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Risks and Complications


Please view the risks and complications for the associated procedures below:

Laser Vaginal Rejuvenation® (Laser Anterior, Posterior Colporrhaphy and Perineorrhaphy)

RISKS AND COMPLICATIONS

List of possible complications:

Hemorrhage

Infection

Hematoma: Collection of blood in tissues.

Ureter injury: Injury to the drainage tube of the kidney.

Urethral injury: Injury to the drainage tube to the bladder “where you urinate from”

Bowel injury: Large intestine and small intestine.

Urethral vaginal fistula: Hole in the urethra that communicates with the vagina.

Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina.

Rectovaginal fistula: Hole between the rectum and vagina. The rectum communicates with vagina

Dyspareunia: Painful intercourse

Wound disruption (vaginal): Wound separation

Wound disruption (perineum): Wound separation between vagina and anus

Need for subsequent surgery

Alteration of vaginal sensations: Decrease feelings or increase feelings

Scar formation (vaginal/perineum)

Compromised introital opening (possibly requiring surgery to increase opening): Too tight of a vaginal opening

Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution

Failed surgery

Varied aesthetic results

Psychological alterations

Relationship problems

Sex life alteration

Fecal incontinence: Unable to control bowel movements

Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina

Decreased sexual function

Possible hospitalization for treatment of complications

Bowel function change

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot in the deep vein of the leg

Pulmonary embolism: Blood clot of the lungs

Keloid (heavy scar): excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reaction to medications.

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Change in the appearance of vulvar structure

Change in the appearance of the anus

Prominent appearance of existing hemorrhoidal tags – hemorrhoids

Urinary tract infection

Hematoma

Overactive bladder

Urge incontinence

Unsolved or worsen incontinence

Bladder injury

Urinary retention

Vaginal stenosis

Hemorrhoids

Yeast infection

Vaginal discharge

Suture erosion requiring removal

Dysfunctional uterine bleeding

Economic/wage loss

Future unemployment- Loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Laser Vaginal Rejuvenation® (Laser Posterior Colporrhaphy and Perineorrhaphy)

RISKS AND COMPLICATIONS

 

List of possible complications:

Hemorrhage

Infection

Hematoma: Collection of blood in tissues.

Ureter injury: Injury to the drainage tube of the kidney.

Urethral injury: Injury to the drainage tube to the bladder “where you urinate from”

Bowel injury: Large intestine and small intestine.

Urethral vaginal fistula: Hole in the urethra that communicates with the vagina.

Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina.

Rectovaginal fistula: Hole between the rectum and vagina. The rectum communicates with vagina

Dyspareunia: Painful intercourse-narrowing of internal and external vagina.

Wound disruption (vaginal): Wound separation.

Wound disruption (perineum ): Wound separation between vagina and anus.

Need for subsequent surgery

Alteration of vaginal sensations: Decrease feelings and increase feelings.

Scar formation (vaginal/perineum)

Compromised introital opening (possibly requiring surgery to increase opening): Too tight of a vaginal opening.

Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient.

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle

Failed surgery

Varied aesthetic results

Psychological alterations

Relationship problems

Sex life alteration

Fecal incontinence: Unable to control bowel movements

Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina

Decreased sexual function

Possible hospitalization for treatment of complications

Bowel function change

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot in the deep vein of the leg

Pulmonary embolism

Keloid (heavy scar): excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reactions to medications

Nerve damage

Permanent numbness

Swelling

Slow healing

Sexual dysfunction

Vaginal stenosis

Vaginal discharge

Yeast infection

Hemorrhoids

Economic and wage loss

Future unemployment- Loss of career

Need for blood or blood product transfusion with associated risk of  blood borne disease

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Laser Vaginal Rejuvenation® (LVR®With Designer Laser Vaginoplasty® (DLV®) Combination

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Ureter injury: Injury to the drainage tube of the kidney

