Don’t Trust Your V To Just Anyone With a Laser

Dr. G (00:02):
You are listening to another episode of All the B's with me, Dr. G and my scrub tech Bri. Okay, so we're back today and we're going to talk about vaginal rejuvenation, which whenever I say those words around my family, my sister's always like gross. She's kind of a little bit prudish and so she doesn't like talking about anything like that. Although I think it's important because people don't talk about it enough. And generally speaking, when we treat women for either labiaplasty or vaginal rejuvenation, they're like, I wish I knew this was even an option. Right? That's the overwhelming response. But first we got to do celebrity gossip and there's been a lot,

Bri (00:48):
So much going on.

Dr. G (00:50):
Do we want to kick off with Chris Jenner's new face?

Bri (00:55):
Chris Jenner, man, she, wherever her and Lindsay Lohan are going, you need to not gatekeep send the link. She looks phenomenal.

Dr. G (01:07):
Yeah,

Bri (01:07):
She literally looks, she looks so good.

Dr. G (01:11):
Part of it might be that she updated her hair a little bit, I think.

Bri (01:16):
From the Karen look.?

Dr. G (01:17):
Yeah, but she looks good. I do feel like the Instagram photo is filtered a bit.

Bri (01:26):
Okay. That's what I was trying to figure out. Do you think there's a filter on There has to be a little filter, right?

Dr. G (01:30):
Yeah, because I think also I've seen some pictures of Donatella Versace who also looks super great, but when you see her unfiltered, you're like, okay, that's more for real normal looking.

Bri (01:43):
I feel like that's everyone. People get a really good side profile of people's skin and you're like, oh,

Dr. G (01:50):
Yeah.

Bri (01:50):
She looks so good.

Dr. G (01:51):
She does look really good. So I don't know if she had some massive whatever she did. She had some massive laser resurfacing at the same time. If you scroll down a little bit to her a year or two again, I mean still looks good, but you see how she has normal wrinkles around her eyes. She's also less, maybe she's moving her face less. Don't smile. Kind of that.

Bri (02:17):
Yeah, she's probably got lots of Botox in there still.

Dr. G (02:21):
Yeah.

Bri (02:22):
It does look filtered.

Dr. G (02:23):
Yeah. Kind of filtered. But I mean, people saw her on the streets of Paris and maybe she just got things tightened up a little bit. Certainly she didn't change her makeup. Look, sometimes that's it. But no, she looks like she got the whole works, which she's already had. She's had a facelift at least once, so Oh yeah. They covered it on one of the episodes like 18 seasons ago.

Bri (02:55):
I mean, she's about to be 70. She does kind of look like she's seven, but I mean she looks phenomenal.

Dr. G (03:04):
Yeah, she has everything at her disposal. So

Bri (03:09):
If I had that much money, I would also be looking like that too.

Dr. G (03:13):
And see her hair already starts to look cuter. I don't love the jacket. It makes it look like men in black and that. There's two people in there, but I've never been a fan of that shoulder padded huge, massive. It's okay, but with the top anyway, that's fashion.

Bri (03:28):
If we cinched the waist, it would've been cute.

Dr. G (03:31):
But her hair looks cuter there too. She got rid of the slick back.

Bri (03:37):
I just can't believe she did the Karen and look for so long.

Dr. G (03:41):
For sure.

Bri (03:42):
Snatched go off, Chris. Just got to keep up with that young boyfriend. How old is Corey? Isn't he much younger than her?

Dr. G (03:50):
I think so. Yeah. Yeah, I think so. Anyway. Okay, moving on. Speaking of faces, do we want to talk about Mar-a-Lago face? I saw something too about the Mar-a-Lago dress or the Mar-a-Lago. Yeah, clothing. Basically, if you look, all of anybody affiliated with Donald Trump's inner circle looks and is female, they all look like morphed, Fox News hosts with a ton of makeup, generally speaking really bad Botox and hair extensions. The what used to be decent dress look for the corporate sheath, like ala suits has now been co-opted by them and a lot of lip filler. So I feel like that is, I would not call it a plastic surgery trend unless it's a trend to avoid.

Bri (04:52):
Not a fan. Everyone looks like they shopped at White House Black Market, is that what it's called?

Dr. G (04:58):
Ooh. Ow. Yes.

Bri (05:00):
Do you like that? Do you like that store?

Dr. G (05:02):
No, I don't. I'm just saying, I mean.

Bri (05:05):
That's what the dress is. They have so much money at their disposal and that's what they come out looking. Everyone has that tiny little, not tiny, but they all look the same.

