Austin Labiaplasty & Vaginal Rejuvenation

A: Thank you for sharing. There would be no contraindications to you having a THermiVa treatment while you are on Accutane. Contraindications to treatment include implanted electronic devices, local skin infections at the site of treatment, active urinary tract infections, pregnancy, or recent surgery in the area of treatment. Hope this helps!

A: Thank you for sharing. What you treat with ThermiVa will depend on what results you are looking for. If you are only seeking internal changes, ie (moisture, tightening, etc) then you would only need the internal treatment. External treatment with the ThermiVa is typically recommend for patient who are noticing enlargement or sagging of the labia minora and/or majora. You as the customer decide which treatment options you would like to receive. Although you may notice some changes after one treatment, they are typically not optimal. We recommend a series of three treatments around 6 weeks apart. After that, you typically will need maitenance treatments once or twice a year. Hope this helps!

A: Thank you for sharing.  For revisions or further reduction of tissue in an area that was recently operated on I would typically recommend waiting at least 12 weeks. Even though the clitoral hood was not operated on, you can still have edema in the generalized area from the labiaplasty procedure itself. Allowing the previous incisions to heal fully allows for the surgeon assess and addressing the clitoral hood the best opportunity for a physical exam. This in turn will allow for a better recommendation from a surgical standpoint and likely a better outcome overall. 

A: Thank you for sharing. Based on your photo's it appears everything has healed well however there is still the presence of hypetrophic tissue at the level of the clitoral hood. Reduction of this area of tissue should reduce the bulge that is still present and help reduce the hood under the majora. There is a possibility that the majora may not completely hide the hood even after the reduction based on your anatomy. I recommend evaluation with a board certified surgeon who specializes in revisions of these areas to help you ultimately achieve the look you are going for.

In regards to the vaginal skin at the posterior opening of the vagina, there are a few options depending on the degree of severity. The issue you are having is what we call banding. This occurs due to the closure at the time of the procedure. If the banding is mild, simple treatments with dilators can help to stretch the tissue and therefore decrease the discomfort in the area. If the banding is more severe, you may end up needing a revision of the area to release the tightened tissue. A surgeon who specializes in these types of procedures is your best option for evaluation and treatment. I hope this helps and hope you're able to get some relief!

A: You do not have excessive skin at the clitoral hood or labia. The clitoris itself does droop and protrude a little. This is only a significant finding if it is bothersome to you. You would need an in person exam to assess the actual size of the clitoris itself. Sometimes there are hormonal changes to be addressed and hormone testing may be recommended. The treatment for a bulging or sagging clitoris is clitoropexy, surgically lifting the clitoris. You can read more about clitoropexy and see pictures at the provided link. Best of luck.