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Smartlipo tm (Laser Assisted Liposculpture)


43 yo physician from Westminster, Colorado who had previously had unsatisfactory liposuction of the abdomen and pubic mons. She has also been bothered by large labia her whole life and vaginal looseness since the delivery of her children. She underwent In-Office AWAKE Laser Assisted Liposculpture of the abdomen, pubic mons and medial thighs 4 weeks after undergoing Laser Vaginal Rejuvenation, Laser Reduction Labiaplasty of the labia minora, and Excision of Redundant Prepuce.
Labiaplasty


This 44 year hold professional woman from Centennial, Colorado was referred to Dr. Aguirre after an Internet search for a long history of aesthetic concerns regarding the appearance of her vulva. She is married and a mother of 2 teenage children. She has been bothered by the long and dark labia minora and sagging labia majora. Dr. Aguirre recommended Laser Reduction Labiaplasty. In the office under local anesthesia she had the following: 1) Laser reduction labiaplasty of the labia minora using the Ellman Surgitron radiofrequency device 2) Excision of redundant prepuce bilaterally 3) Excision of anal skin tags 4) Removal of three small condylomatous lesions perianally and of small raised nodule at anal verge.
Vaginal Rejuvenation


This patient from Firestone, Colorado identified Dr. Aguirre thru an Internet search. She has had 6 vaginal deliveries and has suffered from vaginal looseness for 10 years. For the past year she has experienced urinary incontinence, trouble defecating and heavy periods. Urodynamic studies identified urinary retention with no evidence of stress incontinence. She requested Laser Vaginal Rejuvenation and Uterine Preservation at the time of her pelvic reconstruction and Thermachoice endometrial ablation.
Vaginal Rejuvenation


This 31 year old woman from Thornton, Colorado was referred by an Internet search for key words "vaginal tightening surgery" and "vaginal looseness". She has been bothered by vaginal looseness and difficulties with orgasm since her second vaginal delivery. Dr. Aguirre confirmed that her decreased vaginal sensation was due to the presence of torn pelvic floor muscles despite her ability to perform an excellent kegel (pelvic floor contraction). Additionally, she didn't like the appearance of her vulva. Dr. Aguirre recommended Laser Vaginal Rejuvenation (LVR) in the form of Laser posterior colporrhaphy and perineorrhaphy to address her functional and cosmetic concerns.
Vaginal Rejuvenation


This 31 year old woman from Firestone, COlorado was a previous patient of Dr. Aguirre's seen in 1999 for stress urinari incontinence. She chose conservative treatment with Kegel exercises, physical therapy, and a vaginal pessary while she had two additional children. She returned with persistent stress incontinence and sexual dissatisfaction since her last vaginal delivery. Both her and her husband complained of vaginal looseness and requested LVR (Laser Vaginal Rejuvenation). She had a TVT sling and Laser posterior colporrhaphy and perineorrhaphy.
Labiaplasty


This 39 year old woman from Littleton, Colorado was referred by friends who have had pelvic reconstruction performed by Dr. Aguirre in the past. She was interested in an alternative to hysterectomy which had been recommended by her gynecologist. For several years she sufferred from urinary incontinence, heavy menstrual bleeding and a feeling of "falling out". Additional concerns were that of a marked decreased sensation with intercourse due to looseness. She has also been bothered by a lifelong history of large labia. Dr. Aguirre recommended pelvic reconstruction with uterine preservation to address her prolapse and incontinence as well as Aesthetic Vaginal and Vulvar surgery to address her vaginal looseness and labial hypertrophy and hyperpigmentation. She had the following: 1) Thermachoice endometrial ablation for her menorrhagia 2) TVT Secur sling for her stress incontinence 3) Posterior Prolift for her uterine/apical suspension, enterocele, and rectocele 4) Laser Anterior and Posterior Colporrhaphy with Perineorrhaphy for her vaginal looseness 5) Laser Reduction Labiaplasty of the labia minora 6) Excision of Redundant Prepuce (Clitoral Unhooding)
Labiaplasty


This 43 year old woman from Littleton, Colorado, was referred by her gynecologist for surgical management od urinary incontinence and prolapse. At her initial consultation we discussed her lifelong concerns regarding her large labia. She had been told by several doctors that this was "normal" and that she shouldn't worry about it. Dr Aguirre suggested Aesthetic Vaginal and Vulvar surgery at the time of her pelvic floor reconstruction. She was impressed by Dr. Aguirre's fellowship training in Urogynecology and Reconstructive Pelvic Surgery and advanced training and experience in Aesthetic Vaginal Surgery. She had a Posterior PROLIFT and TVT-SECUR sling to address her prolapse and incontinence followed by Laser Vaginal Rejuvenation and Laser Reduction Labiaplasty with Clitral Hood Reduction to address her vaginal looseness and aesthetic vulvar concerns. She is very happy with her new look and improved sexual function.
Labiaplasty


This 19 year old college student from Salt Lake City, Utah, found Dr. Aguirre from an internet search. She had been bothered by uncomfortable large labia since puberty. Since becoming sexually active she has been self-conscious about their appearance and emotionally distraught by negative and mean comments from her ex-boyfriends. Several months following Laser Reduction Labiaplasty and excision of redundant prepuce (Clitoral hood Reduction) she is confident about herself and dating.
Labiaplasty


This 47 year old woman from Aurora, Colorado found Dr. Aguirre from an internet search. She was interested in Laser Vaginal Rejuvenation (LVR) and Laser Reduction Labiaplasty. Dr. Aguirre performed LVR and Labia Reduction of the labia minora and labia majora. She is very pleased with the results.
Labiaplasty


This 38 year old woman from Cherry Hills Village, Colorado, consulted with Dr Aguirre 4 months following labia reduction by her gynecologist. She was unhappy with the assymetry of the labia and the their irregular contour.

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