Involves making a V-shaped incision on the inside of the upper or lower lips and then pulling them together.

Lip Ptosis

Lip Size

A V-Y mucosal advancement of the lip is a procedure that adds volume to the lip without the use of dermal fillers. Instead, the natural lip tissue is plumped by making incisions on the inside of the lip, and then, suturing the incisions together tighter than it was originally. This crowds existing lip tissue together inside the treated lip, resulting in more volume and vermillion definition. This procedure is commonly used to increase a lip’s vertical height and to increase lip volume. It is performed with local anesthesia and causes very little downtime in most patients.

Incisions during a V-Y lip advancement are made inside the mouth and therefore cause no visible scarring in most patients. In some cases, autologous fat transfer or other dermal fillers are used to increase lip volume further. This procedure is safe and causes few side effects in most patients. Mild to moderate discomfort, tightness, and swelling are typical for a few days post-op. However, most patients are able to return to non-strenuous work and activities the next day. The procedure typically costs between $4,000-$6,000 per lip, depending on several patient specific factors.

V-Y Mucosal Advancement of the Lip

Drooping and sagging lips don’t have to be your new normal. There are surgical and non-surgical solutions to help restor

Lip Ptosis Solutions

Drooping and sagging lips don’t have to be your new normal. There are surgical and non-surgical solutions to help restore the aesthetic and function you desire.

Lips

Head

Face

- An antibiotic and antiviral medication may be prescribed
- Stop taking any blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- No alcohol 2 days prior
- No eating or drinking 6 hours before the procedure

Before Treatment

- Local anesthesia
- V-shaped incision made inside the lip
- V-shaped incision is closed in a Y shape, crowding existing tissue and creating more volume

During Treatment

Immediately After Treatment

- Rest the day after surgery 
- Normal activity can be resumed after 24 hour
- No exercise for 1-2 weeks 
- Soft or liquid diet for 1 week 
- Limit expressive facial movements
- Clean incisions daily  

1-2 Weeks After Treatment and Beyond

Result Notes

A V-Y mucosal advancement of the lip is a surgical procedure that reshapes the lips for a plumper appearance. Here is a quick guide for what to expect before, during, and after a V-Y mucosal advancement of the lip.

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕-𝐘 𝐌𝐮𝐜𝐨𝐬𝐚𝐥 𝐀𝐝𝐯𝐚𝐧𝐜𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐭𝐡𝐞 𝐋𝐢𝐩 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A V-Y mucosal advancement of the lip is a surgical procedure that involves making a V-shaped incision on the inside of the upper or lower lips, and then, pulling and suturing them together. As the V-shaped incision is closed from one end with stitches, it takes on the shape of a Y.

Enhance the appearance and functions of the vagina through tightening or incontinence correction.

Reduces the length and projection of the skin around the clitoris, typically for enhancing stimulation during sex.

The clitoris is a small, sensitive area on the upper portion of the vulva that some women find pleasurable to stimulate during sexual activity. With age, pregnancy, childbirth, and fluctuations in weight, the skin surrounding the clitoris can become elongated, covering the clitoris and reducing sensitivity. For some women, an enlarged clitoral hood can be uncomfortable when wearing tighter clothing or exercising. Other patients are born with a clitoral hood that keeps the clitoris hidden, making it difficult to stimulate. A clitoral hood reduction reduces the size of the skin surrounding the clitoris for increased comfort, enhanced stimulation, and improved aesthetics. 

During the procedure, patients will only require a local anesthetic but may be given an oral sedative for increased comfort. The patient will lay comfortable on a table with the legs spread apart. The incisions will vary from patient to patient depending on the goals of the surgery. If the patient’s anatomy only requires a greater exposure of the clitoris with no skin excision, an incision will be made to in the center of the clitoral hood, extending the length of the prepuce and lateral folds of the vagina. If a clitoral hood reduction is being performed in conjunction with a labiaplasty, the incisions for the labiaplasty may simply be extended into a “Y” shape to reduce redundant skin above the clitoris. Other patients may only require skin excision to reveal a hidden clitoris. Dissolvable sutures will be used during the procedure. Most patients are able to resume normal activity within a few days and penetrative sex within 1 month.

Clitoral Hood Reduction

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐂𝐥𝐢𝐭𝐨𝐫𝐚𝐥 𝐇𝐨𝐨𝐝 𝐑𝐞𝐝𝐮𝐜𝐭𝐢𝐨𝐧 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A clitoral hood reduction (a.k.a. a hoodectomy) is a plastic surgery procedure to reduce the tissue around the clitoris for aesthetic and/or functional concerns.

Tightens the inner and outer vaginal area using FT energy to stimulate collagen production to firm sagging skin.

Women can experience inner and outer vaginal laxity due to a number of reasons, most commonly being pregnancy and age related issues. During childbirth, the vaginal canal stretches to accommodate a baby but will shrink back to its smaller size, although some women may feel their vagina is still “loose” or relaxed. With age, women may experience a drooping of the outer labia as collagen production slows and the skin becomes elongated. Radiofrequency (RF) energy can help to tighten lax skin and muscles for a younger appearance while also helping internal muscles to tighten. RF treatments can also help improve incontinence issues. Popular RF vaginal rejuvenation brands include ThermiVa, Geneveve, and Votiva. 

RF vaginal rejuvenation is non-invasive and does not require any numbing or anesthesia for the patient. The patient will lay comfortably on a table for the duration of the 15-30 minute treatment with the legs spread apart. The hand piece, which is a thin probe with an RF energy emitting tip, will be inserted into the vagina and gently moved back and forth, gradually getting up tissue. The hand piece can also be applied to the outer labia. Most patients only experience a tolerable, warming sensation and are able to resume all normal activity, including sex, the day of treatment. There is no downtime or recovery associated with the procedure.

