Sexual wellness plays an important role in women’s and men’s quality of life. Our office provides comprehensive surgical and non-surgical treatments to enhance sexual performance and satisfaction for women and men. These services are available in Dr. Daniel Man’s State of the Art Plastic Surgery Center. The Sexual and Rejuvenation Wellness program is provided by Dr. Eliezer Livnat, M.D. a Board Certified Cosmetic Gynecologist and Sexual Wellness Expert. As a team, Dr. Man and Dr. Livnat have helped many women and men regain their sexual wellness and performance. With a range of surgical and non-surgical procedures designed to treat both cosmetic and functional concerns, Dr. Man and Dr. Livnat are ready to help you improve your health and happiness with life-changing treatments.

What is Sexual Rejuvenation?

Sexual rejuvenation provides women with treatments designed to correct the physical and emotional problems associated with sexual dysfunction. Aging, childbirth, menopause, pregnancy and genetics can all negatively affect a woman’s ability to enjoy a satisfying and healthy sex life.

Sexual rejuvenation treatments are designed to improve a wide range of physical symptoms related to female sexual dysfunction, including:

  • Vaginal dryness
  • Painful intercourse
  • Vaginal laxity
  • Stress urinary incontinence
  • Lack of sexual desire
  • Orgasmic dysfunction

Targeting these common physical symptoms using rejuvenating treatments can not only improve a woman’s sex life, but it can also improve relationships, increase self-confidence, lower stress levels and improve quality of life. If you feel that sexual rejuvenation treatments would improve the quality of your life, consider some of the diverse treatment options offered at the offices of Daniel Man, M.D. and Eliezer Livnat, M.D.

Nonsurgical Treatment Options

For many patients, the idea of surgery can be daunting and undesirable. Modern sexual rejuvenation options have thankfully expanded into minimally invasive and nonsurgical treatments capable of solving some of the most common and frustrating issues experienced among female patients.

ThermiVa: Radiofrequency Rejuvenation

ThermiVa is a revolutionary nonsurgical treatment that uses radiofrequency (RF) energy to tighten the inside of the vagina, improve vaginal dryness, and decrease irritation and pain during intercourse. During a 30-minute appointment, the slender ThermiVa device is introduced into the vagina to apply monitored heating to the internal tissues. The temperature-controlled thermal energy increases vaginal tightness and stimulates collagen production to restore function and youthfulness, among other cosmetic benefits. With a series of three treatments, patients can enjoy comfortable, pain-free sexual rejuvenation with no downtime.

The Orgasm-Shot (O-Shot)

The Orgasm Shot, or O-Shot, is a minimally invasive treatment option that uses platelet rich plasma (PRP) containing growth factors which improve stimulation, sensitivity, libido and natural lubrication. During a 30-minute appointment, blood is drawn from the patient’s arm and processed to create a nutrient-dense serum called platelet-rich plasma (PRP). After a topical numbing cream is applied to the vagina, the PRP is then injected into the clitoris and the “o-spot” located just inside the vagina.

Since the O-Shot procedure uses natural materials sourced from the patient’s own blood there is no risk of adverse side effects or allergic reactions. There is no down-time and patients may resume intercourse shortly after the procedure. The regenerated healthy vaginal tissue will improve sexual arousal and result in stronger, more satisfying orgasms. Results typically exceed one year, and the treatment may be repeated as necessary.

Bio-identical Hormone Pellets

An optimal hormone balance in women and men is vital to one’s sexual health, wellness and quality of life. Hormones play a pivotal role of the body’s function. In women approaching the menopause a steady decline of estrogen and testosterone levels occur. This results in a multitude of undesirable symptoms. In men there is an age related decline in testosterone production which also is associated with a multitude of symptoms called “ andropause”. The bio-identical estrogen and testosterone contained in the hormone pellets is absorbed directly into the bloodstream improving the menopausal and andropausal symptoms.

Surgical Treatment Options

Vaginal childbirth is commonly associated with vaginal laxity which causes a sensation of vaginal looseness, decreased friction during intercourse and sexual dysfunction. Similarly, aging and the hormonal changes resulting from menopause can create undesirable side effects to a woman’s sexual health that can be quite stressful. Sexual rejuvenation procedures such as vaginoplasty, perineoplasty and labiaplasty can help women regain their confidence by targeting both functional and cosmetic concerns with long-lasting results.


Vaginoplasty is a procedure that tightens the stretched vaginal muscles to improve sexual function and gratification. During the vaginoplasty procedure, the overstretched muscles and supporting tissues are reconstructed using absorbable sutures. This achieves a more narrow and tighter vaginal canal as well as a smaller vaginal opening resulting in improved sensation during intercourse. The vaginoplasty is commonly combined with a perineoplasty which reconstructs the damaged perineal muscles (area between vaginal opening and anus).

The vaginoplasty procedure is performed under general anesthesia with the surgery lasting approximately 90 minutes. Most patients return to work within one week and may resume intercourse in six to eight weeks. Post operative pain is usually mild to moderate and is managed with oral analgesics.

Labiaplasty: Cosmetic Genital Enhancement

Labiaplasty is a cosmetic procedure that focuses on trimming excess labial tissue to improve the appearance of the labia. Labiaplasty may address the labia minora (minoraplasty), labia majora (majoraplasty) or both in one comprehensive procedure. Labiaplasty is typically performed to target cosmetic concerns related to excess tissue, asymmetry or discoloration but may also alleviate physical symptoms like discomfort during sex.

Labiaplasty is completed under local anesthesia with mild sedation. During the procedure, any excess tissue of the inner and or outer vaginal lips is trimmed to create an enhanced aesthetic appearance determined by the patient. Labiaplasty is typically a one-hour procedure, although it will take longer when combined with vaginoplasty. Patients can expect to resume sex in about six weeks and enjoy lifelong results. Hoodoplasty which addresses the excess skin of the clitoral hood is commonly performed in conjunction with the labia minora plasty. This achieves a more balanced appearance of the hood and the newly fashioned labia.

Additional Procedures

While vaginoplasty and labiaplasty are the two most common surgical sexual rejuvenation procedures, Dr. Eliezer Livnat offers additional options that can target a wide variety of concerns. Hymenoplasty is a procedure that reconstructs a torn hymen to achieve a second virginity. This procedure is mainly requested for cultural or religious reasons. It is performed under local anesthesia while strict confidentiality is maintained.

Dr. Livnat strives to provide individual and customized vaginal rejuvenation outcomes. A comprehensive vaginal rejuvenation plan may incorporate various procedures and hormone optimization to target sexual concerns from every angle. With a breadth of treatments to choose from, patients at the offices of Dr. Daniel Man and Dr. Eliezer Livnat will receive truly life-changing results to improve their sexual health and self-confidence.

Schedule Your Private Consultation Today

Dr. Livnat helps all of his patients come to an informed decision regarding their sexual rejuvenation treatment plan. Following an overall wellness checkup that exams blood work and medical history, Dr. Livnat will make a recommendation that incorporates the latest nonsurgical and surgical treatment options.

Every staff member at the offices of Daniel Man, M.D., and Eliezer Livnat, M.D. consistently demonstrate compassion, respect and confidentiality when helping women as well as men overcome their sexual dysfunction. Your time with us will always be safe and discreet, allowing you to spend less time feeling anxious about your treatment and more time looking forward to your results. Call us today at 561-395-5508 today to schedule your consultation and learn more.