Virginia Giugliano, MD

Thank you for your question about Botox and filler moving.  When filler is first injected, it is pliable and yes, it is common for the injector to massage to even the appearance.  I would not recommend sleeping on your stomach or for very long one side because the pressure can cause flattening.  Botox does not move once injected, but if you do wrinkle your forehead and raise your eyebrows after injecting it will work the Botox into the muscle more quickly and you may see a sooner effect.

I'm sorry you still have loose skin after your tummy tuck.  I would recommend noninvasive body contouring with BodFx.  The radio frequency treatment can both tighten excess skin and kill additional fat cells to improve the contour of belly.

Hello, I'm so sorry to hear you are suffering.  Yes, Votiva works very well in women who have tightening, dryness and pain after menopause.  In fact, it is the only device that is FDA cleared to treat female sexual dysfunction.  I like to combine it with PRP, platelet rich plasma, which is derived from your own blood and it enhances the collagen production and gives you faster results.  Both are comfortably performed in an offie setting and you can return to work the same day.  Best of luck to you in whatever treatment you choose.

Yes, sometimes hands are a giveaway to our age.  You can use fillers but also I like to use PRP, platelet rich plasma, which is another great option.  Your blood is drawn, the platelets are separated and re-injected to plump the hands and stimulate collagen.  So you have the immediate plumping action followed by  the collagen stimulation which takes a couple weeks.

Votiva is a non-invasive vaginal rejuvenation procedure which costs between $950-$2500 for 1 to 3 treatments.  Of course, cost will vary depending on where you live.  I recommend seeking an experienced physician for this treatment.

Kegel exercises are the most simple intervention for strengthening pelvic floor muscles.  If done correctly and consistently, you can improve muscle laxity.  However, many women have a hard time remembering to do them daily.  Votiva will certainly give you immediate results with the first treatment, and maximum results after your 3rd treatment.  Votiva will also improve other issues, like dryness.  Also, Votiva can be used externally on the labia.  Kegel exercises do not treat external symptoms.  Overall, you will likely have improvement of more vaginal and labial symptoms with Votiva compared to Kegel exercises alone.  

Votiva is a painless, non-invasive method of vaginal rejuvenation.  Many woman report significant improvement of symptoms after a single treatment.  The standard recommendation is a total of 3 treatments every 4 weeks to achieve the maximum affect.   Depending on age and severity, you may desire maintenance at the 6-12 month interval.  You can also combine Votiva with vaginal PRP to further enhance collagen production and improvement of your symptoms.  As with any procedure, an evaluation with a trained professional is advised to determine the best treatment for your individual concern.

This is a very important question.  You will be happy to learn that Votiva is painless.  The recommended course is a total of three treatments, however most women will report noticeable improvement of urinary incontinence and vaginal laxity after the first treatment.  I highly recommend this non-invasive method of vaginal rejuvenation.

Many women notice changes with sex, orgasm and their vagina after childbirth.  There are several options available to you, depending on the severity of your symptoms and your specific treatment goals.  Non-surgical vaginal rejuvenation can be performed in an office or spa setting, with minimal downtime.  The cost ranges in price from $1000-$2500 depending on the method.  Many women report improvement after a single treatment, but achieve the best response after a series of 3 treatments with FormaV.