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    Vaginal Rejuvenation With A Plastic Surgeon

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    Breast Exchange | Plastic Surgeon | Cosmetic Surgeon | Atlanta | GAA procedure that has been gaining popularity in recent years and that we are receiving more and more questions about is vaginal rejuvenation. Vaginal Rejuvenation is a procedure that repairs and tightens the vaginal canal. Like all areas of the body, the vagina loses elasticity and youthful shape with age and following child bearing which can cause issues with sexual intercourse and even vaginal prolapse.

    Dr McCluskey, is trained over several years in cosmetic and reconstructive surgery which gives them the skill and expertise

    What is the G-Shot?

    At the Plastic Surgery Institute of Atlanta, Dr McCluskey and his staff are known for their expertise in Sexual Aesthetics. These procedures include Labiaplasty, Vaginal Rejuvenation and the G-Shot among others. The G-Shot involves using either an injectable filler or the patients own fat to create fullness at the most sensitive part of the patient’s vaginal wall, known as the ‘G-Spot’ to increase sensitivity and sexual pleasure.

    What is Juvéderm?

    Juvederm is an injectable filler containing Hyaluronic Acid, a substance that is found naturally in the body. Juvéderm is also commonly used in the lips and face to create fullness in hollow areas or plumpness in thinner lips. As we become older our bodies produce less Hyaluronic Acid so Juvéderm works to replace the lower levels of Hyaluronic acid! This same principal is used in the G-Shot to create a more plump G-Spot that is more sensitive.

    What Is The Procedure Like?

    Dr McCluskey has successfully performed many G-Shots at the Plastic Surgery Institute of Atlanta with the actual procedure lasting as little as ten minutes! Many patients choose to schedule their consultation and procedure at the same time meaning that Dr McCluskey can answer any and all questions the patient may have, discuss the specific goals the patient has, and perform the procedure in one short office visit. Prior to receiving a G-Shot each patient receives numbing medicine to reduce any discomfort, and the results can last for nine months or more! We strive to create a relaxed and open environment where patients feel comfortable, knowledgable and safe about their chosen procedure and in the care of an experienced Plastic Surgeon.

    How Much Does a G-Shot Using Juvéderm Cost?

    A G-Shot using Juvéderm costs just $900, this price includes any numbing medication used, and exam room time. Consultations are complimentary at the Plastic Surgery Institute of Atlanta, and can be made easily by calling 404-255-3555 or e-mailing our secure email at

    For more information on procedures offered by Dr McCluskey at the Plastic Surgery Institute of Atlanta, visit:

    summary-of-the-american-society-for-aesthetic-plastic-surgery-reportI am always trying to improve our patients’ experience before, during, and after surgery.  As I’ve discussed with regard to breast augmentation many patients have a huge fear of general anesthesia. Because vaginal rejuvenation focuses on a very limited region of the body, the labia and vaginal tissues can easily be “numbed” or anesthetized locally while the patient is in a sedated state. The process is simple. Our anesthesia team will start an IV before surgery and administer sedation medications.  Patients enter what we call a “dissociative state” whereby they are still breathing on their own (without breathing tubes or the assistance of a ventilator) but they do not feel pain. These sedative medications are short acting and the anesthesia provider can quickly awaken the patient when the procedure is complete. Once the sedative medications are on board I inject Xylocaine (lidocaine with epinephrine) into the tissues. With the tissue adequately anesthetized with lidocaine I can safely peform vaginal rejuvenation, labiaplasty, G-spot augmentation, clitoral hood reduction, episiotomy (perineal body) repair, and autologous fat grafting while the patient rests comfortably. If a patient specifically requests general anesthesia, or if vaginal rejuvenation is being combined with a larger procedure such as a tummy tuck or breast lift, then that can easily be arranged. Recovery after sedation/local procedures is quicker and easier; the patients return to normal activities more rapidly and they aren’t burdened with the “fog” of general anesthesia for 3-4 days.

