Dr. Joseph Berenholz, MD
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What is Laser Vaginal Rejuvenation?

Laser Vaginal Rejuvenation® for the Enhancement of Sexual Gratification

Dr. Joseph Berenholz of VaginalTightening.com specializes in Laser Vaginal Rejuvenation (LVR), which is a one-hour outpatient surgical procedure developed to enhance sexual gratification by improving vaginal muscle tone, strength, and control. LVR is also used to decrease the internal and external vaginal diameters while strengthening the perineum, the body part outside the vagina and above the anus. Sexual gratification for women is directly related to the amount of frictional forces generated, according to Masters and Johnson. We can improve your sexual gratification through laser vaginal cosmetic surgery.It’s not easy to lose optimal function in the vaginal and vulvar structures. Thanks to advanced technology, you don’t have to. Our suite of vaginal cosmetic surgery options can help women who are self-conscious about their vaginal and vulvar issues.

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 (see figure below). 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.

We encourage our laser vaginal surgery 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 whatever you desire. We have learned a tremendous amount from listening to women we have treated from over 35 states and 20 countries. From all over the world, women come to us for vaginal tightening surgery in Michigan 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 provide the vaginal tightening they want – 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 is 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.

As a sexual biological organism, women are superior to men

Women are multiorgasmic. The female sexual response cycle is unimpeded by a required refractory period that prevents successive orgasms in the male.

Principal understanding of the physiology of the human sexual response emanates from observational research studies by William H. Masters, M.D. and Virginia E. Johnson. The researchers tested 382 women and 312 men in more than 10,000 episodes of sexual activity. They also studied more than 7,500 cycles (one cycle is an individual episode of sexual activity) of female sexual response during intercourse, masturbation or oral sex. They were the first researchers to put forth a four stage model that described and explained these natural physiologic changes. The four stages are excitation, plateau, orgasm, and resolution.

We developed the LVR program by listening and caring about the needs of women in this area of sexual gratification. We also integrated the historical research of Masters and Johnson into the ultimate individual design of each of the laser surgical procedures. Women of the world inspired all of the surgical designs. For this, we as well as present and future patients thank the “true pioneers” and inspirational forces that made Laser Vaginal Rejuvenation a reality… WOMEN.

Laser vaginal rejuvenation is a one hour or less outpatient surgical procedure. The procedure is designed to enhance the feelings of sexual gratification. This is accomplished through a reconstruction process of vital areas of vaginal relaxation that are essential to sexual gratification, namely the outer third of the vagina, the orgasmic platform, internal and external vaginal diameter, introitus, and perineal body. (See figure 1).

Laser vaginal rejuvenation for the enhancement of sexual gratification is the modification of a standard existing gynecologic vaginal surgery used throughout the world for the treatment of vaginal relaxation and its associated symptoms, primarily that of stress urinary incontinence (involuntary loss of urine with stress such as exercise, etc.).

Vaginal relaxation is the loss of the optimum structural architect of the vagina. In the vaginal relaxation process, the vaginal muscles become relaxed with poor tone, strength, control and support. The internal and external vaginal diameters can greatly increase. The muscles of the perineum (the group of supporting muscles right outside the vaginal opening at the bottom) thin and separate in the midline producing a weakened, poorly supportive, thinned out perennial body.

Under these circumstances the vagina is no longer at its physiologically optimum sexual functioning state. In short, the sensual side of female sexual gratification is diminished. Thus, vaginal relaxation has a detrimental effect on sexual gratification because of the reduction of sexual feelings or pleasure.

Arrow Designer Laser Vaginoplasty® for Aesthetic Surgical Enhancement

Utilizing advanced laser surgery, DLV cosmetically improves the vulvar structures, such as the labia minora, labia majora, mons pubis, perineum, introitus, and hymen. LVR Institute of Michigan specializes in this type of surgery and can provide you with a tailored solution to your needs. Here are some of the most popular DLV procedures.

Laser Reduction Labiaplasty

Labiaplasty is used to sculpt the elongated or unequal labial minora (small inner lips) according to your preferences. The majority of women who request this procedure desire smaller inner lips that do not project beyond the large outer lips. This procedure can also be used to treat conditions related to aging, childbirth trauma, or injury.

Laser Reduction Labiaplasty with Reduction of Excess Prepuce

This type of labia reduction surgery is used to treat and reduce the excess skin along the sides of the clitoris. The final result allows the skin to drape neatly over the clitoris, offering the desired aesthetic enhancement. This treatment is often used to follow up a labioplasty in order to create a unified aesthetic result.

Laser Perineoplasty

This procedure is designed to improve the relaxed or aging perineum. It can also be used to improve the sagging labia majora (large outer lips) and labia minora. The final result is a youthful and aesthetically appealing vulva.

Augmentation Labioplasty

This surgery is used to aesthetically enhance the labia majora by removing the patient’s fat via liposculpturing and transplanting it into the labia majora. It offers a more youthful appearance.

Vulvar Lipoplasty

This type of surgery removes unwanted fat from the mons pubis and upper parts of the labia majora. Through further liposculpturing, we can remove the unwanted fatty bulges in this area and create a more aesthetically pleasing contour.

Vaginal Relaxation

Thirty million American women suffer from symptoms of vaginal relaxation and stress urinary incontinence. Many women have difficulty controlling their urine in certain situations or notice changes in their bowel habits. These two symptoms may be related to a common set of problems that may occur as a result of childbirth, aging or a combination of both. Grouped together these problems are referred to as pelvic relaxation.

G-Spot Amplification

The G-Shot® is an office based procedure (lunch time procedure which takes less than 15 minutes from start to finish) that augments the G-Spot resulting in enhanced sexual arousal and sexual gratification for 87% of normal sexually functioning women. Dr. Matlock, a gynecologic surgeon in Los Angeles, is the inventor of the G-Shot®.

Gynecologic Surgery for Treatment of Medical Conditions

As an obstetrician/gynecologist with over 20 years of experience in his field, Dr. Joseph Berenholz has successfully treated thousands of women with medical conditions ranging from abnormally heavy menstruation to issues arising from age and/or childbirth.

Female Genital Prolapse

Nearly 34 million women around the world are affected by some kind of pelvic organ prolapse. This happens when the pelvic muscles and ligaments are weakened or damaged by aging, childbirth, or other causes, allowing adjacent structures to protrude into the vaginal wall. There are several types of prolapse, including:
  • Bladder prolapse, also called cystocele
  • Rectal prolapse, also called rectocele
  • Vaginal prolapse (the anterior wall or top of the vagina dropping into the vaginal canal)
  • Procedures used to treat prolapse include surgery or the provision of support via a pessary or TOT sling.


Abnormally heavy, painful, or prolonged periods are sometimes caused by problems in the lining of the uterus, known as the endometrium. We can ablate the endometrium using one of several procedures. After this process a woman may no longer become pregnant. However, the removal of the uterus is not necessary.


Essure is a permanent sterilization technique through which micro-inserts are placed within the fallopian tubes to induce tissue growth/scarring; the procedure is designed to block the fallopian tubes over a period of nearly three months. The procedure does not require incisions or a general anesthetic.

If you would like to know more about LVR Institute of Michigan and the services we offer, please continue to browse our site, or contact us at 248-855-2229 or via email at jberenholz@jberenholz.com.