Pelosi Medical Center

Hymenoplasty Overview We can reconstruct your hymen to the size of a natural virgin hymen. It will look real and it will leave no sign that a surgery has been performed. The Procedure is Mild Hymenoplasty takes less than 30 minutes to perform. It is usually done under local anesthesia. You may drive yourself home. You may return to work on the same day.​ The Recovery is Painless Hymenoplasty recovery is painless. You will not require painkillers. You will not experience discomfort. You may travel on an airplane the same day. ​ Full Healing Takes 8 Weeks Hymenoplasty is done with ultra fine dissolving stitches. It takes 8 weeks for these stitches to dissolve completely. If you are planning to have this procedure in preparation for your wedding, be sure that your wedding date is more than eight weeks after your hymenoplasty. Otherwise, the stitches will still be present. ​ ​Laser and radiofrequency technologies are used, as needed, to maximize the quality of the tissue reconstruction. Most women who seek hymenoplasty undergo this procedure 2 – 6 months before their wedding date, but having the surgery more than six months beforehand does not affect the quality of the results and is an excellent option for women with a busy schedule. The intact hymen is a thin membrane composed of connective tissue with a central opening which is usually round. The thickness and elasticity of hymen vary and it may sometimes stretch without breaking or tearing at the time of first sexual penetration. After the hymen has broken and healed, the remnants appear as small skin tags known as hymenal remnants or the carunculae myrtiformes. Frequently Asked Questions About Hymenoplasty How soon before my wedding should I have the hymenoplasty done? What is the hymenoplasty recovery process like? How soon can I travel after a hymenoplasty? How long does a Hymenoplasty take to perform? The Broken Hymen This hymen was broken at 3 points indicated by the white lines. The breaks occurred when she had sex for the first time and they healed as small gaps along the edge of the hymenal opening. These breaks are repaired during a hymenoplasty. Another broken hymen similar to the first example also demonstrates 3 breaks that have healed to leave small gaps in the opening. In this example, there is a gap between the two white lines where there is no hymenal tissue remaining. This is more common in women who have been very sexually active. This too is repaired with hymenoplasty to create a virginal appearance. The Reconstructed Hymen This hymen has been reconstructed completely with hymenoplasty. The opening is now so small that it will only accept 2 Q-tips. When the scar heals there will be no trace of surgery. When she has sex after the healing is complete, the scar will break like just like a natural hymen. This reconstructed hymen also has an opening the size of 2 Q-tips and will also leave no trace of surgery once it heals in 6-8 weeks. This reconstructed hymen also shows a Q-tip sized opening. It also shows the position of the scar in relation to the labia minora. The hymen is slightly inside the vagina beyond the labia minora. VAGINA SURGERY PROCEDURES Laser Vagina Rejuvenation Laser Perineorphaphy Vaginoplasty Vaginal Rejuvenation Hymenoplasty Key Facts About Hymenoplasty Typical Duration: 20 minutes Work: 0-1 days Sex: 8 weeks Exercise: 8 weeks Final Results: 8 weeks