Urethral injury: Injury to the drainage tube to the bladder

Bowel injury: Large intestine and small intestine

Urethral vaginal fistula: Hole in the urethra that communicates with the vagina

Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina

Rectovaginal fistula: Hole between the rectum and vagina; The rectum communicates with vagina

Dyspareunia: Painful intercourse

Wound disruption (vaginal): Wound separation

Wound disruption (perineum): Wound separation between vagina and anus

Need for subsequent surgery

Alteration of vaginal sensations: Decrease feelings and increase feelings

Scar formation (vaginal/perineum)

Compromised introital opening (possibly requiring surgery to increase opening): narrowing of internal and external vagina

Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient.

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution

Failed surgery

Varied aesthetic results

Psychological alterations

Relationship problems

Sex life alteration

Fecal incontinence: Unable to control bowel movements

Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina

Decreased sexual function

Possible hospitalization for treatment of complications

Bowel function change

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot in the deep vein of the leg

Pulmonary embolism: Blood clot of the lungs

Keloid (heavy scar): excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reactions to medications

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Change in the appearance of vulvar structure

Change in the appearance of the anus

Prominent appearance of existing of hemorrhoidal tags – hemorrhoids

Urinary tract infection

Hematoma

Overactive bladder

Urge incontinence

Unsolved or worsen incontinence

Bladder injury

Urinary retention

Vaginal stenosis

Hemorrhoids

Yeast infection

Vaginal discharge

Suture erosion requiring removal

Dysfunctional uterine bleeding

Economic/wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 

**The Risks and Complications for DLV are specific to the type of procedure performed. Please refer to the specific risks for the procedure of interest.

 


Combination of Laser Vaginal Rejuvenation® (LVR®and/or Designer Laser Vaginoplasty® (DLV®) with Other Surgical Procedures

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Ureter injury: Injury to the drainage tube of the kidney

Urethral injury: Injury to the drainage tube to the bladder

Bowel injury: Large intestine and small intestine

Urethral vaginal fistula: Hole in the urethra that communicates with the vagina

Vesico-vaginal fistula: Hole in the bladder that communicates with the vagina

Rectovaginal fistula: Hole between the rectum and vagina; The rectum communicates with vagina

Dyspareunia: Painful intercourse

Wound disruption (vaginal): Wound separation

Wound disruption (perineum): Wound separation between vagina and anus

Need for subsequent surgery

Alteration of vaginal sensations: Decrease feelings and increase feelings

Scar formation (vaginal/perineum)

Compromised introital opening (possibly requiring surgery to increase opening): narrowing of internal and external vagina

Alteration of bladder dynamics: Alteration of the function of the bladder such as frequent urge to urinate, painful urination, inability to control urination. Also, the production of incontinence in previous continent patient.

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution

Failed surgery

Varied aesthetic results

Psychological alterations

Relationship problems

Sex life alteration

Fecal incontinence: Unable to control bowel movements

Vaginal canal shelf: Abrupt drop off at the bottom back of the vagina

Decreased sexual function

Possible hospitalization for treatment of complications

Bowel function change

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot in the deep vein of the leg

Pulmonary embolism: Blood clot of the lungs

Keloid (heavy scar): excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reactions to medications

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Change in the appearance of vulvar structure

Change in the appearance of the anus

Prominent appearance of existing of hemorrhoidal tags – hemorrhoids

Urinary tract infection

Hematoma

Overactive bladder

Urge incontinence

Unsolved or worsen incontinence

Bladder injury

Urinary retention

Vaginal stenosis

Hemorrhoids

Yeast infection

Vaginal discharge

Suture erosion requiring removal

Dysfunctional uterine bleeding

Economic/wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 

**The Risks and Complications for DLV are specific to the type of procedure performed. Please refer to the specific risks for the procedure of interest.

 

**The Risks and Complications for other cosmetic surgical procedures are specific to the type of procedure performed. Please refer to the specific Risks and Complications for the surgical cosmetic procedure of interest.

