Dr. David Matlock is the undisputed leading surgeon for vaginoplasties and laser rejuvenations, having pioneered these procedures over a decade ago. While few women openly discuss vagina-related cosmetic issues, many women wonder about how they can enhance the aesthetic look of their vaginas and increase sexual gratification. In this interview, Dr. Matlock discusses a wide variety of vaginal cosmetic procedures that treat all common imperfections (see full description of procedure options at end of interview)…giving women hopes everywhere.
MMH: What is vaginoplasty and what problems and imperfections does it address?
Dr. Matlock: At the Laser Vaginal Rejuvenation Institute we perform two categories of procedures, laser vaginal rejuvenation (LVR) for the enhancement of sexual gratification and designer laser vaginoplasty (DLV) for the aesthetic enhancement of the vulva structures. LVR is primarily for women who have had children and as a result of childbirth they are experiencing vaginal relaxation. This vaginal relaxation results in decreased sexual gratification for the female. LVR enhances vaginal muscle tone, strength and control. It also decreases the internal and external vaginal diameters and builds up the perineal body (the area outsets the vagina and above the anus). DLV consist of numerous aesthetic procedures of the vulvar structures. The most requested is laser reduction labioplasty of the labia minora. The laser procedure sculptures down the labia minora. Women state that they don’t want the labia minora to project beyond the labia majora (large outer lips). We can perform most anything one desires of the vulvar structures (reduction of the labia majora, liposculpturing of the fatty mons pubis and labia majora, autologous fat transplant to the labia majora to enhance them, correct deformities, combination procedures (LVR plus DLV).
MMH: Please discuss the different types of vaginoplasty procedures and what problems and imperfections each treats (i.e. laser reduction labioplasty, augmentation labioplasty, reduction of prepuce).
Dr. Matlock: Women want the skin of the clitoris to hug it like a piece of paper is draped over a pencil; this can be done via reduction of the prepuce [excess skin along the sides of the clitoris]. The majority of women have this done with the laser reduction labioplasty of the labia minora., vulvar labioplasty, etc.).
MMH: Which of these procedures is the most common?
Dr. Matlock: The most common DLV procedure is laser reduction labioplasty of the labia minora.
MMH: Please describe how the procedure is performed as far as incisions, anesthesia, and other technical details. How long does a vaginoplasty take to perform?
Dr. Matlock: LVR is a one hour outpatient laser surgical procedure. One can have their choice of anesthesia from local to general anesthesia. Everyone gets a special block which results in an 18 to 24 hours pain free period after surgery. You can return to work in 7 days and get back to the gym in 2 to 3 weeks. Sex can be resumed in 6 weeks. The laser is used to perform all the cutting and dissecting. The muscles are tightened with sutures. I have treated patients from all 50 states and over 30 countries. Most patients say that they want to be like 16 or 18 years old again. With LVR we can accomplish this. In our DLV procedures the laser is used to perform all the cutting. The same above info also applies to DLV.
MMH: How is the future of vaginoplasty looking and are there any innovations on the horizon that can improve the aesthetic outcome of the procedure?
Dr. Matlock: I pioneered and developed LVR and DLV eleven years ago. To date I have treated Patients from all 50 states and over 30 countries. I have 140 surgeons (gynecologist, plastic surgeons, and urologist) trained in my trademarked techniques in over 21 countries. The future of this field is bright. I have just developed a new procedure called a lip/tuck where I lift the sagging vulvar structures. I am also just launching my G-Shot procedure (G-Spot Amplification). This procedure amplifies the G-Spot and enhances sexual gratification (wwwthegshot.com).
MMH: When did vaginoplasties start to become popular?
Dr. Matlock: The procedure became really popular 11 years ago.
MMH: Is there a specific age range for a woman seeking a vaginoplasty, or can a woman of any age have a vaginoplasty? Please specify if there are any ages of patients beyond which or before which one should not have a vaginoplasty?
Dr. Matlock: My patient population is 20s to 40s.
MMH: Are there any special considerations for women who intend to be pregnant as far as when a vaginoplasty is safe to have?
Dr. Matlock: With DLV there is no problem if one wants to become pregnant. With LVR the pregnancy can damage the LVR. These patients can have a C/S. This is rare and most patients for LVR have completed their family.
MMH: What types of doctors (i.e. gynecologists, urologists, or plastic surgeons) typically perform vaginoplasties?
Dr. Matlock: All the ones you mentioned are good choices.
MMH: Who do you think are the best qualified to perform vaginoplasties?
Dr. Matlock: LVR-gynecologist; DLV gyn and plastics.
MMH: What should a patient desiring a labioplasty look for in a physician?