Vaginal Rejuvenation with Radiofrequency

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐚𝐠𝐢𝐧𝐚𝐥 𝐑𝐞𝐣𝐮𝐯𝐞𝐧𝐚𝐭𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝐑𝐚𝐝𝐢𝐨𝐟𝐫𝐞𝐪𝐮𝐞𝐧𝐜𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A vaginal rejuvenation with radiofrequency is a non-invasive cosmetic procedure to tighten the inner and outer vaginal area.

Restores the hymen, which covers the opening of the vagina. Usually done for religious or cultural purposes.

The hymen is a membrane that partially covers the vaginal opening. The shape and appearance of the hymen will vary between women but is typically a half moon shape at the bottom of the vaginal opening. A hymen can be broken or torn at different times during a woman’s life, whether caused by tampon insertion, exercise, or sexual intercourse. Minor bleeding is commonly associated with the breaking of the hymen. In some cultures and religions, an intact hymen is associated with a woman’s virginity. A hymenoplasty, sometimes referred to as hymenorrhaphy or hymen construction surgery, is usually performed for cultural or religious reasons prior to marriage. Others seek the surgery as a form of therapy after sexual assault. No matter the reason for having the hymen restored, the surgery can be completed in less than an hour under local anesthesia with immediately visible results. 

During surgery, the patient will only require a local anesthesia but may be given a sedative for comfort throughout the procedure. The patient will lay comfortably on a table with the pegs spread apart. The hymen will be identified and partially excised to eliminate uneven tissue from previous tearing. The hymen will be sutured together in two layers using dissolvable stitches. For some women, a small piece of tissue from another part of the vagina may need to be grafted to the vaginal opening to recreate the hymen.

Hymenoplasty

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟒𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐇𝐲𝐦𝐞𝐧𝐨𝐩𝐥𝐚𝐬𝐭𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A hymenoplasty, also known as a hymen restoration or hymen repair, is a plastic surgery procedure to restore the hymen, a membrane that partially covers the vaginal opening.

Tighten the inner and outer structures of the vagina for a younger, firmer appearance along with improved lubrication.

The natural aging process can cause the vagina to become loose and sag. After vaginal delivery, the inner and outer structures of the vagina can also become lax and cause bladder control issues. Laser vaginal rejuvenation is a noninvasive procedure to enhance the appearance of the vagina as well as improve health issues such as moisture and incontinence. Much like vaginal rejuvenation with radio frequency energy, laser rejuvenation can be applied to both the inner and outer vaginal area. Laser rejuvenation though, is more ablative and will require a period of time to abstain from sex, typically no longer than 7 days. Popular brands of laser vaginal rejuvenation include diVa, MonaLisa Touch, FemTouch, and FemiLift.

During the treatment session the patient will lay comfortably on a table throughout the procedure, experiencing little more than a warming sensation from the hand piece. Patients will not require any anesthesia or numbing creams for this procedure. The treatment hand piece, which is a rod with a laser energy emitting tip, is inserted into the vagina. The hand piece is rotated and slowly retracted to ensure 360° contact with the vaginal canal. The hand piece can also be applied to the outer labia to treat sagging skin. Treatment sessions last between 10-20 minutes. Patients will be able to return to all normal activity immediately after treatment with the exception of penetrative vaginal sex.

Vaginal Rejuvenation with Laser Energy

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟓𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐚𝐠𝐢𝐧𝐚𝐥 𝐑𝐞𝐣𝐮𝐯𝐞𝐧𝐚𝐭𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝐋𝐚𝐬𝐞𝐫 𝐄𝐧𝐞𝐫𝐠𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A vaginal rejuvenation with laser treatment is a non-invasive cosmetic procedure to tighten the internal and external vaginal area.

Enhances the size or shape of the outer lips of the vagina through a fat transfer to create a youthful appearance.

Vaginal rejuvenation addresses a number of sexual health concerns from internal laxity to sagging skin and incontinence. Another concern that occurs with age is volume loss in the labia. Aging decreases collagen production causing sagging and wrinkled skin all over the body, including the vulva. Labia augmentation, or labial puffing, can increase the size of the labia majora for a younger, more rejuvenated appearance.  Labia augmentation can be achieved with dermal filler, however, fat grafting is an alternative option that can have longer lasting results. 

The first step of a labia augmentation with fat transfer procedure is performing liposuction in order to harvest the fat. Liposuction is typically performed on the stomach, thighs, or hips, although fat can be harvested from anywhere on the body with excess fat deposits. In order to ensure that the maximum amount of fat takes to the labia, the doctor will first clean the fat, purifying it of any cellular debris. The final step is to inject the fat into the labia. Using specialized, small syringes, the doctor will inject the fat into the labia at varying depths and in very small increments. By evenly placing the fat across the labia, the most amount of fat will survive. The labia may appear larger than desired after injection since the doctor will slightly overcompensate for some expected fat absorption.

Labia Augmentation with Fat Transfer

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐋𝐚𝐛𝐢𝐚 𝐀𝐮𝐠𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝐅𝐚𝐭 𝐓𝐫𝐚𝐧𝐬𝐟𝐞𝐫 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Labia augmentation with fat transfer is a cosmetic procedure to enhance the volume and aesthetic of the vulva.

This procedure reshapes and tightens the area between the vaginal opening and anus to better sexual activity.

During childbirth, it is common for women to experience a tearing or purposeful cutting of the perineum which is the area between the vaginal opening and the anus for easier delivery. This tearing of the perineum can cause a widening of the perineum which some women find aesthetically unpleasing. A teared perineum can also cause scarring which can make subsequent deliveries difficult and make vaginal sex uncomfortable. For women who desire a tighter appearance to the perineum for either aesthetic or health reasons, a perineoplasty, also called a perineorrhaphy, can be performed.

