Several years ago I met a young and friendly doctor, Daryl Daley, MD, at ISCG Florida. He had trained with the brilliant Dr. David Matlock of Laser Vaginal Rejuvenation Institute after the completion of his residency. Daryl was aggressively pursuing a career in Cosmetic Gynecology and sought out the leaders in the specialty. Daryl was one of the very first surgeons to subscribe and really dive in and learn from my online Cosmetic Gynecology platform called Gynflix back in October of 2022. We spoke on the phone, texted, FaceTimed to discuss cases and techniques. He loved my detailed training videos. Daryl headed up the Continuing Education programs for ACOG (American College of OBGYN) District 4 (DC, GA, MD, NC, SC, VA, WV, Argentina, Puerto Rico, West Indies) last year and invited me to speak at the Congress. You can listen to the talk I gave on Regenerative Medicine in Gynecology here. Daryl had a great talk too so I asked him if he would share his lecture with me and he said YES! So here it is! Introducing Vagilangelo R/TM! Brilliant marketing term trademarked by Dr. Amir Marashi. This is the less aggressive way to get the opening of vaginas tighter and with the correct angle for stimulation as well as a way to improve tissues and nerves using PRP (Platelet Rich Plasma or the O-Shot TM) but with less downtime and risk.
Red Alinsod, MD (red@gynflix.com, www.alinsodinstitute.com, www.gynflix.com)
Main points of this Video by Daryl Daley, MD
- Vagilangelo R/TM is a Quick, safe and effective , procedure completed within 25 minutes
- No strict follow up - no exercise for one week
- Vagina is tightened at the level of the hymen and the vaginal angle is recreated
- Ability to deliver vaginally in the future vs vaginoplasty / Perineoplasty
- PRP is combined at the level of the G Zone
- Intended to be long lasting
- Patient satisfaction is high once the correctly selected patient is identified
My personal take on Vagilangelo R/TM is that it is easy to do, easy to recover from. A great option if you want minimal downtime and recovery and less cost. It will not fix a cystocele, rectocele, perineocele, SUI, or OAB. Think of it this way: if you want the most aggressive and full length repair of a loose and saggy vagina then get a Vaginoplasty using the Levatorplasty technique I have taught for 30 years. If you only want the opening of the vagina tightened and the gaping reduced then do a Perineoplasty. That fixes the space between the opening of the vagina and the opening of the anus. That basically fixes what childbirth tore apart. If your perineum is not damaged and you just want the opening of the vagina tightened to the level of the hymen so that you and your partner can have increased friction then do the Vagilangelo. I actually would recommend the use of PRP or the O-Shot in all of the procedures above. It improves healing and potentially improve sensitivity. So remember this, Levatorplasty > Perineoplasty > Vagilangelo R/TM in terms of aggressiveness and tightening effects. Now you have more choices for your patients.
Total Cost I charge when done In-Office including anesthesia:
Vaginoplasty $8,700
Perineoplasty $5,500
Vagilangelo R/TM $4,000
Take a look at my dozens of Video Shorts (short 2-5 min videos) that show what these surgeries are from my www.alinsodinstitute.com website: VIDEO SHORTS. If you want to see a HUGE collection then go to my GYNFLIX website.
What is The Vagilangelo R/TM procedure?
The content below is directly from Dr. Daley’s website. Printed with permission.
In some women, with age and advancing child birth, this angle CAN be permanently lost due to the perineum (distance between the opening of the vagina and the anus) shortening and flattening. This causes the opening of the vagina to widen and the “angle” to become horizontal (vs downward) in nature which leads to a loss of stimulation of the G Zone and an overall lack of sexual gratification. There may also be an associated pelvic relaxation or loss of tone at the opening of the vagina and / or it’s entire length.
Traditional vaginoplasty/perineoplasty procedures rectifies this problem by reducing the internal and external diameters of the vagina and the cosmetic reconstruction of the perineum. This results in a narrower vaginal barrel and restoration of the “angle” with the additional benefit of giving the perineum a more youthful look. There is a subsequent increase in sexual gratification. This procedure is extremely effective with a 95% success rate and good patient satisfaction. It is also intended to be a permanent procedure.
However, there is an associated prolonged healing time (6-8 weeks), risk of wound break down, inability to deliver vaginally for future deliveries and the lengthy surgery time under anaesthesia (local, spinal or general).
The Vagilangelo T/TM Procedure is a 20 minute procedure which rebuilds the angle of pleasure by rebuilding tissue and collagen at the level of the hymen above the perineum. It is also combined with PRP (platelet rich plasma) to the vagina and G Zone. It was designed by New York Cosmetic Gynaecologist Dr. Amir Marashi (@nycgyno).
The procedure is done under local anaesthesia and has less complications when compared to traditional vaginoplasty/perineoplasty procedures. Patients are able to resume intercourse within four to five weeks and are also able to deliver vaginally for future deliveries. It is intended to be a permanent procedure.
The degree of tightening offered with the Vagilangelo R/TM procedure IS NOT AS significant as a full vaginoplasty/ perineoplasty however it is vastly improved with good patient satisfaction.
This procedure can also be combined with a perineoplasty for aesthetic purposes.
This procedure is not a replacement of traditional vaginoplasty/perineoplasty procedures but rather an alternative for women who do not want to partake in a full surgery.
Dr. Daryl Daley
Dr. Daryl Daley was born and raised in Kingston, Jamaica. Both his parents were medical doctors, his father being an established OBGYN and his mother a Paediatrician. Dr. Daley’s dream was to be an OBGYN and he determined to do so. He attended the Wolmer’s Boys High School. He received his undergraduate medical training at the University of the West Indies, St. Augustine campus in Trinidad and the Mona campus in Jamaica. He then received his postgraduate training in Obstetrics and Gynaecology at the University Hospital of the West Indies, Spanish Town Hospital and the May Pen Hospital graduating with a Doctor of Medicine (DM) from the University of the West Indies .
Dr. Daryl Daley’s Website is : www.3dgynae.com , Instagram/TikTok/Facebook : @drdaryldaleyobgyn , Twitter : @drddaleyobgyn , email: ddaley@3dgynae.com
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This is a first of a series about doctors, surgeons, professionals who I have trained or have worked with in some capacity that have dedicated their lives to Feminine Wellness care and Cosmetic Gynecology. I hope you find these topics and write ups useful. These presentations will be integrated into Gynflix. Subscribe and learn. Here is a short message from my friend and graduate Kimberly Evan, MD.
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Contact:
Dian: dian@womenswellnessinstitute.com
DALLAS OFFICE
Alinsod Institute Dallas
Women’s Wellness Institute of Dallas
Preston Sherry Plaza
8201 Preston Road Suite 520
Dallas TX 75225
Phone: 214-442-0055
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Fax: 214-442-0056
LAS VEGAS LOCATION
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Aesthetic Revolution Las Vegas
9130 W Post Road Suite 100
Las Vegas, NV 89148
Phone: 702-360-6686
Email: dian@womenswellnessinstitute.com
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