Dr. G (05:15):
They have the same blue sheath dress, which could be black halo, it could be White House, black market, it could be, I don't know. Anyway, the dresses are all identical, unfortunately. It replaced the skirt suit and just the makeup is a lot. It's very dark. It's the lower lid eyeliner.

Bri (05:40):
But yeah, no, they all look the same. And I'm a huge fan, don't get me wrong. Pretty much everything on me is fake, but they look like they were straight out of a terrible spray tanned.

Dr. G (05:53):
It's harsh. It's harsh. So you know how we've been talking about the undetectable era? This is the opposite of that. This is almost like, Hey everybody, I want you to know that I get Botox, I get lip filler, I've got a fake tan. It's overdone. And I don't know, it's not subtle. I don't,

Bri (06:12):
They're all forming into one person, the female version of Donald Trump.

Dr. G (06:17):
The laminated eyebrows, the tight dress, the heels. Yeah. They all are starting to look interchangeable.

Bri (06:25):
Yeah,

Dr. G (06:25):
Boo. I give it a thumbs down.

Bri (06:28):
I give it a one out of 10.

Dr. G (06:33):
Okay. So

Bri (06:34):
At least their hair looks decent.

Dr. G (06:36):
So I know you've binged watched and you're way ahead of me on the Secret Lives of Mormon Wives season two, way ahead of me. I'm on episode three.

Bri (06:45):
I have so much to say and the fact that she's not watching it as fast as I need her to. We have two surgeries tomorrow that I have a lot to talk about in. So go home.

Dr. G (06:55):
I don't think I can catch up. Hi, I am really sorry for your, I'm going to be really tired for your surgery tomorrow, but I had to stay up all night and watch six more episodes.

Bri (07:06):
Exactly. Of Mormon Wives, priorities.

Dr. G (07:10):
That's right.

Bri (07:11):
Can we talk about it just for a second? Because it was, I won't give any spoilers.

Dr. G (07:16):
I think what's interesting is there's so much going on that show and they just sort of blow past mom's facelift. It's nothing.

Bri (07:27):
Oh yeah, she looks so good.

Dr. G (07:29):
She looks great. Great. I want to know.

Bri (07:33):
She looks like a whole new person.

Dr. G (07:35):
So I feel like Taylor Frankie Paul supports mom's extensive plastic surgery. If she feels great, great. First of all, none of those girls should be dissing plastic surgery since they all had it.

(07:49):
But yeah, her mom looks, she lost weight and she looks so ozempic face, right? Probably. She just looks amazing. She looks really good. And that photo of her that we're popping up from people doesn't even do her justice because I'm sure when she lost the weight, she had some skin sagging. But just her on the show, which is a testament to how good she looks, she looks good, which is maybe there's a filter, but they're actually moving around and so you can see them looking a lot better. You can see them in their natural habitat. She's in the kitchen making something and you're like, damn, her face looks snatched.

Bri (08:29):
Even on the show, when she showed up a couple of times, she looked really good. She actually came on the show post surgery a couple weeks or something and she was still talking about how her face was swollen. And

Dr. G (08:42):
Right.

Bri (08:43):
She looks so good. I mean, if you're going to come on the show and play the villain, you have to at least look good.

Dr. G (08:50):
Is she the villain on the show? She's not. I mean,

Bri (08:52):
She was so, I get it. Taylor's been through a lot, but as a parent, the way Taylor's parents talk to her is just, I can never talk to my children that way. I do not like them.

Dr. G (09:09):
Okay. I've only seen her on the episode and I was too busy looking at her face. I do feel like they were a little, you just need to suck it up and stick with this guy because he has your kid.

Bri (09:21):
Her dad was calling her, he is like coming out. I know they're Mormon, but yelling at her, calling her a whore, and she's basically like, if you don't get back with Dakota, that's not of their business. Okay.

Dr. G (09:33):
Right.

Bri (09:34):
None of their business.

Dr. G (09:35):
They're very judgy. You should just, I think so

Bri (09:37):
Judgy

Dr. G (09:39):
A parent's job is unconditional love unless they're a serial killer.

Bri (09:45):
And if your daughter's sitting there crying saying how unhappy and hurt she is and then just saying it's, she deserves this because she's opened her legs like

Dr. G (09:54):
It's shitty.

Bri (09:55):
So crappy. Everyone I liked on season one, I just need you to watch this whole season so we can talk about this a little bit more, but on season two, you like all the people you hated on season one,

Dr. G (10:08):
Right? No, I'm starting to appreciate that.

