my name is Roz and I had surgery performed in your office about two years ago and couldn’t have been more pleased with the outcome. Since then, I have been researching different techniques on making the hips and buttocks look fuller….There doesn’t seem to be much out there except for silicone injections and that is out of the question for me…I recently came across a site that described Artefill/Artecoll and how it is being used to give a more shapely and feminine figure….I was just wondering if you use this ineluctable filler and if it is safe? I am trying so hard to find a safe way to enhance my figure…..Thank you….

Hi Roz,

Thank you for your kind words.  If you could post them on our Yahoo group http://groups.yahoo.com/group/MTF-SRS-FTM/   I would be very appreciative.

I do not do tissue fillers except for Juvederm Ultra Plus which is not permanent.   A very good video on Artecoll/Artefill is done by Dr. Lam…
http://www.metacafe.com/watch/1040242/dallas_plastic_surgery_

why_i_dont_use_artefill_artecoll/

Please definitely do not have silicone injected to your buttocks as once in, it cannot be taken out and most of our patients have been done by less than skillful aestheticians.  The end result, pardon the pun, looks like a rear tire.  There is a doctor in Miami, Dr. Tiller who uses silicone implants versus liquid injection and seems to be well regarded, but I am detached from this area altogether.  We have done a few breast augs on pateints who had silicone injected into their breasts, and it’s like cement to open a tissue plane and the contours can be very cuboidal.

So hope I have been helpful, at least caring and best wishes,

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

I am contacting your office because of my interest in undergoing the orchiectomy procedure, however, I did have a few questions for you.

1. I know there are several places for incision, but I am curious where Dr. Reed chooses?

2. I live in St. Louis, Missouri and because of that, flying to Miami is quite costly. Will a consultation prior to surgery be necessary? I would like the Doctor to know that I have currently had another consultation in St. Louis, though I choose not to go with that doctor due to her lack of experience with MTF patients.

3. What does the $2,500 cost exactly include? If there are additional costs, could you tell me how much those additional costs usually run?

4. How long does Dr. Reed recommend the patient stay in the Miami area before flying home?

5. One of the major reasons I want to have this procedure performed is to have my gender marker on my birth certificate and subsequently my driver’s license change. In the State of Missouri, what is required for this is receipt of a certified copy of an order of a court of competent jurisdiction indicating the sex of an individual born in this state has been changed by surgical procedure and that such individual’s name has been changed, the certificate of birth of such individual shall be amended. Will the notarized documentation that Dr. Reed provides to me after the surgery use the key language “the sex of [Chloe] has been changed by surgical procedure”? I ask this because that language is key to having it amended.

6. Lastly, how many orchiectomy procedures has Dr. Reed performed on MTF transsexuals?

I have done a lot of research on Dr. Reed, and find that she would be a wonderful surgeon for me. I hope to hear from you soon, and I thank you for your cooperation.   Carla

Good afternoon Carla,

Yes, for lack of a more appropriate term, we do have to gather information before surgery about your medical history, review therapy letters of clearance, review laboratory tests, examine you and answer many questions you may have and put out information to you.  This can be initiated over the phone and with the help of Email.

We will see you the day before your orchiectomy and give you instructions to help you prepare. We recommend you stay at the Baltic Hotel so I can follow you there for 2 days, and then you are good to return home.

We are equidistant between Ft. Lauderdale and Miami airports, so take the flight that is most economical.

At Miami, you can use SuperShuttle for ground transportation, and in Ft. Lauderdale.. Go-Transportation for a significant savings.

Carla,  I can write words to that effect when we say you have had irreversible gender altering surgery. That you have been living as a female for (—) years and are recognized as a female by your psychotherapists.  We have never had a notarized letter (signed by me) of this import rejected.

I have performed about 400 or more orchiectomies on MTF patients.  We use a small 1 inch vertical scrotal incision

Your surgical fee includes: surgery, use of the facility, local anesthesia with IV sedation, my followup visits with you and of course several confirming letters.

Have a restful evening,

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

Good morning Kim,

Like the stewardesses say, “be careful accessing the overhead racks as articles tend to shift in flight.” I have never seen a class A result either from this office or from any other doctor, where after a few months something could be done to improve the appearance. May be a noticeable scar, or small separation that healed with a scar, or a urethral opening up too high or an elevated posterior lip, or a clitoris that is too prominent or could use more hooding, or labia majora that simply do not look youthful.