A perineoplasty typically only requires local anesthesia and is done on an outpatient basis. Patients may be prescribed a sedative for improved comfort throughout the procedure. The patient will be positioned on a table with the legs spread. The incisions done during a perineoplasty will vary depending on the needs of the patient and may include additional procedures such as a vaginoplasty or labiaplasty. The procedure may be performed with either a traditional scalpel or with lasers. Typically, incisions will be made in a V-shaped pattern within the vaginal mucosa. Excess skin and any scar tissue is excised. The vaginal levator muscles are tightened. Internal and external closure of the vaginal mucous and perineal muscles are performed to achieve a tighter appearance and function of the perineum. Results are noticeable immediately after the 30-45 minute procedure.

Perineoplasty

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐏𝐞𝐫𝐢𝐧𝐞𝐨𝐩𝐥𝐚𝐬𝐭𝐲 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A perineoplasty is a plastic surgery procedure to correct the perineum — the area between the vaginal opening and the anus.

Reduces and tightens sagging skin and tissue of the area above the genitals in men and women.

The mons pubis, also referred to as the pubic mound, is the fatty area above the genitals in both men and women. The fatty tissue in this area protects the pubic bone and joint from injury, which are located directly behind the mons pubis. When this area becomes enlarged due to weight gain, pregnancy, or childbirth, it can be uncomfortable and affect the individual beyond aesthetic concerns. When the mons pubis begins to sag, it can interfere with urination and sex, as well as how clothes fit. When diet and exercise do not improve the size or sagging of the pubic area, a monsplasty may be able to necessary to correct the issue. 

Monsplasty, sometimes referred to as a pubic lift, can either be performed under general or local anesthesia with sedation depending on the extent of the procedure. If a minimal amount of tissue is being removed, only local sedation may be necessary, however, if the procedure is more involved or is being combined with a more invasive surgery such as a tummy tuck, general anesthesia will be required. If needed, a liposuction procedure will be performed to remove excess fatty tissue to improve contours postoperatively. A horizontal incision will be made at the upper edge of the pubic region below the navel. Underlying muscles will be raised and tightened to create a firmer, more defined pubic area. Excess skin will then be removed and the pubic skin will be pulled upwards into its new position. Sutures and skin adhesive will be used to close the incision.

Monsplasty

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐌𝐨𝐧𝐬𝐩𝐥𝐚𝐬𝐭𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A monsplasty is a plastic surgery procedure to enhance the appearance of the mons pubis, the fatty area above the genitals in men and women.

Can be injected around the clitoris and within the vagina to increase sensitivity and sexual pleasure.

Platelet rich plasma is derived from patient blood and is rich in growth platelets. PRP has been used to treat a variety of issues including hair loss, acne scarring, wrinkles, as well as sexual health issues. The O-Shot is an injection of PRP into the vaginal walls, clitoris, or clitoral hood. The PRP injection encourages blood flow and cell growth to the area and can increase sensitivity during sex. 

Before treatment, blood will be drawn from the patient’s arm and placed within a centrifuge to separate the platelet rich plasma from the red blood cells. Once prepared, the PRP will be injected around various erogenous zones such as the clitoris and inner vaginal walls. Once the injection is complete, the patient will be able to resume all normal activity, including sexual intercourse. There may be a feeling of fullness within the vagina which should gradually resolve over the course of 1-3 days. Although PRP is approved by the FDA for certain uses, PRP is not approved for use in improving sexual health.

O-Shot

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟕𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐎-𝐒𝐡𝐨𝐭 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. An O-Shot procedure involves injections of platelet rich plasma into various erogenous zones to increase sexual desire, sensitivity, and pleasure.

Gives instant volume to the labia majora for a more youthful appearance and more confidence for the patient.

Labia augmentation, sometimes referred to as labial puffing, is a procedure that adds volume to the labia majora for a youthful appearance. The natural aging process causes collagen production to slow down, causing wrinkled and drooping skin all over the body—the vagina being no exception. Pregnancy, childbirth, and menopause can also cause volume loss in the labia.

 Hyaluronic acid fillers such as Restylane, Perlane, and Juvederm can be injected for an instant improvement in the size of the labia. It is common for labia augmentation to be combined with other vaginal rejuvenation treatments such as laser or radiofrequency tightening. During this simple procedure, a topical numbing cream may be applied to the labia for patient comfort. Dermal filler will be injected into the labia at various points and depths for a natural look. Following treatment, results will be noticeable immediately and patients will be able to resume all normal activity.

Labia Augmentation with Hyaluronic Acid Fillers

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟕𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐋𝐚𝐛𝐢𝐚 𝐀𝐮𝐠𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝐇𝐲𝐚𝐥𝐮𝐫𝐨𝐧𝐢𝐜 𝐀𝐜𝐢𝐝 𝐅𝐢𝐥𝐥𝐞𝐫𝐬 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A labia augmentation with hyaluronic acid fillers is a cosmetic procedure to enhance the volume and appearance of the vulva.

Targets the G-spot with hyaluronic acid injections to enhance sexual pleasure through increased vaginal sensitivity.

Procedures and treatments for women’s sexual health are becoming increasingly popular and readily available. From radio frequency treatments to tighten vaginal walls, to labiaplasty procedures, more and more options are accessible to treat a variety of women’s sexual health issues. Women who have difficulty achieving an orgasm may benefit from the G-Shot procedure. The G-Shot procedure injects hyaluronic acid into the Grafenberg spot, more commonly referred to as the “G-spot”. The G-spot is a sensitive area of the anterior vaginal wall that some women enjoy having stimulated during sexual activity. Injecting hyaluronic acid within the G-spot is intended to increase the sensitivity of the area, making it easier to achieve an orgasm. 

