Sexual Wellness

Vaginal looseness, or decreased sensation with sex, is a common complaint in many sexually active women. Often, but not always, this may occur as a result of vaginal deliveries or from having had large-sized partners.  Although the change in sexual pleasure may be subtle in some cases, it may be drastic in others to the point of significantly affecting personal relationships and/or marriages.

Some women may also experience involuntary loss of urine during exercise, laughing, coughing, and even during sex – this is referred to as urinary stress incontinence. These changes may cause individuals to feel self-conscious and inhibit them from enjoying sex or engaging in sexual activity altogether.

Until recently, the only options have been Kegel exercises or surgery.  Although Kegels are important to strengthen the pelvic floor they are often insufficient. Surgery in the form of a Vaginoplasty, to tighten the vagina, or a mid-urethral sling to support the urethra to control leakage, are good options, but they are associated with risks and the need for downtime. There is a revolutionary FDA-approved laser for vaginal resurfacing – The FemiLift™.

Non-surgical vaginal tightening is yet another treatment available as part of an Intimate Makeover and can be done in conjunction with other procedures that address both functional and aesthetic concerns, such as laser liposuction, and more.

Kamran Khazaei, MD, FACOG is Board-certified and Specialist in Davinci Female Care Robotic Surgery.  He also specializes in labiaplasty as well as other Cosmetic GYN Surgeries. Labiaplasty is the aesthetic surgical enhancement of the vulvar structures, labia minora, labia majora, mons pubis, perineum, and introitus designed for each individual’s needs.

Laser Reduction Labiaplasty of the Labia Minora

Reducing the size and altering the shape of the labia minora (inner lips) can be accomplished according to one’s specification using laser reduction labiaplasty. Elongated, unequal, or dark labia minora is a very common complaint in women seeking cosmetic vaginal surgery. Most women tell us that they do not want the small inner labia to project beyond the large outer labia. With laser reduction labiaplasty, we can accomplish the individual desires of each woman. Our labiaplasty techniques can also reconstruct conditions that are due to the aging process, childbirth trauma, or injury. In addition to cosmetic reasons, women will undergo labiaplasty for functional reasons, such as discomfort when wearing tight-fitting clothing, when exercising, or during intercourse.

Laser Reduction Labiaplasty of the Labia Majora

Reducing the size and or tightening the labia majora (larger outer labia). Sagging and loose labia majora is seen in women with naturally more elastic skin, but also in older women who have lost their skin tone and in those who have lost a lot of weight. The vulvas look “old” and “worn.” The result is a more youthful and aesthetically appealing vulva.

Augmentation Labiaplasty

Autologous fat transfer to the labia majora can provide an aesthetically enhanced and youthful appearance to the vulva. This procedure consists of removal of the patient’s fat via liposuction and transplanting it into the labia majora. It may be performed in conjunction with in-office liposculpture.

Vulvar Lipoplasty/Mons Pubis Liposuction

Liposculpture of the mons pubis and upper parts of the labia majora. Women will complain of a “fat pad” overlying their pubic bone or of “fat” labia majora. In-office Liposculpture can alleviate the unsightly fatty bulges of this area and produce an aesthetically pleasing, thinner, and younger contour.

Laser Hymenoplasty

Reconstruction of the hymen can repair the hymen to its “pre-sexual” state as if nothing ever occurred. New-Confidence is sensitive to the needs of women from all cultures that embrace these particular issues because of cultural, social, or religious reasons. Privacy is highly respected.

Hymenoplasty is the reconstruction of the hymen, resulting in the dissolution of any evidence of trauma. Nouvelle Confidence (NC) puts the needs and concerns of its patients first and foremost. The purpose of a hymenoplasty is to repair and reconstruct the hymen, a thin membrane that partially covers the opening to the vagina, to a “pre-sexual” state.

The hymen typically tears during the first time a woman has sexual intercourse, and often a small amount of bleeding occurs. Some women unknowingly tear the hymen through activities such as tampon use, and other rigorous sports. Some women break their hymen without realizing it.

The desire to undergo a hymenoplasty is often fueled by cultural, ethnic, or religious motivation, or for individual cases of incest, child abuse, or rape. NC is very sensitive to the needs of women from cultures that embrace these particular beliefs or who have had an abusive history.