Breast Augmentation Surgery Overview Breast implants are performed to enlarge small breasts, underdeveloped breasts, or breasts that have decreased in size after childbearing. Drs. Pelosi will help you determine the most effective surgical approach following a thorough examination of your breasts. They will discuss with you the various alternatives of anesthesia available for your case, they will describe the surgical procedure, what results as expected, and the possible risks and complications. What Breast Augmentation Can Do: Breast Augmentation can: Increase fullness and enhance the projection of your breasts Improve breast shape and symmetry Breast augmentation cannot: Lift or improve severely sagging breasts (a breast lift may be required) QUICK LINKS » Ideal Candidates » Considerations » Recovery » Key Facts » Breast Augmentation with Fat Transfer » Frequently Asked Questions Who’s An Ideal Candidate For Breast Augmentation Surgery? You may be a candidate for breast augmentation if: You’re physically in good health. Have realistic expectations. You’re unhappy with the shape or size of your breasts. You’re breasts are asymmetrical. You’re unhappy with the shape or size of your breasts after pregnancy, weight loss or aging. Breast Augmentation Considerations? Breast augmentation is a highly-personalized surgery and there are many considerations including: Surgical approach Implant Size & Volume Site of the incision. Placement of implant: Above or below the muscle Implant Shape: Round or Teardrop Implant Surface: Smooth or Textured Implant Material: Silicone vs. Saline Implant Projection: Standard vs. High BREAST PROCEDURES Breast Augmentation with Implants Breast Augmentation with Fat Grafting Breast Reduction with Liposuction Site of Incision he incision site of your breast augmentation can be made: At the belly button Under the breast crease Boarder of the nipple/areola Through the axilla (armpit) We tend to favor the axilla because those scars will never keloid. And it gives a great cleavage because of the angle that the implant is being inserted. The recovery is also relatively faster than the other incisions. Above or Below the Muscle Another consideration patients have is the location of the implant (above vs. below the muscle). Placing the implant under the muscle, tends to give a more natural cleavage. Whereas, placing them above the muscle is usually a better option if the breasts are slightly sagging. Some sagging breasts need a breast lift, but the ones that don’t can be managed with breast augmentation with a larger implant. Sometimes it looks better if the implant is placed above the muscle so the loose breast tissue can be stretched out maximally. Recovery After Your Breast Augmentation Surgery On the day of surgery you will feel sleepy and may feel pain or be nauseated. Your chest may feel tight and uncomfortable. Your arms and back may also be sore. Pain medication will be prescribed to minimize your discomfort. After surgery your breasts will be very firm, high, and swollen. After about a month, the swelling will be gone and they will be lower, smaller, and softer. It may take several months for the implants to settle into a permanent position. Key Facts About Your Breast Augmentation Recovery Typical Duration: 1 hour Work: 2-3 days Exercise: 4-6 weeks Final Results: 2-3 months Breast Augmentation with Fat Transfer An alternative option to breast implants is breast augmentation with fat transfer. In the past breast augmentation using fat injections was frowned upon by breast surgeons because of the pressure of fat necrosis (a frequent benign breast tissue change resulting from the fat transfer) would interfere with breast cancer detection. But MRI technology changed that because the MRI can determine the difference between fat necrosis and cancerous tissue. The advantages of breast augmentation with fat transfer include: Less expensive Minimally invasive with less trauma to the breast No visible scars Can be done as an office procedure totally under local anesthesia Avoids tissue or foreign material (implants) rejection because the fat is an autologous graft Fewer postoperative complications Touch up procedures are easily performed Fat transfer does not make the performance on a future breast implant placement more difficult Frequently Asked Questions About Breast Augmentation What’s the difference between a standard vs. a high-profile projection breast implant? Which is better: Saline or Silicone breast implants? How can I determine which implant size is right for me?

