Cascade Medical Aesthetics
Laser Vaginal Rejuvenation and Designer Laser Vaginoplasty

Dr. Hamilton is the ONLY physician in the Northwest to have been trained
in the special techniques of
Laser Vaginal Rejuvenation and Laser
Reduction Labioplasty
.  Other cosmetic and plastic surgeons may offer
vaginal rejuvenation, labioplasty and hymenoplasty procedures, but only
Dr. Hamilton has the special gynecologic expertise and experience
necessary to use the laser to get optimal results.  

What conditions can be treated with Laser Vaginal Rejuvenation
?
LVR can effectively treat conditions due to weakened vaginal walls, also known as vaginal
relaxation.  These conditions may include involuntary loss of urine, looseness with sex, and a
feeling of pressure.  It's common to have weakened vaginal walls due to aging and childbirth.

What procedures are included in the category of "Designer Laser
Vaginoplasty"?  What problems do they address?
This group of procedures includes:
Laser Hymenoplasty: repair and reconstruction of the hymen for those who wish to return to
a "virginal" state.
Laser Perineoplasty: repair of the "perineum"; the area between the vaginal opening and
rectum.  This area is often damaged during a vaginal delivery due to tearing or episiotomy.  
This damage can also contribute to vaginal looseness and difficulty having a bowel movement.
Laser Labioplasty (also known as Labiaplasty): Reconstruction of the labia minora (inner folds
or lips) and labia majora (outer folds or lips).  The labia minora can be quite large in some
women and cause irritation with activities such as bicycling.  The large labia can interfere
with a women's ability to wear a swimsuit or other revealing garments as well as causing
discomfort and embarrassment during sex.  The labia majora sometimes become loose and
saggy with age and can be corrected to create a more youthful appearance.

What are the advantages of using the laser?
The use of the laser gives us the ability to precisely and artistically sculpt the areas being
operated on, as well as causing less bleeding and allowing for a faster surgery and recovery
time.  Traditional techniques often require several additional steps and multiple instruments
to accomplish what can be done quickly and often times more safely with the laser.  Having
less bleeding translates to less risk of infection and fewer post-operative complications, as
well as ensuring a better cosmetic outcome.
 

Can some or all of these procedures be done at the same time?
Yes, any or all of these procedures can be done together with Laser Vaginal Rejuvenation or
by themselves.  It is not uncommon to combine LVR with a perineoplasty to corrected the
vaginal laxity and perineal damage sustained during childbirth.

What is the recovery time after having these procedures done?
These procedures are all done in an outpatient (same-day) surgery center; patients go home
the same day and follow up in 4-5 days, 2 weeks and 6 weeks, when recovery should be
complete.  Patients usually return to work after several days and compare the post-operative
pain as similar to that after having a baby and repair of a tear or episiotomy.  Sexual
intercourse and oral sex can be resumed after 6 weeks.

What type of Anesthesia is available?
Patients have a choice between local, local with IV, twilight, and general anesthesia.  
Anesthesia is administered by board certified and highly credentialed anesthesiologists.

How much do these procedures cost?
Fees are similar to other cosmetic surgery procedures such as breast implants and face lifts.  
Our fees are all-inclusive of the pre-op visit, surgeon, surgical assistant, and all post op care;
they also include our special, personalized post-operative comfort package.  The initial
consult is complimentary.  A fee range can be provided once the doctor knows your particular
needs.
Bio-Identical Hormones

What are Bio-Identical Hormones?
These are hormones that are identical to
those produced by the human body.  Research
shows fewer side-effects and a more natural
response when bio-identical hormones are
used for replacement therapy.  There is no
increased risk of cancer over any other form
of hormone therapy.

What are these hormones used for?
These hormones can be used to treat  many
different conditions.  Women can be helped
by using these hormones to treat the
symptoms of menopause and preserve bone
density.  Men and women can experience an
increase in libido as well as reduced risk of
heart disease, improvement of diabetes,
depression and migraine or cluster headaches.
 These hormones have been shown to
increase energy, reduce "brain fog", and make
it easier to focus.

What is the difference in the types
of hormones  used for women vs.
men?
Women use a combination of estrogen,
progesterone, and testosterone to meet their
hormone needs, especially after menopause or
a total hysterectomy (when the ovaries have
been removed with the uterus).   Men use
testosterone as they lose their ability to
produce their own testosterone over time.

Why use pellets?  What is involved in
getting the pellets?
Pellets are a long acting form of hormones
that are released slowly over time.  They are
placed under the skin in a simple office
procedure using local anesthetic and a small
skin incision.  People find that the effects of
the pellets last between 4-6 months,
depending on their individual situation.  
Pellets provide the benefit of mimicking the
body's own production of hormones, without
the fluctuations seen with pills, patches, or
creams.
1515 116th Ave. NE
Suite 105
Bellevue, WA 98004
Phone 425.455.8088
Fax 425.455.0708
Frequently Asked Questions