During treatment, the woman will lay on a table with legs in stirrups, similar to when receiving a Pap smear. The doctor, typically a gynecologist, will do a pelvic exam to determine the location of the G-spot with the patient’s assistance. A special speculum will be inserted into the vagina to inject a local anesthetic to the vaginal wall. Based on the pelvic exam, the hyaluronic acid will then be injected into the location of the G-spot. The typical products used for G-Shot include Restylane, Perlane, and Juvederm. A tampon may be worn after the procedure to prevent any spot bleeding from the needle injections. Normal sexual activity can be resumed 4 hours after treatment.

G-Shot

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟓𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐆-𝐒𝐡𝐨𝐭 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A G-shot procedure involves injections of hyaluronic acid based fillers into the G-spot to increase sexual desire, sensitivity, and pleasure.

MTF Gender Confirmation

Mommy Makeover

Female Sexual Wellness

Vaginal Rejuvenation

Vagina

Groin

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐚𝐠𝐢𝐧𝐚𝐥 𝐑𝐞𝐣𝐮𝐯𝐞𝐧𝐚𝐭𝐢𝐨𝐧 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Vaginal rejuvenation is a term that describes a number of different procedures that enhance either the appearance or the function of the vagina. From tightening treatments to incontinence correction, vaginal rejuvenation procedures can benefit women in a number of different ways both aesthetically and for health reasons.

Vaginal rejuvenation is where women’s sexual health meets aesthetic medicine, and there are an array of treatment option

A surgical procedure that tightens the vaginal canal and reshapes the vaginal opening.

Vaginoplasty procedures are surgical treatments to enhance vaginal tightness. The vagina is designed to stretch during childbirth, however, some women feel as though their vaginal canal and opening never retract back to its original size and shape. Some women experience vaginal loosening with age and feel uncomfortable wearing tampons or engaging in sexual activity. A vaginoplasty addresses both excess skin and muscle laxity to improve the look and appearance of the vagina. It is common for this surgery to be combined with other vaginal rejuvenation procedures such as a perineoplasty, labiaplasty, or clitoral hood reduction.

During surgery the patient will be under general anesthesia although it is possible to perform the procedure under local anesthesia with a sedative. The patient will lie comfortably on a table with the legs spread apart. Excess skin will be removed at the opening of the vagina based on preoperative discussions with the patient. The vaginal mucosa will then be separated from the vaginal muscles. The vaginal muscles will then be brought together, similar to the techniques used during a tummy tuck, tightening the vaginal canal. The muscles at the vaginal opening will then be tightened, closing a relaxed vaginal opening. Dissolvable internal and external sutures will be used to close incisions. Visible results are noticeable immediately after surgery although patients will need to wait at least 6 weeks before engaging in any sexual activity.

Vaginoplasty

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐚𝐠𝐢𝐧𝐨𝐩𝐥𝐚𝐬𝐭𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A vaginoplasty is a plastic surgery procedure to tighten the vaginal canal and reshape the vaginal opening.

Reduces the size of the labia majora, minora, or both by removing excess skin and tissue from the vulva.

Due to aging, pregnancy, childbirth, or weight fluctuations, women may experience a lengthening of the inner or outer labia. When the labia majora or minora become elongated, it can cause a woman to be self conscious about the appearance of her vulva. Excess hanging skin can also become uncomfortable when wearing tighter clothing or cause pain when exercising. A labiaplasty procedure reduces the size of either the labia majora or minora for increased comfort and improved aesthetics. 

A labiaplasty only requires a local anesthetic. There is no need for general anesthesia during the surgery however some patients may require an oral sedative for maximum comfort throughout the procedure. The patient will lay comfortable on a table with the legs spread apart. Depending on the needs of the patient, there are 2 popular methods for a labiaplasty: trim or wedge. The trim method simply removes extra tissue from the labia. The wedge method removes a pie-shaped piece of tissue from the labia and advances the edges of the tissue together, tightening and shrinking the length of the labia. It is common for a labiaplasty procedure to be combined with other vaginal rejuvenation treatments such as a perineoplasty, vaginoplasty, or clitoral hood reduction. Closure is complete with dissolvable sutures.

Labiaplasty

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟕𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐋𝐚𝐛𝐢𝐚𝐩𝐥𝐚𝐬𝐭𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. A labiaplasty is a plastic surgery procedure to reduce the size of the labia majora and/or labia minora.

Vaginal Rejuvenation Solutions

Vaginal rejuvenation is where women’s sexual health meets aesthetic medicine, and there are an array of treatment options available.

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No special measures need to be taken before a laser vaginal rejuvenation treatment.

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- Patient will lay comfortably on a table 
- Hand piece is inserted into the vagina
- Hand piece is rotated and slowly retracted to ensure 360° contact with the vaginal canal
- Hand piece can also be applied to the outer labia 
- Treatment sessions last between 10-20 minutes

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- Immediately return to all normal activities except for vaginal sex, which should be avoided for 1-7 days

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- Results after a series of 3 treatments
- Upkeep treatments needed every 12-18 months
- Results affected by pregnancy and childbirth

Laser vaginal rejuvenation treatments tighten the inner and outer structures of the vagina for a younger, firmer appearance. Here is a quick guide for what to expect before, during, and after a laser vaginal rejuvenation treatment.

Laser Vaginal Rejuvenation

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No special measures need to be taken before an RF vaginal rejuvenation treatment.

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- Patient will lay on a table with the legs spread apart
- Hand piece inserted into the vagina and gently moved back and forth
- Hand piece can also be applied to the outer labia
- Treatment sessions last 15-30 minutes 

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- Immediately return to all normal activities
- Able to exercise and have sex same day as treatment
- May experience mild cramping for 24 hours

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- Results noticeable after a series of 3 treatments
- Upkeep treatments once every 4-12 months
- Results affected by pregnancy and childbirth

Vaginal rejuvenation with radiofrequency energy creates heat deep within tissues to stimulate collagen production to firm sagging skin and muscles within the vaginal canal. Here is a quick guide for what to expect before, during, and after an RF vaginal rejuvenation treatment.