Dr. Matlock: Training in the techniques and experience.
MMH: How long do the results of a vaginoplasty last? What can a patient expect 4-5 years and then 10 years after a vaginoplasty?
Dr. Matlock: For LVR as long as they don’t have children they should be fine. The cause of the problem in the first place was children.
MMH: How is the recovery like from the various types of vaginoplasties?
Dr. Matlock: The patients can return to work in one week. They can resume sex in 6 weeks. The main post operative symptoms are mild swelling and pain which is controlled by pain meds.
MMH: What symptoms can a patient expect to have (i.e. bruising, swelling, numbness) and for how long do they persist?
Dr. Matlock: The majority of the discomfort is gone in 7 days.
MMH: Can a patient walk, sit, or use the bathroom easily following a vaginoplasty?
Dr.Matlock: The patient will walk into surgery and after the recovery period in the recovery room she will walk out. These are outpatient procedures and the patients can ambulate immediately.
MMH: Can a patient experience permanent loss of sensation following a vaginoplasty?
Dr. Matlock: No.
MMH: What are the risks associated with a vaginoplasty?
Dr. Matlock: The risks are bleeding, infection (these are the main risk and they are less than 1%); hyposensation, hypersensation, scarring, uncomfortable sex. These are safe, bloodless outpatient procedures with very low risk and high satisfaction.
MMH: Are there any scars following a vaginoplasty?
Dr. Matlock: No.
MMH: Are there physical exercises, personal care products and routines for the vagina that can help reduce its aging process?
Dr. Matlock: Not really. It is a good idea to maintain a normal weight (ideal weight).
MMH: What level of improvement in sexual gratification can a woman expect from vaginal rejuvenation? Does the partner of the woman also benefit from this procedure?
Dr. Matlock: Our primary concern is to enhance sexual gratification for the woman but it also enhances sexual gratification for the male.
The following are the main Laser Vaginal Rejuvenation procedures performed by Dr. Matlock:
Laser Reduction Labioplasty can sculpture the elongated or unequal labial minora (small inner lips) according to ones specification. Most women tell us that they do not want the small inner lips to project beyond the large outer lips. Many women bring us Playboy and say that they want to look like this. With laser reduction labioplasty, we can accomplish the desires of the woman. Our labioplasty techniques can also reconstruct conditions that are due to the aging process, childbirth trauma, or injury.
Laser Reduction Labioplasty with Reduction of Excess Prepuce (excess skin along the sides of the clitoris) can provide the true playboy aesthetic look. Women tell us that they want the skin to drape neatly over the clitoris. The reduction of the excess prepuce provides the desired aesthetic enhancement of the clitoral skin. The majority of women having laser reduction labioplasty need the reduction of excess prepuce for a complete aesthetic result.
Laser Perineoplasty can rejuvenate the relaxed or aging perineum. It can also enhance the sagging labia majora (large outer lips) and labia minora. Overall, the procedure can provide a youthful and aesthetically appealing vulva.
Augmentation Labioplasty can provide aesthetically enhanced and youthful labia majora by autologous fat transplant (removal of the patient’s fat via liposculpturing and transplanting it into the labia majora).
Vulvar Lipoplasty can remove unwanted fat of the mons pubis and upper parts of the labia majora. Liposculpturing can alleviate the unsightly fatty bulges of this area and produce an aesthetically pleasing contour.
Combination of DLV® with LVR LVR® and DLV® can be performed in combination. They can also be performed with most cosmetic surgical procedures; the most popular of these are liposculpturing, breast implants, breast reduction, tummy tuck, nose surgery, and eyelid surgery.
Hymenoplasty (reconstruction of the hymen) can repair the hymen as if nothing ever occurred. The Laser Vaginal Rejuvenation Institute® is sensitive to the needs of women from all cultures that embrace these particular issues because of cultural, social, or religious reasons.
Board Certified by the American Board of Obstetrics and Gynecology, Dr. Matlock is the founder of the Laser Vaginal Rejuvenation Institute in Los Angeles and is the Medical Director of the Laser Vaginal Rejuvenation Institute®, Inc., a training center for physicians. Author of the new book, SEX BY DESIGN, Dr. Matlock is the pioneer in this unique field of Boutique Cosmetic Gynecologic Laser Surgery. Dr. Matlock is the world renowned developer of Laser Vaginal Rejuvenation® (LVR®) and Designer Laser Vaginoplasty® (DLV®). LVR® is for the enhancement of sexual gratification and DLV® is for the aesthetic enhancement of the vulvar structures. Dr. Matlock is a featured cast member on E!’s smash hit “Dr. 90210.”
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