Archive for the ‘Feminizing vaginoplasty’ Category

Vaginoplasty Touch Ups

Sunday, November 8th, 2009

 

— In MTF-SRS-FTM@yahoogroups.com, “kennyhilnager” wrote:
 Dr. Reed,
What are the typical reasons for touch ups and how much can be done
at one time?

Kenny

Hi Kenny,

Touch ups are either planned as the doctors may knows they have not been able to attended to every little detail in the interests of patient safety. The patient should be apprised during her recovery if not known at the outset. Often there will be a critique (work list) made by the patient and which is often supplemented by the doctor after he/she sees the patient. Ideally everything should be done at once, and the best time is a good 3 months after complete wound healing. This does not mean 3 months after surgery.

Areas often include: asymmetry of labia, need to lower the posterior commissure (for a more direct approach into the vagina), a urethral spongiosum rest (left over urethral erectile tissue which swells during arousal), re-siting of the clitoris or need the hood the clitoris, lowering the opening of the urethra, closure or approximation of the upper labia majora (mirror image parentheses), providing greater opening (introits) to the vagina, revising an unsightly scar.

As you know there is no charge in our office for this revision which is typically performed under local with IV sedation. For those patients who require or request general anesthesia, this amounts to 600 or less. We want you to look your very best. Please bring your work list.

Harold M. Reed, M.D.

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

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

Lost depth after MTF vaginoplasty

Thursday, October 1st, 2009

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

Urethral spongiosum rest, swelling with arousal impeding penetration

Sunday, September 6th, 2009

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

We get letters

Friday, September 4th, 2009

Thailand MTF patient requests vagina

Friday, August 28th, 2009

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

Reason I am Considering a Smoothie

Friday, August 28th, 2009

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.

Is Partial Below the Waist Surgery an Option

Friday, August 28th, 2009

 

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

Do I need to be on hormones for vaginoplasty

Saturday, August 22nd, 2009

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.