    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    One of my colleagues recently showed me an excerpt from another doctor’s website.  This doctor is an OBGYN who specializes in vaginal rejuvenation and urinary incontinence (a urogynecologist).  This doctor’s website has an entire page explaining how OBGYN’s who did a fellowship in urinary incontinence have superior training to plastic surgeons as it relates to cosmetic vaginal rejuvenation and labiaplasty.  I have worked with a number of urogynecologists over the years and I’ve trained along urogynecology fellows and assisted them on complicated surgical cases.  In 20 years I’ve never heard a urogynecologist discuss cosmetic surgery such as vaginal rejuvenation or labiaplasty.  But I’m not very territorial.  I feel that an OBGYN has just as much right to perform these procedures as a plastic surgeon.  I do take issue when those same doctors disparage our plastic surgery training, and they do so with blatant ignorance.  The page from this OBGYN website contains a lot of false information about plastic surgery training and I’d like to clarify a few points.

    I have great respect for OBGYN’s and it is a shame that decreasing insurance reimbursement and worsening liability has pushed many OBGYNs away from delivering babies.  I understand the financial pressures of running a medical practice but I also firmly believe that doctors should stick to their training.  I cannot comment on the specifics of OBGYN training but from what I recall from medical school and residency 99% of their training involves obstetrics, reproductive medicine, gynecologic cancers, and other gynecologic disorders such as endometriosis, uterine fibroids, and hormone imbalances.  I’ve never associated OBGYN’s or urinary incontinence specialists (Urogynecologists) with cosmetic surgery or cosmetic procedures.  In Atlanta I’ve encountered numerous OBGYN’s who perform tummy tucks, breast lifts, and even breast augmentation and facial procedures including Botox, injectable fillers, and laser skin rejuvenation.  I’ve also repaired a number of botched cosmetic procedures by these OBGYN’s, including tummy tucks with the incision placed at or above the belly button, and liposuction with terrible contour deformities.  It is unfortunate that they feel the need to step so far out of their “realm of practice” (the specialty in which they trained) in order to make money.

    The OBGYN website to which I’m referring states:  “Plastic Surgeons – usually spend 3 years in general surgical training learning various surgeries including bowel surgery, chest surgery, appendix removal, gallbladder removal and then another 2-3 years in plastic surgical training where they spend most of their time doing wound treatment for ulcers and burns…”  This statement is 100% false.  I don’t know the source of their information (no sources are cited) but my training was typical of many plastic surgeons so allow me to take a walk down memory lane.  I completed 8 years of residency in surgery and plastic surgery.  The entirety of my training from the moment I graduated from medical school was devoted to surgery and the careful handling of tissue.  As a result of completing a full general surgery residency, like many of my peers, I have operated on every structure and tissue type in the body from head to toe.  I’ve performed these operations in both elective and trauma settings and I’ve literally participated in lifesaving surgical procedures, whether it be a stab wound to the heart, a ruptured aorta, a severed limb, or a log through the neck (yes, a 6-inch log through the neck, in a patient who arrived in the ER at 2am one night, and after a 4 intense hours of surgery and a few days in the hospital that man went home in good condition).  For five years, day after day, night after night, my colleagues and I learned proper tissue handling, wound healing principles, and surgical skills by operating constantly.  I’m from what you call the “old school” in that I trained before the limited 80-hour workweek.  Most of my weeks in surgical training extended 7 days and well beyond 100 hours and I never complained because this training prepared me for every possible surgical situation.

    All of that training landed me in a world-class plastic surgery residency program at UT Southwestern Medical Center in Dallas, Texas.  The focus of plastic surgery training is again on handling delicate tissues, wound healing, and refined surgical skill.  Without getting into the gory details, the field of plastic surgery encompasses cosmetic and reconstructive surgery of all parts of the body.  If a physician wants to become an expert in cosmetic surgery, whether that is breast augmentation, eyelid lifts, labiaplasty, or vaginal rejuvenation, then that physician will receive superior training as a plastic surgeon.  Likewise, if a physician wants to do Botox and injectable fillers should that physician become an OBGYN, or would she be more suited as a plastic surgeon or dermatologist?