Bri (10:12):
I loved Demi until Demi came off like this crazy fame hungry, terrible friend on season two. And then I'm like, oh, ew.

Dr. G (10:22):
Yeah, I know. I was thinking this morning, should we revisit the, well, I'll have to finish watching the show, but maybe we're them again for Halloween. I don't know. May to October.

Bri (10:34):
We should be like the season two version.

Dr. G (10:37):
Yeah,

Bri (10:37):
We were mom talkers for Halloween last year, so now we need to do the updated version. Even Zach, I hated Zach on season one and they came on season two looking like a little angel.

Dr. G (10:50):
I know. That's some good producing there. I will tell.

Bri (10:55):
It is stay tuned. And then last thing I'll say, final episode, they dropped this massive bombshell and then just end it.

Dr. G (11:04):
No,

Bri (11:05):
I stayed up all night. Yeah, looking. Can I say it?

Dr. G (11:08):
No, I haven't even.

Bri (11:10):
Okay, okay. I'll wait. Alright.

Dr. G (11:11):
Hate you.

Bri (11:12):
Okay, we'll go to the next one.

(11:14):
Otherwise I'll keep talking about mom talk.

Dr. G (11:17):
Okay. What other stories that, oh, Doja Cat. Speaking of another, she's a favorite of mine. We saw this, somebody see, so I will just say why wear this dress?

Bri (11:30):
We had three people send this to us and say, you need to talk about this on your podcast within two hours. And then she's like, don't come at me, I love herself, I love her self confidence. I don't know if I could do that.

Dr. G (11:48):
I would not. Because she was just at the Met Gala and she covered it up so you could potentially wear a dress that did not show off the egregious capsular contracture of her left breast, which sucks, that implant needs to come out. And then if you try to go back through her timeline, I know she's had a mastopexy before a breast lift because she has visible incisions when she wears a white, that's wet. But I think she had had a lift then maybe a breast reduction she said. And then implants. It's unclear. I think part of it is also when people are talking about their surgery, they don't actually know what they did. So it gets all mishmoshed. She's not not admitting to plastic surgery, but I swear the last breast surgery she claimed to have was a reduction, which what reduction did you have where they threw in implants? I don't know.

Bri (12:48):
I feel like that defeats the purpose of a reduction.

Dr. G (12:51):
I feel like Motiva is probably reaching out to her right now.

Bri (12:55):
We'll give you some free implants.

Dr. G (12:56):
If you can just get that out and then prove that we reverse cap con. Unfortunately, she's got a legitimately terrible problem. So the implant is contracted and it's super high riding. So the treatment for that is a little complicated. You need to either get all that capsule out and start over or create a new pocket with and close that capsule off. But either way, that space has been created and it's stretched, that upper pole has been stretched out. All that's going to take time to heal. And it's usually very unsatisfying after the first surgery. You can make it a lot better for sure, but your risk for getting that same problem again is high and it's never going to be quite right. But also, I do remember that she used to vape, so I hope she's not vaping now we know nicotine can potentially cause a risk of cap con, so hopefully that's not the issue. Some of it depends on what caused the capsular contracture, but just maybe wear a different dress. Yo.

Bri (14:09):
Yeah, that's crazy. You can't wear that and then say, don't comment.

Dr. G (14:16):
And I do love her

Bri (14:18):
Or just get fixed. I love her too. But if you had,

Dr. G (14:20):
But she wore, I said a different dress to the Met Gala, no pants. And that looked great. And you couldn't tell that she had cap con a week ago. So just do that even though she knows that's what everyone's going to talk about it. So she just said girls. I know.

Bri (14:37):
I know. She wrote it out before she went on the red, a carpet.

Dr. G (14:40):
Scheduled tweet.

Bri (14:43):
Yeah, set for 9:00 AM the next morning,

Dr. G (14:49):
Lord, Lord, lord. Okay. Alright. And then I feel like because this podcast mirrors a little bit of our conversations in the or, we cannot not talk about

Bri (15:01):
About the Diddler.

Dr. G (15:02):
P Diddy's trial, but it really has nothing to do with plastic surgery and it has all to do with just awfulness. But I think probably the most interesting thing is that we mentioned it to our anesthesiologist yesterday about the trial and he is like, how are you hearing any of this? What are you talking about? I'm like, you not get the same newsfeed we get.

Bri (15:28):
You don't want our news feed.

