Awake Vaginal Rejuvenation
in Long Island, NY

Awake vaginal rejuvenation offers a safe and effective solution for women experiencing changes in vaginal tone, tightness, or comfort due to aging, childbirth, or hormonal shifts. Many patients seek this procedure to address decreased sensation, mild urinary leakage, or a feeling of looseness that can affect intimacy and confidence. Performed without general anesthesia, this minimally invasive treatment allows women to regain function and comfort while returning quickly to daily activities.

With a focus on personalized care, awake vaginal rejuvenation at Age Focus in Long Island provides a discreet and empowering option for women looking to restore both physical and emotional well-being.
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What Is Vaginal Rejuvenation?

Vaginal rejuvenation is a surgical procedure designed to restore the tone, structure, and appearance of the vaginal area. It can address issues such as vaginal laxity, reduced pelvic muscle strength, and discomfort during daily activities or sexual intercourse. By carefully tightening tissues, removing excess tissue, or reshaping the vaginal walls, this procedure improves both function and aesthetics, providing long-lasting results tailored to each patient’s needs.
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Consultation & Preparation for Vaginal Rejuvenation

Before undergoing awake vaginal rejuvenation, patients have a thorough consultation to discuss their concerns, medical history, and desired outcomes. During this visit, Dr. Gargiulo evaluates the anatomy and overall health to determine the most appropriate approach. Based on this assessment, a personalized treatment plan is created to ensure the procedure addresses each patient’s specific needs and goals.

Preparation may include reviewing pre-procedure instructions, understanding the steps involved, and discussing recovery expectations, allowing patients to feel informed and confident about the process.

Awake Vaginal Rejuvenation Procedure

Awake vaginal rejuvenation is performed under local anesthesia, which numbs the treatment area while allowing the patient to remain fully conscious. This approach eliminates the need for general anesthesia, reducing risks and allowing for a quicker, more comfortable experience. Local anesthesia ensures that the procedure can be performed precisely while maintaining patient comfort throughout.
The procedure begins with carefully planned incisions to access areas requiring adjustment. Dr. Gargiulo removes excess labial tissue or repositions vaginal tissues to restore tone and improve overall appearance. Precision is key in this step to achieve both functional and aesthetic results while minimizing visible scarring.
After excess labial tissue is addressed, specialized techniques are used to tighten and contour the vaginal walls. This may involve suturing or gently reshaping internal tissues to enhance support and elasticity. The goal is to improve sensation, reduce looseness, and restore a more youthful appearance.
Once the tissue has been reshaped, the surgical area is carefully checked for bleeding and secured with sutures. Attention to hemostasis ensures minimal blood loss and supports proper healing. The closure is performed to maintain natural contours and minimize scarring while ensuring the procedure is completed efficiently.
At the conclusion of awake vaginal rejuvenation, Dr. Gargiulo evaluates the results to ensure symmetry, comfort, and overall effectiveness. Adjustments can be made if necessary before the patient leaves, providing confidence that the procedure has achieved its intended goals.
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Add-On Procedures

Labiaplasty surgery can be performed as an add-on procedure to vaginal rejuvenation to address concerns with the inner labia. This procedure reduces an enlarged labia minora that may cause physical discomfort or interfere with daily activities. By carefully reshaping the tissue while preserving the natural labial edge, labiaplasty enhances both comfort and appearance, complementing the benefits of vaginal rejuvenation for a more complete outcome.

Clitoral hood reduction is a procedure that removes excess tissue covering the clitoris to improve both appearance and sensitivity. By carefully reshaping the area, this add-on procedure can enhance comfort, reduce irritation, and provide a more balanced and aesthetically pleasing result when performed alongside vaginal rejuvenation.
Labia majora surgery focuses on the outer labia and surrounding vaginal tissue to address sagging, excess volume, or asymmetry. This procedure can involve the removal of excess skin or fat and may include contouring techniques to restore a smoother, firmer appearance. By targeting both the inner vaginal tissue and outer labia, the surgery complements other vaginal rejuvenation treatments for a comprehensive outcome.

