The use of platelet-rich plasma (PRP) for the purpose of injecting it into the vagina. PRP has been described in thousands of research papers demonstrating its ability to rejuvenate tissue in bone and skin. The use of PRP to facilitate post-surgical healing has also been well described. PRP acts by releasing growth factors that in return stimulate the growth of new, healthier tissue. Simply put, PRP forms new blood vessels thus increasing blood flow and stimulates new collagen formation. In addition, serious side effects resulting from injecting an individual’s PRP back into that same person simply have not been reported.

Benefits of the O-Shot

1. Decreases both stress and urge urinary incontinence
2. Increases vaginal lubrication
3. Provides greater arousal from clitoral stimulation
4. Provides stronger orgasms
5. Provides more frequent orgasms
6. Increases sexual desire (libido)
7. Decreases painful intercourse (dyspareunia)
8. Improves Lichen Sclerosis (statistically significant symptom improvement and pathology-confirmed inflammation reduction)

Candidates for the O-Shot

Almost any woman can receive the O-shot. Women both on and off hormone replacement therapy can usually benefit from the procedure. Women with Lichen Sclerosis can benefit. Women suffering from any of the following can benefit from the O-shot…
1. Urinary leakage
2. Dry, painful vagina
3. Low libido/desire
4. Painful intercourse
5. Suboptimal orgasms


1. First, topical numbing cream is applied to the areas to be injected
2. Next, approximately 10cc of blood is drawn from your arm by a very small needle
3. This blood is prepared for use
4. While the blood is being prepared, the clitoris is numbed using a tiny needle with little to no pain
5. The PRP is then isolated and activated
6. Approximately 4cc of activated PRP is injected into the O spot (just inside the vaginal opening on the top wall)
7. The remaining 1cc of activated PRP is injected into the body of the clitoris (again with little to no pain)
The entire procedure takes around 30 minutes to complete.

When Do You Notice the Benefits?

Occasionally, women will experience an immediate, transient period of hyper arousal and hyper sexuality. Typically however, women will begin to get a tissue response in three weeks. At the three-month mark, women will achieve maximum benefit.

How Long Does the O-Shot Last?

Up to three years. However, some women may choose to have it performed much more frequent.


What is Labiaplasty?

We perform labial reduction surgery(labiaplasty) for women with enlarged, or asymmetrical labia minora using the highly precise and minimally traumatic Ellman Surgitron device. This device is a magnitude less destructive than any laser.
Some women feel uncomfortable with their enlarged labia minora (lips), which can lead to discomfort with wearing certain clothing, exercising, or having sex. The enlarged labia minora can have an abnormal appearance that can be uncomfortable and embarrassing.

How is it done?

We have developed and refined a special reconstructive plastic surgical technique for labia reduction surgery to reduce uneven or large labia minora to a more comfortable and more appealing size and shape. The use of the Ellman Surgitron has dramatically decreased the scarring from surgery as compared to using lasers, knives, or traditional cautery. We customize the labial reconstruction procedure to the individual needs and expectations of the patient. In most cases, the labia reduction surgery is virtually undetectable after complete healing, and patients have been extremely pleased with my results.

What is Labia Minoraplasty?

Labia Minoraplasty is a type of aesthetic vaginal surgery(AVS) designed to reshape the inner/thinner lips of the vagina. Redundant or excessive tissue in the labia minora can cause discomfort

What Causes Elongated Labia?

One in three women have longer than average labia. Genetics play the largest factor in this physical abnormality. Estrogen can also stimulate the labia to continue growing, so pregnancy and hormonal imbalances may increase labial tissue. Other causes include aging, weight loss and injury.

Choosing Labia Minoraplasty

Labia minoraplasty is an elective procedure that can reduce the size and reshape the inner vaginal lips. Large or asymmetrical labia minora can leave you feeling self-conscience in tight clothing or during intimacy.
Long labia may result in rubbing, irritation or discomfort during intercourse and exercise. Certain skin conditions can cause increased sensitivity or tearing of the labia minora. In some cases, the labia minora may be fused with tissue in the labia majora and require medical correction.

Undergoing Labia Minoraplasty

Your gynecologic surgeon will remove excess tissue and reshape the inner lips. Following the surgical procedure, your labia will be symmetrical and smaller in appearance.
The extent and location of the incision depends on the shape, texture and size of your labia minora. Discuss individual factors with your gynecologic surgeon.

Recovering from Labia Minoraplasty

Expect to spend the first three to four days following the procedure on bed rest with ice. After this time, you may return to desk work. It can take up to six to eight weeks before your gynecologic surgeon releases you for normal activities, including intercourse.
Following surgery, scar tissue will be forming as the incision area heals. In order to avoid interfering with the healing process, it is recommended you avoid using tampons for at least one menstrual cycle following the procedure.

Risks and Complications

As with any surgical procedure, labia minoraplasty increases the risk of bleeding and infection. Urinating may be painful as the labia minora heals. Generally, there is no long-term loss of sensitivity or sensation. However, you may experience some numbness or soreness for a few weeksfollowing surgery.