The BBL is all about boosting the curves of your hips and your booty. We use an artistic blend of liposuction, liposculpture and fat injections to reshape the contours and flow of the buttocks and hips in beautiful harmony. Enhanced projection and volume enhancement yield dramatic and desirable curves. Fat injections are natural, feel natural and don’t move or bulge in unnatural ways. Dramatic transformations are common. The key to a great result with the Brazilian Butt Augmentation is the creation of a tight waistline around the buttocks so that the visual focus rests entirely on the downward and outward flow of curves from whatever clothing you choose to wear…or not. Who’s An Ideal Candidate For Brazilian Butt Lift Since the Brazilian Buttocks Augmentation is a fusion of two procedures – Lipo and Fat Injections – people seeking this procedure need to be good prospects for both of these procedures. This means that you need to be healthy, have sufficient body fat, abstain from anything that can thin your blood, abstain from smoking, and abstain from dieting for the first three months after surgery. Cigarette smoking will lead to poor results. Smokers typically lose almost all of their injected fat volume. This happens because the nicotine in cigarette smoke (and non-cigarette products as well) prevents the fat cells from getting enough oxygen to survive. If you choose to quit smoking, you should wait at least six weeks from your last cigarette before undergoing the Brazilian Buttocks Augmentation. If you live or work in an environment with cigarette smoke, you face the same problem that a smoker does. Dieting right after surgery will lead to poor results. Every fat cell in your body is connected to and receives nourishment from blood vessels. Newly injected fat cells are extremely fragile and spend the first twelve weeks after surgery establishing connections to the blood vessels of the gluteal region. If you diet during this sensitive process, you will starve these fat cells to death and they will be absorbed completely by your body. Brazilian Butt Lift Considerations Ideal locations for fat to be harvested Specialized liposuction techniques and equipment are used to harvest fat from your own body. The fat is purified and then carefully and precisely injected into the buttocks area to create the best possible shape and volume. If you can pinch two inches of extra fat along your waistline or love handles, or if you can pinch an inch all around, you probably have more than enough fat to create a nice, curvy bottom. Here are some of the areas that you might want to take extra fat from: The back (lower, upper, or both) The sides & waistline (“flanks”) The belly At tummy tuck The thighs The arms The best areas to take fat from for buttocks augmentation are the lower back, waistline & sides because they create a tighter waistline, a more defined upper buttocks contour (the V-Zone) & a better waist-to-hip ratio. Size of butt augmentation Like any other type of augmentation procedure elsewhere on the body, Buttocks Augmentation is limited by the amount of space that exists in the gluteal region and how well the area stretches to accommodate the extra volume. If “too much” fat is forced into the gluteal region, there won’t be enough blood supply to nourish all of the implanted fat and this will probably result in undernourishment of all of the newly transplanted fat cells and a large absorption and loss of the implant volume. A better idea for women seeking larger contours would be two medium-volume Brazilian Buttocks Augmentation sessions spaced at least three months apart. By that time the blood supply will have reestablished itself sufficiently to permit more fat cells to survive in the gluteal region. Lipo would need to be performed at each session. Frozen fat is not an option. Recovery After Your Brazilian Butt Lift Surgery Most Brazilian Buttocks Augmentation procedures involve Lipo of the back, waist and hip regions and the recovery feels similar to that of the Lipo procedure with mild discomfort at the buttocks. Many women say it feels similar to the soreness of a good workout. The majority of Brazilian Buttocks Augmentation at LVR-NJ utilize tumescent anesthesia – the same anesthesia used for SmartLipo and the recover is typically quick and mild. Most women are back to work in 2-3 days and typically take Tylenol or Motrin alone for any discomfort they experience. A special compression garment is worn for the first six weeks over the areas which were liposuctioned. Unique aspects of the recovery process include adopting a modified sitting position for the first six weeks after surgery and avoiding weight loss for the first twelve weeks after surgery.

