Adult Circumcision and Pearly Pink Papules (PPP)

Dr. Reed, Planning on an adult circumcision.  Is it possible to remove pearly pink papules (PPP) at the same time?  What is the additional charge?  Paul

Dear Paul,

Pearly pink papules (PPP) in adults are seen more commonly in uncircumcised men.  There is no additional fee to remove them as you will be  under anesthesia.  Just takes a few seconds.  We use pin point electrocautery, and will go after the biggest ones first.  If they are contiguous I am reluctant to desiccate a row of them, because we are depending on the surrounding skin to regenerate the cauterized area so there will not be a scar.  Surely we can tackle every one if there is just a few mm. of skin in between.  Be assured they are not communicable and should not be confused with venereal papilloma (HPV or human papilloma virus). Look at the photos below and you will see generally normal skin in between, except for a clusters of 2 in the bottom row. There we could go after the largest in each cluster.

CDC (Center for Disease Control and Prevention) now recommends 11 to 12 year olds get two doses of HPV vaccine—rather than the previously recommended three doses—to protect against cancers caused by HPV. The second dose should be given 6-12 months after the first dose.

Please see before and after photos of adult circumcision on

Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision | Miami


Pearly Pink Papules (PPP)


Pearly Pink Papules (PPP)

Leave a reply