OFFICE VAGINOPLASTY & VIVEVE®
is the surgical tightening of the skin and muscles of the vaginal canal from the outside to the inside when they have become loose – a condition called vaginal laxity. It is the gold standard procedure for vaginal tightening. It provides the strongest and most durable results of all available treatments.
Surgical Vaginal Rejuvenation
is a term sometimes used interchangeably with vaginoplasty. Laser vaginal rejuvenation is a specific type of vaginoplasty and we offer this type too. Regardless of the technique, the results of a vaginoplasty are dependent upon a well-supported and intact pelvic floor.
Pelvic Floor Reconstruction
is surgery to repair a pelvic floor that is damaged from childbirth, the repair of this damage is integral to a successful vaginoplasty result. We include any necessary pelvic floor reconstruction whenever we perform a vaginoplasty. If this is not done, the vaginoplasty will not work properly.
Dr. Tajkarimi is an expert pelvic floor surgeon and specialist. He has received extensive training for office vaginoplasty from Dr. Marco Pelosi III, considered the world leader in cosmetic gynecology. Dr. Tajkarimi is a robotic pelvic floor surgeon as well. He brings together years of experience in urology, robotics, pelvic floor reconstruction to conduct the proper vaginoplasty procedure to ensure you the best possible results.
THE VAGINAL MUSCLES: THE OUTER MUSCLES
The outer layer, just beneath the skin, is called the perineum. This layer primarily provides support to the vagina.
The muscles of the perineum form a partial ring around the vaginal opening. The majority of this ring consists of the left and right bulbocavernosus muscles.
The center of this ring is a fusion point where the bulbocavernosus muscles connect with the transverse perineal muscles. This fusion point is called the perineal body.
The outer vaginal muscles are not the muscles involved in Kegel exercises and women are not usually able to tighten them at will. However, when they are intact and firm they generate a snug yet elastic sensation during intercourse.
THE VAGINAL MUSCLES: THE INNER MUSCLES
The inner layer of vaginal muscles responsible for vaginal tightening are called the levator ani muscles or simply the levator muscles.
The levator muscles form the floor of the pelvis and support the bladder, the vagina and the rectum during normal activity.
These muscles consist of one large sheet of muscle tissue that spans across the entire bony pelvis with an opening in the center called the levator hiatus or the genital hiatus.
This sheet of muscle is shaped like a bowl with the levator hiatus at its center.
The periphery of this bowl is attached to its surroundings by a tough layer of leather-like tissue called fascia.
The center is attached to the tailbone and the perineal body.
THE PUBORECTALIS MUSCLE
The central portion of the levator ani muscle group is called the puborectalis muscle (blue). This muscle loops around from front to back and forms a sling that tightens around the vagina, the bladder and the rectum.
When the puborectalis muscle contracts, the gap between the two sides constricts and the vagina tightens.
Vaginal childbirth can damage the puborectalis muscle by either damaging its nerve supply or by loosening its attachments. Once damaged, the muscle is unable to contract properly and the ability to tighten the vagina is lost or impaired.
The puborectalis muscle is the target of vaginal rejuvenation tightening procedures.
Pelvic floor reconstruction is integral to a successful vaginoplasty.
Pelvic and vaginal structural components are frequently broken, not merely loosened from childbirth. This can cause conditions known as cystocele, rectocele and enterocele. Pelvic floor reconstruction techniques restore essential support. Your clinical exam will determine whether your vaginplasty requires these techniques.
If you are seeking nonsurgical vaginal tightening, click here>
Let us help you regain your youthful anatomy and function in less than 45 minutes with VIVEVE® treatment in the office!
Urinary leakage is not a normal part of aging!
Urinary incontinence is a common problem for women of all ages and body types that can occur following vaginal births or after menopause when estrogen production levels drop off. Tissue regeneration of the muscular structure stops, and the collagen production cycle slows down. The bladder and the urinary tract become deficient, and that leads to urinary incontinence. The support structures that prevent leakage are lost.
The Viveve Treatment works via a small probe which emits cryogen-cooling to protect the tissue and radiofrequency waves to heat the tissue. This prompts the production of new collagen to reinvigorate the tissues.
Other benefits of the Viveve® treatment is more sensation, tighter vaginal wall, more lubrication and pleasure. Make an appointment with Dr. Taj to learn more and get your Viveve treatment now!
Please contact us at 703-687-3601. CareCredit financing available We offer late hour and Saturday hours. Call 703-687-3601 to reserve your spot.
Dr. Tajkarimi performs office perineoplasty under local anesthesia with little pain or discomfort in under 1 hour. Nitrous analgesia is also available.
The recovery phase is usually fast with many women able to return to `light` work within a few days after the procedure. Full recovery is expected within 4 weeks and resumption of intercourse can be within 5 -6 weeks.
What is Perineoplasty?
Normal vaginal delivery can result in widening of the vagina by stretching the tissues and separating
the adjacent muscles. The procedure is often requested by women who have given birth, especially if repeatedly, with the perineal tissues being subjected to tearing during the childbirth or purposely cut (= episiotomy) by a doctor in order to make room for the infant’s head to pass. Despite the healing, some more extensive perineal injuries can lead to a cosmetically disfigured genital area, a gaping opening of the vagina, with loose and slake vaginal tissue.
In many cases, women very narrow distance between their anus and vagina are prone to recurrent urinary tract infections due to frequent fecal contamination of their introtus. Perineoplasty can help lengthen the distance and reduce risk of fecal contamination and infections.
In addition, postpartum vaginal laxity can create a gaping perineum and reduce friction sensation,
diminishing sexual satisfaction.
The few studies that have been done show that vaginal tightening procedures, including vaginoplasty and perineoplasty, are
associated with improved sexual function with low complication rates.
A perineoplasty narrows the genital hiatus length removes redundant perineal skin and distal vaginal mucosa,
and tightens the introitus with approximation of the superficial transverse perineal and bulbocavernosus muscles.
This procedure is ideal for patients without complaints of vaginal laxity, but who are interested in improving the appearance and sexual function of a postpartum perineum.
OUT OF TOWN PATIENTS
Many patients at ALIA travel considerable distances for our expertise in this procedure. We are located 10 minutes from Dulles International Airport with direct flights to/from many cities worldwide. We facilitate this process by providing the option of same-day consultation/same-day surgery. This is arranged in advance and by request at the time that you contact our office. Pre-operative blood-work testing will need to be performed in advance through a local physician or lab near your home. Dr. Tajkarimi will review your situation to determine if this is an appropriate option. If you fly, or if your drive home is more than 2 hours, we recommend that you stay in the area overnight after your surgery so that Dr. Tajkarimi and his team can evaluate you for proper healing on the day after surgery; afterwards, you may travel home. There are many excellent and cost effective hotel options in Herndon, Dulles, and Reston Virginia.
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