A: Because we offer numerous services it is hard to respond to a general question such as this. We have made every attempt to have a comprehensive, descriptive site with visual aids to assist you in identifying and determining your concerns and interest.

A: Many women have your exact same problem, share your self conscious concerns, and desire to enhance sexual gratification. Women are very concerned about their sexual health, sexual gratification, and procedures to enhance sexual gratification. Laser Vaginal Rejuvenation® for the enhancement of sexual gratification is a modification of a standard gynecologic surgical procedure. The laser is used to perform, precise, aesthetic surgical incisions. The techniques that we have developed result in a relatively bloodless procedure performed on an outpatient basis. In brief we will tighten the vaginal muscles and support tissues, as well as reduce redundant vaginal mucosa (relaxed vaginal lining). The procedure will enhance vaginal muscle, tone, strength, and control. It will effectively decrease the internal and outer (introitus) vaginal diameters, as well as build up the perineal body (the area immediately outside the vaginal and above the anus. According to Masters and Johnson, sexual gratification for the female is directly related to the amount of frictional forces generated. We can accomplish this. The procedure can also provide an aesthetic enhancement of the external vaginal structures, resulting in a more youthful look. As with all of our surgical procedures you are an integral part of the team and we listen to you and abide by your wishes. In this procedure the woman determines how tight she wants to be. In our survey: Guess what 100% of the women said!

A: Your urinary problem is called stress urinary incontinence. It is caused by the vaginal relaxation of the top part of the vaginal wall. Laser Vaginal Rejuvenation® can correct your problem with stress urinary incontinence and enhance sexual gratification all at the same time. Some women have stress urinary incontinence that cannot be corrected with LVR alone. Dr. DeBrakeleer is sub-specialty certified in identifying those problems and treating them with the appropriate surgery to cure their incontinence issues.

A: The surgical time depends on the extent of the procedure. In general the procedure takes about one to two hours.

A: In this case we only need to repair the lower floor of the vagina and the perineal body (area immediately outside of the vagina). Usually in this case vaginal relaxation is less extensive. Laser vaginal rejuvenation will also enhance sexual gratification.

A: Depending on your circumstances you can be a candidate for the Laser Vaginal Rejuvenation®. Such procedures primarily involve the bottom part of the vagina and the perineal body.

A: You can be provided with your choice of anesthesia by our board certified anesthesiologist. (local, nerve block, epidural, spinal, IV sedation, general). Some types of anesthesia are procedure dependent.

A: We ask that you abstain from sexual intercourse for 6 weeks. Oral sex may be resumed much earlier.

A: In general returning to work is dependent on the type of work you do and procedure that you have performed. Most patients can return within 7-14 days.

A: With our technique of submucosal tumescence, pudendal block with long acting local anesthetic, you will be pain free for the first 18 to 24 hours. After this, patients report mild to moderate discomfort which can be controlled by analgesics and cold packs to the area.

A: Fees are all inclusive of the surgical center, anesthesiologist, surgical assistant, surgeon, and all follow-up. The fees depend on the type of the procedure and the extent. A fee range can be provided once we know your particular needs at your complimentary consultation.

A: Laser Vaginal Rejuvenation® is a safe procedure with low risk. To put the risk in perspective, pregnancy is associated with far more risk than any of these procedures. Like any surgery the risks are hemorrhage and infection. These are less than 1%. If one requires work on both the upper and lower vagina then there is risk of injury to the bladder and the rectum. This is exceptionally rare and in many years of our surgical experience we have not encountered any of these complications. With any surgery one can encounter scarring. Over correction can potentially result in painful sex. Although rare there are anesthetic risks also depending on the type of anesthesia.

A: Laser Vaginal Rejuvenation® can be combined with designer laser vaginoplasty such as laser reduction labioplasty.

A: Yes, Dr. DeBrakeleer works with a number of plastic surgeons can combine Laser Vaginal Rejuvenation® or designer laser vaginoplasty with most cosmetic surgical procedures such as breast, nose, eye, or tummy tuck surgery

A: The labia minora can be aesthetically sculptured to your specifications with laser reduction labioplasty.