FAQs for Laser Vaginal Rejuvenation, Designer Laser Vaginoplasty & Labiaplasty

First, it is 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.

When we perform Laser Vaginal Rejuvenation, we have to discuss if it’s going to be a one, two, three, or four part procedure. If it is a one-part procedure it can be less than an hour. The average Laser Vaginal Rejuvenation procedure takes approximately two hours, but if there is Urinary Stress Incontinence and other defects that we are trying to take care of, it could take up to three to four hours.

 During Laser Vaginal Rejuvenation or cosmetic vaginal tightening procedures, there are several things we do to decrease the pain involved in the surgical process as well as the post-op pain control. The first thing we do is, most patients have general anesthesia but some patients can have what we call Conscious Sedation and during that, we will inject the patient with what we call a regional block or pudendal block. Also we give them local anesthesia we use a type of anesthetic that will help prolong when the patient’s pain will first be forthcoming postoperatively. So generally speaking, the patient will not have any pain during the procedure and post-operatively for at least 6-8 hours, and sometimes up to 18-24 hours immediately after the procedure so they can go home or go to the hotel, etc., so not until in they are in bed, relaxing, can they take the post-op pain medication. We’ve also updated the procedure in that we now use off-label botox injected directly into the vaginal musculature that we are tightening both internally and externally. Because botox is a paralytic agent, it relaxes the muscles in the doses we use it in, and therefore the patient that receives the botox interoperatively will not have to take post-op pain medication and muscle relaxants, usually for more than two to three days. If the patient decides against the botox injections will generally need the post-op pain medication and muscle relaxants for approximately seven to 10 days.

 For the Laser Vaginal Rejuvenation procedure, we generally use three types of anesthesia. General anesthesia, we also use a regional block, and local anesthesia. We can do under conscious sedation but it is safer to use general anesthesia. The purpose of the local and the block is for post-op pain control. For Designer Laser Vaginoplasty, we use general or contrasedation (Conscious Sedation) with local, generally we do not use a regional block in that type of procedure. We individualize the type of anesthesia based on the patient’s concerns, medical issues, and what is best for that patient.

The answer to that really depends on what type of surgery you’re having. Generally speaking, if one is healthy and has a Labiaplasty procedure, we do not need to see the patient the next day or within 6-8 weeks. Most things can be handled over the phone or by email, etc., but obviously we can see you next day if we need to. Patients who are having Laser Vaginal Rejuvenation or cosmetic vaginal tightening procedures, generally speaking, those patients can be handled on the phone, by email, don’t need when they’re uncomfortable to come into the office post-operatively unless, of course, there is an issue. The vaginal packing can be removed by the patient, or whoever is taking care of them. If a patient has urinary stress incontinence and a catheter is placed into the urethra and bladder, those patients are asked to return in 5 to 7 days to remove the catheter is removed and to ensure that everything with the procedure went well and they are continuing to heal appropriately.

We recommend at least six weeks postpartum for you to have both anesthesia and either Laser Vaginal Rejuvenation or Designer Laser Vaginoplasty (Labiaplasty). It is important that you are fully healed after your vaginal delivery and recovered and all of the gynecological structures are back to their normal shape and size and then we can repair or reconstruct whatever you desire.

We generally recommend, the six to eight weeks post operative time to heal adequately. After that point and time sex should not be uncomfortable. We do recommend to patients, when resuming having sex to pretend like it’s their first time. It might take a few times having sex before it is comfortable. Generally a few weeks after resuming sex the patient is happy and so is their partner.

If your hormone levels are starting to decrease, I test to see which hormone(s) have dropped secondary to aging, I would then recommend getting these hormones back their optimal levels. Aside from preventative medicine reasons, increasing libido, and feeling better, the most important reason that I use these hormones is for woman that over 40 or 45 who are having these procedures, especially women in their 60’s and 70’s. We use these hormones because the patient can heal as though they are in their 20’s and 30’s, the pain is less, and overall it is better for your general health.

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.

For the Laser Vaginal Rejuvenation procedure we recommend waiting six weeks, the same with Designer Laser Vaginoplasty or Labiaplasty, after about six weeks, after all the sutures have dissolved and the area is fully healed. For the first 6 weeks use sanitary pads only. After that you can comfortably go back to using tampons.

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.

We can correct the aesthetics of the vaginal cavity. Generally speaking both the Designer Laser Vaginoplasty and Laser Vaginal Rejuvenation, the most common form being Labiaplasty can correct the aesthetics of the vaginal cavity. In terms of labiaplasty, generally speaking, the Labia Minora are elongated, asymmetric, or may hang down if the patient is standing. They may have trouble wearing thongs or may have discomfort playing sports, etc. We can make this area much more aesthetically pleasing and symmetric, and symmetry is beauty. In terms of a patient who has had a vaginal delivery or has natural vaginal relaxation, where there is gaping of the vaginal cavity, we can bring the gaping back to a more slit like appearing structure that it was pre-pregnant so it has a more youthful state. Also frequently with the labia majora there are a lot of wrinkles or folds and it looks like the labia majora is losing fat, which there are several procedures to fix this area as well. In terms of the question, can we make the vaginal cavity more appealing — absolutely.

Fortunately, the outer vaginal lips (Labia Majora) can lose fat, they can sag, they can have folds on them which can leave the patient less pleased with the labia majora. We basically have two procedures that could help this problem. One, we can tighten the outer vagina and remove a triangle of skin as well as tighten the muscles and therefor the gaping and sagging is fixed and is somewhat like a face-lift or what we refer to as a bottom lift. The other procedure we can perform to give a more youthful and aesthetically appealing appearance to the labia majora, is to do a liposuction and take fat from one body part and inject it in to the labia majora to plump it up and give it a more youthful appearance. We now use hyaluronic acid fillers and Platelet Rich Plasma (PRP). See Vampire Wing Lift®.

Absolutely, we can help the area above the pubic bone that is bulging. This area is known as the mons pubis. With some patients they have an extra fat pad in this area which distorts or enlarges the area compared to the rest of your body. What we do is a procedure known as a Mons Pubis Lift, which reduces this area significantly giving it a natural curvature of the mons pubis instead of an enlarged bulging. We also do another procedure known as a liposuction of the mons pubic area which can reduce some of the fat which will give it a more natural look. At the consultation, we discuss with the patient which procedure would be most suitable for them at the time. You can see our results in the Mons Pubis Lift Gallery.

Laser Vaginal Rejuvenation Institute of New York Center for Sexual Health Dr. Robert Jason’s interview with Chris Smith of Get Patients Plus on “How to Choose a Cosmetic Surgeon in New York.” Doctor Jason discusses, Bio-Identical Hormone Replacement Therapy, and choosing not just the proper Vaginal Cosmetic Surgeon, but a cosmetic surgeon in general. Dr. Jason also discusses his personal background in OBGYN and Cosmetic Vaginal Surgery.

 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.