I strive to have all my patients be a visual “turn on.” Yes, I find the female genitalia very attractive and feel if someone is paying big bucks and entrusting their care to me, they deserve something really extraordinary.

We only want walking positive advertisements. For that reason, we do touch ups at no charge under local with IV sedation, with the understanding if the patient is overly anxious, or has a history of drug tolerance, or needs a fair amount of work to be done, they do have to pay for the services of anesthetist which never exceeds 600 and could be less. Everything else is on me and don’t forget to bring that ring pillow back again. Sitting on your incision line is not good for wound healing!

Sincerely,

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

Dear Dr. Reed,

You have my photographs.  Hope you can make me as pretty as what I see on your web-site   srsMiami.com

April,     PS:  here is Camilla’s enthusiastic letter.

Dearest Dr. Reed, First of all, I will d?like to say THANK YOU VERY MUCH for your wonderful revision labiaplasty you did on me. I?M VERY HAPPY! Let me say hello and thanks to you secretary Anne, as well, such kindly and lovely. I had all of kind of attentions and care about the staff, and lots of care from you. I consider to advice all the folks need procedures about any kind of ?sexual gender problems? to go to Dr. Reed. He’s definetelly, is the best of surgeon and as good person. Thank you forever. Camilla

September 23, 2008

Good afternoon April,

Thank you for your excellent medical photographs.  Very helpful.

Yes, I agree the labia and clitoral hood are the most notable areas that need revision.  I do believe you will receive a result that will make you smile at last, no more double-take looks.

Last week we did a similar case, perhaps not as exaggerated as yours, and she was very pleased.  Here is a “thank you post” from our http://srsmiami.com/blog/

Thanks for Vaginoplasty Revision

September 21st, 2008

1. Camilla F. | pinko@pallino.it | srsmiami.com | IP: 87.18.47.195 Dearest Dr. Reed, First of all, I will d?like to say THANK YOU VERY MUCH for your wonderful revision labiaplasty you did on me. I?M VERY HAPPY! Let me say hello and thanks to you secretary Anne, as well, such kindly and lovely. I had all of kind of attentions and care about the staff, and lots of care from you. I consider to advice all the folks need procedures about any kind of ?sexual gender problems? to go to Dr. Reed. He?s definetelly, is the best of surgeon and as good person. Thank you forever. Camilla

Dear Dr. Reed I recently emailed you advising that I had SRS MTF sutgery. I asked about vaginal deepening procedures and labiaplasty. You wanted me to come in to your office. I will be in the Miami SOuth Beach area 02-28-2010 until 03-04-2010 iwanted to know if i can come into your office on a friday or monday .  Please email me back or call to verify appt dt and time !!!!!!
How you heard about us: annelawrence.com

January 24, 2010

Dear Nicole,

What a pleasant surprise to hear from you.

Preesently on retreat in the Carolinas followed by 2 fully booked weeks in Miami. But do call the office on Monday February 1, 2010 and schedule in.

Anne our amiable office manager should be very helpful.

With every best wish,

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

Re: When will a scrotal graft be necessary, Nessie

Hi Nessie,

The use of a scrotal graft is really necessary for any one who is seeking adequate depth for penetrating sex. For the past year we counsel the patient pre-op and do it at no extra charge, because we want you to be a happy. You never know when Mr. Right comes along.

Very rarely when a patient says do not do it, if they are confirmed asexual or lot older, and it is desirable to save 45 minutes of operating time, that step will be eliminated in the interest of patient safety. Unless someone has a stretched penile shaft skin length of 7 inches, we heartily recommend that
scrotal graft extension be done.

In conjunction with this we also recommend electrolysis starting 3 months before. We have seen hair grow back on patients who have last moment epilation in the operating room. Even if successful the trauma to the scrotal tissue may reduce ideal graft take.

The scrotum will stretch almost like a latex glove, so once the graft is above the level of the pelvic floor, you can build upon our depth to suit, providing you embark upon early and dedicated stent usage, until again Mr. Right comes along.

If dilation is painful initially, this is quite normal. Then consider EMLA cream or lidocaine jelly 2%. Please do not procrastinate. Your doctor will show you, using the palm of your hand, how hard you can push safely. Even if you just gain an 1/8″ every week, it adds up.