Dr. G (15:29):
You can get daily updates on what's happening. People are reporting from the trial like live updates and yes, Daily Mail is updating us, but so is the New York Times. So is the Washington Post. Give me a break, man. I bounce between page six and Daily Mail and then the New York Times and all of it is terrible, terrible.

Bri (15:56):
Every time I open my phone. And there are people, there are attorneys on there that are going and giving you a breakdown of what's going on every other post.

Dr. G (16:05):
So you can get the legal perspective, you can get the just horrifying. This is what happens when somebody with a lot of power and a lot of money exploits young women. The true patriarchy, misogynistic nature of our culture is awful. I mean it's like next level awful, what he put her through. And then I think, what did I teams you afterwards?

Bri (16:34):
Because most importantly you can get our perspective. I wish we could add our teams messages on here. She was like, let me pull it up. Combs defense says he might've been a bad boyfriend, but he is not guilty of the charges he faces in trial. All caps, a bad boyfriend.

Dr. G (16:50):
Might have been a bad boyfriend. Really? That's how you're going to label this relationship. You're 20 years older, you have a bazillion dollars, you're controlling her career, you're hiring escorts to have sex with her. You're recording it, you're feeding her with drugs. I mean, a bad boyfriend forgets to pick up your fucking dry cleaning, to be honest. What?

Bri (17:19):
Or eats good food without you . Maybe even a little lying and a little cheating. That's a terrible boyfriend. But this is not being a bad boyfriend. This is on a whole other level of,

Dr. G (17:33):
And then no, what really bothers me about the legal system and lawyers is they're not even saying he was a bad boyfriend. He might have been, might have been. What? What are you talking about might have been which time would of

Bri (17:52):
I think her assault pictures proves.

Dr. G (17:54):
Right. Okay. I'm unclear if that is a might that he beat you.

Bri (18:03):
That's so mindboggling.

Dr. G (18:03):
Pretty sure that is the definition of a bad boyfriend or a domestic abuser.

Bri (18:10):
Yes. He beat you, pimped you out to sex workers. Look at that. Okay.

Dr. G (18:17):
Just terrible.

Bri (18:18):
You know what? We should start being the people that comment on the trial and be like, this is our version of what's going on.

Dr. G (18:25):
Oh yeah. I wish we had gotten press passes to go.

Bri (18:30):
That'd be so good.

Dr. G (18:32):
I can't.

Bri (18:33):
Think we need little mics in the OR because all of our best conversations happen in the operating room.

Dr. G (18:40):
I just think it's shocking. And then our poor anesthesiologist who was like, what? And then I asked Dr. Chao as well, I was like, Ugh, I got out of the OR and I was like, let me see what's happening in the trial today. And she's like, oh, what's happening? I'm not following that. I'm like, ahh.

Bri (18:59):
Are these people, what? Let me guess. She's also not watching mom talk.

Dr. G (19:05):
I mean, if she's not, we'll have an intervention on her behalf. I feel like it's a plastic surgery requirement.

Bri (19:11):
I think so too. That is part of the interview process to get in here. Do you watch The Secret Live of Mormon wives? Are you following the Diddy trial and what else?

Dr. G (19:21):
What's your opinion on Blake Lively? I had to break that down actually at a dinner when I was in Napa Valley for the California Society. So I went to a dinner that involved a Stanford microsurgeon and a former president of the Aesthetic Society and then our host, a male sales rep was like, wait, what about, oh, because our other host who is a female rep said she ran into Justin Baldoni at a conference I think in Maui. He was on the beach with this family and she said, he's gorgeous in person. He was lovely in person. He was so gracious to everybody, very friendly, approachable. And the men at the table were like, who?

Bri (20:12):
Of course it's like we didn't know who Travis Kelce was until he started dating Taylor,

Dr. G (20:16):
Kelsey.

Bri (20:16):
Whatever. The guy that's dating Taylor Swift. I was like, we all know who he is now.

Dr. G (20:23):
That's right. We did say, well, I mean is he even good at football? And our anesthesiologist's head almost exploded.

Bri (20:30):
He almost dropped the curtains and was like, bitch.

Dr. G (20:33):
When he asked to stand up it's like trouble.

Bri (20:36):
He's like, I hate it here.

Dr. G (20:38):
So then we had to break down the whole Justin Baldoni, Blake Lively situation for the men at the table. And I feel like they're like, we can never get that 15 minutes back. Whatever. You're welcome.

Bri (20:54):
Please listen to our podcast.