 


Liposculpturing of the Fatty Mons Pubis and Labia Majora

RISKS AND COMPLICATIONS

Abnormal body contour

Anesthesia reaction

Bleeding

Burning Sensation

Depression (mild depression is normal following elective surgery)

Dimples

Discoloration

DVT (Blood Clot)

Fat Embolism (less than 0.1%)

Heart Failure

Hematoma

Hypothermia

Infection

Keloid (heavy scar)

Nerve damage

Perforation of bowel or abdominal wall

Permanent numbness (risk is less than 1%)

Puckers

Reactions to medications

Seroma (fluid collection under skin)

Shock

Skin irregularities

Skin death (necrosis)

Slow healing

Swelling

Tingling

Visible scar

Economic/wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to collect Disability benefits

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery.

 


Laser Reduction Labiaplasty of the Labia Majora via Vertical Elliptical Excision

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: collection of blood in tissues

Separation of labia majora surgical edges

Labia majora scar: Scar of outer lips

Hyposenation: Decrease feeling

Hypersensation: Increase sensation that can be painful or unpleasant

Varied aesthetic result

Asymmetry of the labia majora: Unequal length of small inner lips

Retraction of the labia majora

Flattening of the labia majora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse

Wound disruption: Wound separation

Need for subsequent surgery

Alteration of vulvar sensations

Alteration of vaginal sensations

Compromised introital opening – narrowing of external and internal vagina

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to pain medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot of the deep veins of the leg

Pulmonary embolism: Blood clot to the lungs

Keloid (heavy scar): Excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reaction to medication

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Suture itching

Economic/wage loss

Future unemployment – Loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to go on disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Labia Majora Augmentation via Fat Transfer

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Hyposensation

Hypersensation

Varied aesthetic result

Re-absorption of some or all of the fat (AFT)

Dyspareunia

Seroma (fluid collection under skin)

Fat movement

Abnormal majora contour

Puckers

Wound disruption

Dimples

Discoloration

Fat Embolism (less than 0.1%)

Need for subsequent surgery

Alteration of vulvar/vaginal sensations

Post-operative pain

Prolonged pain

Intractable pain

Skin irregularities

Skin death (necrosis)

Alteration of the female sexual response cycle

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Anesthesia reaction

DVT (Blood Clot)

Pulmonary embolism

Depression (mild depression is normal following elective surgery)

Reactions to medications

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Economic and wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to collect Disability benefits

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Laser Reduction Labiaplasty of the Labia Majora via Extension of the Perineoplasty

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: collection of blood in tissues

Separation of labia majora surgical edges

Labia majora scar: Scar of outer lips

Hyposenation: Decrease feeling

Hypersensation: Increase sensation that can be painful or unpleasant

Varied aesthetic result

Asymmetry of the labia majora: Unequal length of small inner lips

Retraction of the labia majora

Flattening of the labia majora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse

Wound disruption: Wound separation

Need for subsequent surgery

Alteration of vulvar sensations

Alteration of vaginal sensations

Compromised introital opening – narrowing of external and internal vagina

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to pain medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot of the deep veins of the leg

Pulmonary embolism: Blood clot to the lungs

Keloid (heavy scar): Excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reaction to medication

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Suture itching

Economic/wage loss

Future unemployment – Loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to go on disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Suprapubic Lift of the Vulvar Structures

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Separation of labia minora edges

Separation of clitoral hood and or frenulum from the body of the labia minora

Labia minora scar: Scar of small inner lips

Hyposensation: Decreased feeling

Hypersensation: Increase sensation that can be painful or unpleasant

Varied aesthetic result

Asymmetry of the labia minora: Unequal length of small inner lips

Retraction of the labia minora

Flattening of the labia minora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse

Wound disruption: Wound separation

Need for subsequent surgery

Alteration of vaginal sensations

Compromised introital opening – narrowing of the vagina

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, and resolution

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside the vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot of the deep vein of the legs

