Sex Change MTF FTM SRS » metoidioplasty

Metoidioplasty without extension

Dr_Reed — Sun, 29 Apr 2012 14:27:19 +0000

April 29, 2012
Dear Dr. Reed,
I’m 2 years and 3 months on Testoserone and 15 months post hysterecotmy, and 9 months post top surgery.
Specific_Questions: I have a few more years till I can afford any bottom surgery. And I’m wonder what length pre metroplasty is a good candidate for the surgery? And another question is there a cost for just a clitorial release with no urethal lengthing? Can get get a urethal lengthing after getting a simple release?
HEAR: Transfriendly website that has a list of surgeons

Tyson

Good morning Tyson,

Thank you for your interest in what we do.

Ideally you should be on testosterone systemically with monitoring of your blood levels to assure adequate dosaging and a special cream as well which you apply topically to the clitoris to maximize growth.

Assuming you have clitoromegaly now, we can do simply clitoral release for about 5750. This is includes anesthesia, use of the facility and any followup care I provide. Fees quoted are good for 3 months. Consultation is an additional 250. There is a lot of information we need to discuss.

Sincerely,

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

Married female, both she and husband wants another penis in bed

Dr_Reed — Sun, 15 Apr 2012 13:10:06 +0000

April 13, 2012

Dear Dr. Reed,

I was wondering if it is possible for me to have a partial sex change. I am a female and want to have a metoidioplasty with a functioning penis.I also still want to keep a female appearance if possible. I am married and my husband and I share the desire of me having a penis. If this is possible, how much is the cost for the surgery and what are the requirements as far as documentation? How long is the initial consultation as well?

Thank you,
Bernice

April 14, 2012

Good afternoon Bernice,

You may not need therapy as sexual preferences has been delisted for the most part as aberrant ideation.

Simply a letter of clearance from the psychiatrists saying, you are mentally competent, you will have a very low likelihood of remorse, and will be a happy and more productive person after surgery. Please choose a psychiatrist who feels comfortable with gender altering surgery.

Best wishes,

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

April 15, 2012

Hello Dr. Reed,

Thank you for all the information! It has been a great help for me. On Monday I will begin my search to find therapists so that I can get those letters of clearance from them. Once I get these letters, is the next step to set up a consultation with you to schedule the surgery?

Thank you,

Bernice

April 15, 2012

Good morning Bernice,

Again my recommendation is for psychiatric letters. A psychiatrist is a Board certified medical specialist as opposed to the generic term “therapist with a doctoral degree.”

Sincerely,

Harold M. Reed, M.D.

Interested in metoidioplasty with urethral extension, and testicular implants, wishes to keep vagina

Dr_Reed — Sun, 01 Apr 2012 13:42:17 +0000

April 1, 2012
I am interested in the Metoidioplasty procedure with Urethral lengthening and Testicular implants. I will have Cigna Health Insurance in the next few weeks. Cigna currently covers Gential Surgery for FTM with the necessary documents. They do not cover Testicular implants though. Are you able to work with Cigna health insurance regarding the Metoidioplasty and urethral lengthening? Also what are your prices regarding the surgery? I have already had a hysterectomy (complete), and I would like to keep the vaginal if at all possible.
Thank you so much, I look forward to speaking with you soon! Carlos

Good morning Carlos,
While we do not accept Cigna, would you be kind enough to find out how much they allow for metoidioplasty with urethral lengthening, with possible buccal graft.

We would not recommend you have urethral extension without having vaginal vault obliteration first (colpocleisis) as the incidence of urinary fistula is very high, which means return visits. Who pays for that?

Sincerely and enjoy your Sunday,

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

Phalloplasty, metoidioplasty, vaginal closure (colpoocleisis)

Dr_Reed — Fri, 13 Jan 2012 00:51:07 +0000

January 4, 2012

Dear Dr. Reed,

I am seeking full hysterectomy with vaginectomy and closure. Do you perform this procedure, or is there another surgeon that performs those procedures? I am also interested in a consultation regarding meta and phalloplasty. Marlon

Good afternoon Marlon,

We do vaginal closure (colpocleisis) and metoidioplasty. The other procedures are done elsewhere.

Sincerely,

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

FTM wants to know sequence of events… hysterectomy first?

Dr_Reed — Sun, 14 Aug 2011 17:20:23 +0000

August 13, 2011

Dear Dr. Reed,

I’ve been on hormones for 6 years. I’ve also had top surgery about 5 years ago.
Specific_Questions: I’d really like to stand to void. I was wondering if it is better to have a hysterectomy and vaginal closure before or after my phaloplastmy especially in regards to the lengthening of the urethra.

Adamos

Good afternoon Adamos,

Thank you for your interest in what we do.

Yes, before proceeding to either phalloplasty or metoidioplasty you should have a laparoscopic assisted vaginal hysterectomy, bilateral oophorectomy, and colpocleisis (closure of the vagina by fulguration and purse string sutures).

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.

Cordially,

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

FTM wants metoidioplasty and keep vagina, possible?

Dr_Reed — Tue, 28 Jun 2011 21:55:24 +0000

June 28, 2011

I would like to know about metoidioplasty and also i want to know if i can still keep my vagina. And have both

Jonas

Good morning Jonas.

Thank you for your interest in what we do.

