Dr. Mulholland and Dr. Sasha Svystonyuk (Dr. Sasha) are both leaders in surgical and non-surgical vaginal rejuvenation procedures in Canada. Dr. Mulholland has provided various procedures for more than two decades and has pioneered and developed numerous vaginal rejuvenation lasers and techniques. Dr. Sasha is also the head of the Health and Vulvo-Vaginal Wellness Team and assesses each patient’s gynecological health before surgical procedures. Patients feel safe and cared for at SpaMedica knowing they will receive the information necessary to choose the correct procedure performed by the right physician.
Women who have an enlarged mons pubis can undergo mons pubis liposuction. The cosmetic surgeon uses liposuction devices, such as BodyTite, SmartLipo, VaserLipo or ThermiRF to coagulate the fat located under the mons. Then, a suction tube is used to remove the fat. Mons pubis liposuction takes 1-2 hours to perform, and the recovery is 2-3 weeks, although women can return to work within a few days. It can take several weeks to see the full results from mons pubis liposuction. Essentially, the size of the mons pubis is reduced so it no longer creates a bulge.
The mons pubis can sag due to weight loss or aging. A mons pubis lift addresses this problem. The surgeon places an incision just above the pubic hair. The incision is approximately the size of a C-section incision. Then the surgeon removes the excess fat and repositions the mons pubis. A mons pubis lift takes 1-2 hours to perform, and the recovery is 4-6 weeks, although patients can normally return to work within 3 days. Once the swelling is gone, patients notice that the mons pubis is firmer and in the proper position. Many also enjoy enhanced sexual satisfaction due to increased tension on the labia majora, labia minora, clitoral hood, and clitoris.
Women with excess tissue that causes the labia minora or labia majora to sag or protrude can undergo a labiaplasty at SpaMedica. SpaMedica offers wedge or trim resections for patients. A wedge resection is recommended when the overgrowth is located close to the clitoral hood, while a trim reduction is used when excess skin needs to be removed from the length of the labia. The cosmetic surgeon uses a laser-cutting or radiofrequency tool to remove the excess tissue. Once removed, the surgeon reshapes the remaining labia. The surgery takes approximately one hour to perform, and the recovery is a minimum of 6 weeks. However, people can return to light activities the following day. After 6 weeks, most patients can see the full results. The results include shorter and thinner labia, making it easier to enjoy physical activities without chafing or pulling. Patients also experience increased sexual gratification.
Women can lose tissue in the labia majora and/or minora as they age, and some lack ample tissue due to genetics. A labia augmentation procedure increases the volume of the labia. SpaMedica offers two types of labia augmentation procedures. Those who want a non-surgical option can get filler injections of Juvéderm Voluma, Revanesse Shape, or Restylane. The injections can augment the labia majora and/or the labia minora. People also have the option to undergo fat grafting to the labia at SpaMedica. The surgeon harvests fat cells from a donor site, purifies the cells, and then injects them into the labia minora and/or labia majora. Fifty percent of the fat cells typically survive and the bond lasts for several years. The length of the procedure depends on the surgery selected, with filler injections being the faster option. Patients typically need to take 1-3 days off work, and it takes up to 6 weeks to fully recover. Upon recovery, patients enjoy a fuller labia.
The vaginal walls can weaken due to menopause, episiotomy during delivery, childbirth, or significant weight loss. A vaginoplasty is a surgical procedure used to tighten and rejuvenate the vagina. Patients with significant vaginal laxity are typically good candidates for a vaginoplasty. The surgeon marks the area of mucosal vaginal lining that needs to be removed inside of the vagina. The surgeon then uses sutures to tighten the vaginal canal and removes the excess skin. It can take up to 8 weeks to recover from a vaginoplasty, although most people can return to normal activities by the third day.
Some women are born without a hymen, while others rupture the hymen from intercourse, horseback riding, gymnastics, or using tampons. Those who have ruptured hymens or were born without one can restore it with a hymenoplasty. People do this for religious, cultural, and social regions. The cosmetic surgeon uses the existing vaginal lining to create a small mucosal flap bridge and sutures it in place. The procedure takes 30-60 minutes to perform. Many women can return to work the following day, but it takes up to 6 weeks to fully recover.
SpaMedica offers non-surgical vaginal rejuvenation procedures for patients. Dr. Mulholland assesses patients to determine if they are good candidates for non-surgical procedures.
Patients with unwanted hair on their mons and labia can undergo Brazilian laser hair removal. The laser procedure removes hair from the mons pubis, perivaginal, and labia majora. The provider shaves the region and uses lasers to remove hair from the test spot. The test spot is analyzed, and then the entire area is treated. The provider passes the laser over the treatment area, and it damages the hair follicles. Patients typically need to undergo 5 sessions to achieve 50-80 percent permanent hair reduction. The procedure typically takes 30 minutes, and patients can return to normal activities immediately after. Patients normally begin seeing results 10-14 days after each procedure.
Laser vaginoplasty, or laser tightening and rejuvenation, tightens and restores the vagina and surrounding muscles. This procedure corrects vaginal thinning, dryness, inflammation, laxity, and looseness a syndrome called vaginal atrophy and is associated with menopause. It also addresses hyper or hypopigmentation, deflation of external genitalia, and labial hypertrophy. The surgeon treats the area with fractional CO2 lasers or fractional radiofrequency, which heats the tissue and stimulates smoothening and new lining. Patients might need to undergo 3 treatments to achieve optimal results. The procedure is fast, and most can return to normal activities within 1-3 days. Patients will notice an improvement between each treatment until finally enjoying optimal results after the final treatment.
