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Question:
I understand that Laser Vaginal surgery is elective surgery.
Are there any medical conditions that would preclude me from
having the procedure?
Dr. Jason:
If a person is in general good health, there are no contra-indications
to having this surgery. If a person has severe medical problems
such as cardiac or pulmonary disease or a traumatic condition,
there is a possibility that she may not be a candidate.
Question:
In simple terms that I can understand, will you please describe
why Laser Vaginal Rejuvenation surgery and what you will actually
do?
Dr. Jason:
First, it important to understand what Masters and Johnson
determined in their sexual study. They concluded that sexual
gratification is directly related to the degree of frictional
forces generated during intercourse.
In Laser Vaginal Rejuvenation, we decrease the internal and
external vaginal diameters and increase and strengthen the
vaginal muscle tone. At the same time, if necessary, we can
repair the condition of stress urinary incontinence. This
physical restructuring restores the vaginal area to a natural
state as it was prior to pregnancy. It is also possible to
re-create the vaginal tightness associated with a younger
woman. This will make intercourse more pleasurable for both
you and your partner.
Question:
How long will the surgery take?
Dr. Jason:
The average LVR takes approximately 2 hours.
Question:
What kind of anesthesia will you use?
Dr. Jason:
We normally use general anesthesia but regional or local anesthesia
are also options.
Question:
I expect I will be in pain after the surgery? What do you
do to minimize pain?
Dr. Jason:
The benefit of having laser surgery is that there is less
pain, less inflammation or swelling, less bleeding and a faster
healing time. The goal is to keep you as comfortable as possible.
We use oral medication and two types of local anesthesia,
so that the patient will not have any pain for 18-24 hours.
On the day after surgery, if you feel the need we will bring
you back to the office and give you a second injection to
further numb the area.
Question:
Should I have a private nurse to come home with me and stay
with me after the surgery?
Dr. Jason:
After an LVR, having a private nurse is not a medical necessity.
However we do encourage it for the first night at home because
it makes the patient feel more comfortable. If you wish to
have a private nurse, we can arrange to have one for you.
We can also make arrangements for you to stay in a local hotel.
Question:
How soon after I deliver my baby, can I have the surgery?
Dr. Jason:
We recommend waiting a minimum of six weeks.
Question:
How soon after the surgery can I resume intercourse?
Dr. Jason:
Usually, six weeks. However, every patient is different. After
surgery I will review the situation with you and recommend
what is right for you.
Question:
Is resuming intercourse going to be painful?
Dr. Jason:
It shouldn't be if you wait the recommended period of time.
In fact you will be surprised by how gratifying sex will really
be again.
Question:
Will the surgery affect my periods in any way?
Dr. Jason:
It is possible that it could temporarily throw off your menstrual
cycle during the first month. However this is not always the
case since laser surgery is less traumatic
Question:
When can I use a tampon?
Dr. Jason:
For the first 6 weeks use sanitary pads only. After that you
can comfortably go back to using tampons.
Question:
Ever since I had my last baby, I felt left out of sex. Will
the surgery change this?
Dr. Jason:
It is possible that your partner has had similar feelings.
Delivering your baby stretched out your vaginal walls much
like an overstretched rubber band. Therefore both of you were
not as stimulated during lovemaking. After Laser Vaginal Surgery,
the vagina will be tightened and the muscle tone is restored
which increases friction. This will result in greatly increased
sexual gratification.
Question:
Dr Jason, I saw the Laser Vaginal Rejuvenation process you
perform on television. My problem is that I am embarrassed
about having sex because I feel that my vaginal area is unattractive.
Can you correct this? I want to feel better about myself.
Dr. Jason:
One of the other trademarked gynecological cosmetic procedures
I perform is called Designer Laser Vaginoplasty. Like the
Laser Vaginal Rejuvenation this surgery is individualized
to meet the needs and desires of the patient.
The most common of these procedures is called Laser Reduction
Labioplasty. In this surgery we sculpt the elongated or unequal
labia minora, which are the small inner lips of the vagina,
according to the patient’s specifications. Most women
tell us that they don’t want the small inner lips to
protrude past the large outer lips (the labia majora). Since
this is a cosmetic procedure, we can make the vaginal lips
look any way the patient wishes.
Question:
How long will I be in surgery?
Dr. Jason:
The surgery usually is performed in under an hour. This timeframe
varies depending on exactly what is done. It also varies with
the total number of procedures being done at one time.
Question:
How long after the surgery will my first post-op visit be?
Dr. Jason:
It depends on the patient but it is usually one to four days.
Question:
Can you actually change the dimensions of my vaginal lips?
Also, can you plump up my lips that have been sagging for
years?
Dr. Jason:
Yes. Through a procedure called Laser Perineoplasty, we can
restructure the relaxed or aging perineum. We will enhance
both the sagging vaginal outer lips and inner lips. Overall
the procedure will result in a youthful and aesthetically
appealing vulva. We also perform Laser Augmentation Labioplasty,
which will make the outer lips more full and youthful. We
do this through a liposuction procedure where we take the
patient’s own fat and transfer it to the labia majora
or mons pubis. This procedure is often done in conjunction
with liposuction.
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