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Over time, age and events such as pregnancy and childbirth can affect the internal and external structure of the vagina, causing changes in both its appearance and physical reaction to stimulus. Cosmetic Gynecology procedures aim to improve either the physical appearance or function of the vagina and labia. Often times, these goals are accomplished simultaneously. The outcome of cosmetic gynecology can improve the enjoyment of sexual activity, while also restoring the genital area to make it appear more youthful.

Other than aesthetic enhancement, women may also want a procedure done for a medical reason, such as wanting to get a vaginoplasty to reduce pelvic organ prolapse. Sometimes, after pregnancy and childbirth, a woman’s muscles and skin can be permanently stretched, causing the pelvic organs to become weak or loose. Cosmetic gynecology procedures can help reduce these symptoms by strengthening and tightening these muscles.

A woman may also want to have a cosmetic gynecology procedure for sex life improvement.

These procedures aim to tighten the vaginal muscles, enhancing the friction of intercourse, ultimately enhancing sexual performance.

We understand that these procedures are very intimate and private, and at our clinic we’ve created a compassionate and understanding environment where you can feel comfortable expressing your most intimate concerns. Your vaginal health is incredibly important to your physical, mental and emotional health, as well as your sexual function. You deserve to feel and look your absolute best in every way.

Our services

Surgical Procedures

Vaginoplasty
This procedure focuses on lessening the width of the vagina. Over time, the tissues of the vagina can lose elasticity, particularly following multiple childbirths. This permanent stretching can sometimes affect a woman’s enjoyment and comfort during sex. During a vaginoplasty, Dr. Ivanov may tighten the perineal muscles or repair the rear vaginal wall, reducing the overall width of the vagina and increasing tightness.

Perineoplasty
The area of tissue between the vagina and the rectum is called the perineum. Childbirth can cause tearing and scarring of this tissue. Often times, the healing process of these tears leads to uneven scarring and disfiguration of the perineum, resulting in vaginal looseness. During this surgery, Dr.Ivanov repairs the damage and restores the tissue in order to return the area to its pre-pregnancy condition. The procedure also rebuilds and constricts muscles, tightening the vagina.

Labiaplasty
The labiaplasty procedure involves reconstruction of the labia minora
and/or the labia majora. 
During reconstruction of the labia minora, Dr. Ivanov reconstructs the size and shape of the labia, or the folds of skin that frame the opening of the vagina. Many women seek this procedure because they have a natural excess of skin, causing discomfort when wearing tight-fitting clothing or making sex and intimacy difficult. In turn, this procedure may remove excess skin from both sides of the labia to reduce overall size, or from only one side to correct an irregularity. As a result of aging, bariatric surgery, or loss of volume, the labia majora may droop. Sometimes the labia majora may appear more prominent in volume due to fat deposits. During reconstruction of labia majora, Dr. Ivanov removes excess labia majora skin and prominent fat pads, improving the appearance of the vulvar area. https://www.drmichaelgoodman.com/labiaplasty-california/

Clitoral hood reduction
This procedure serves to reduce the size of the clitoral hood to reveal more of the clitoris itself.  The goal is to increase sexual pleasure and restore the aesthetic appearance of the vulva, increasing a woman’s overall confidence and pleasure.

Hymenoplasty
Hymenoplasty is the surgical repair of the hymen, a membrane that partially closes the opening of the vagina. In many cultures and religions, an intact hymen traditionally indicates a mark of virginity. Due to reasons other than intercourse, such as vigorous exercise or tampon insertion, the hymen becomes torn or ruptured. Under such circumstances, many women seek hymen reconstruction.

Non-surgical Procedures

Non-surgical vaginal rejuvenation treatments provide women with an alternative to surgery that achieves results nearly as quickly, but not for a long time. These treatments use highly focused energy, either radiofrequency or laser, to invoke tissue contraction and promote collagen production in the vulvovaginal tissues. Beside energy, Platelet-Rich Plasma (PRP) can be used to rejuvenate the vagina, treat postmenopausal vaginal atrophy, improve orgasms, and enhance urinary control. The G-spot amplification, a procedure geared towards enhancing sexuality, improves the chances of easier, longer, and more intense orgasms, involves either injections of PRP or non-permanent filler (typically hyaluronic acid). Fat grafting, also called autologous (your own) fat transfer, allows rebuilding the shape of labia majora after extensive loss weight and age-related changes.

G & O Shot
A combination of the well-known G-shot and O-shot, involving the injection
of hyaluronic acid and/or PRP, platelet-rich plasma from your own blood,
into the G and O spots. By combining the two, adequately intensified
stimulation during sex is achieved.

PRP procedures for vaginal (vulvar) rejuvenation

Presently, PRP (Platelet-Rich Plasma) can be used not only for the ‘vampire facelift’ or for ‘vampire breast lift’ but also for other, more intimate areas such as vaginal (vulvar) rejuvenation. The blood is taken from the patient (usually their arm) and is spun through a centrifuge machine to separate out plasma containing a high concentration of platelets – at least four to eight times normal levels. This PRP is rich in growth factors, naturally occurring substances that stimulate cell growth and proliferation, and thereby promote tissue regeneration. The point of this treatment is that when you inject platelets into one place, it regenerates the area that is injected. In the vagina, the skin becomes thicker and firmer, giving it a glow and making it look much more youthful. You also increase vascularisation into the area, which in turn means sensitivity is dramatically increased. In addition, the newly plumped skin of the vaginal wall provides a supporting structure for the urethra, making PRP an effective treatment for sexual disturbance and even urinary incontinence.

Augmentation With Fillers
Vaginal dermal filler injections improve the sensitivity in your vaginal
area, enabling the tissues to feel restored and healthy again while
increasing sexual arousal. These fillers also augment, or increase, the
thickness and tone of the labia majora and surrounding tissues, reversing
the effects of aging or trauma.

The most important thing in making decisions about your health is finding out whether you are working with a doctor you can trust. Dr. Ivanov has received extensive training in all cosmetic gynecology procedures. At our clinic, we aim to provide you with the best care possible.

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These procedures are often done in combination with each other. The initial consultation allows you to comfortably discuss your concerns and expectations with Dr. Ivanov in order to personalize the procedure to meet your individual needs. Prior to your procedure, you will be provided with all of the information and tools necessary to ensure a safe and quick recovery. All pre and post-op instructions can be found under the tab labeled “patient forms”.

Call to schedule a consultation today at (215) 631-3873

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