    With regard to reconstructive surgery, an important aspect of plastic surgery training involves reconstruction of the vagina and vulva after removal of cancer.  Malignancy can often leave large defects and terrible deformities in these areas.  Using combinations of muscle flaps, skin and tissue grafts, and autologous fat transfer techniques, plastic surgeons can completely reconstruct these defects and deformities so that the patients can enjoy normal cosmetic vaginal appearance and normal sexual function.  Many of the cosmetic and functional techniques of labiaplasty and vaginal rejuvenation were in fact designed by plastic surgeons and these techniques were derived from the larger, more complicated reconstructive procedures.

    To sum it up, I do not perform urinary incontinence surgery because I am not a Urogynecologist.  I am not an OBGYN so I do not deliver babies.  If a doctor wants to perform cosmetic surgery then the proper route for training is plastic surgery.  If a doctor wants to fix urinary incontinence then the proper training route is OBGYN and Urogynecology.    That is not to discredit the training of a urogynecologist – I have witnessed these surgeons perform very elegant procedures for very complex problems.  Again, I’ve worked with OBGYN and Urogynecology department chairmen and experts in the field and I’ve never heard them mention cosmetic surgery as part of their training.  I’m sure that their skills can allow them to become adept at cosmetic procedures but it’s a pretty big leap to directly say on a website that plastic surgery training is somehow inadequate.

    Why do I perform labiaplasty and vaginal rejuvenation surgery?  These are cosmetic procedures for which I was specifically trained as a plastic surgeon.  My extensive background in general surgery and plastic & reconstructive surgery have more than amply prepared me to perform these procedures.  A major focus of my practice is also correcting “botched” procedures performed by other doctors or in other countries. Corrective or revision surgery of the labia and vaginal canal requires expertise in reconstruction as I discussed earlier.  I’ve refined a number of labiaplasty and vaginal rejuvenation techniques and I rely on my plastic surgery training and my surgical experience to consistently achieve excellent cosmetic and functional results.

    For more information about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    What is the G Shot?

    First, the G Shot is a simple, pain-free procedure which is performed in the office. Second, the G Shot provides a nice enhancement of the most sensitive spot on the vaginal wall. There are many theories about the location of the “G spot” but experts agree that the G spot is a patch of tissue on the anterior (upper) vaginal wall which is often more prominent than the surrounding tissue. Many of the nerve endings associated with sexual pleasure are concentrated in the clitoris and the G spot. Some women don’t experience much sensation in the G spot while others find it to be a very sensitive area. The G Shot works best in women who already experience heightened sensation in the G spot area. Enhancing the volume and prominence of this area on the vaginal wall improves sensation for both the woman and her partner.

    How does the G Shot work?

    I completely understand that it’s a little intimidating and embarrassing for a patient to talk about these procedures during a consult. Patients have a lot of questions about procedures like the G Shot, or for that matter, anything to do with sexual aesthetics & vaginal rejuvenation, but they’re often afraid to ask. We’ve worked very hard to make this experience as comfortable and un-intimidating as possible. Often for procedures like the G Shot I will schedule the consult and the procedure on the same day. This means just one trip to the doctor! This means just one quick discussion about the procedure and what results the patient is trying to achieve, then a little numbing medicine, a little G Shot, and she’s out the door within the hour! In short, the G Shot is an injection of filler into the G spot.

    Use of Fillers For The G-Shot

    I typically use hyaluronic acid fillers such as Juvederm but I’ve performed a number of G Shots by transferring the patient’s own fat into the G spot area. Both of these fillers (fat and hyaluronic acid, or HA) have their advantages and disadvantages. The hyaluronic acid G Shot is the simplest of in-office enhancements and only takes a few minutes. The patient can easily be in and out of the office in 20-30 minutes and the HA enhancement can last 9 months or longer. A G Shot with HA can also be repeated months later for further sexual enhancement without any risk of scar tissue formation or other side effects. Hyaluronic acid is a naturally occurring component of the human body and the results of an HA G Shot actually improve with time because HA absorbs water causing additional prominence of the G spot.