RF Vaginal Rejuvenation

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- Stop taking blood thinning medications 2 weeks before
- Stop smoking 4 weeks before and after the surgery
- No alcohol 2 days prior
- Do not shave the pubic region within 2 days of surgery

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- General or local anesthesia with sedation
- Patient will lay on a table with the legs spread apart
- Excess skin removed at the opening of the vagina
- Vaginal mucosa separated from the vaginal muscles
- Vaginal canal muscles tightened
- Vaginal opening muscles tightened
- Dissolvable internal and external sutures to close incisions

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- Soreness and discomfort
- Vaginal discharge and drainage

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- Elevate the pelvis when possible
- Vaginal discharge for several days
- Return to work within 1 week
- No tampons or penetrative sex for 6 weeks

1-6 Weeks After Treatment and Beyond

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- Visible results noticeable immediately
- Results are permanent 
- Results affected by pregnancy and childbirth

A vaginoplasty is a surgical procedure that tightens the vaginal canal and reshapes the vaginal opening. Here is a quick guide for what to expect before, during, and after a vaginoplasty procedure.

Creates the youthful, rejuvenating effects of a facelift without actual surgery by using PRP extracted blood.

Fine Lines & Wrinkles

Facial Skin Laxity

The vampire facelift creates a youthful and rejuvenated appearance to the skin, smoothing out fine lines and wrinkles. By using healing and growth properties housed inside your own blood alongside a dermal filler, patients will enjoy a more youthful, tighter skin appearance. A vampire facelift ranges in cost from $1,000- $2,500. 

The key ingredient derived from the patient’s blood that forms the basis of the vampire facelift is a platelet-rich fibrin matrix. This property, when mixed with other ingredients, can create a natural serum that boosts collagen production, blood supply and can aid in triggering skin regrowth and fatty tissue regeneration. The procedure begins by collecting a small amount of blood from the patient’s arm. The platelet-rich plasma, or PRP, is then separated through use of a centrifuge. Then the PRP is combined with hyaluronic acid based dermal fillers like Restylane or Juvederm to create the platelet-rich fibrin matrix or PRFM. The patient’s face is then numbed through the use of a topical cream and then the gel is injected directly into multiple areas of the face.

Vampire Facelift

Get recommendations into individually tailored procedures that will rid your face of unwanted signs of aging.

Facelift

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟒𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐅𝐚𝐜𝐞𝐥𝐢𝐟𝐭 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. There are several variations of a facelift procedure, or rhytidectomy, each tailored to meet specific skin needs and desired results. The goal of each facelift technique is to essentially “lift up” portions of the face and neck that are showing unwanted signs of aging through the use of plastic surgery, thread lift surgery, or dermal filler injections.

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- Avoid blood thinning medication
- No alcohol for 1 week prior
- Limit sun exposure
- An antiviral medication may be prescribed

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- A small amount of blood is collected from the patient
- Blood is placed into a centrifuge to separate the PRP
- PRP is combined with hyaluronic acid based dermal fillers 
- Patient’s face is numbed
- PRP matrix is injected into multiple areas on the face 

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- Skin will be sensitive and may peel or flake
- Itching, redness and swelling

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- Recovery shouldn't last longer than 72 hours
- Skin may peel or flake
- Limit exercise for 1 first week 
- Avoid sun exposure

1-2 Days After Treatment and Beyond

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- Typically noticeable after the procedure 
- Continued benefits lasting from a few months to a year
- Temporary 
- Maintenance treatments needed for continued effect

The vampire facelift is a nonsurgical procedure that uses PRP mixed with different dermal fillers to give patients a refreshed look. Here is a quick guide for what to expect before, during, and after a vampire facelift.

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟓𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐚𝐦𝐩𝐢𝐫𝐞 𝐅𝐚𝐜𝐞𝐥𝐢𝐟𝐭 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. The vampire facelift is a procedure that creates the youthful, rejuvenating effects of a facelift without an actual surgery. Instead, the vampire facelift gets its name because it incorporates PRP extracted from blood which is then mixed with different dermal fillers to give patients a refreshed look.

A prescription cream to reduce unwanted facial hair and works during the growth stage of the hair cycle.

Unwanted Hair

Vaniqa is available by prescription to reduce unwanted facial hair in women. Unlike chemical depilatory creams which dissolve the hair follicle structure, Vaniqa helps to slow down hair growth and needs to be used in conjunction with other hair removal processes such as shaving or tweezing. 

Vaniqa is typically applied twice daily with at least 8 hours between each application. Vaniqa is only indicated for use on the face and chin. Do not apply the cream on other areas of the body. Before using the product, remove any unwanted facial hair using your preferred method of hair removal. Be sure to wait at least 5 minutes between shaving or tweezing before applying Vaniqa. Wash hands before and after use. Apply a thin layer of cream to areas with unwanted facial hair, completely rub in the product and leave on for 4 hours. Once the medicine dries, cosmetics and sunscreen can be applied as normal. Only use Vaniqa as directed.

Vaniqa

Rid yourself of any unsightly and unwanted body hair you may have on several regions of your body.

Hair Removal

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐇𝐚𝐢𝐫 𝐑𝐞𝐦𝐨𝐯𝐚𝐥 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. As natural as it may be, for most women (and many men), society has long considered body hair to be unsightly, shameful, and even taboo. While a full head of lush, beautiful hair is ideal for both men and women, the opposite is true when it comes to the rest of our bodies.