Pulmonary embolism: Blood clot of the lungs

Keloid (heavy scar): Excessive scarring

Depression (mild depression is normal following elective surgery)

Reactions to medications: Abnormal reaction to medication

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Economic/wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to collect Disability benefits

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

Designer Laser Vaginoplasty®

(Laser Reduction Labiaplasty of the Labia Minora)

RISKS AND COMPLICATIONS

List of possible complications:

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Separation of labia minora edges

Separation of clitoral hood and or frenulum from the body of the labia minora

Labia minora scar: Scar of small inner lips

Hyposesation: Decreased feeling

Hypersensation:  Increase sensation that can be painful or unpleasant

Varied aesthetic result

Asymmetry of the labia minora: Unequal length of small inner lips

Retraction of the labia minora

Flattening of the labia minora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse-narrowing of the vagina

Wound disruption

Need for subsequent surgery

Alteration of vaginal sensations

Compromised introital opening

Post-operative pain

Prolonged pain

Intractable pain

Alteration of the female sexual response cycle

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia

Anesthesia reaction

DVT (Blood Clot)

Pulmonary embolism

Keloid (heavy scar)

Depression (mild depression is normally following elective surgery)

Reactions to medications

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Economic and wage loss

Future unemployment – Loss of career

Need for blood or blood product transfusion with associated risk of blood borne disease

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Designer Laser Vaginoplasty®

(Laser Reduction Labiaplasty of the Labia Minora & Reduction of Excess Prepuce)

RISKS AND COMPLICATIONS

List of possible complications:

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Separation of labia minora edges

Separation of clitoral hood and or frenulum from the body of the labia minora

Clitoral hood scar: Scar of skin along clitoris

Labia minora scar: Scar of small inner lips

Hyposensation: Decreased feeling

Hypersensation: Increase sensation that can be painful or unpleasant

Varied aesthetic result: Varied cosmetic result

Asymmetry of the labia minora: Unequal length of small inner lips

Retraction of the labia minora

Flattening of the labia minora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse

Wound disruption: Wound separation

Need for subsequent surgery

Alteration of vaginal sensations

Compromised introital opening (narrowing of vaginal opening)

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm and resolution

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside the vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot in the deep vein of the leg

Pulmonary embolism: Blood clot of the lungs

Keloid (heavy scar) excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reaction to medications

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Suture itching

Vaginal Discharge

Economic and wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risk of blood borne disease

Need to go on Disability.

Emotional distress requiring short or long term treatment.

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

Yeast infection

 


Designer Laser Vaginoplasty®

(Laser Reduction Labiaplasty of the Labia Majora)

RISKS AND COMPLICATIONS

List of possible complications:

Hemorrhage

Infection

Hematoma: collection of blood in tissues

Separation of labia majora surgical edges

Labia majora scar: Scar of outer lips

Hyposensation: Decrease feeling

Hypersensation: Increase sensation that can be painful or unpleasant

Varied aesthetic result

Asymmetry of the labia majora: Unequal length of small inner lips

Retraction of the labia majora

Flattening of the labia majora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse

Wound disruption: Wound separation

Need for subsequent surgery

Alteration of vulvar sensations

Alteration of vaginal sensations

Compromised introital opening

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to pain

Alteration of the female sexual response cycle: Excitation, plateau, orgasm, resolution.

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot of the deep veins of the leg

Pulmonary embolism: Blood clot to the lungs

Keloid (heavy scar) Excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reaction to medication

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Suture itching

Economic and wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease.

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

 


Designer Laser Vaginoplasty®

(Laser Reduction Labiaplasty of the Labia Minora with Reduction of the Thickness of the Minora)

RISKS AND COMPLICATIONS

Hemorrhage

Infection

Hematoma: Collection of blood in tissues

Separation of labia minora edges

Separation of clitoral hood and or frenulum from the body of the labia minora

Clitoral hood scar: Scar of skin along clitoris

Labia minora scar: Scar of small inner lips

Hyposensation: Decreased feeling

Hypersensation: Increase sensation that can be painful or unpleasant.