    Using The Patient’s Own Purified Fat For A G-Shot

    Performing a G Shot with the patient’s fat takes a few extra minutes as compared to HA but the results are excellent. G spot enhancement using the patient’s own fat will also last 9 months or longer and it can be repeated to improve the desired effect. Another advantage of using fat is that it can easily be combined with other procedures. If we are performing liposuction of other areas why not transfer some of the fat to the G spot to improve sexual satisfaction? The G shot only requires a few cc’s of fat (1-5cc) but during a typical fat-harvesting procedure I’ll remove 20-30cc of fat. We call this fat “liquid gold” because it is the patient’s own fat, dense in tissue factors and stem cells, and it can be used to enhance multiple areas of the body including the G spot, the labia majora, and labia minora, facial lines & lips, and it can be used for rejuvenation of the hands.

    To reiterate, the G shot is a simple, short, pain-free, in-office procedure which can be performed on the same day as consultation. Patients will often experience heightened sensation afterward with very few, if any, risks or complications.

    For more information about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    Following weight loss, breast feeding, and simply with age, breasts lose volume and begin to sag. Losing that youthful full bust is not uncommon, but is a factor in reduced confidence that we see in many of our patients. Breast implants are a great solution to this loss of volume and returning the breasts to a more rounded, youthful shape.

    As can be seen below, in this patients case breast implants can be used to create a very natural looking, full chest while in many cases increasing self-esteem and confidence. There are so many options available for breast implants, from material, to size, to placement each patient is able to have their specific and unique needs met. Dr McCluskey discusses all options in detail with each patient so that the procedure is tailored to meet expectations as well as possible.breastaugba


    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit:

    A Facelift can help erase years from the neck and jawline by lifting, tightening and smoothing the skin. Weight fluctuation can cause skin in this area to become sag, but there are very few of us who will escape the tell tale signs of aging that come from the loose and sagging skin of the neck and jowls. You can see Dr McCluskey perform a facelift here! As you can see from the patients results below, the Facelift gives a natural, subtle, younger looking silhouette to the face.




    You can learn more about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta:

    The Tummy Tuck is one of the most amazing transformations we see at the Plastic Surgery Institute of Atlanta. As part of the famed “Mommy Makeover”  the Tummy Tuck combines liposuction, tightening of the abdominal wall, and removal of extra skin leaving a flatter stomach with a smoother, slimmer waistline.



    With aging, and especially following childbirth, the abdominal wall and the skin becomes stretched to a point that exercise and healthy lifestyle can not repair. The Tummy Tuck combined with a healthy lifestyle, is the only way to recreate the youthful look of a pre-pregnancy stomach.

    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    The Facelift is an amazing procedure that dramatically reduces sagging skin, creates a smooth jawline and reveals tighter, younger looking skin that can erase years from patients’ faces! As you can see from the before and after photos below, the results are an amazingly youthful and natural profile, restoring confidence and self esteem in many of our patients! You can even watch Dr McCluskey performing a mini-Facelift here.





    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit:

    The Brazilian Butt Lift has taken the world by storm with some reports suggesting a 16% increase in the number of people undergoing the procedure in 2014! This simple procedure which sees slimming of the stomach, thighs, and lower back through liposuction, and an increase size in the buttocks through fat transfer is fast becoming one of the top procedures in the US.

    As you can see in the amazing before and after photo below the results are a smooth, more youthful body shape that is closer to the hourglass silhouette that many patients desire. You can see Dr McCluskey explain the Brazilian Butt Lift step-by-step in a short video you can watch here!


    For more information on this and other procedures offered by Dr Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit: