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    What is the G Shot?

    First, the G Shot is a simple, pain-free procedure which is performed in the office. Second, the G Shot provides a nice enhancement of the most sensitive spot on the vaginal wall. There are many theories about the location of the “G spot” but experts agree that the G spot is a patch of tissue on the anterior (upper) vaginal wall which is often more prominent than the surrounding tissue. Many of the nerve endings associated with sexual pleasure are concentrated in the clitoris and the G spot. Some women don’t experience much sensation in the G spot while others find it to be a very sensitive area. The G Shot works best in women who already experience heightened sensation in the G spot area. Enhancing the volume and prominence of this area on the vaginal wall improves sensation for both the woman and her partner.

    How does the G Shot work?

    I completely understand that it’s a little intimidating and embarrassing for a patient to talk about these procedures during a consult. Patients have a lot of questions about procedures like the G Shot, or for that matter, anything to do with sexual aesthetics & vaginal rejuvenation, but they’re often afraid to ask. We’ve worked very hard to make this experience as comfortable and un-intimidating as possible. Often for procedures like the G Shot I will schedule the consult and the procedure on the same day. This means just one trip to the doctor! This means just one quick discussion about the procedure and what results the patient is trying to achieve, then a little numbing medicine, a little G Shot, and she’s out the door within the hour! In short, the G Shot is an injection of filler into the G spot.

    Use of Fillers For The G-Shot

    I typically use hyaluronic acid fillers such as Juvederm but I’ve performed a number of G Shots by transferring the patient’s own fat into the G spot area. Both of these fillers (fat and hyaluronic acid, or HA) have their advantages and disadvantages. The hyaluronic acid G Shot is the simplest of in-office enhancements and only takes a few minutes. The patient can easily be in and out of the office in 20-30 minutes and the HA enhancement can last 9 months or longer. A G Shot with HA can also be repeated months later for further sexual enhancement without any risk of scar tissue formation or other side effects. Hyaluronic acid is a naturally occurring component of the human body and the results of an HA G Shot actually improve with time because HA absorbs water causing additional prominence of the G spot.

    Using The Patient’s Own Purified Fat For A G-Shot

    Performing a G Shot with the patient’s fat takes a few extra minutes as compared to HA but the results are excellent. G spot enhancement using the patient’s own fat will also last 9 months or longer (often becoming permanent) and it can be repeated to improve the desired effect. Another advantage of using fat is that it can easily be combined with other procedures. If we are performing liposuction of other areas why not transfer some of the fat to the G spot to improve sexual satisfaction? The G shot only requires a few cc’s of fat (1-5cc) but during a typical fat-harvesting procedure I’ll remove 20-30cc of fat. We call this fat “liquid gold” because it is the patient’s own fat, dense in tissue factors and stem cells, and it can be used to enhance multiple areas of the body including the G spot, the labia majora, and labia minora, facial lines & lips, and it can be used for rejuvenation of the hands.

    To reiterate, the G shot is a simple, short, pain-free, in-office procedure which can be performed on the same day as consultation. Patients will often experience heightened sensation afterward with very few, if any, risks or complications.

    For more information about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    If you don’t know what a Kegel exercise is, then prepare to meet your new best friendkegel_exercises_main1_600x450! If you’re a woman then you should be performing Kegel exercises every day. And don’t worry you won’t be trying to find ways to avoid this work out it’s one of the simplest there is. So how do you do it?

    Simply, Kegel exercise focus on your pelvic floor muscles. For those unfamiliar with the pelvic floor muscles, the simplest way to locate them is the next time you use the bathroom. The muscles you contract to stop yourself mid flow are your pelvic floor muscles, the muscles responsible for preventing urinary incontinence and vaginal prolapse. Like any muscle in your body, they need to be exercised to stay strong and functional. Tense these muscles for five to ten seconds, then relax for ten seconds repeating this cycle ten times. Perform this routine three to five times per day and you should notice a difference in a matter of weeks. If you find the exercises difficult to perform or are curious to see how you are improving, there are several implements that can be purchased from instruments that are inserted and squeezed to weighted balls that are said to improve muscle tone.