Dr. G (20:55):
Please like and subscribe, if you want more. Okay, so let's talk about vaginal rejuvenation and what we offer is a CO2 laser, which is generally the recommended treatment. There is an alternative, it's called Radiofrequency Energy. It was kind of the original, it was ThermiVa was the original vaginal rejuvenation tool which was designed to stimulate collagen elastin in the vaginal canal. And it just takes a little bit longer and I feel like we know CO2 is your kind of gold standard for a collagen production. So when we use it on the face or on a scar, so it makes sense that that would be superior to radiofrequency energy in the vaginal canal, but there's still an option. But that's the one we have as a CO2 laser. That's the one that they're talking about in this article from the Esteemed Journal, the Daily Mail.

Bri (21:58):
Esteemed.

Dr. G (21:58):
Peer reviewed Daily Mail, the device, just like with the CO2 laser, which is lovely for your face, it's fractionated, it's poking little holes of energy into either your mucosa or your face and then your body's going to go in and repair that.

(22:21):
And so that helps on the face, smooth fine lines and wrinkles in the vagina. It stimulates the mucosa to tighten up essentially. But it's very subtle. Usually needs to be done three times. But it has been shown to increase sexual function in menopausal women and supposedly in this UK study increase libido or the number of orgasms women experience. Again, not sure how they did the study, but Journal of Lasers and Medical Sciences are trying to show that it has a positive effect, which duh, we know that, but you have to prove it. And I feel like maybe almost 10 years ago now, the FDA came out and said, you can't advertise this. So that's the problem. The laser's there, we know it has this application, but the FDA will prevent you from marketing it if you don't have studies to show that it has an effect. It's considered off label and then any marketing is considered is considered a little sketchy by the companies. We can market whatever we want honestly, but you just have to get that caveat that it's off label. So I think this is the point in time where people are going to take some time to maybe study it a little bit more effectively and show that it has a positive effect in women, but it doesn't get talked about a lot. Right.

Bri (23:58):
No, I feel like it gives me the vibe. So this is not my wheelhouse. I know surgical stuff. So I'm going to go ahead and give you my interpretation of this laser. It just gives me like if you can exfoliate and treat your face, why not treat down there? But it's like if it's getting all tight, wouldn't anything feel better up there?

Dr. G (24:18):
Right. Yeah. It helps with things that come with age and maybe weight changes and pregnancies, multiple pregnancies. So it helps with mild urinary incontinence, lubrication, and apparently according to the study sexual function, so.

Bri (24:40):
Slay. Then you don't have to get PRP injected in your clitoris.

Dr. G (24:46):
Yeah, so that's an adjunct treatment that we don't offer because I feel like, I don't know, it just seems like, first of all, it seems painful and I'm sure it's not, but it seems less proven. So it's definitely an option, but it's not really proven and I think no one's doing great studies to show that it is effective. So I just don't have people who are willing to spend money on stuff that we can't validate. We just trial to laser that will go unnamed and neither myself or Dr. Chao got revealing before and after photo results, and I'm sure you can get results with that particular laser, but I need to be able to deliver to my patients. And so I don't need them to be squinting and saying, well, I don't really see anything after this first $600 treatment. Well, you need a series. It's hard. People want to see results. And so the PRP to the clitoris, which is considered a, what do they call it? The G shot seems like

Bri (25:56):
I just learned about it from a patient the other day.

Dr. G (25:58):
Yeah, it seems like, yeah, maybe it would work, maybe not. I'm happy to do it, if you want it, we can spin it down and inject it in there. But it's really, there's no way to prove one way or the other that it's doing anything for you literally.

(26:15):
So you can inject PRP into the scalp and maybe see hair growth and that's like a, oh, I can see that. And with the vaginal laser, you do a treatment. My biggest issue with this treatment is because it's CO2 and because it's not as high, you can do CO2 to your face in a series like a low setting and then do multiple treatments, or you can blast it all at once and maybe not have to do anything for two years. But this, you can't crank it. So it's three treatments. But the hardest thing I've seen is after one treatment, people are like, oh my God, I'm way better. And then they don't come back for the last two treatments. And you really are going to maximize results if you stack the treatments because the CO2 is going to stimulate your body to increase collagen, and that is going to build over the next three to six months. So doing three treatments a month to six weeks apart is really going to get you the most bang for your buck. But people definitely feel a result after that first treatment, which sells itself. Right. I'm not going to offer something where people are like me. I don't know. I didn't feel anything. Nothing's changed.

Bri (27:28):
No. I feel like everything I've heard from that, it's been all positive feedback.

Dr. G (27:32):
Literally we haven't had a single patient that was like, this didn't work.

