Frank Lista, MD

Hello, there are a few options one could explore for vaginal rejuvenation. If you're hoping to address "loose" skin, you may want to look into a labiaplasty which involves the excision of labial tissue and tightening of the labia. If you're looking strictly for tightening, there are surgical as well as non-surgical options available. Be advised that while non-surgical vaginal tightening can help with improving sensation during sex, it won't do much for appearance. I recommend consulting with a board-certified plastic surgeon to determine the most suitable treatment for you.

Hi, thank you for your question. Vaginal tightening involves creating small incisions to join loose vaginal muscles and shorten them, as well as tightening the vaginal opening through dissolvable sutures. This surgery is meant to improve sensation (and appearance) for patients who find that intercourse has been impacted by aging and/or childbirth. Ultimately, everyone will have a different experience post-surgery, and your best option is to consult with a board-certified plastic surgeon to address your particular concerns.

Hi, thank you for your question. It takes up to a year before you can see the final results of your surgery, and recovery looks different for everyone. Following a vaginal repair, you should refrain from any vaginal insertion for 6 weeks, including intercourse and tampons. You should also avoid heavy lifting and exerting yourself too greatly as this may negatively affect your healing. I would recommend voicing your concerns to your surgeon to determine if there are additional precautions you need to take.

Thank you for your question. There are a host of vaginal procedures available to tighten the area for improved sexual sensation. Non-surgical vaginal tightening is a minimally invasive operation that involves injection and/or radio-frequency to promote collagen production and increased elasticity. You can explore your options further during a consultation with a board-certified plastic surgeon.

Hi, thank you for your question. Vaginal tightening involves creating small incisions to join loose vaginal muscles and shorten them, as well as tightening the vaginal opening through dissolvable sutures. If you're hoping to address excess skin ("saggy"-ness), you may want to explore a labiaplasty which involves the excision of labial tissue. In terms of skin lightening, that is not a procedure I offer at my practice, but you're more than welcome to come in for a consultation to discuss your concerns further.

Hi there, I'm sorry to hear that you are unhappy with the results of your surgery. There are a couple interventions that can address loss of volume in the face as well as sagging skin around the jowls. Surgical options include a facelift and fat transfer. Non-surgical options include face filler and a thread lift. I recommend consulting with a board-certified plastic surgeon to see what they suggest.

Hi there, it takes up to a year for things to settle before you see the final results of your surgery, especially when it comes to facial procedures. That being said, you can follow up with your surgeon to clear your concerns about any lumps and bumps following surgery. It may be that some of the fat from the transfer has decided to deposit into the area, but a follow-up appointment with your doctor will provide you with a definitive answer.

Thank you for your question. In terms of addressing facial asymmetry, there are a couple options patients can explore. A facelift with fat transfer is something we offer at the clinic for candidates interested in surgical intervention. There are also non-surgical alternatives that can minimize the appearance of asymmetry such as facial filler and thread lifts. Ultimately, this is a conversation to be had during a consultation with a board-certified plastic surgeon.

Hi there, it would be best to consult with a board-certified plastic surgeon to determine if you're a candidate for a facial fat transfer. If you're interested in other options, there are non-surgical treatments you could explore, like filler to the face. These would allow you to fill in hollow spots, around the eyes for example, as well as increase volume in areas such as the cheeks and chin.

Hi there, post-operative swelling typically peaks within 2-3 days after surgery and gradually subsides over 1-2 weeks. Each surgeon will have their own care instructions, but at our clinic we ask patients to plan for at least 2 weeks of recovery after a facial procedure like a facelift with fat transfer, rhinoplasty, etc. Since you are in a client-facing role, 1-2 weeks off work should allow for most of the swelling to subside. Regarding singing, this won't damage the fat transfer, but remember that recovery means resting your body, and singing can be a strenuous exercise. I recommend booking a consultation with a board-certified plastic surgeon for personalized advice.