Liposuction is body sculpture. We specialize in liposculpture which is the highest level of liposuction. We use it to reshape your bulges and trouble spots into more pleasing contours. It’s a great option for treating your arms, your legs, your tummy, your back and your chin. It has all of the advantages of invisible scars and a quick recovery. Liposuction is versatile. If you’re lean, it can be used to enhance and sculpt muscle definition for a more athletic look with high definition techniques also called Hi Def, 3D and 4D lipo. If some areas are too flat, it can be combined with fat injections. Liposuction improves the results of nips and tucks. If you have loose skin, it can be combined with tummy tucks, arm lifts and thigh lifts to deliver results that were only a dream a decade ago. Lipo can also be used to improve the results of nips and tucks that you might have had in the past. Who’s An Ideal Candidate For Liposuction? The ideal candidate for liposuction are men & women who are in relatively good health and have excess fat and skin that doesn’t go away regardless of diet and exercise. In addition, the skin should be relatively firm. If the skin is too loose, patients may require a tummy tuck to achieve their desired results. The most common area for liposuction at Pelosi Medical Center is the torso, followed by arms, legs, and chin. Different Types of Liposuction Microcannular Liposuction Also known as microliposuction, this technique utilizes very slender cannulas and tumescent anesthesia to achieve delicate and precise fat removal in smaller areas where fine contouring is desired. Recovery is extremely rapid. High Definition Liposuction High definition liposuction is the three dimensional sculpting of the abdominal muscles, the chest muscles, the lower back and gluteus to enhance their appearance. The procedure is designed as an advanced scultping technique rather than standard liposuction and requires an experienced surgeon. The procedure is indicated for males and females who have good muscle tone, exercise regularly, have good quality skin, and have been unable to achieve their desired muscle definition. The procedure is performed under local tumescent anesthesia; the high definition liposuction goal is to remove the superficial and deep fat that covers the target muscles. Drs. Pelosi perform high definition liposuction using SmartLipo Laserlipolysis and Vaser Liposelection systems for the initial liquefaction of the fat around the muscles to be enhanced. The sculpturing is completed using fine cannulas specially designed by Drs. Pelosi for high definition sculpturing. Power Assisted liposuction Often referred to as Power Lipo or Vibro Liposuction, this technology utilizes fine motorized suction cannulas to gently and accurately remove fat while giving you gentle vibrations similar to a massage. Power Lipo is an excellent choice for small area detail work and for sensitive areas. It can easily be combined with any other lipo technique. Smart Liposuction Laser lipo, or laser lipolysis, uses laser fibers inserted into the fat layers through very narrow tubes (cannulas) to deliver high-powered laser energy which helps to shrink stretched out skin and melt small fat deposits. Laser lipolysis is used in conjunction with tumescent liposuction in many areas of the body. Superwet Liposuction Superwet lipo is the current method for liposuction under general anesthesia and epidural anesthesia worldwide. It utilizes a wetting solution – a relative of the solution used for tumescent liposuction but in different concentrations and doses. The recovery is much more painful than that with tumescent liposuction. Tumescent Liposuction Tumescent Lipo is the most popular lipo technique worldwide because the results are better, the recovery is faster, and the surgery is safer than with any other method. The key to its success is the tumescent anesthesia – a carefully balanced, carefully measured anesthetic mixture. It is used in combination with many of the techniques on this page. VASER Lipo (Ultrasonic Lipo, UAL) A branded technology of high-frequency internal ultrasound equipment designed to emulsify (liquify) the targeted fat deposits immediately before they are treated with liposuction. Water Assisted Lipo (BodyJet, Tickle Lipo) Yet another variation of Tumescent Lipo. The BodyJet procedure seeks to replace conventional cannula action with a surgical “power wash” dislodgement of unwanted fat cells. We call it creative marketing. Patients call it more uncomfortable than Tumescent Lipo with similar results.

