Category Archives: Vaginal Rejuvenation

Some common concerns for a woman include vaginal tissue laxity and loss of tone in the labia majora. Vaginal rejuvenation can significantly improve vaginal tissue and loss of tone in the labia majora without plastic surgery.

At the time of the pre-op consultation, the surgeon will discuss the reasons for vaginal tissue and muscle laxity and will assist the patient in choosing between surgical and non-surgical vaginal rejuvenation treatment alternatives. 

Today, many women are willing to openly discuss their sexual cosmetic concerns with the surgeon and seek suitable treatment options. The surgeon will help them understand the reasons for tone and elasticity loss in the labia majora and how it can be addressed.  

Plastic surgeon Dr. Paul McCluskey provides sexual aesthetic treatments to patients in Atlanta, Buckhead, Georgia, and surrounding communities. 

Reasons for Saggy Labia 

Dense connective tissue makes up the vaginal walls, and the area has a very high blood supply. There are various vital nerves that link through this region, which is lined by special cells. The labia or vulva is more ‘skin-like’ in comparison to the vagina. This area has an even higher blood and nerve supply than any other area on the human body.

The labia majora may lose fullness and tone due to a variety of causes. The three key reasons for a sagging labia majora appearance are aging, childbirth, and hormonal fluctuations. The plastic surgeon will cautiously assess the level of laxity, and whether the labia majora has extra skin or insufficient volume. 

Causes of Vulvo-Vaginal Laxity

A vaginal delivery can cause the stretching of the connective tissue of the labia and the vagina. The tissue may not regain its original tautness and elasticity upon healing. The patient may experience further problems, such as urinary incontinence and atrophic vaginitis, as the vagina and other local structures become stretched out. 

In addition, vulvo-vaginal laxity can also reduce sensations during sexual activity, which may slowly cause an adverse effect on self-confidence and relationships. Patients usually experience a compromised quality of life.

The problem with laxity of the labia majora is that the old collagen may get broken down. For this reason, it becomes important to induce new collagen production for long-term tightening of the vaginal and labia tissue.

Damage to the Connective Tissue

The external portion of the vagina is the only area that changes due to aging. In addition, a reduction in estrogen levels may cause changes on the inside as well. Estrogen helps maintain the resilience and strength of the vagina walls. Therefore, its loss leads to these walls becoming thinner and loose. 

The vaginal wall primarily comprises dense connective tissue that is greatly vascularized and through which multiple nerves pass. The vulva, especially the labia majora, is skin-like delicate. Vaginal delivery can cause damage to the connective tissue. 

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for sexual aesthetic treatments.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Vaginal laxity is a common issue among women. However, many women tend to ignore it even if it impacts their quality of life. Advanced treatments in plastic surgery, as well as non-surgical options, are now available to treat vaginal laxity.

At the time of the pre-op consultation, the surgeon will discuss various facets of vaginal rejuvenation treatment with the patient and explain the possible reasons for their vaginal laxity. This is part of their job and Dr. McCluskey works hard to be transparent with every potential patient he consults with. 

Plastic surgeon Dr. Paul McCluskey provides sexual aesthetic treatments to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

Possible Causes

A variety of reasons can lead to vaginal laxity. Childbirth, aging, and specific medical conditions impacting collagen development in the skin and vaginal tissue are some common causes. 

Collagen loss can cause a feeling of sagging tissue and volume loss. Women typically complain of vaginal laxity following childbirth, and it may also impact their sexual satisfaction in certain cases.

But childbearing is merely one of the causes of vaginal laxity, which may prompt a woman to consider vaginal cosmetic surgery or non-surgical vaginal rejuvenation treatments. Other reasons for vaginal laxity include the following:

• Aging: Body muscles generally become lax with advancing age – this may occur no matter how healthy you eat or how much you exercise
• Menopause: Almost 50 percent of women experience significant vaginal laxity after menopause because of decreasing estrogen levels
• Genetics: Genetic disorders can impact collagen metabolism, leading to volume loss in vaginal tissue
• Trauma: Injury or trauma to the vagina

Prevalence 

Vaginal laxity is a more pervasive concern than most women like to believe. In a research study with over 400 women who had vaginal deliveries, it was found that over 50 percent of the women felt vaginal laxity. Due to childbearing, the vaginal and intraorbital tissues stretch to a point where some level of tissue elasticity is permanently lost, causing vaginal laxity. 

Women do not report vaginal laxity due to a variety of reasons. However, researchers indicate that nearly 76 percent of women will experience this issue at some point in their lives. Pregnancy and vaginal delivery can cause stretching and trauma. 

The possibility of the development of vaginal laxity is more likely in women who have more than one child, have a large infant, or undergo the use of forceps during the delivery.

Tone loss in the Labia

Another common problem among women is the loss of tone in the labia majora. This group of patients usually includes women who have experienced menopause. These women complain of lax tissue and muscle in the vaginal region as well as the loss of fullness in the labia majora. The loss of volume may also sometimes develop in the mons pubis area. 

Women who lost significant amounts of weight are also likely to experience this issue. They may experience a loose, wrinkled skin appearance, or a poor balance the labia majora and minora because of an oversized labia minora.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for sexual aesthetic treatments.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

A woman may experience a change in her sexual aesthetic and vaginal laxity due to a variety of reasons, such as aging, childbirth, and hormonal fluctuations. Sometimes it could cause a reduction in erotic sensation and loss of tone in the labia majora. 

Plastic surgery procedures such as labiaplasty and vaginoplasty can effectively address these concerns, but some women may desire non-surgical vaginal rejuvenation. 

In such cases, safe and proven non-surgical cosmetic techniques can be used to accomplish vaginal rejuvenation. Laser and radiofrequency (RF) energy-based procedures can enhance collagen production while dermal filler injections can improve volume and G-spot sensation. 

Plastic surgeon Dr. Paul McCluskey provides sexual aesthetic procedures to patients in Atlanta, Buckhead, Georgia, and surrounding locations.

Laser and RF Treatments

Laser and RF systems can improve vulvar looseness and vaginal laxity in a non-invasive way. The procedure can be undertaken in a non-surgical manner by delivering targeted and gentle waves of RF energy or laser pulses directly into the vulvo-vaginal region. 

The energy will produce controlled heat in precise tissue layers, which help constrict the external labia and address internal vaginal laxity. The treated tissue will constrict into a tighter bundle. These heat-based techniques also promote the generation of new collagen for more sustainable, natural-looking outcomes, and may support tissue and nerve healing.

The laser or RF procedure can tighten the vagina at the opening as well as through the entire vaginal length. The patient and her partner will both be able to experience the results. This procedure tightens the labial tissue and significantly reduces sagginess. 

The patient will be able to achieve softer and smoother skin. After the treatment, the patient can easily wear tighter clothing without a feeling of self-consciousness. 

Dermal Filler Injectable Treatment

A simple, in-office dermal filler procedure can enhance volume in the labia majora. Women who are unhappy due to loss of fullness in the labia majora, and sometimes, in the mons pubis can accomplish satisfactory results with FDA approved dermal filler injectable treatment.

This injectable procedure can be undertaken using one of the safe, proven, and effective soft tissue fillers. The surgeon will recommend the most suitable filler, depending on the patient’s vaginal laxity and personal preferences. Most cases involve the use of hyaluronic acid-based fillers as these are entirely biocompatible and safe and do not necessitate any prior allergy testing.

Correlating with this, the patient can achieve G-spot enhancement with the help of dermal filler injections. The location is typically around one to three inches in the vagina, immediately beyond the vaginal opening. After the injection, a tampon will be inserted to absorb drainage. 

The outcomes with dermal filler injections can typically sustain for around six months to one year. The post-op recovery is minimal, and the patient will not experience any major discomfort. Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for sexual aesthetic procedures.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Kegel exercises strengthen the muscles of the pelvic floor. These muscles support the bladder, uterus, small intestine, and rectum. Kegel exercises, also called pelvic floor muscle training, can be undertaken at almost any time.

Plastic surgeon Dr. Paul McCluskey provides vaginal rejuvenation treatments to patients in Atlanta, Buckhead, Georgia, and surrounding communities.

Why Kegel Exercises Matter

Various factors can weaken pelvic floor muscles, such as surgery, pregnancy, childbirth, aging, excessive straining from chronic coughing or constipation, and being overweight.

Women should perform Kegel exercises if they:

• Leak a few drops of urine while laughing, sneezing, or coughing (stress incontinence)
• Have strong, sudden urge to urinate before expelling a substantial amount of urine (urinary urge incontinence)
• Leak stool (fecal incontinence)
• Kegel exercises can also be performed during pregnancy or after childbirth to improve the symptoms

Kegel exercises are not as effective for women with severe urine leakage when they cough, laugh, or sneeze. These exercises are also not helpful for women who unexpectedly leak small quantities of urine due to a full bladder (overflow incontinence).

How to do Kegel Exercises

To perform Kegel exercises:

• Identify the correct muscles. To find your pelvic floor muscles, stop urination in midstream. Upon identifying your pelvic floor muscles, you can perform the exercises in any position. It may initially be easier to perform them lying down.
• Perfect the technique by imagining that you are sitting on a marble and tighten your pelvic muscles as if you are lifting the marble. Perform it for three seconds at a time and then relax for a count of three.
• Stay focused. For best outcomes, emphasize on tightening only your pelvic floor muscles. However, be careful not to flex the muscles in your thighs, buttocks, or abdomen. Do not hold your breath. Rather, breathe freely while performing the exercises.
• Repeat thrice daily. Aim to perform at least three sets of 10 to 15 repetitions per day.
• Do not make a habit of using Kegel exercises to initiate and stop your urine stream. Performing Kegel exercises while urinating can actually lead to incomplete bladder emptying, and this increases the risk of developing a urinary tract infection.

When to do your Kegels

It is a good idea to make Kegel exercises a part of the daily routine. These exercises can be discreetly undertaken about any time, irrespective of whether you are relaxing on the couch or sitting at your desk.

When you are having Trouble

Do not be embarrassed to ask for help if you are having trouble performing Kegel exercises. Your physician or another medical care provider can offer you vital feedback to enable you to learn to isolate and exercise the right muscles.  

At times, biofeedback or vaginal weighted cones may help. In a biofeedback session, your doctor or other medical provider inserts a pressure sensor into your rectum and vagina. A monitor will measure and display your pelvic floor activity as you relax and contract your pelvic muscles.

When to expect Results

Upon performing Kegel exercises routinely, you can expect outcomes, such as less frequent urine leakage, with nearly a few weeks to a few months. To enjoy permanent benefits, make Kegel exercises a permanent part of your exercise routine.

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for vaginal rejuvenation treatments.
For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

Feminine rejuvenation procedures should be customized to a woman’s unique anatomy and concerns. For instance, in case of labiaplasty cosmetic surgery, merely a reduction in the labia minora’s size without a correcting the clitoral hood may not lead to desired outcomes in some women.

The surgeon may recommend trim labiaplasty technique to the right candidates. Committed plastic surgeon Dr. Paul McCluskey provides trim labiaplasty surgery to patients in Atlanta, Buckhead, Georgia, and surrounding communities and towns in the Empire State of the South.

How does it Work?

Trim labiaplasty is a specialized form of labiaplasty. In this procedure, the surgeon combines traditional labia minora reduction with a clitoral hood reduction to create outcomes that appear natural and enhance physical comfort as well as aesthetics.  

In the trim labiaplasty technique, the patient receives a clitoral hood reduction along with a reduction in the labia minora through the placement of special incisions producing natural-looking and cosmetically appealing results.

Challenges of Oversized Labia

Each woman has unique anatomy which means that there are numerous variations in the labial shape, size, and color. Oversized labia minora (inner vaginal lips) may occur due to genetics, aging, childbirth, hormonal fluctuations or weight loss. Large labia minor are not necessarily problematic.

However, some women may feel uneasy in tighter clothing, swimsuits, or during intimate moments due to their oversized labia. Excessively large labia can also lead to hygiene issues or increase the occurrence of infections.

In addition, some women have an oversized clitoral hood. Basic labiaplasty procedures cannot always correct this. If the clitoral hood remains large while the labial size is reduced, it can lead to an unappealing transition to the vaginal lips due to the inability to account for the natural curvature of the vaginal area.

Trim Labiaplasty Procedure

During the pre-op consultation, the surgeon will discuss the most appropriate feminine rejuvenation technique with the patient considering her unique anatomy and desired results. The surgeon may suggest the patient undergo the trim labiaplasty with labia majora reduction for better inner and outer lips symmetry and balance.

Women who have stubborn fatty deposit right above the pelvic bone may consider including a mons pubis reduction with liposuction to contour their midsection.

In the trim labiaplasty cosmetic surgery, the surgeon will place a curvilinear incision to delicately trim the inner labia creating folds that are smaller and more proportional. The curvilinear incision is cautiously placed to offer the region a natural transition to the clitoral hood.

Subsequently, they will reduce the clitoral hood and incorporates it into the patient’s new shape for a natural appearance. The outcomes of this surgery appear natural and more youthful. The surgeon seals the incisions with dissolvable sutures and applies an antibiotic ointment.

The surgeon may perform trim labiaplasty procedure at an accredited outpatient surgical venue. While the procedure takes around one hour, the patient should plan to remain in the office for at least two hours. She may go back home soon following the labial reduction surgery.

Accomplished plastic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas in the amazing state of Georgia for trim labiaplasty.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

When a woman is properly informed about various aspects of vaginoplasty, she will be able to make a better decision about choosing this procedure. The patient should feel free to ask all relevant questions and clarify her doubts and concerns during the initial vaginoplasty consultation with the cosmetic surgeon.

It is equally important to select the right surgeon for an advanced procedure such as vaginoplasty. During the initial consultation, the surgeon will apprise the patient of their professional credentials as well as familiarize her with their practice.

Outstanding and reliable plastic surgeon Dr. Paul McCluskey provides vaginoplasty to patients in Atlanta, Buckhead, Georgia, and surrounding communities in The Peach State.

Questions Related to the Surgeon

• How many years of training and practice experience you have in the area of plastic surgery? Do you take every procedure serious or have you done so many that it is not really a big deal to you?
• Do you regularly perform sexual aesthetic procedures such as vaginoplasty, and do you have adequate experience specifically in this area?
• Where would you perform vaginoplasty in my case, and will it be an outpatient procedure?
• Is your practice equipped to handle any emergencies that may occur during or after the surgery?
• Do you have a well-defined policy about revision procedures?

Questions Related to Vaginoplasty

• Am I a good candidate for vaginoplasty?
• Are there any non-surgical procedures that can replace vaginoplasty or be combined with it?
• Will I need to adjust my current medications and make any other lifestyle or diet changes prior to this surgery?
• Which vaginoplasty technique would be appropriate in my case, and will it involve general or local anesthesia?
• Would you work with an anesthesiologist or a nurse nurse for my surgery?
• How many days of leave should I apply for at my workplace for recovery?
• Can you provide me access to a few vaginoplasty before and after pictures to understand the potential results?

Questions Related to Pre-op Preparation

• Will I need to make any specific preparations in the days leading up to the vaginoplasty procedure?
• Should I request my doctor to coordinate with you regarding the rescheduling of my prescription meds?
• Can I return home the same day of the surgery, and will I need someone to accompany me?
• Should I arrange for aftercare for a few days following the vaginoplasty surgery?
• How much would be the cost of private duty nurse, if needed?

Questions Related to Costs

• Do you charge a fixed fee vaginoplasty, or does it vary according to the specifics of a case?
• What will be the total cost of vaginoplasty, including your professional fee as well as anesthesia and surgical room costs?
• Does the cost cover post-operative office appointments, medical tests, prescription drugs and surgical garments?
• What would it cost me to combine vaginoplasty with other surgical or non-surgical procedures, and does it make me eligible for a special package price?

Patients should also ask about the insurance and financing aspects in case of vaginoplasty surgery. Accomplished and cordial plastic surgeon Dr. McCluskey receives patients from Atlanta, Buckhead, Georgia, and other cities and towns in the amazing and impressive state of Georgia.   

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us

Recovery following vaginoplasty procedure can take several weeks, but the cosmetic surgeon will usually allow the patient to resume their normal routine after the first week. The treated sites should be kept clean to minimize infection risks. If absorbable sutures have been used, they will dissolve in about three to four weeks.

The surgeon may prescribe an antibiotic ointment to be used in the incision lines twice a day for the first two weeks. Sexual activity may have to be avoided for at least one month to allow the incisions to heal well.

Outstanding and committed plastic surgeon Dr. Paul McCluskey provides vaginoplasty to patients in Atlanta, Buckhead, Georgia, and surrounding locations in The Peach State.

Mild Discomfort, Bruising and Swelling

Most patients will experience mild post-operative discomfort. The surgeon may prescribe some pain meds to help with the initial symptoms. Some amount of bruising and swelling will occur in almost every case of vaginoplasty. Bruising will resolve quickly, but swelling will mitigate gradually over several weeks.

Icing the incision sites in the first two days will help to reduce swelling. The cosmetic surgeon will recommend the patient to wear comfortable, loose fitting undergarments and clothing until the healing is better. Tighter clothing can cause friction with the incisions, which can hurt and prolong recovery. Tampons should be avoided during initial recovery and pads may be used according to the surgeon’s advice.

First Month of Recovery

From the second week onwards, most patients can return to their normal routine or go back to work. But they should increase their physical activities only gradually. Lifting of heavy objects should be avoided for the entire first month. Jogging, power walking, aerobics or impact exercises should be avoided, but normal walking is encouraged.

The patient may have a watery or sticky discharge and experience even more spotting as the sutures absorb and break. Minor wound edges may open up and separate in a few cases. But this is not a serious concern because the tissue in labiaplasty is repaired in multiple layers, so the risk of the wound opening up entirely is rare.

Minor wound separation of the edges will often heal from the bottom up and the patient will not see any traces of wound separation in a few months.

Next Few Months

After the first month, if the patient still experiences mild soreness in the incisions, she may wait an additional week or two before resuming more strenuous activities. Patients who have received laser resurfacing may have to wait for a longer period for normal coloration to be restored.

If the patient experiences abnormal bleeding, has an odorous discharge, has high fever or has increased swelling around the labia or vulva, she should promptly contact the surgeon’s office. In normal cases, the patient can begin the vaginal softening exercises as per the surgeon’s advice at about week six.

These exercises can help improve the results and restore the vaginal strength. Sagacious and impressive plastic surgeon Dr. McCluskey receives patients from Atlanta, Buckhead, Georgia, and other neighborhoods and suburbs in this area of the country for vaginoplasty and various other cosmetic and reconstructive procedures.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

• psiatlanta.com
• sexualaesthetics.com
• Contact Us