Aging and childbirth can alter vaginal structures. This can cause soreness during physical activities and decrease sensation during intercourse. Laser vaginal tightening is used to correct this problem. The cosmetic surgeon uses the heat from lasers to tighten vaginal tissue. Radiofrequency systems, like the Votiva and Forma V are also very good at vaginal correction and one more treatments might be needed to get the desired results. This procedure requires minimal downtime, with most patients able to return to normal activities in 1-3 days.
Aging and childbirth can cause various issues, including vulvovaginal atrophy, vaginal laxity, and vaginal relaxation syndrome. SpaMedica uses fractional carbon dioxide devices, such as the CO2RE Intima and Mona Lisa Touch Laser, to treat these conditions. The surgeon gently inserts the device’s handpiece into the vaginal canal. The laser emits a carbon dioxide laser beam, which coagulates the superficial and middle layers of the vaginal lining. Then, the surgeon remodels and resurfaces damaged areas, creating a new vaginal lining. The cells rejuvenate and improve the lubrication of vaginal mucosa and strengthen the muscles. The procedure takes 15-20 minutes to perform and most patients need three treatments to achieve the desired results. Patients also might need annual maintenance treatments to maintain the results. This procedure has minimal downtime and people begin to notice improvements after the first treatment.
Aging, hormonal changes, and childbirth can cause changes in the external and internal female genitalia. The labia and vaginal opening can increase in size, and women also might experience vaginal dryness, diminished sexual gratification, and urinary incontinence. Ultra Femme 360 treats these conditions. The radiofrequency device has two handpieces, one for the internal and one for the external genitalia. During the procedure, the doctor inserts a handpiece into the vagina to heat the tissue. The radiofrequency device increases blood flow, promotes collagen formation, and restores the vagina to its former youthful appearance and function. Patients typically undergo 3 or more treatments to get the desired results. The procedure lasts 20-30 minutes and does not require any downtime. After the final treatment, patients can expect an improvement in the appearance of the vulva and increased sexual gratification.
Many people suffer from hyperpigmentation on the labia majora, labia minora, and the perianal skin. SpaMedica offers vagina lightening for patients who suffer from hyperpigmentation in the bikini area. The process begins with 4-6 weeks of treatment with chemical bleaching and skin lightening agents. Patients receive a prescription for the bleaching agent and use it at home. The bleaching prepares patients for laser vagina lightening by making the pigment cells less reactive. Then, patients undergo laser and light-based techniques that target pigment in the bikini area. Dr. Mulholland selects the lasers based on the condition and skin type. Patients typically need to undergo several treatments spaced 4-6 months apart. It can take 3-9 months to see the full results. Patients can expect a 50-90 percent reduction in pigmentation after undergoing vagina lightening at SpaMedica.
Aging, pregnancy, and weight loss can loosen the vagina and surrounding muscles. The vagina and muscles often stretch out, and Forma V can correct this problem. The small Forma V handpiece is inserted in the vagina and emits non-ablative radiofrequency energy that heats the external labial tissues and internal vaginal canal to 43 degrees. The device monitors the temperature to ensure the tissue maintains the proper heat. The procedure takes 30-40 and there is no downtime. Most patients do need 3 treatments to achieve optimal results and then should undergo maintenance treatments every 4-6 months. The results of this procedure are immediate and continue to improve for several weeks.
Aging, extreme weight loss, and childbirth can cause vaginal structures to become lax and sag. Dr. Mulholland co-pioneered and developed the Fractora V fractional frequency vaginal rejuvenation device to address this issue. This handpiece contains small needles that deliver electrical currents. The handpiece is inserted into the vaginal canal and delivers non-ablative radiofrequency energy to tighten the vaginal vault. The device delivers the energy in a 360-degree fashion. Depending on the severity of the condition, women might need 1-3 treatments, followed by maintenance treatments every 3-4 months to maintain the results. The procedure does not require any downtime, but people should not engage in sexual activities for 6 weeks.
Women who have a lax vaginal canal due to aging, weight loss, or pregnancy can undergo ThermiVA at SpaMedica. This is a non-ablative radiofrequency vaginal heating device that treats the entire vaginal canal, including the ceiling, floor, and sidewalls. To perform the procedure, the surgeon inserts the handpiece into the vagina. The device safely heats the vaginal canal, promoting the production of new collagen and ground substances. This creates a tighter and firmer vaginal canal while reducing the symptoms of vaginal atrophy. The procedure takes 30-45 minutes, with most women requiring 3 treatments spaced a month apart. There is no downtime after the procedure, and patients can engage in sexual activity immediately thereafter if desired. Most women notice increased lubrication and improved orgasms after the procedure, along with a reduction in incontinence and sagging.
Women can increase their sexual gratification by receiving a G-Shot injection at SpaMedica. After undergoing a thorough gynecological examination, patients will receive an injection of Juvéderm, Restylane, or another hyaluronic sugar acid in the G-spot, which is located in the anterior, superior vaginal vault and quite near the vaginal opening. The injection provides soft tissue support in the G-spot, making the area more responsive and sensitive. The injection lasts for 9-12 months or longer, with most women undergoing maintenance injections every 9-16 months. There is no downtime after this procedure.