Body

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- Cleanse the area where the medication will be applied
- Complete any hair removal techniques 5 minutes before

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- Wash hands before use
- Apply a thin layer of cream to areas with unwanted facial hair
- Completely rub in the product
- Wash hands 
- Leave on for 4 hours
- Once dry, apply cosmetics and sunscreen as normal

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No recovery needed. Resume normal activities immediately after treatment.

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- Reduction in facial hair occurs gradually
- Improvements seen in 4 to 8 weeks 
- Product used indefinitely for continued results
- If no improvement is seen after 6 months of use, treatment should be discontinued

Vaniqa is a topical prescription cream that is FDA-approved to reduce unwanted facial hair. Here is a quick for what to expect before, during, and after treatment with Vaniqa.

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟐𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐚𝐧𝐢𝐪𝐚 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Vaniqa (generic name: eflornithine) is a FDA-approved topical prescription unwanted facial hair removal solution for women.

Veins are amazing, but most of us would probably prefer they stay under the skin.

Utilizes a small tube and fluid known as sclerosing agent to irritate the vein causing it to be reabsorbed by the body.

Telangiectasias, more commonly referred to as spider veins, are clusters of blood vessels that are close to the surface of the skin. Spider veins can occur anywhere on the body but typically appear as red and blue webs on the legs and face. This condition is not usually associated with a more severe health condition, but can be aesthetically displeasing especially for those with pale skin. Although the exact cause of spider veins is unknown, it is believed that certain heredity preconditions, pregnancy, trauma, aging, sun damage, and hormonal influences can contribute to their development. While it may be difficult to determine their exact cause, for those who desire a simple procedure that can instantly dissolve these unsightly veins, sclerotherapy is the solution

Sclerotherapy is an in-office procedure that “dissolves” spider veins almost instantly. This procedure is ideal for patients who do not have bulging varicose veins. Varicose veins will require a more in-depth procedure such as ambulatory phlebotomy or endovenous laser treatment. During sclerotherapy treatment, a solution is injected into the vein causing it to collapse and eventually die. The most common agents used in sclerotherapy are hypertonic saline, sodium tetradecyl sulfate, polidocanol, and chromated glycerin. While results can be visually seen almost instantly, final results are determined after several weeks, once the veins have died.

Once it has been determined that the spider veins are not an indicator of a more serious health concern and any larger varicose veins have been successfully treated, sclerotherapy can be performed on smaller surface veins. The patient will lay comfortably on a table while the treatment area is cleansed. Next, a tiny needle will be used to inject the veins with the sclerosing agent. Injections are made every 2-3cm until the entire vein cluster has been cleared. The provider may apply manual pressure to the treatment area to spread out the sclerosing agent. When the treatment is complete, injection sites may be covered with bandages or compression stockings may be worn.

Sclerotherapy

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟕𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐒𝐜𝐥𝐞𝐫𝐨𝐭𝐡𝐞𝐫𝐚𝐩𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Sclerotherapy is a plastic surgery to reduce the appearance of spider veins through a minimally invasive outpatient procedure.

excel® V is a laser treatment to address vascular skin lesions and certain skin conditions through dual wavelengths.

An excel® V procedure can cost anywhere from $250 to $1,000. The actual cost of excel® V is dependent upon location, board certified provider, and length and involvement of the cosmetic procedure.

excel® V Laser by Cutera is a noninvasive laser treatment to treat pigmented lesions, vascular lesions, and certain skin conditions. This laser system uses dual wavelength technology to breakdown abnormal blood vessels, broken blood vessels, and pigment collections to eliminate unwanted skin lesions and vascular conditions with minimal downtime and high patient comfort due to a proprietary cooling mechanism. 

excel® V lasers can be used in dermatology to treat spider veins of the leg veins, port wine stains, telangiectasias, brown spots, angiomas, sun damage, sun spots, rosacea, discoloration, cherry angiomas, facial veins, and diffuse redness. The excel® V laser system may only need one treatment session, although the number of treatments varies greatly by individual. Most candidates report significant improvement through an excel® V laser treatment.

excel® v

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟕𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐞𝐱𝐜𝐞𝐥® 𝐯 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. excel® V by Cutera is a minimally invasive laser treatment cosmetic procedure to address vascular skin lesions and certain skin conditions like rosacea through dual wavelength laser technology.

Endoscopic vein surgery is an outpatient cosmetic procedure to permanently remove varicose veins.

Endoscopic vein surgery can cost anywhere from $2,000 to $5,000. The actual cost of endoscopic vein surgery is dependent upon location, healthcare provider, and length and involvement of the plastic surgery.

An Endoscopic Vein Surgery for Varicose Veins is a minimally invasive cosmetic procedure to immediately permanently remove varicose veins. Varicose veins are most common in the lower legs and are caused by blood vessels that have poor valve function with impaired blood flow that leads to blood pools. These symptoms can be due to chronic venous insufficiency or other medical conditions so medical advice from a healthcare provider should be solicited. There are numerous treatment options including laser treatments, RF energy, ligation and veinstripping, and foam sclerotherapy Some of these vein surgeries require a vascular surgeon.

Endoscopic Vein Surgery

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟕𝟓 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐄𝐧𝐝𝐨𝐬𝐜𝐨𝐩𝐢𝐜 𝐕𝐞𝐢𝐧 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Endoscopic vein surgery is an outpatient cosmetic procedure to permanently remove varicose veins.

Veins

Vein Solutions

Rid yourself of spider veins and varicose through laser and surgical treatments to diminish or erase their appearance.

A minimally invasive procedure used to correct varicose veins using a small probe that collapses the vein walls.

Varicose veins are twisting, raised, visible bulges that typically occur on the legs. Varicose veins form when the valves within the veins are unable to properly circulate blood, causing a pooling of blood. While normally just an aesthetic issue, varicose veins can be an indicator of a more serious health problem. Once it is determined that there are no underlying health concerns, a treatment plan can be formed. 

