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Frequently Asked Questions about Vaginal Rejuvenation

Click on the Questions below for answers to our most commonly asked questions about Vaginal Rejuvenation.

Q: What is vaginal rejuvenation?

A: Vaginal rejuvenation, or vaginoplasty, is a 1 to 3 hour out-patient procedure which narrows or tightens the vaginal opening and vaginal canal to a patient’s specifications. Millions of women experience vaginal relaxation due to childbirth or aging. This results in decreased friction or stimulation during intercourse leading to decreased sexual gratification. Vaginal rejuvenation addresses this common complaint by decreasing the internal and external vaginal diameter while enhancing vaginal muscle tone, strength and control.

Q: What are typical symptoms of women who choose vaginal rejuvenation?

A: Women who pursue vaginal rejuvenation to address their vaginal relaxation may complain of:

  • Decreased sensation and stimulation during intercourse
  • A loose vagina with minimal muscle tone
  • A gaping vaginal opening unpleasing in appearance
  • Their partner slipping out during intercourse
  • Tampons falling out
  • Their vagina producing embarrassing “gas-like” sounds during intercourse or a “popping” noise while walking
  • Tissue protruding from their vagina
  • Problems passing bowel movements
  • Scar tissue surrounding the vagina

Q: How long does vaginal rejuvenation take?

A: Individual procedures typically take between 1 and 3 hours. If vaginal rejuvenation is combined with other procedures the surgery could be longer.

Q: Where is the surgery performed?

A: Most surgeries are performed in our private in-office surgical suite. It is registered with the state of Florida and is fully accredited by the Accreditation Association of Ambulatory Health Care (AAAHC), the gold standard in patient safety. Our caring surgical staff specializes in modern cosmetic-plastic gynecology emphasizing patient safety and comfort. Most of our patients tell us this is preferable to a hospital setting or a large surgery center as patient privacy is more fully protected and a patient is never exposed to hospital based germ cross-contamination. The surgical suite is also superior to in-office procedures because we can use more appropriate anesthesia to achieve the best cosmetic results for our patients. Your surgery day will be scheduled for you and you alone, our surgical team and surgical suite will be completely committed to your needs and safety. Dr. Serrão and his surgical team have hundreds of hours of experience in this state-of-the-art facility.

Q: How much does vaginal rejuvenation cost?

A: Fees range from $6000 to $9000 including the surgeon’s fee, anesthesia fee, facility fee, all pre and post-operative appointments, post care kit and blood work. A quote based on your specific medical history, physical exam, desired requests and goals will be provided upon the conclusion of your initial consultation.

Q: What about financing?

A: Serrão Rejuvenation Center has made arrangements with several companies that offer financing plans to meet your individual needs. We also provide in-office financing plans as well. Our financial coordinator will be happy to assist you with any financial arrangements at your initial consultation.

Q: Is there a fee for the initial consultation with the surgeon?

A: Yes. The initial consultation lasts approximately 90 minutes to 2 hours and costs $200. This fee will be applied to your surgery when you decide to schedule your vaginal rejuvenation. The consultation will be with Dr. Serrão, focusing on an individualized plan of care to address each patient’s desires. Surgical procedures are discussed in detail, before and after photos are reviewed, and all post-surgical protocols are explained. You will meet with our experienced surgical team and tour our facility. Photographs may be taken and utilized during your evaluation and surgical planning to help you understand your needs and expected outcome.

Q: Is vaginal rejuvenation covered by insurance?

A: No, it is not covered by insurance. Vaginal rejuvenation is considered an elective cosmetic-plastic procedure done by patient request, such as breast augmentation, liposuction, face lift, or abdominoplasty.

Q: Should I have my vaginal rejuvenation performed by an OB/GYN or by a plastic surgeon?

A: The answer is neither. Plastic surgeons generally have no training in residency with any vaginal surgery. They tend to focus the majority of their practice and time on the most common elective procedures, including breast augmentation, face lifts, and rhinoplasties (nose jobs). Obstetricians and gynecologists are trained in residency to perform vaginal surgery. However, they have minimal, if any training or experience performing state-of-the-art vaginal rejuvenation, a modern cosmetic-plastic gynecologic surgical procedure to achieve the desired results of the woman.

Vaginal rejuvenation surgery is ideally performed by a gynecologist who specializes in the field of modern cosmetic-plastic gynecologic surgery. Ideally, patients should seek out a specialist who has performed hundreds of vaginal rejuvenation procedures and is intimately familiar with the varied anatomy, patient preferences and latest surgical management to provide optimal results both aesthetically and functionally.

