Joseph Brooks, MD

Using hyaluronic acid vaginal suppositories may significantly improve your results after the Mona Lisa.  

Vulvar skin tags are easily removed in the office using local anesthesia and excising the tag with either scissors or using a CO2 laser.   Recovery depends on the size and location of the lesion but most patients have very little, if any, down time. 

Thanks for your interest in the O-Shot.  Typically two areas are injected with prp in the O-shot.  One area is near the urethra inside the vagina called the O-spot (or G-spot) and the other area is around the clitoris.  Usually about 6-7 cc of prp is used so I typically inject 4 cc in the vaginal location and 2-3 cc in the clitoral location.  

Chronic pain at the vulvar vestibule is often caused by hormonal, infectious or autoimmune disorders.  Identifying a cause of your vestibulodynia may help make the decision to pursue the MonaLisa Touch (MLT) treatment.  While there are no studies yet to determine the success of treating vestibulodynia with the MLT or Platelet Rich Plasma (PRP), there is evidence that the skin changes associated with vaginal atrophy (vaginal dryness, pain) are significantly improved with the MLT.  Improving the quality of the vestibular and vaginal tissue may greatly reduce vaginal irritation and it may also improve the symptoms of vestibulodynia however results are anectdotal.  There are no studies showing that PRP improves vestibulodynia however in my practice using PRP to treat stress urinary incontinence and orgasm issues has proven very successful.  Other treatment options for vestibulodynia include a vestibulectomy.  This surgery is very successful when performed by providers who specialize in these issues.

Feeling the sutures at one end of the labial incision is not uncommon.  The length of time for the suture to dissolve depends on the type of suture material used and the rate at which your body is able to dissolve the suture.  Most sutures dissolve within 6-8 weeks.  If you notice signs of infection notify your surgeon.