Labia majora augmentation is a very popular procedure. Labia majora augmentation treats deflated and wrinkled labia majora. Labia majora augmentation is done with fat injections. It is a relatively quick procedure with a very mild recovery and can be done by itself or along with any other cosmetic procedure that you desire. It leaves no scars and gives excellent results. It is sometimes called Labia Majoraplasty Augmentation. Labia Majora Augmentation Details Fat injections are a natural and minimally invasive option to restore fullness and smoothness all over the body. They have a long track record of safety and effectiveness all over the body. Aging, rapid weight loss, and low body fat causes the labia majora to flatten in many women. Since the flattening is a result of lost fat volume, it makes sense to correct the problem by adding fat to restore this volume. Purified fat is precisely layered beneath the skin of the labia majora with specialized fat grafting techniques. Tumescent local anesthesia is used for maximum control, safety and comfort. The procedure is painless. You do not need to have large fat deposits to qualify for this treatment. Nonetheless, augmentation of the labia majora can easily be combined with larger liposuction procedures and fat injections to other areas of your body. Who’s An Ideal Candidate For Labia Majoraplasty with Fat Injections? The ideal candidate are women who feel their labia looks deflated or deflated and slightly wrinkled. Similar to how fat injections in the face can help to restore natural looking volume, fat injections in the labia can have the same positive effect. The most common patients who can benefit from this procedure are women who are athletic or physically very fit. When you have very low body fat, you tend to see more wrinkles in the face because there is a lack of natural fat padding. Similarly, the labia can develop wrinkles as a result of low body fat, which is why fat injections in this region work very well. Labia Majora Augmentation Recovery If you are having labia majora fat injections, the recovery is focused on protecting the fragile transplanted fat cells as they establish themselves in their new location. This is a 12-week process during which forceful pressure and manipulation to the area should be minimized. You should not attempt to lose weight. You should also refrain from cigarette smoking. Labia Majora Augmentation Results Fat injections take 3 months to heal. Half of the injected fat will survive permanently on average. Repeat fat injection sessions can be done at 3 months or more to give extra volume if desired. 201.858.1800 Schedule Your Consultation First Name * Last Name * Email Address * Phone Number Comment or Question * Submit LABIAPLASTY PROCEDURES Labia Minoraplasty Labia Majora Augmentation Labia Minora Reduction Meet The Doctor DR. PELOSI III Key Facts About Your Labia Majora Augmentation Typical Duration: 1 hour Work: 2-3 days Sex: 6 weeks Exercise: 12 weeks Final Results: 3-6 months

Mons pubis lift, also known as monsplasty, is the procedure of choice for a loose or sagging mons pubis. It can be done by itself or in conjunction with liposuction. It can also be done as part of tummy tuck. It can also be done if you had a tummy tuck in the past and the mons pubis wasn’t fixed at that time. Looseness of the mons pubis is common after weight loss, childbirth or liposuction of large volumes of fat. Monsplasty is done through a cesarean sized scar placed low in the bikini line. Recovery is similar, but milder than a mini tummy tuck. Monsplasty will give a tight and smooth mons pubis appearance. In many women, it will also improve tightness in the labia majora as a fringe benefit. Who’s An Ideal Candidate For Mons Pubis Lift? The ideal candidate for a mons pubis lift is a women who is experiencing looseness in the mons pubis area. Sometimes this looseness can also extend to the labia majora. During your consultation, if you pull up on mons pubis, everything will tighten up and this is exactly what the mons pubis lift is designed to do. Key Facts About Your Mons Pubis Lift Typical Duration: 1.5 hours Work: 4-5 days Sex: 6 weeks Exercise: 12 weeks Final Results: 3-6 months

FemiLift is a quick, painless and super convenient 10-minute vaginal laser treatment that improves vaginal laxity, improves menopausal vaginal dryness, and reduces urinary leakage. No medications. No hormones. No downtime. Looseness of the vagina affects the sex lives of millions of women. For most women, Kegel exercises won’t do enough. Surgery works well, but it might be too inconvenient, too expensive or not the right solution if more kids are planned. FemiLift is the perfect solution. It requires no time off from a busy schedule, it’s much more affordable, and it can be repeated after childbirth. Furthermore, for women who want surgery later, it provides something far more effective than Kegel exercises so they can improve their sex lives now. FemiLift is also called Laser Vaginal Tightening. LVT, Laser Vaginal Resurfacing or Non-Surgical Vaginal Rejuvenation. Who’s An Ideal Candidate For FemiLift FemiLift for Women with