Dr. Joseph Berenholz, MD
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Brief Overview

By Dr. Joseph Berenholz

Laser Vaginal Rejuvenation® for the Enhancement of Sexual Gratification

Laser Vaginal Rejuvenation® (LVR®) will effectively enhance vaginal muscle tone, strength, and control. It will also effectively decrease the internal and external vaginal diameters as well as build up and strengthen the perineal body (they are immediately outside the vagina and above the anus). Sexual gratification for the female according to Masters and Johnson is directly related to the amount of frictional forces generated. We can accomplish this with LVR.


Our mission is to empower women with knowledge, choice, and alternatives.

We encourage patients to participate in their healthcare and surgical design. In one of our patient surveys, women were asked; do women want to be loose or relaxed or do women want to be tight? Women answered 100% - women want to be tight. LVR can accomplish what ever you desire.

We have learned a tremendous amount from listening to women we have treated from over 35 states and 20 countries. Women come to us because they want knowledge, choice, and alternatives. Women want their gynecologist to listen to them and provide viable solutions. Women throughout this nation and the world have told us that Kegels do not work - but no one is listening. Women who have had children want a solution to rejuvenate the vagina and achieve the best sexual experience possible. For women with no children, solutions are available through design modification to accomplish their desires.

No one wants to age or lose optimal function anywhere, and this includes the vaginal and vulvar structures: LVR has the solution.
We have found that the vaginal and vulvar issues women are self-conscious about can be solved with LVR.


Patients with involuntary loss of urine with coughing, sneezing, laughing, exercising, or sex can have their stress urinary incontinence corrected along with enhancement of sexual gratification.

Vaginal Relaxation is the Loss of the Optimum Structural Architecture of the Vagina

In vaginal relaxation, the muscles are relaxed and have poor tone, strength, and control. The internal and external diameters increase. The muscles of the perineum are weak and poorly supported. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, the sensual side of sexual gratification is diminished. LVR was designed to enhance sexual gratification for women who for whatever reason lack an overall optimum architectural integrity of the vagina.

Designer Laser Vaginoplasty®

Designer Laser Vaginoplasty® (DLV®) is the aesthetic surgical enhancement of the vulvar structures (labia minora, labia majora, mons pubis, perineum, introitus, hymen). Although our experience and techniques provide us the ability to design most anything that one can desire, our most common DLV procedures are as follows:

  • Laser Reduction Labioplasty can sculpture the elongated or unequal labial minora (small inner lips) according to ones specification. Most women tell us that they do not want the small inner lips to project beyond the large outer lips. Many women bring us Playboy and say that they want to look like this. With laser reduction labioplasty, we can accomplish the desires of the woman. Our labioplasty techniques can also reconstruct conditions that are due to the aging process, childbirth trauma, or injury.
  • Laser Reduction Labioplasty with Reduction of Excess Prepuce (excess skin along the sides of the clitoris) can provide the true playboy aesthetic look. Women tell us that they want the skin to drape neatly over the clitoris. The reduction of the excess prepuce provides the desired aesthetic enhancement of the clitoral skin. The majority of women having laser reduction labioplasty need the reduction of excess prepuce for a complete aesthetic result.
  • Laser Perineoplasty can rejuvenate the relaxed or aging perineum. It can also enhance the sagging labia majora (large outer lips) and labia minora. Overall, the procedure can provide a youthful and aesthetically appealing vulva.
  • Augmentation Labioplasty can provide aesthetically enhanced and youthful labia majora by autologous fat transplant (removal of the patients fat via liposculpturing and transplanting it into the labia majora).
  • Vulvar Lipoplasty can remove unwanted fat of the mons pubis and upper parts of the labia majora. Liposculpturing can alleviate the unsightly fatty bulges of this area and produce an aesthetically pleasing contour.
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