Harold M. Reed, M.D.
305-865-200

Dear Laurie,

Read the letter and this is the classic example of how a letter of endorsement should not be written. This type of letter is in fact seen when a therapist feels a certain obligation to say something but in fact has deep seated reservations about making any written commitment. This is akin to a “letter of recommendation”  for an employee.   Miss so and so worked in my office from June 1st 1999 to September 5, 2001. (Start, period, end of letter).

This is a more a letter of detachment.

The standards for how a letter should be written if the Dr. is interested are posted on WPATH.   To wit:

The Mental Health Professional’s Documentation Letter for Hormone Therapy or Surgery

Should Succinctly Specify:

1. The patient’s general identifying characteristics;

2. The initial and evolving gender, sexual, and other psychiatric diagnoses;

3. The duration of their professional relationship including the type of psychotherapy or

evaluation that the patient underwent;

4. The eligibility criteria that have been met and the mental health professional’s rationale

for hormone therapy or surgery;

5. The degree to which the patient has followed the Standards of Care to date and the

likelihood of future compliance;

6. Whether the author of the report is part of a gender team;

7. That the sender welcomes a phone call to verify the fact that the mental health professional actually wrote the letter as described in this document.  

The organization and completeness of these letters provide the hormone-prescribing physician and the surgeon an important degree of assurance that mental health professional is knowledgeable and competent concerning gender identity disorders.

More or less in the first paragraph the therapist should introduce him/herself by virtue of their background and training and societal memberships. Next the therapist should endorse the client for transgender surgery (”I recommend, I endorse, or Miss so and so would be a good candidate for transgender surgery, etc”).

Next suicidal ideation or attempts (yes or no) should be mentioned, as well as any drug abuse history or ethanol dependency (yes or no).

Lastly the therapist should invite the recipient to call their office for further discussion should questions arise.

Look at Dr. Mora’s letter hopefully and you will see the difference.

Sincerely,

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

Thank you for your interest in what we do.

GRANT SUBSIDIES AVAILABLE AGAIN

This January, 2010 the first 10 cases, will
receive Grant Subsidies.

Think “the first 10 in 2010.”

After reading the attached (our letter to prospective patiuents available by writing admin@srsMiami.com) , 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 1/3 from our typically affordable price when you agree to donate your testes to a non-reproductive research project. Certain restrictions regarding age and communicable disease may apply.

Happy Holidays,

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

Can depth be added later on.  Now feel very asexual.

 Rundle

Our “party line” to all patients unless they insist, is go for depth as part of the original plan when you have vaginoplasty. This means if you need a scrotal graft, by all means this is the perfect time to do that. But you do have a responsibility to dilate to maintain depth and width, and even build upon that.

I have seen many patients acquire an additional 2 inches simply by using stents for 15 minutes with gentle pressure 5 or more times a day.

You never know when Mr. Right will come along and turn your latency upside down and re kindle all the loving and bonding mechanisms that nature has given you. They were there from the outset
but just dormant and maybe uneven suppressed for one reason or another. Yes, I also believe that female preference is a mentally acceptable expression, as does the American Psychiatric Association, however, this way you are ready.

Harold M. Reed, M.D.

I followed a GLBT advocate and counsellor. My talk on sexuality included as per syllabus from Dr. Clark…

Medical factors related to sexuality and sexual functioning

Objectives:

· Define the DSM sexual disorders, and discuss the following in relation to it: symptoms, factors increasing susceptibility, and prevention.
· Describe how surgical procedures, such as a hysterectomy, may affect a woman sexually, physically, and emotionally.
· Define hormone replacement therapy and explain its advantages and potential risks.
· Describe the incidence of, symptoms of, and treatment alternatives for penile cancer, testicular cancer, prostatitis, benign prostate hyperplasia, and prostate cancer. Describe tests for prostate cancer and treatment alternatives.
· Describe the reasons why women would choose to have or not have breast implants and controversies concerning the implants themselves.
· Learn how major disabilities my affect sexual function and expression. Learn coping and enhancement strategies for people with disabilities.

2 hours later with time for serious questions and answers, we were done. But aside from potty breaks their day was still going strong. Young therapists seeking their doctoral degrees, thirsty for knowledge. Commendable, Carol (who is a board certified sexologist with a doctoral degree, how many therapists can claim that!).   Dr. Carol L. Clark   (closest to our office)  305-757-6070 

Harold M. Reed, M.D.

305-865-2000