Vaginal Dryness Every woman who enters the menopause will experience vaginal dryness. The hormone shift of the menopause makes the vaginal skin thin, inelastic and dry. The condition is called vaginal atrophy. For many women, sex becomes very painful and sometimes impossible. Until FemiLift, the only effective treatment available for vaginal atrophy was estrogen – a hormone with side effects that many women (such as breast cancer survivors) can’t take. FemiLift improves vaginal dryness almost immediately by stimulating the skin of the vaginal canal without the worries of hormone therapy. FemiLift for Women with Vaginal Looseness Looseness of the vagina affects the sex lives of millions of women. For most women, Kegel exercises won’t do enough. Surgery works well, but it might be too inconvenient, too expensive or not the right solution if more kids are planned. FemiLift is the perfect solution. It requires no time off from a busy schedule, it’s much more affordable, and it can be repeated after childbirth. Furthermore, for women who want surgery later, it provides something far more effective than Kegel exercises so they can improve their sex lives now. FemiLift for Women with Urinary Incontinence Urinary leakage is one of the most common side effects of vaginal childbirth and is a constant source of inconvenience and embarrassment for millions of otherwise healthy women. Some women cope with pads and diapers, others struggle with Kegel exercises, unpleasant medications or uncomfortable pessaries, and bladder injections. In the recent past, surgery was the only other option. Although generally safe and effective, the slings and meshes commonly used are not without their problems. FemiLIft offers these women an alternative free of side effects unmatched in convenience. Laser energy stimulates the skin of the vagina to produce new collagen. This activates a microscopic chain of events producing enhanced skin hydration, improved blood supply and the growth of new healthy skin. The net effect is improved tightness and youthful elasticity. This is how FemiLift produces it’s benefits. Innovative advances in laser technology allow the FemiLift to delivery this beneficial laser energy without discomfort and without the need for sedatives or anesthetic drugs. Recovery After Your FemiLift Procedure After the FemiLIft, you can resume your normal activities the same day and return to sexual activity in 3 days. For maximum effect, a series of 3 treatments scheduled 4 weeks apart is recommended. Frequently Asked Questions About FemiLift Can I have a FemiLift if my skin is too dark for facial laser treatments?
 Can I have a FemiLift if I had a hysterectomy? How do I prepare for my FemiLift session? What will I experience after my FemiLift session? What will I experience during my FemiLift session? How many FemiLift sessions are needed to see results? NON-SURGICAL PROCEDURES FemiLift Wrinkles & Lines Lip Augmentation Key Facts About FemiLift Pain Level: None Swelling: None Sexual Intercourse: patients can return to sexual activity in 3 days Work: patients can resume normal activities immediately Exercise: patients can resume normal activities immediately Final Results: For maximum results, we recommend a series of 3 treatments scheduled 4 weeks apart.

Fine Lines, Wrinkles, Liquid Facelift and More. The forehead, the mid-face and the lower face can be maintained and rejuvenated with a variety of nonsurgical & surgical treatments. Learn the terminology, explore the options and you’ll make better, more knowledgeable choices. Forehead Lines Horizontal lines of facial expression are common here. The frontalis muscle lines. Over time the skin gets thinner and the lines get deeper. Treatment involves muscle relaxing injections every 4 – 6 months. Glabella (Midbrow) Lines Vertical lines between the eyes (aka the “11”) and horizontal “bunny” lines at the bridge of the nose are caused by facial expression & deepen over time. Treatment with Botox or Dysport muscle relaxing injections lasts 4 – 6 months. Crows Feet Wrinkles & Infraorbital Lines Expression lines that radiate outward from the corner of the eye (lateral canthus) and lower eyelid deepen with age. Muscle relaxing injections every 4 – 6 months provide dramatic softening and a more youthful appearance. Nasolabial Folds Natural creases beside the nose that deepen with age or extreme weight change can be rendered less obvious with Juvederm, Restylane, Radiesse fillers or with fat injections from your own body. Marionnette Lines Vertical creases beside the mouth that appear with increasing age may appear independently or converge with the nasolabial folds. They too are treated with Juvederm, Restylane, Radiesse or fat injections. Smoker’s Lines Even nonsmokers may develop unsightly lines which radiate outward from the lips. Muscle relaxing injections are the first line of treatment. Laser peels are an option for deeper or persistent lines. Chin Lines A chin with a strong cleft may be desirable in men, but less so in women. Muscle relaxing injections can soften the cleft for a more feminine appearance. The same therapy can soften a dimpled chin.