Bri (27:36):
Right. In fact, most people actually end up finishing the three treatments because they like it so much. It's like taking antibiotics, you start to feel better and you stop taking it. I don't think I've ever even finished a course of antibiotics in my life. I got 30 pill bottles with four capsules of antibiotics left in it for 10 years ago. Just do it. Finish it. The most important part isn't the end of the antibiotics.

Dr. G (28:00):
Yes. I can't, the latent infectious disease doctor inside me just cringed, but it's fine.

Bri (28:11):
You're welcome

Dr. G (28:12):
Here to help.

Bri (28:14):
So what is the most, I know you kind of talked about this already, what is the most ideal patient or is there anyone that's not eligible to get the CO2 laser?

Dr. G (28:23):
I mean, anybody can try it because it depends on how old you were and when you started having kids. If you could be on the younger side of things and be interested in doing it. Thirties I guess if you had kids in your twenties, if you're a 30 5-year-old woman who hasn't had kids and doesn't, you probably don't have any issues as you start nearing 45 or you've had multiple children, 55, then those are mostly our demographic in terms of patients that benefit from it. And it's somebody who's struggling with a little bit of minimal urinary incontinence, which means you sneeze, you might pee yourself a little, you do jumping jacks. I don't know what other things make people pee? Laugh too hard.

Bri (29:11):
I'm not there yet. I had C-sections and I'm only 30. Oh God, I haven't not started the pee myself process.

Dr. G (29:20):
So yeah. So again, C-sections for the win, even though at the time it doesn't seem like a win. So those are patients who would benefit from it. Somebody who has maybe a little bit of vaginal dryness because kind of stimulating that collagen elastin helps the function of that tissue, which increases lubrication. So that's another win. And then feeling like it does tighten. It's just like with the CO2 to the face though. We're not doing a surgical repair down there. We're not putting the stupid daddy stitch that everybody seems to claim to have gotten and not asked for. It's a little bit of tightening. It's enough, but it's not dramatic. So when you do CO2 to the face, you're not getting facelift results. You're not lifting up the skin, excising it, repositioning stuff. When you resurface the skin with CO2 laser, you get some fine lines and wrinkles disappear and you get subtle tightening.

(30:22):
And that is effective tightening you get with the CO2 laser. So the ideal patient who has a little laxity, a little urinary incontinence, maybe a little dryness, those are all made better with the CO2 laser. Somebody who has urinary incontinence that needs a bladder sling or has prolapse, meaning their vagina's turning inside out. Those are GYN surgical problems and those need to be corrected surgically, generally speaking. So we're not going to fix that problem. But for the milder symptoms, it's somebody that doesn't need surgery. It's a great solution for solving that problem. And it's easy, right? It's super easy. Three days of vaginal rest and you won't even notice any.

Bri (31:13):
Oh, but not rest, just like

Dr. G (31:16):
No, not like labiaplasty. Yeah, not I need to lay flat. No, you're out the door. You just really shouldn't put anything in the vagina for three days. So no tampons, intercourse, et cetera, et cetera. That's all.

Bri (31:31):
So the process, how does the procedure work? I could definitely give you my explanation. I know everyone loves how I explain things, but I don't think a little probe up the vagina is the way to explain it.

Dr. G (31:42):
It kinda is. So it's a probe. It has, the laser guide is at the end of the probe. We put numbing cream on topically first. You probably don't need to, but it just makes everybody feel more comfortable. And then you insert the probe and step on the pedal and it'll laser about a little circular area spot, and then you turn the dial on the probe and then it lasers again like a clock. So if you're thinking about it as a cylinder, it's lasering all the way around, and then you pull the probe out by a set of meter and do it again until you're all the way at the end and then you do it twice. We like to do two passes of that so that we're making sure we're covering the whole area. And then sometimes, well, not sometimes, but I also like to do a little CO2 to kind of that urethral opening. Can you CO2, the labia minora and majora? Sure. But again, the amount of tightening you get skin tightening from that is not a ton. And so usually you're looking at a labiaplasty is your solution. So I wouldn't try it for that, but you can get a little bit of tightening with that. I just feel like externally it's definitely more painful and the bang for your buck is not as high. The whole thing takes 15 minutes, maybe.

Bri (33:08):
Lunchtime, vagina tightening.

Dr. G (33:11):
That's right. Designer vagina.

Bri (33:13):
Slay. You're like BRB, taking a lunch break. So if you were doing a labiaplasty, would you suggest that patients get this procedure done with it?

Dr. G (33:24):
You can. Yeah. If that's an issue. You know that most of my labiaplasty patients trend young, right? I would say we should pull that data, but I would say definitely below 30.