Yes, you can do this. However, stand to void results are more fraught with incomplete closure and may need revision surgery. Also if you are looking for a stand to void result, the entrance way may be somewhat smaller. So an option to consider is just metoidioplasty and void sitting as you do now.

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

Continuing on metoidioplasty and pubic prominence

Dr_Reed — Sun, 17 Oct 2010 20:34:59 +0000

Hello Dr. Reed, thank you for your patience in answering all my questions in attempting to move forward in the best way for me with these procedures. As I know you understand, there are several factors surrounding my decisions with all of this, financial only being part of it.

A few questions I have are:
1. is it possible to do the meta and the lift together w/o the lipo? I will just have to redouble my efforts to decrease my weight on my own. In re-reading your email, you stated that inflammation from the lipo procedure will complicate healing in the lower area of the meta procedure. Additionally, I have been informed by the surgeon who performed my top surgery that lipo is only as successful as the patient’s ability to maintain appropriate habits/exercise. I believe I need to work on that first, before accessing a lipo procedure.
I can definitely see the benefit of the lift part of the procedure and would really like to have that done. Time constraints are my biggest impediment. As I let you know, I have a wife and a son who have to be factored into the equation with both $ and time.

2. What is the length of recovery/return to normal activities associated with the lipo and how far post could you safely perform the meta, if I did choose to do the lipo before?

I would prefer to do the lift and meta together and then at a later date perform the lipo. Of course ultimately, I would like the scrotoplasty done as well.

Again, I’m sorry for troubling you with all of this….as it is a major undertaking. I look forward to hearing from you.

Thank you,
Milton

October 17, 2010

Good morning Milton,

The lipo and the lift should be done together as this is surgery in the same general area. Fat in the labia majora also will be removed as the fat distribution tends to resemble a horseshoe in configuration. Then you need about 3 months of rest for all the swelling to subside.

Your plastic surgery friend is not entirely wrong about changing your lifestyle but also once fat cells are removed substantially from an area with aggressive liposuction, that area will not become significantly plump again, as there will be very few fat cells left to store fat. If you continue to overeat, yes other areas will become “plumper”. Despite aggressive dieting pubic fat has been called privileged fat and is usually the last fat to disappear.

Most likely blousing of your skin devoid of fat will remain and of course this is why we do the “tuck” or lift.

Sincerely,

Harold M. Reed, M.D.

More on pubic lipo and lift

Dr_Reed — Sun, 17 Oct 2010 20:31:00 +0000

Dr. Reed, do you perform that surgery? How much does it cost? What is the recovery time for it? Can you do them concurrently or do I have to have time betwn the lift/lipo and the meta? Is it out of the question to proceed w/ the meta w/o the lift/lipo? Pls let me know your opinion on all of these.

Thank you,
Milton

October 16, 2010

Good morning Milton,

My dear friend, for whom I have great respect and deep concern,

Yes, I perform this procedure and your fee to include anesthesia, use of the facility and any follow up care I perform is 4850.

Please understand the female genitalia are 30 degrees lower than its male counterpart and we are seeking to elevate the clitoris to adjust for that. You can test this by standing in front of a mirror
and lifting your abdominal panus and mons pubis and see if you like that result, aside from providing a more youthful appearance.

This procedure and a metoidioplasty should certainly not be performed at the same time as the pubis is the delta that lymphatically drains the clitoris and labia and temporary injury from liposuction to the lymphatics will result in more swelling and compromise the result further down by not providing an optimal environment for wound healing.

With every best wish,

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

At 10:05 AM 10/16/2010, you wrote:

Dr. Reed, do you perform that surgery? How much does it cost? What is the recovery time for it? Can you do them concurrently or do I have to have time betwn the lift/lipo and the meta? Is it out of the question to proceed w/ the meta w/o the lift/lipo? Pls let me know your opinion on all of these.

Thank you,
MW

Should an overweight person comtemplating metoidioplasty have attention directed to heavy mons pubis first?

Dr_Reed — Sun, 17 Oct 2010 20:26:12 +0000

Hello. Here are the pictures you requested. I will do my best to lose more weight as I realize this is an important factor. I hope we can reserve the surgical date of 12/13/2010. I look forward to hearing from you.

Thank you,
Milton

October 16, 2010

Good morning Milton,

I am of the opinion you should have a lower abdominal liposuction and lift first before proceeding to metoidioplasty, otherwise you will have a very concealed result.

Sincerely,

Harold M. Reed, M.D.

FTM seeks Andractim cream for clitoral enlargement

Dr_Reed — Sun, 08 Aug 2010 13:15:47 +0000

Hi Dr. Reed,
I sent my prescription for the t-cream to Strohecker’s they called me to say that they don’t make that. I asked him if I could get it filled at a Walgreen’s and he said if they make it it would be 500-700 dollars??

Do you know anyone that make the compound? You said it wouldn’t be very expensive so I thought that price was way off as well.

Anyway – let me know where to go from here.

Strohecker’s is sending the prescription back to me by mail.

Thanks,

Derek
Andractim ? (dihydrotestosterone)

The primary manufacturer of dihydrotestosterone gel globally is Besins International, based in France. Besins produces the drug under the Andractim name, … theironbrotherhood.com/showthread.php?717-Andractim?…

The Walgreen’s price is not that expensive considering a small “dab”.

Harold