Varied aesthetic result: Varied cosmetic result

Asymmetry of the labia minora: Unequal length of small inner lips

Retraction of the labia minora

Flattening of the labia minora

Suture irritation: Reaction or allergy

Dyspareunia: Painful intercourse

Wound disruption: Wound separation

Need for subsequent surgery

Alteration of vaginal sensations

Compromised introital opening – narrowing of vaginal opening

Post-operative pain

Prolonged pain

Intractable pain: Pain not responding to medication

Alteration of the female sexual response cycle: Excitation, plateau, orgasm and resolution

Failed surgery

Psychological alterations

Relationship problems

Sex life alteration

Decreased sexual function

Possible hospitalization for treatment of complications

Lidocaine toxicity

Complications from pudendal block anesthesia: Nerve block of the pudendal nerves inside the vagina

Anesthesia reaction

DVT (Blood Clot): Blood clot in the deep vein of the leg

Pulmonary embolism: Blood clot of the lungs

Keloid (heavy scar): excessive scarring

Depression (mild depression is normally following elective surgery)

Reactions to medications: Abnormal reaction to medications

Nerve damage

Permanent numbness

Slow healing

Swelling

Sexual dysfunction

Suture itching

Vaginal Discharge

Economic/wage loss

Future unemployment – Loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to go on Disability

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery.

Yeast infection

RISKS AND COMPLICATIONS

Abnormal body contour

Anesthesia reaction

Bleeding

Burning sensation

Depression (mild depression is normal following elective surgery)

Dimples

Discoloration

DVT (Blood Clot)

Fat Embolism (less than 0.1%)

Heart Failure

Hematoma

Hypothermia

Infection

Keloid (heavy scar)

Nerve damage

Perforation of bowel or abdominal wall

Permanent numbness (risk is less than 1%)

Puckers

Adverse reaction to medications

Seroma (fluid collection under skin)

Shock

Skin irregularities

Skin death (necrosis)

Slow healing

Swelling

Tingling

Visible scar

Economic/wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to collect Disability benefits

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

Skin induration

Asymmetric result

Development of lipomas:  (firm nodules of fat) requiring repair

Development of hematomas: (collection of blood) requiring evacuation with larger incisions and scars

Development of abscess: (collection of infectious material) requiring evacuation with larger incisions and scars.

Permanent cosmetic irregularities

Need for physical therapy

Lidocaine toxicity

Factors that increase the risk of complications include: large volume liposuction, extended length of surgery, multiple procedures, and the preoperative health status of the patient.

Nonfatal complications from liposuction and liposuction combination procedures for 94,159 lipoplasty procedures performed by ASAPS members: Sept 1, 1998, through Aug 31, 2000.

Complication Percent Rate (1 complication in every __ procedures)
Skin slough .0903% 1 per 1107
Ultrasound-assisted lipoplasty skin burns 0.0712% 1 per 1404
Deep vein thrombophlebitis 0.329% 1 per 3040
Pulmonary embolism 0.0266% 1 per 3759
Excessive blood loss 0.0149% 1 per 6711
Fluid overload 0.0138% 1 per 7246
Fat emboli 0.0053% 1 per 18.868
Cannula penetration of abdominal cavity 0.0021% 1 per 47,619
Lidocaine toxicity 0.0021% 1 per 47,619
Surgical shock 0.0011% 1 per 90,909