Vaginoplasty is the surgical tightening of the skin and muscles of the vaginal canal from the outside to the inside when they have become loose – a condition called vaginal laxity. It is the gold standard procedure for vaginal tightening. It provides the strongest and most durable results of all available treatments. Vaginoplasty fixes both the perineum and the vaginal canal. Surgical Vaginal Rejuvenation is a term sometimes used interchangeably with vaginoplasty. ​Laser vaginal rejuvenation is a specific type of vaginoplasty and we offer this type too. Regardless of the technique, the results of a vaginoplasty are dependent upon a well-supported and intact pelvic floor. Pelvic Floor Reconstruction is surgery to repair a pelvic floor that is damaged from childbirth, the repair of this damage is integral to a successful vaginoplasty result. We include any necessary pelvic floor reconstruction whenever we perform a vaginoplasty. If this is not done, the vaginoplasty will not work properly. ​Drs. Pelosi have extensive training, education and experience in all elements of these procedures and include any necessary pelvic floor reconstruction when they conduct vaginoplasty procedures to ensure you the best possible results. They have been doing these procedures for over twenty years and teach them to other surgeons all over the world. Reconstruction of the perineum (perineoplasty) is a part of all our vaginoplasty procedures. Perineoplasty makes the perineum thicker and longer. The middle line (before) and the top line (after) show the change in the bottom of the vaginal opening. This dramatically improves vaginal grip during sex and directs the penis toward the G-spot. QUICK LINKS » Anatomy of Vaginal Muscles » Key Facts The Vaginal Muscles The Outer Vaginal Muscles The outer layer, just beneath the skin, is called the perineum. This layer primarily provides support to the vagina. The muscles of the perineum form a partial ring around the vaginal opening. The majority of this ring consists of the left and right bulbocavernosus muscles. The center of this ring is a fusion point where the bulbocavernosus muscles connect with the transverse perineal muscles. This fusion point is called the perineal body. The outer vaginal muscles are not the muscles involved in Kegel exercises and women are not usually able to tighten them at will. However, when they are intact and firm they generate a snug yet elastic sensation during intercourse. The Inner Vaginal Muscles The inner layer of vaginal muscles responsible for vaginal tightening are called the levator ani muscles or simply the levator muscles. The levator muscles form the floor of the pelvis and support the bladder, the vagina and the rectum during normal activity. These muscles consist of one large sheet of muscle tissue that spans across the entire bony pelvis with an opening in the center called the levator hiatus or the genital hiatus. This sheet of muscle is shaped like a bowl with the levator hiatus at its center. The periphery of this bowl is attached to its surroundings by a tough layer of leather-like tissue called fascia. The center is attached to the tailbone and the perineal body. The Puborectalis Muscle The central portion of the levator ani muscle group is called the puborectalis muscle (blue). This muscle loops around from front to back and forms a sling that tightens around the vagina, the bladder and the rectum. When the puborectalis muscle contracts, the gap between the two sides constricts and the vagina tightens. Vaginal childbirth can damage the puborectalis muscle by either damaging its nerve supply or by loosening its attachments. Once damaged, the muscle is unable to contract properly and the ability to tighten the vagina is lost or impaired. The puborectalis muscle is the target of vaginal rejuvenation tightening procedures. VAGINA SURGERY PROCEDURES Laser Vagina Rejuvenation Laser Perineorphaphy Vaginoplasty Vaginal Rejuvenation Hymenoplasty Meet The Doctor DR. PELOSI III Key Facts About Laser Vaginoplasty Typical Duration: 1.5 hours Work: 2-3 days Sex: 8 weeks Exercise: 8 weeks Final Results: 8 weeks