Recovery After Awake Vaginal Rejuvenation Surgery

After awake vaginal rejuvenation, patients may experience mild swelling, tenderness, or bruising. This is an outpatient procedure, so no overnight stay is required, and most individuals can return home on the same day. Pain medication is often recommended to manage discomfort during this initial period and support rest and relaxation.
During the first week, swelling and tenderness gradually decrease, and light activities can typically be resumed. Patients are advised to avoid strenuous exercise or activities that put pressure on the treated area. Pain medication may still be used as needed to maintain comfort while the tissues begin to heal.
By the second to fourth week, most swelling and bruising should significantly improve. Patients can gradually return to normal routines, including non-strenuous physical activity. Continued monitoring for any signs of irritation or discomfort helps ensure proper healing.
After the first month, patients typically notice an improvement in tone, function, and comfort. Full recovery enables the resumption of all daily activities and intimate relationships. Follow-up visits ensure that results are satisfactory and that healing continues smoothly, completing the recovery process from this outpatient procedure.
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Am I a Good Candidate for Awake Vaginal Rejuvenation?

Awake vaginal rejuvenation may be suitable for women experiencing vaginal laxity, which can result from aging, childbirth, or hormonal changes. Patients who notice discomfort during sexual intercourse or a decrease in sensation may benefit from this procedure. Women dealing with mild urinary incontinence can also find relief, as our treatments can help restore support to the vaginal walls. Ideal candidates may have concerns with the appearance of their vaginal lips, including excess tissue or asymmetry.

A thorough evaluation by Dr. Gargiulo helps determine if awake vaginal rejuvenation is the right option to address both functional and aesthetic concerns.

Benefits of Awake Vaginal Rejuvenation

  • Improved tone and tightness of the vaginal area
  • Enhanced comfort during daily activities and exercise
  • Increased sexual satisfaction due to restored sensation and support
  • Reduction of mild urinary incontinence
  • Minimally invasive procedure with no general anesthesia required
  • Short recovery time, allowing a quick return to regular routines
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Cost of Awake Vaginal Rejuvenation in Long Island, NY

The cost for awake vaginal rejuvenation in Long Island, NY, typically ranges between $4,000 and $7,000, depending on the complexity of the procedure, anesthesia requirements, and facility fees. For a precise estimate tailored to individual goals and anatomy, it is best to schedule a consultation with Dr. Gargiulo, who can provide a personalized quote and walk through financing options.

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Our Team Offers Effective Treatments for Women's Health

Our team provides comprehensive solutions to address a variety of women’s health concerns, including issues with the vaginal canal, reduced pelvic muscle tone, and uneven labia. Treatments range from non-invasive therapies to specialized plastic surgery procedures designed to restore function, comfort, and confidence. Patients seeking personalized care and effective results are encouraged to schedule a consultation to learn how these treatments can be tailored to their specific needs.

FAQs

Surgical vaginal rejuvenation involves the precise reshaping or tightening of tissues, providing long-lasting results that often address the pelvic floor, vaginal muscles, and vaginal opening. Non-surgical options, by contrast, typically rely on topical numbing cream and other minimally invasive techniques, but they often require ongoing maintenance treatments to sustain results. While non-surgical treatments are less invasive and have shorter recovery times, surgical approaches deliver more dramatic and permanent improvements in both function and appearance.
Yes, awake vaginal rejuvenation can be safely combined with labiaplasty and additional cosmetic procedures in the vaginal area. This allows Dr. Gargiulo to address multiple concerns in a single session, improving vaginal tone, appearance, and function while minimizing overall recovery time. Combining procedures can provide a comprehensive solution for women seeking both aesthetic and functional enhancement.
Labiaplasty results are considered long-lasting, with many patients enjoying permanent improvements in the appearance and comfort of the labia. While natural aging and hormonal changes may slightly affect the tissue over time, the reshaping and reduction achieved during surgery typically remain stable for many years.