To choose a qualified cosmetic-plastic gynecologic surgeon:

  • Verify credentials and specialized training
  • Review before and after photos
  • Consider the number of vaginal rejuvenation procedures performed
  • Request patient testimonials

Q: How many vaginal rejuvenation surgeries has Dr. Serrão performed?

A: Dr. Serrão has performed hundreds of vaginal rejuvenation procedures since he became the first modern cosmetic-plastic gynecologic vaginal surgery specialist in Orlando in 2008.

Q: Why should I choose Dr. Serrão as my surgeon over other surgeons?

A: As a specialist in modern cosmetic-plastic gynecologic surgery, Dr. Serrão has years of experience performing vaginal rejuvenation. He has studied and trained with Professor Adam Ostrzenski, M.D., Ph.D., Dr. Hab., Dr. David Matlock, and Dr. Marco Pelosi, all of whom are recognized pioneers and experts in the field of cosmetic-plastic gynecologic surgery. Dr. Serrão considers Professor Ostrzenski to be his current mentor and is proud to be a member of his distinguished educational team. He has been honored with invitations to lecture to other surgeons from around the world on cosmetic-plastic gynecology.

On another important note, patients are typically thrilled with their aesthetic and functional results, and all patient survey results are available for review during the initial consultation. Our results will attest to Dr. Serrão’s vast knowledge of female anatomy and his extensive surgical skill. Moreover, as an experienced gynecologist, Dr. Serrão, fully comprehends the sensitive nature of the subject and is able to communicate with empathy and understanding. Many patients say they feel more comfortable, respected, and protected being surrounded by a health care team who truly cares for them before, during, and after your vaginal surgery. Finally, the on-site AAAHC accredited surgical suite available to Dr. Serrão’s patients is the perfect setting to undergo vaginal rejuvenation. The suite is reserved for modern cosmetic-plastic gynecologic surgeries ONLY providing an exclusive, comfortable, patient-focused experience throughout your stay with us. Dr. Serrão and his surgical team will take very good care of you.

Q: Does Dr. Serrão perform Laser Vaginal Rejuvenation (LVR)?

A: Dr. Serrão performs a modified version of laser vaginal rejuvenation when the patient requests it. He is proficient with many surgical instruments including the laser, radiofrequency device, CO2 ablative laser, electric knife, plastic surgery scissors and the scalpel. The instrument or instruments best suited for your particular surgery will be discussed with you during your initial consultation.

Q: What are the surgical risks of vaginal rejuvenation?

A: Risks of surgery are extremely rare and seen in less than 1% of cases. Complications may include infection, bleeding, bowel injury, scarring or nerve injury. To put this into perspective, the risks involved with pregnancy and delivery far exceed any risks of vaginal rejuvenation performed by a surgeon with expertise in the field of cosmetic vaginal surgery. Dr. Serrão will discuss all of the risks of vaginal rejuvenation with you during your consultation and again at your pre-operative visit.

Q: What types of anesthesia are available?

A: Vaginal rejuvenation is performed using local anesthesia and moderate sedation that is provided by a licensed certified registered nurse anesthetist. This type of anesthesia allows you to sleep gently while remaining conscious and able to breathe on your own, thus reducing the risk associated with general anesthesia. You will be safely monitored throughout the entire procedure and will feel no discomfort during your vaginal rejuvenation. You will remain in our recovery room until you meet our discharge criteria and will then be discharged to home with your care- giver or to our over-night facility with our private duty nurse. Our patients do very well with this type of anesthesia.

If you prefer to have general anesthesia you may have your surgery performed at the hospital where Dr. Serrão is an active staff member. All of your options will be discussed with you during your initial consultation.

Q: What is recovery like after vaginal rejuvenation?

A: Most patients are cautiously up and about the evening of their surgery day as the anesthesia wears off. During the first 48 hours after surgery, patients should place ice packs or frozen peas on their incisions to minimize swelling and bruising. Routine tasks are allowed as long as there is no irritation or pressure at the incision sites and heavy lifting must be avoided. Minimal activities are encouraged during the first week after surgery whenever possible. Loose clothing and cotton underwear “granny panties” are mandatory during the 6-week recovery period.

By 72 hours you may resume regular activities, making sure there is minimal friction to the incisions. Patients may drive after 2 days as long as they are not taking narcotics. Patients may return to work within 5 days as long as rigorous physical activity is avoided, although 7 to 10 days off is ideal. During the 6-week recovery, patients are on pelvic rest meaning no tampons, douching or sexual relations of any kind. Please be aware that bath tubs, hot tubs, swimming (pools, lakes, or ocean), exercise, cycling, dancing, skiing, horseback riding, jet skis, motorcycles, etc. should be avoided during the recovery period. You will be allowed to do walking exercise after your 2-week follow-up visit.