RISKS AND COMPLICATIONS

Uneven contours
Rippling of skin, loose skin, sagging skin
Dimples in the skin
Keloid scars: (heavy scars of the skin)
Scarring of the soft tissue (fat) that can result in additional procedures to treat
Skin induration: (hardness of skin)
Visible scars
Raised incisional scars
Hyperpigmented incisional scars with brown or red coloration
Seroma: (fluid collection under the skin)
Skin necrosis: (skin death)
Skin or nerve damage
Skin irregularities
Skin folds from improper wearing of garment
Irregular pigmentation
Infection
Fat clot
Blood clots
Excessive fluid loss or fluid accumulation
Unfavorable scarring
No change in body contouring
Thermal burn or heat injury from ultrasound (Vaser) with the ultrasound-assisted liposuction technique
Anesthesia risk
Bleeding
Hypothermia: (decreased body temperature)
Hematoma: (collection of blood in tissue)
Change in skin sensation
Skin swelling
Asymmetry (uneven result)
Pain, which may persist
Damage to deeper structures such as nerves, blood vessels, muscles, lungs and abdominal organs
Poor wound healing
Slow healing
Need for extended hospitalization
Need for blood or blood product transfusion with associated risks of blood borne disease
Persistent swelling in the legs
Deep vein thrombophlebitis
Deep vein thrombosis (clots)
Cardiac complications
Pulmonary (lung) complications
Adverse reaction to medications
Revisional surgery

Nonfatal complications from liposuction and liposuction combination procedures for 94,159 lipoplasty procedures performed by ASAPS members: Sept 1, 1998, through Aug 31, 2000.

Complication Percent Rate (1 complication in every __ procedures)
Skin slough .0903% 1 per 1107
Ultrasound-assisted lipoplasty skin burns 0.0712% 1 per 1404
Deep vein thrombophlebitis 0.329% 1 per 3040
Pulmonary embolism 0.0266% 1 per 3759
Excessive blood loss 0.0149% 1 per 6711
Fluid overload 0.0138% 1 per 7246
Fat emboli 0.0053% 1 per 18.868
Cannula penetration of abdominal cavity 0.0021% 1 per 47,619
Lidocaine toxicity 0.0021% 1 per 47,619
Surgical shock 0.0011% 1 per 90,909

RISKS AND COMPLICATIONS

Abnormal body contour

Anesthesia reaction

Bleeding

Burning sensation

Depression (mild depression is normal following elective surgery)

Dimples

Discoloration

DVT (Blood Clot)

Fat Emboli (less than 0.1%)

Heart Failure

Hematoma

Hypothermia

Infection

Keloid (heavy scar)

Nerve damage

Perforation of bowel or abdominal wall

Permanent numbness (risk is less than 1%)

Puckers

Adverse reaction to medications

Seroma (fluid collection under skin)

Shock

Skin irregularities

Skin death (necrosis)

Slow healing

Swelling

Tingling

Visible scar

Economic/wage loss

Future unemployment – loss of career

Need for blood or blood product transfusion with associated risks of blood borne disease

Need to collect Disability benefits

Emotional distress requiring short or long term treatment

Inability to have a fulfilling sex life

Need for extended hospitalization

Chronic fatigue

Chronic pain

Spousal or familial alienation

Medical and legal fees

Regret for proceeding with surgery

Skin induration

Buttock asymmetry

Sciatic nerve damage or other nerves resulting in permanent pain, disability, or paralysis

Development of lipomas: (firm nodules of fat) requiring repair

Development of hematomas: (collection of blood) requiring evacuation with larger incisions and scars

Development of abscess: (collection of infectious material) requiring evacuation with larger incisions and scars

Development of buttock seromas requiring placement of drains or multiple needle aspirations

Permanent cosmetic irregularities

Buttock fat reabsorption

Buttock fat liquefaction

Need for physical therapy

Lidocaine toxicity

**Factors that increase the risk of complications include: large volume liposuction, extended length of surgery, multiple procedures, and the preoperative health status of the patient.

Nonfatal complications from liposuction and liposuction combination procedures for 94,159 lipoplasty procedures performed by ASAPS members: Sept 1, 1998, through Aug 31, 2000.

