A 50% deposit is required to schedule any procedure and as time and materials and a commitment to post operative care may be required, these deposits are non-refundable.
Do not schedule or submit any deposits unless you are comfortable with the information presented on these forms.
Do not schedule or submit any deposit if you are contemplating having other surgical procedures within a few weeks of your intended procedure with Dr. Reed, as this is often medically ill advised and your deposit will
not be refunded. If concerned, please discuss this with Dr. Reed beforehand.
Please view our web-site for a copy of your consent form related to the surgery you are anticipating. If you are unable to access a copy, kindly request our office to mail or fax you a copy. All consent forms are in Acrobat Reader format. Download the Reader here:
Then using a printed form, mark it up with any questions or concerns that you might have.
Prior to scheduling please be sure all of your questions and concerns have been answered to your satisfaction.
Be sure to bring the form to your consultation with a list of questions for discussion with Dr. Reed.
Complications that may arise, risks, and potential adverse reactions are mentioned, based upon the knowledge and experience of Dr. Reed, including some conjectured risks.
Submit a request for consultation
regarding the Reed Centre services.
Dr. Reed is a reconstructive Urologist and a Cosmetic Surgeon. He is aMember of WPATH (World Professional Organization for Transgender Health (formerly Harry Benjamin International Gender Association, HBIGDA) and performs male to female and female to male
sexual reconstructive surgery.
The Reed Centre for Genital Surgery helps people who
need surgery to complete gender reassignment (GRS).
We follow the standards of care of the HBIGDA
Inc. We offer help to transsexuals and adult intersex patients born
with amibiguous genitalia.
Deposits and Refunds:
To secure a surgical date and preserve a fee commitment, a 50% non-refundable deposit is required.
In the event of cancellation within a week before surgery, $1000 may be retained by this office and the balance of your deposit will be applied to a rescheduled date.
Breasts are universally recognized as a symbol of nourishment, love, femininity and sexuality.
Breast augmentation is the second most popular cosmetic procedure performed (following liposuction), about 254,000 cases per year in the United States.
If you are a MTF transgendered patient, you should be on hormones for 2 years to max out your "home grown" abilities under which an implant will be placed. If you are a MTF transsexual, you will also need a letter of therapy clearance from a licensed therapist ideally with a doctoral degree.
Breast prostheses applicable for standard implantation are typically saline or silicone. Cohesive gel implants when cut on the laboratory bench maintain their shape and do not leak. Gel implants may require a larger incision. Prostheses come in difference profiles and some are anatomical in shape, i.e. tear dropped, being fuller in the lower pole.
The average expectancy of a saline filled breast prosthesis is about 16 years. However the likelihood that revisionary surgery will be performed within 5 years is about 25% across the board. The most common reasons for implant replacement are for request of size change 37%, leakage or rupture 24%, capsular contracture 18%.
Compare this with a 3% incidence of re operation in Dr. John Tebbetts series involving about 1662 patients with a 7 year followup. Careful matching of the implant to the unique anatomical features of the patient explains this.
Generally I subscribe to the Tebbetts formula for appropriate size. Oversizing creates many problems including early drooping (pendulous weight effect) and "double bubble." A distortion when the base of the implant below is seen distinctly from the base of the natural breast, above, which is of lesser circumference.
Breasts as they occur naturally are not perfectly symmetrical, "sisters not twins." Some balance can be achieved by differential filling and placement. Cleavage does not occur naturally and attempts to place implants so close as to achieve this may result in synmastia, the touching of one breast prosthesis against another.
The subpectoral approach is desired especially when pinched skin thickness is narrow in the upper pole (that breast tissue above the areola). This provides greater coverage of the implant. However, an implant is seldom entirely covered by the pectoralis muscle and is really bi-planar, partially sub-glandular in the lower outer quadrant where the pectoralis muscle is absent.
Athletes should avoid a subpectoral approach as it might impede pulling.
The two most popular in incisions are inframammary and periareolar. Other procedures include transaxillary (through the arm pit) or transumbilical.
The early detection of breast tumors may be slightly enhanced with prostheses although there may be some technical problems with compression during mammography.
Scarring can be minimized by taping over the incisional area for 3 months.
Massaging post implantation may reduce capsular contracture which can occur in 8 percent of patients, but can also result in some migration secondary to broadening of the pocket.
Anticipate a variable degree of pain for 3 or 4 days, associated with tissue stretching.
With respect to the ability to successfully breast feed after breast implantation, one study reported up to 64% of women with implants who were unable to breast feed compared to 7% without implants. The periareolar incision site may significantly reduce the ability to successfully breast feed.
Our office will be happy to provide additional counseling at the time of consultation.
Fee $5,000 for breast augmentation to include surgery, saline implants (silicone and anatomic models available for small upcharge), use of the facility, anesthesia, any post operative care provided by this office, and a Design Veronique versatile stabilizing velcro breast wrap for customized positioning made of soft breathable stretch fabric with floral detail.