A complete list of post-operative instructions will be given to you in your surgery packet at your pre-operative appointment.

Q: Could I be a candidate for vaginal rejuvenation even if I've never experienced a vaginal delivery?

A: Absolutely. While childbirth is the most common cause of vaginal relaxation, it may also be the result of:

  • Aging
  • Genetics
  • Dramatic weight changes
  • Chronic straining with constipation
  • Chronic cough
  • Activities such as weight lifting
  • Heavy lifting at work or at home

The only way to find out if you are a candidate for vaginal rejuvenation is to consult with a specialist for an evaluation and to discuss your options. Women should complete their childbearing before having the procedure.

Q: When can I return to work after vaginal rejuvenation?

A: In general, returning to work is dependent on the type of work you do. Most patients can return within 4-7 days.

Q: How much pain should I expect after surgery?

A: Nerve blocks and local anesthetics will numb the incision for the initial 18-24 hours following surgery allowing a smooth transition into recovery at home. Post-operative pain is well controlled with oral pain medications such as oxycodone, ibuprofen, and ice packs. On average, most patients wean themselves off of prescription pain medication between 4 and 6 days after surgery.

Q: How soon may I have sex after surgery?

A: We ask that you abstain from sexual intercourse and masturbation for 6 weeks to ensure the best cosmetic and functional results.

Q: Will vaginal rejuvenation improve my sex life?

A: The purpose of vaginal rejuvenation is to tighten or narrow the vagina for increased friction resulting in greater stimulation during intercourse. A patient’s sex life can also be enhanced by her increased self-confidence and the resulting increased libido. Two scientific studies have recently been published to address this issue. These studies concluded that 83% to 90% of vaginal rejuvenation patients experience successful results with an improved sex life following surgery. Although no surgery carries a 100% success rate, Dr. Serrão strives to provide every patient with an exceptional post-operative experience.

Q: How long will it take for me to achieve my final results?

A: Final optimal results are typically appreciated 4-6 months after surgery. By the 6-week follow-up appointment, the sutures should have dissolved and patients are usually cleared to resume regular activities.

Q: How long will results last after vaginal rejuvenation?

A: The results of vaginal rejuvenation typically last for a lifetime, unless a new vaginal delivery reverses its affects. As we age, all parts of the body relax slightly but the vaginal area should never return to the degree of relaxation experienced prior to surgery. The aging process involves muscle, tissue, and skin throughout the entire body. Patients experience these aging affects following any elective surgery: the face following a face lift, the waist following a tummy tuck, or the thighs following liposuction.

Q: Can vaginal rejuvenation be combined with other cosmetic surgical procedures?

A: Yes. Many times patients choose to combine vaginal rejuvenation with labiaplasty for a full feminine make over. In addition, Dr. Serrão specializes in cosmetic surgery of the female patient, combining elective procedures such as breast augmentation, liposuction, or tummy tucks. With this option your surgery may be performed in a single surgical session or as two surgical sessions depending on the extent of the procedures to be performed. This will be discussed with you at your initial consultation and will be scheduled accordingly.

Q: I am from out of town. How long before I can travel back home after my surgery?

A: Many of our patients travel nationally and internationally to experience vaginal rejuvenation with Dr. Serrão and to enjoy all that Orlando has to offer. Most prefer a long distance initial consultation, which may be scheduled by calling our office or using the contact page on this website. If a patient wishes to pursue surgery, she arrives the day before surgery and must remain in the Orlando area for 3 to 5 days after surgery.

All patients have a follow-up visit 24 hours after surgery and again before their departure. Remaining follow-up visits can be done through scheduled telephone calls and photographs to our confidential photo e-mail site. Our concierge service is accustomed to facilitating hotel reservations, transportation, private in-room nursing care, and fine dining restaurant delivery services. We are fortunate to have accommodations through Comfort Suites and Florida Hospital for over-night stays that are located one block from our in-office surgical center. Our private duty nurse, Kathy Onofre, LPN, will pick you up from our surgical suite, care for and pamper you overnight, and bring you back to the office in the morning for your post-operative visit. Kathy has worked with Dr. Serrão for more than 5 years and is very knowledgeable in the post-operative care of cosmetic-plastic gynecologic surgery patients. We will be glad to assist you with the arrangements for private-duty nursing at your request.

Q: May I personally speak with other patients who have had vaginal rejuvenation performed by Dr. Serrão?

A: Yes. Many of our previous patients have offered to speak with other women who are considering vaginal rejuvenation. Just ask, we will make the arrangements.
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E. John Serrão, MD, FACOG, FAACS, FAAAAM