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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 info@psiatlanta.com

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:

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.

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

Breast augmentation is a great way for patients to enhance the female figure and in many cases improve self esteem. This young transgender patient had undergone silicone injections into her breast tissue in the past. Following consultation with Dr McCluskey, the patient chose to undergo a breast augmentation with 550cc silicone breast implants while having Dr McCluskey simultaneously remove any of the old injected silicone and scar tissue. When silicone is injected it is extremely difficult to remove and only a limited amount can be removed with out causing safety risks for the patient. The patient selected a periareolar incision, meaning the incision line is around the nipple. Please watch and leave any comments or questions you may have!

 

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

This patient had lost volume in her breasts due to aging and pregnancy. Although this would usually be thought of as a case suited to a breast lift, due to there being a low amount of sag in this patients breast we were able to achieve the results she desired with a simple breast augmentation. Breast implants added volume and shape restoring a youthful and lifted appearance to the breasts with near invisible scarring and quick recovery with limited down time for this mom on the go!

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

At the Plastic Surgery Institute of Atlanta we are lucky to have amazing patients! Here are some kind words from one of them:IMG_1667

“I had two Rhinoplasty’s done in the past by two different doctors In Florida. Both of which were incorrectly done and the results affected me monetarily and emotionally. After 5 years of being miserable and still unhappy, I heard of Paul by one of his previous patients that I met in a local Atlanta bar. I was amazed at the before and after results on my friend. I then decided to take another chance at it, so in May of 2013 I put my trust in this Doctor and had my 3rd Rhinoplasty. Today I am happy with my results. Finally, I am smiling and feel happier than I have been in a very long time. So that’s my story. I wish he would have been my first Doctor that did my procedure. I would have saved so much money. Regardless, When hiring a Plastic Surgeon, Beware.. In my book, Paul Mccluskey and his staff are the BEST!!! Thank you from the bottom of my heart!!!! :)”

To read more reviews of our office and Dr McCluskey visit our Facebook page! An don’t forget to like us while you are there.

For more information on services offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta visit http://sexualaesthetics.com/

We all know that there are many, many reasons to stop smoking: the health complications are extensive and the effect on you appearance alone are hugely significant. Smoking also adds a significantly higher risk of complications when it comes to surgery. As a rule I don’t operate on smokers. I try to work with patients that do smoke to set parameters for their safety or to help them to stop smoking completely (if they are interested). If you are a chronic smoker then during your consultation I will explain the risks of smoking with regard to plastic surgery and I’ll ask you to stop smoking one month prior to surgery and one month afterward.  It might sound like a big challenge, but I’m asking you to cease smoking for a period of one month.

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Even if you follow these instructions to the letter and quit smoking one month before and one month after surgery you are still at risk for many of the complications typical for smokers, naturally it’s always preferable that patients stop smoking completely. One of the many reasons smoking is problematic in regards to surgery is that chemicals found in cigarettes cause blood to clot less easily which can be extremely problematic, . If you are a smoker any issues or questions you may have will be discussed in detail at your consultation so that you can be fully educated and prepared before scheduling surgery.

To learn more about procedures offered by Dr McCluksey and the Plastic Surgery Institute of Atlanta visit https://psiatlanta.com/ and http://sexualaesthetics.com/

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