    No matter your age the Kegel exercise is one that will have a range of benefits for you. A stronger pelvic floor has been shown to improve sexual pleasure, allow for easier labor, aid in recovery following childbirth and prevent bladder or vaginal prolapse. Vaginal rejuvenation is a procedure performed to tighten the vagina to correct damage from childbirth or prevent vaginal prolapse, performing Kegel exercises before the procedure and resuming in the weeks following the procedure can lead to even better results!

    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit https://sexualaesthetics.com/

    Breast augmentation has long been the most popular procedure in plastic surgery as well as being a hugely important step in many gender reassignment cases. In transgender breast augmentation cases the choices of implant types and sizes is exactly the same, with the same beautiful results expected, but there are some points to take in to consideration.

    silicone breast implant

    Typically in male to female transgender cases the patient has broader chest and shoulders that will accommodate larger implants, smaller implants may look too narrow and appear unnatural. As well as a wider chest, nipples will typically be lower on  a male chest than a females so the natural breast crease will often have to be lowered so that the nipple is more centered on the implant.

    Another aspect that is important during consultation is whether the patient is currently using hormone therapy. Patients who have been using hormone therapy will tend to have developed breast tissue and this can be associated with ptosis (or drooping) that would have to be taken in to account when planning the procedure. Many transgender patients are good candidates for trans-axilalry augmentation where the incision is made in the armpit because of the lack of ptosis of the breast tissue.

    Finally it is important for the patient to pay close attention to instructions from their surgeon to allow the implants to ‘drop’ in to a natural position on the chest. Because the pec muscle is generally larger in transgender patients the muscle has a tendency to hold the implant higher on the chest wall, with massage and compression the implant will fall in to a lower and more natural place on the breast.

    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit https://sexualaesthetics.com/

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    Everything changes with age and time.  Likewise the body changes, and unfortunately with age the body typically sags and parts that were previously firm or tight tend to droop and loosen.  But while these changes are inevitable, they may also be curable.  We talk a great deal about how a woman’s body changes after life’s many stresses:  aging, pregnancy, breast feeding, weight gain & weight loss, and sun damage.  But just as the tummy acquires stretch marks, and the breasts lose their youthful fullness, so change other parts of the anatomy.  I started sexualaesthetics.com website to specifically address some of these issues.  The idea of rejuvenating private parts is fairly new on the cosmetic landscape.  When we use the term vaginal rejuvenation, for example, what procedure are we referring to?  Specifically vaginal rejuvenation is defined as repair or tightening of the vaginal canal.  Before diving into the surgical details let’s discuss why the vaginal canal might need to be tightened or rejuvenated.  As I stated above, all things, all body parts sag, droop, and loosen with age and time.

    The stresses of pregnancy and childbirth combined with loss of elasticity in the tissues leads to an inevitable loosening of the vaginal canal.  While this loosening isn’t very visible externally, both men and women tend to notice these changes in the vaginal canal during sexual intercourse.  Many people find this a difficult & embarrassing subject to discuss but the only way to fix the issue is to understand the problem.  When a woman or her partner notices less stimulation and changes in the elasticity of the vaginal wall it is a great chance for both partners to communicate openly.  These changes aren’t her fault.  As I said above, they are simply the result of age, time, and stresses such as child birth or weight loss/weight gain.  These changes affect everyone but they can be improved and often completely fixed.  Vaginal rejuvenation is accomplished by removing redundant or loose tissue from the vaginal wall and then tightening both the surrounding muscles and the vaginal wall to form a tighter, more narrow canal.  Both partners in the relationship will enjoy improved sexual satisfaction after vaginal rejuvenation.  Recovery from this procedure is fairly painless and other than abstaining from sexual intercourse for 4-6 weeks, the patient may resume all normal activities & return to work a few days after surgery.

    For more information on procedures offered by Dr McCluskey and then Plastic Surgery Institute of Atlanta visit http://psiatlanta.com/

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