Complication Percent Rate (1 complication in every __ procedures)
Skin slough .0903% 1 per 1107
Ultrasound-assisted lipoplasty skin burns 0.0712% 1 per 1404
Deep vein thrombophlebitis 0.329% 1 per 3040
Pulmonary embolism 0.0266% 1 per 3759
Excessive blood loss 0.0149% 1 per 6711
Fluid overload 0.0138% 1 per 7246
Fat emboli 0.0053% 1 per 18.868
Cannula penetration of abdominal cavity 0.0021% 1 per 47,619
Lidocaine toxicity 0.0021% 1 per 47,619
Surgical shock 0.0011% 1 per 90,909

RISKS AND COMPLICATIONS

Uneven contours
Rippling of skin, loose skin, sagging skin
Dimples in the skin
Keloid scars: (heavy scars of the skin)
Scarring of the soft tissue (fat) that can result in additional procedures to treat
Skin induration: (hardness of skin)
Visible scars
Raised incisional scars
Hyperpigmented incisional scars with brown or red coloration
Seroma: (fluid collection under the skin)
Skin necrosis: (skin death)
Skin or nerve damage
Skin irregularities
Skin folds from improper wearing of garment
Irregular pigmentation
Infection
Fat clot
Blood clots
Excessive fluid loss or fluid accumulation
Unfavorable scarring
No change in body contouring
Thermal burn or heat injury from ultrasound (Vaser) with the ultrasound-assisted liposuction technique
Anesthesia risk
Bleeding
Hypothermia: (decreased body temperature)
Hematoma: (collection of blood in tissue)
Change in skin sensation
Skin swelling
Asymmetry (uneven result)
Pain, which may persist
Damage to deeper structures such as nerves, blood vessels, muscles, lungs and abdominal organs
Poor wound healing
Slow healing
Need for extended hospitalization
Need for blood or blood product transfusion with associated risks of blood borne disease
Persistent swelling in the legs
Deep vein thrombophlebitis
Deep vein thrombosis (clots)
Cardiac complications
Pulmonary (lung) complications
Adverse reaction to medications
Revisional surgery

**When intraoperative ultrasound guided muscle augmentation with fat is performed on one or more muscle groups (pecs, biceps, triceps, deltoids, lats, calves, etc.) there is a risk of Compartment Syndrome. Compartment syndrome is a condition in which increased pressure within one of the body’s compartments results in insufficient blood supply to tissue within that space. This could require further invasive surgery to correct.

Nonfatal complications from liposuction and liposuction combination procedures for 94,159 lipoplasty procedures performed by ASAPS members: Sept 1, 1998, through Aug 31, 2000.

Complication Percent Rate (1 complication in every __ procedures)
Skin slough .0903% 1 per 1107
Ultrasound-assisted lipoplasty skin burns 0.0712% 1 per 1404
Deep vein thrombophlebitis 0.329% 1 per 3040
Pulmonary embolism 0.0266% 1 per 3759
Excessive blood loss 0.0149% 1 per 6711
Fluid overload 0.0138% 1 per 7246
Fat emboli 0.0053% 1 per 18.868
Cannula penetration of abdominal cavity 0.0021% 1 per 47,619
Lidocaine toxicity 0.0021% 1 per 47,619
Surgical shock 0.0011% 1 per 90,909

RISKS AND COMPLICATIONS

A Mommy Makeover can be offered to any woman who desires to have multiple cosmetic procedures. Patients should refer to the specific list of risks and complications for each individual procedure of interest.

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David Matlock, MD, MBA

Dr. Matlock is a world-renowned cosmetic surgeon known for his innovative techniques of Laser Vaginal Rejuvenation®, Designer Laser Vaginoplasty®, and Advanced Surgical Bodybuilding®. As a cosmetic surgeon to Hollywood’s elite, A-List celebrities, international royalty, and the most discerning of patients, Dr. Matlock’s expertise and attention to detail speaks for itself. We invite you to contact us today to speak to Dr. Matlock about your aesthetic goals and ambitions.

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