Laser treatment for varicose veins is a minimally invasive procedure that is performed under local anesthesia, typically in under an hour. Endovenous laser ablation (EVLA) is very similar to radiofrequency occlusion treatment for varicose veins, however, EVLA is more successful in treating larger diameter veins. Once larger varicose veins have been treated with EVLA, smaller spider veins can be eliminated with sclerotherapy for a complete skin tone, texture, and contour improvement. 

During treatment, the patient will lay comfortably on a table. The end of the varicose vein, closest to the ankle, will be located using ultrasound technology and numbed with a local anesthesia. A needle will be inserted so a catheter can be guided into the vein. No incisions will need to be made. With the catheter is in place, the laser fiber will be guided up through the varicose vein towards the groin area. Once in place, a tumescent fluid comprised of saline, lidocaine, and epinephrine will be injected around the entirety of the varicose vein to protect surrounding tissue from the laser energy as well as improve contact between the vein wall and the probe. At this point, the lights may be dimmed in the procedure room as the laser probe will emit a light visible through the skin, indicating it is on. The probe will be slowly pulled out through the vein, ablating the vein walls, causing them to collapse. This collapsing inhibits blood flow to the vein, making the vein shrink over the course of several weeks. Once treatment is complete, the leg will be wrapped in a compressive dressing to help prevent swelling

Laser Treatment for Varicose Veins

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟓𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐋𝐚𝐬𝐞𝐫 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐟𝐨𝐫 𝐕𝐚𝐫𝐢𝐜𝐨𝐬𝐞 𝐕𝐞𝐢𝐧𝐬 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Laser treatment for varicose veins (EVLA) is a minimally invasive cosmetic procedure to correct the appearance of varicose veins.

USed for treating varicose veins using RF energy that causes vein walls to collapse and blood to be rerouted.

Varicose veins are dilated and rope-like veins that typically appear on the lower extremities. When the valves inside of veins are unable to efficiently transport blood, the blood begins to pool and bulge. Any vein can become varicose, although the legs are more commonly affected since blood flow is constantly working against gravity to recirculate blood. Varicose veins are common and are usually just cosmetic, although sometimes they can be an indicator of a more serious health issue. Once it is determined that there is no underlying health concern, varicose veins can be easily treated with a simple, in office procedure such as radiofrequency occlusion. 

Radiofrequency occlusion is a minimally invasive treatment that helps to reduce and eliminate the appearance of unsightly varicose veins. This treatment uses RF energy to collapse and harden vein walls, causing the vein to close and blood to no longer flow through that vein. With no blood flowing through the vein, the bulging effect disappears. RF occlusion, unlike ambulatory phlebotomy and ligation and stripping methods, does not actually remove the vein from the body. However, RF occlusion can be performed prior to a vein removal surgery.

Ultrasound technology will be used to determine the location of the varicose vein and will help guide the surgeon for accurate placement of the initial needle insertion. The insertion point will be anesthetized with a local numbing agent for patient comfort and a series of guide wires and dilators will be inserted into the affected vein. The guide wires and dilators will then be removed so the radiofrequency ablation catheter fiber can be inserted. Once the fiber is in position, a tumescent fluid will be injected around the compartment that surrounds the vein. This not only provides patient comfort, but helps to protect surrounding tissue from the RF heat and improves contact between the vein wall and the catheter during treatment. 

Treatment then begins by ablating 3-7cm sections for 20-40 second intervals with RF energy as the fiber is drawn out of the leg. Once treatment is complete, the leg will be wrapped in a compressive dressing to help prevent swelling. Initial results can be seen after 1 week however final results are determined after 3-4 weeks.

Radiofrequency Occlusion for Varicose Veins

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐑𝐚𝐝𝐢𝐨𝐟𝐫𝐞𝐪𝐮𝐞𝐧𝐜𝐲 𝐎𝐜𝐜𝐥𝐮𝐬𝐢𝐨𝐧 𝐟𝐨𝐫 𝐕𝐚𝐫𝐢𝐜𝐨𝐬𝐞 𝐕𝐞𝐢𝐧𝐬 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Radiofrequency occlusion for varicose veins  is a minimally invasive cosmetic procedure to correct the appearance of varicose veins.

A minimally invasive surgery that removes bulging, enlarged veins on the legs.

Varicose veins occur when veins are not able to efficiently transport blood back to the heart. Veins work against gravity to recirculate blood throughout the body, and when the valves within the vein walls do not work properly, blood can begin to pool and cause bulging varicose veins. Any vein can become varicose, although it more commonly occurs in the legs due to increased pressure caused by normal standing and walking. Varicose veins, like spider veins, are typically a cosmetic issue and do not cause most people pain, although they can be a sign of an underlying serious health issue. 

Once it has been determined that the varicose veins are not indicators for a more serious health concern, treatment can be performed. Ambulatory phlebectomy is a minimally invasive procedure that permanently removes the affected vein from the treatment area. Previous methods, such as ligation and stripping, are much more involved and require a greater recovery time. This technique requires no stitches and most patients are able to return to normal activity within a few days. Once the varicose vein is removed, the body will reroute the blood flow to healthier veins. 

For veins that affect the entire leg, the vein will be removed starting at the ankle moving upwards. Small incisions that require no stitches will be made every 2-15cm. The incisions will be infiltrated with a solution that is comprised of a numbing agent as well as epinephrine to help prevent bleeding. The surgeon will then carefully dissect the vein through the incisions, grasping the vein with forceps, removing any fibroadipose attachments, and pulling the vein out of the leg. This procedure can last between 60-120 minutes. When the procedure is complete, the patient will be wrapped in a compressive garment that should be worn constantly for 1-3 weeks.

Ambulatory Phlebectomy for Varicose Veins

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟒𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐀𝐦𝐛𝐮𝐥𝐚𝐭𝐨𝐫𝐲 𝐏𝐡𝐥𝐞𝐛𝐞𝐜𝐭𝐨𝐦𝐲 𝐟𝐨𝐫 𝐕𝐚𝐫𝐢𝐜𝐨𝐬𝐞 𝐕𝐞𝐢𝐧𝐬 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Ambulatory phlebectomy is a minimally invasive outpatient cosmetic procedure to permanently remove varicose veins and improve body aesthetics.

A minor surgery that permanently removes varicose veins by removing the entire length of the affected vein.

Varicose veins are large, bulging, surface veins that commonly appear on the legs. Varicose veins form when the valves within the veins are unable to properly recirculate blood back up to the heart. The blood begins to pool within the vein causing a bulging appearance. Varicose veins are usually harmless, but can indicate a more serious health issue. Once it is determined that there is no underlying health concern, a treatment plan can be determined. 

Vein ligation and stripping is the most invasive treatment method for varicose vein removal. This treatment typically requires patients to undergo general anesthesia and surgery can last between 60-90 minutes or longer. The procedure involves removing the affected vein all at once, pulling the vein from the top of the leg through an incision at the knee or the ankle. Ambulatory phlebotomy is a similar procedure but only requires local anesthetic and removes the vein in smaller sections. 

Once the patient is sedated under general anesthesia, two incisions will be made: the first near the groin and the second near the knee or ankle. Incision location will vary depending on the individual needs of the patient. At the incision near the groin, the varicose vein will be located, severed, and stitched at the top. A wire will then be threaded through the entire length of the vein, exiting the body at the location of the second incision. As the wire is pulled out, the vein is removed from the body. Incisions will be closed with sutures. During surgery it is common to have smaller varicose veins removed as well. Incisions will be made near the vein, ligated, and surgically removed from the body without the need of a wire. These incisions typically only require adhesive strips for closure. The leg will then be bandaged and compression stockings may also need to be worn. Full recovery can take up to 4 weeks.

Ligation & Stripping for Varicose Veins

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐋𝐢𝐠𝐚𝐭𝐢𝐨𝐧 & 𝐒𝐭𝐫𝐢𝐩𝐩𝐢𝐧𝐠 𝐟𝐨𝐫 𝐕𝐚𝐫𝐢𝐜𝐨𝐬𝐞 𝐕𝐞𝐢𝐧𝐬 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Ligation and stripping is a more invasive varicose vein treatment to permanently remove varicose veins and improve body aesthetics.

Broken Capillaries

Vein Treatment

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐞𝐢𝐧 𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Varicose and spider veins typically appear on the legs as red, blue, or purple marks and can be bulging or painful. There are a number of different treatments available to diminish or erase the appearance of varicose and spider veins from laser treatments to surgical removal.

A cellulite reduction method that goes deep into tissue to melt fat, firm skin, and lessen the appearance of dimples.

Cellulite

Cellulite is caused by rigid, fibrotic strands, also called septae, that pull down the skin and accentuate pockets of fat, creating a visible dimpling effect. Cellulite mostly affects women and has no relation to the fitness level of the affected individual. While a healthy diet and regular exercise can lessen the appearance of cellulite, it does not have an affect on the septae that pulls down the skin. VelaShape, an improved upon version of VelaSmooth, allows  for fat reduction, collagen production, and a softening of the septae for improved body contours. 

During treatment the patient will lie comfortably on a table. The VelaShape hand piece will be guided along the treatment area, deliver radiofrequency and infrared energy while simultaneously vacuuming and massaging the skin. The heat energy generated helps to break down and melt fat cells while the mechanical massage encourages blood flow, stimulating the lymphatic system to take away cellular debris. Results are seen after 4-6 treatments with continued improvement as collagen production increases and smoothens skin texture. Maintenance treatments are typically needed every 3 months.

VelaShape®

Fixes the "cottage cheese" appearance of excess cellulite in fat layers through advanced non-invasive treatments.

Cellulite Removal

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟒𝟎𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐂𝐞𝐥𝐥𝐮𝐥𝐢𝐭𝐞 𝐑𝐞𝐦𝐨𝐯𝐚𝐥 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. Cellulite impacts a large number of people, especially women. The “cottage cheese” appearance of cellulite is caused by fat layers poking through pockets of fibrous bands attached to muscle fascia beneath the skin. There are many advanced noninvasive treatments to improve the condition that often appears on the abdomen, thighs, buttocks, and other areas.

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- Little preparation is needed prior to treatment
- Advised to stop taking blood thinning medications 2 weeks before a treatment session

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- No anesthesia needed
- VelaShape hand piece guided over treatment area
- Hand piece emits RF energy and infrared light while simultaneously massaging and vacuuming the skin
- Treatment sessions last 20-45 minutes

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- Minor and temporary redness or bruising
- Immediately return to all normal activities

VelaShape is a cellulite reduction method that uses a combination of radiofrequency energy, infrared light, vacuum, and massage. Here is a quick guide for what to expect before, during, and after a VelaShape treatment. 

VelaShape

𝐑𝐞𝐜𝐞𝐢𝐯𝐞 $𝟏𝟓𝟎 𝐨𝐟𝐟 𝐲𝐨𝐮𝐫 𝐕𝐞𝐥𝐚𝐒𝐡𝐚𝐩𝐞® 𝐩𝐫𝐨𝐜𝐞𝐝𝐮𝐫𝐞 𝐰𝐡𝐞𝐧 𝐲𝐨𝐮 𝐛𝐨𝐨𝐤 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐀𝐄𝐃𝐈𝐓. VelaShape® is an FDA-approved cellulite reduction treatment that combines infrared light, radiofrequency (RF) energy, and tissue mobilization techniques.

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