Bri (33:35):
Very young.

Dr. G (33:35):
But for the older patients, you can do your first treatment. Again, we recommend a series of three. So you do the first treatment, putting numbing cream on there, do the treatment, and then do the labiaplasty. Then you combine your three days of vaginal rest with recovering from labiaplasty and then a month out you're healed enough from the labiaplasty to do your second treatment, and then you come back one more time for the third treatment. So we definitely do it as a combined effort. The hard part is really advertising it, right? There's no before and after. There's no doesn't come up in cocktail conversations.

Bri (34:14):
You're like, Hey.

Dr. G (34:15):
Ask me about vaginal rejuvenation. There's no even good, like vaginal rejuvenation sounds hokey, honestly, but there's really no other way to describe it.

Bri (34:26):
It gives me the vibe I just learned on Instagram about something called hole ta\oxs.

Dr. G (34:34):
Oh, right. We talked about this. That was,

Bri (34:37):
And that's what the vibe it gives me. No one actually really talks about it unless it's a very specific

Dr. G (34:43):
That's a very niche

Bri (34:44):
Of people that need it done.

Dr. G (34:46):
Yeah. I feel like that's also not our community for the hole tox, but no,

Bri (34:51):
Pretty popular at Diddy's house, just kidding.

Dr. G (34:58):
Stop. Yeah. Hole tox is a whole other topic that we don't offer here, just FYI. But it stems from a lot of times things stem from therapeutic indications, right? So when you guys were laughing about it in the office, I was like, well, yeah, they've been injecting Botox into the anal sphincter for a while. So you can get the category of problems or diseases like anal fissures and hemorrhoids and all this stuff that goes down there that people hate for an anal fissure. You can with Botox. Do I do that? No, because I'm not a general surgeon or a colorectal surgeon, but it's definitely in their armamentarium to treat that way. So I think someone's just been

Bri (35:47):
In the what? Arm and?

Dr. G (35:48):
Armamentarium, It's like in my toolbox.

Bri (35:50):
Okay.

Dr. G (35:51):
Sorry.

Bri (35:52):
We couldn't have said toolbox arm. I can't even say the word.

Dr. G (35:57):
It's definitely in your wheelhouse toolbox. I don't know. Yeah. So it is a recognized treatment for that. Don't get me to explain internal and external anal sphincters, and I've deleted all that, but for my general surgery training. So I could see somebody extending it to relaxing the, I don't know why you would, but whatever.

Bri (36:25):
I feel like it just shows that people

Dr. G (36:27):
And then post about it on freaking Instagram.

Bri (36:30):
I know I didn't realize how popular it is, but it just shows that people are trying to really take care of both ends of themselves and it's becoming so much more popular.

Dr. G (36:39):
I just don't think it's going to last to be honest. Although it is a small dose. I just think it's people are always applying Botox to new things. And so there was scalp tox that I read about several years ago where they injected Botox into your scalp, which is probably not

Bri (36:56):
Is that for migraines.

Dr. G (36:57):
No migraines for Botox or migraines is effective. No, just layer it all in your scalp so that your head doesn't sweat so that your blowout lasts longer.

Bri (37:07):
Stop.

Dr. G (37:08):
It was like a man.

Bri (37:09):
Can you imagine how much Botox?

Dr. G (37:11):
It's gotta be like 50 or a hundred units so that you don't sweat there

Bri (37:16):
To let your three day blowout last longer? If that, that's insane.

Dr. G (37:21):
Girl dry shampoo.

Bri (37:23):
It's like $1,200 of Botox if it's a hundred units.

Dr. G (37:27):
Yeah, it's crazy or more, but I'm just saying.

Bri (37:30):
Just get another blowout.

Dr. G (37:31):
Somebody threw it out there as a thing and it got covered in the cut or some magazine, and I was like, what? Who's doing that? That is like I have money to set on fire, but also it's just got to be painful and I just don't think, no one's going to stick that out. It's not going to stick.

Bri (37:49):
That's crazy. That's crazy.

Dr. G (37:51):
But I don't know, maybe I'm wrong about the hole tox.

Bri (37:54):
I didn't realize I sweated that much. I was like, I don't notice a difference in my hair. Just dry shampoo.

Dr. G (38:02):
Yeah. I mean, no, it's when SoulCycle was at the height of its popularity, so people didn't want to ruin their blowouts. I don't know.

Bri (38:10):
But they wanted to still cycle and do Pilates I'm guessing.

Dr. G (38:14):
Correct.

Bri (38:16):
So we can segue back to vaginal laser. Are there any side effects or doing it?

Dr. G (38:23):
I mean there's always side effects, but not in our hands, honestly. The settings are reasonable. There's, sure you have to sign that says there might be a complication. I've had maybe one patient with a little spotting, but in general there's no complications with it. However, could you go to some fly-by-night laser strip mall place and have them stick the wrong laser in there and burn your vagina? I guess so. Which was the FDA's concern when it first came out that it was going to get everywhere and then people were going to be, but we have Jason Emer down the street in Beverly Hills doing just actual surgery, even though he is a dermatologist in his office and getting his license revoked and stayed. So you got to worry about, I will once again say make sure that your person is certified in what they're doing. You got to trust and you have to what we call credentialing the provider. So making sure that the person you're going to is legitimate and knows what they're doing. So if it's important, don't go to some med spa, I guess would be my 2 cents. Are results immediate? Yes, they're immediate and then they'll dissipate a little bit and then they'll build back up. But you need to build on that treatment because we've got the dose titrated so that it takes three treatments, but we're not making the first treatment so hard that it's not recoverable from, but you do need to build on it, if that makes sense.

Bri (40:04):
Yeah. Is it a painful treatment?

Dr. G (40:07):
No. And not at all. So you don't feel anything.

Bri (40:10):
We love that.

Dr. G (40:11):
Yes. So let's talk about someone relatively famous who had it done. Jada Pinkett Smith. This is an old article, but from 2018, but she did vaginal rejuvenation. It's unclear whether she had a labiaplasty at the same time, but she definitely says that she had the laser treatment and that it took years off of her vagina. And here she says she's undergone three procedures, so, she did the series of three and she says also on the outside it looks beautiful, which makes me think she either treated externally with the laser, which you could do, which is a slow roll, or also had a labiaplasty at the same time. And she said it was mostly for her bladder issues. Like I said, having that helps with mild urinary incontinence and despite her talking about it at the time, like I said, it's hard because it doesn't usually catch on, so it doesn't trend as much as you would think it is. So certainly didn't make the news like her alopecia did.

Bri (41:29):
Or her husband slapping somebody.

Dr. G (41:31):
Or her open or whatever the hell is going on.

Bri (41:35):
I feel like we don't talk about her enough. I feel like there's a lot of things we could say.

Dr. G (41:39):
I don't know, but she must sleep in a freezer or something. She does look freaking phenomenal. She does not age at all. Maybe her vagina was aging and she rectified that, but

Bri (41:51):
She was the only thing aging. The rest of her is she fixed it.

Dr. G (41:54):
Yeah, the rest of her

Bri (41:55):
Now it looks like a 16-year-old. I'm not kidding.

Dr. G (42:00):
In quotes, my Yani is like a 16-year-old. I'm not kidding.

Bri (42:06):
You go girlfriend.

Dr. G (42:07):
Yeah, I mean she's another one who literally doesn't age, but props.

Bri (42:12):
You know what I'm going to be doing on my lunch break. Don't come into exam room three.

Dr. G (42:20):
Get Azella on that. I know. Poor a Zella. Our rn, we need you to laser hair removed. We need you to laser our vagina. We need you to IPL our face. I know.

Bri (42:34):
She's so lucky.

Dr. G (42:37):
So lucky. Okay. I think that kind of wraps up vaginal rejuvenation. I mean, we've talked about it. There's not too much to know. It's pretty basic, straightforward treatment that delivers results. There's not a lot of things in plastic surgery that we can be as confident about and it's a win.

Bri (42:58):
Yeah. 10 out of 10 in my book. Yes. This one's a thumbs up.

Dr. G (43:03):
Thumbs up. Alright. I think if you're listening today and you want to know more about CO2 laser for vaginal rejuvenation, i.e., the Rejuvenate laser is the one we have. But definitely give us a call or DM us on Instagram.

Bri (43:22):
Yes.

Dr. G (43:22):
I think it's time to scrub in.

Bri (43:24):
And scrub out. Slay.

Dr. G (43:27):
Slay queen. If you're listening today and have questions, need info about scheduling, financing, reviews, or photos, check out the show notes for links. Restore SD Plastic Surgery is located in La Jolla, California. To learn more about us, go to restoresdplasticsurgery.com or follow us on Instagram @restoreSDplasticsurgery. If you enjoyed this episode, please share it and subscribe to All the B's on YouTube, apple Podcasts, Spotify, or wherever you like to listen to podcasts.