiring about getting this problem corrected. During sexual arousal, a circular mass of what seems to be leftover erectile tissue swells to about 1/2′-1′ outwards from my pubic area, surrounding my urethral opening and making urination very difficult until the swelling has subsided (sometimes as long as an hour or two afterwards). When I’ve been more sexually intense or if it has been awhile since my last time, there is bleeding afterwards. Also, I have been unable to use dilators larger than 1′ (or copulate) because the swelling is larger than a US $.25 quarter and occupies space into which my dilation would have extended were there not erectile tissue in the way. Can you give me an estimate of what the cost would be if my health insurance will not cover this correction of a urological dysfunction? How extensive is the procedure and what would I do well to expect?    Kathy

Good afternoon Kathy,

Thank you for your interest in what we do.  The attached is more applicable for “virginal” MTF patients but could be of interest.

Removal of a urethral spongiosum rest or erectile tissue surrounding the urethra, in our office based surgery center is 2750 when done under local.  If you have other critiques, there will be some lesser add-on charges. 

If you initiate a consultation with our office by sending us your name, address and phone number in an envelope along with a check for 250, that might be a good time to enclose some well focused photos as well.

We have a great deal of experience with removing this annoying remnant.  Please understand doctors are very skittish about doing this primarily, if there is untoward bleeding in the first portion of the surgery, as the urethra is also a well known source of oozing when transected.  However, when this area alone is focused on, there are a few techniques we employ to minimize this.

Have a safe and restful Labor Day weekend,

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

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

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.

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

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.

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

I did upload it on the file section under the name “new_japanese_SRS.pdf”  Personal Note: it is a medical/surgical article, so it is very graphic in nature.    Regards, Miriam

Hi Miriam,

Read the article entitled…

Vaginoplasty with an M-shaped Perineo-scrotal Flap
in a Male-to-female Transsexual
Yuzaburo Nambaa–, Narushi Sugiyamaa, Shuji Yamashitaa, Kenjiro Hasegawaa,
Yoshihiro Kimataa, Kazushi Ishiib, and Yasutomo Nasub
Departments of aPlastic and Reconstructive Surgery and Urology, Okayama
University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences,
Okayama 700Ý8558 Japan

Saw their post op results photo, please compare with several of mine
http://www.srsmiami.com/photography-m2f.html

Although we essentially subscribe to the underlying tenets of their surgery technique, a simple inverted U shaped flap is a lot easier, more physiologic, has less potential for neural and vascular injury and promotes more rapid wound healing, less scarring in the first portion of the vagina which is the most sensitive area for patient and partner. Not all that thrilled with the ultimate appearance of their labia. Anyway, you A-B.

We also agree the epilation (hair removal done pre-op) is the best guarantee that pesky hair regrowth will not appear in the vagina. We have seen some Thai patients where this in fact has occurred and they are not happy campers.

On our next MTF vaginoplasty case, we will take some pictures and send them on to you.

We are big advocates of using the scrotum to enhance depth, for which there is no additional charge. However, the more scrotal tissue that is committed to flaps in the first portion of the vagina, the less available for depth.

Cordially,

Harold M. Reed, M.D.