Burlington, WA  (360) 982-2620   •   
Bellingham, WA  (360) 685-8408

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Can motherhood take its toll on a woman’s self-confidence?

urinary incontinence with motherhood

The short answer is often “yes”

The so-called “confidence setback” is considered a universal feeling where women love being moms but can feel less attractive and less sexual.  Thankfully, there is so much a woman can do to address her body image, sexual concerns, incontinence and the appearance of the vagina.

Moms who want their youthful sexuality back don’t have time for lengthy surgical procedures or lots of downtime

Our grandmothers may have suffered in silence, thinking that their sexual self-confidence was a thing of the past.  Not today’s women!  The great news is that now vaginal rejuvenation is openly talked about in the media and among women. Social norms now encourage women to open up and share their experiences; we’ve all heard celebrities speak openly about the transformations they’ve experienced.  While some have chosen surgical solutions, most women don’t want the cost, discomfort, risk or the required recovery time after such complex surgeries.

Enter the game-changers: diVa® and O-Shot™

Modern technology has provided incredible non-surgical, no-downtime treatments to address a woman’s most intimate concerns after childbirth, menopause or other factors. diVa is a simple, 3-5-minute procedure that is customizable to your needs; rejuvenating, tightening and strengthening the vaginal canal to reduce urinary incontinence and improve sexual function. We combine diVa with the O-Shot because the O-Shot generates new glandular cells (more lubrication), new pelvic floor tissue (reducing urinary incontinence) and new blood vessels (better orgasms and healthier blood flow). And we also combine diVaTyte® to address labial atrophy, adding volume, tightening and renewing the inner and outer labia.

The science behind diVa

diVa uses HFL technology to resurface the underlying layers of the vaginal wall.  During treatment, the diVa is inserted into the vaginal canal where it precisely creates consistent tiny microchannels in the vaginal tissue which stimulates the body’s healing response. This process causes the body to create brand new, healthy tissue which improves a host of common vaginal concerns.

The science behind O-Shot

Platelet-Rich Plasma (PRP) has become a popular solution for sexual health issues. PRP, taken from your blood, is injected into the sexual organs (clitoris, vaginal floor and labia majora) to rejuvenate the female orgasmic system, hence the name the O-Shot. Growth factors from your PRP improve the function of these tissues almost immediately. The benefits include: greater arousal from clitoral stimulation; younger, smoother vulvar skin; a tighter vaginal opening; stronger more frequent orgasms; increased libido and lubrication; less pain with intercourse, and even decreased urinary incontinence. 

 If you’re struggling with any of the issues discussed in this blog, please contact us for a confidential and complimentary consultation. Our physicians and staff, many of us moms, have experienced and relate to what you may be feeling. We’re here to restore your confidence through compassionate care.

What’s the difference between CoolSculpting® and Liposuction?

sqeezable fat is freezable fat

CoolSculpting and liposuction are both procedures designed to reduce fat to create a more attractive, refined body for both women and men.  But some key differences exist between the two.  If you’re considering getting rid of what they call pinchable fat, read on.

The results of CoolSculpting and liposuction are very similar. Both procedures are used to permanently remove excess fat from specific body parts such as the belly, thighs, back, love handles, upper arms and beneath the chin, although neither is intended for weight loss.

Let’s compare…


CoolSculpting is a non-invasive procedure that uses a sophisticated wand to freeze and eliminate up to 25% of fat cells in particular areas of the body.  You can lie back and watch a movie, catch up on work, or read a book during the procedure.

Liposuction is a surgical, invasive procedure that involves cutting, stitching, and anesthetizing. A provider makes a small incision and uses a long, narrow suction tool called a cannula to vacuum fat out from specific areas.


CoolSculpting is non-invasive, so side effects are usually minor.  You can expect a bit of bruising or skin sensitivity that resolves quickly.

 Liposuction is an invasive surgery done with anesthesia.  Side effects may include blood clots, negative reactions to anesthesia, or other serious complications.


CoolSculpting requires NO recovery time.  One session takes just under an hour.  You may require multiple sessions depending on your goals.  You will, however, see results as soon as 3 weeks after just one session. Though, full results will be realized around the 3-month mark. The great thing is that you can immediately resume all of your normal activities after treatment.

Liposuction takes one to two hours.  Recovery time is usually a few days but you may need to wait 2 to 4 weeks before you can safely resume strenuous activity and several months for the full results to be seen as the swelling goes down.


The results for CoolSculpting and Liposuction are about the same
and, once again, permanent, but you will actually see those results faster with CoolSculpting because of the swelling after liposuction.

If you’re wondering if you’re a good candidate for CoolSculpting, contact one of our experts who will provide all the information you need to make an informed decision.

The NON-SURGICAL Vampire Breast Lift® Is it right for you?

Lift breasts without surgery

Watch Dr. T walk you through a Vampire Breast Lift® treatment

Let’s compare VBL to the surgical option!

The Vampire Breast Lift® can lift the breasts, increase cup size, improve sensitivity, improve skin tone and texture, remedy lax skin in the middle of the breasts, and fix inverted nipples…all without surgery.

VBL is the craze among celebrities who prefer not to go under the knife but need to show off a beautiful body on the runway. All women face the same challenges that include sagging breasts that have lost their youthfulness, no matter how much we exercise and maintain a healthy weight.  In the past, the only option to restore breasts was surgical enhancement, often in combination with implants. 

Today, there’s a natural option.

The VBL is an in-office breast enhancement procedure that uses your own platelet-rich plasma (PRP) which are derived from your blood.  After drawing the blood from your arm, it is run through an aesthetic centrifuge to isolate the PRP.  These platelets and growth factors are then injected into the breasts to help promote new tissue, new blood vessels and new nerve endings. It takes 3 months to realize results and those results will continue to improve over the next year. However, for patients wanting immediate lift, we recommend combining dermal fillers and/or PDO threads with our PRP treatment to restore youthful lift and contour.

How do the actual procedures compare?  Breast lift or augmentation surgery involves an incision and, generally, a large amount of reconstruction. There can be considerable discomfort and downtime after the procedure. Whereas, the VBL is a non-invasive procedure which means there is no incision; no anesthesia; no damage to the surrounding tissue or impact on any other organs; and there’s no downtime. After the VBL procedure, you will feel tender, but can resume normal activity. We recommend wearing two bras for added support a week after treatment.

What about anesthesia and downtime? With a VBL, there is no need for general anesthesia, nor is there up to a month-long recovery period like the surgical option. There could be some redness, swelling, and/or bruising as well as tenderness for about a week. We use a topical numbing cream for the VBL and may inject with lidocaine if we’re combining PDO Threads in the procedure. Our patients always comment about easy the treatment is, but if you’re nervous, we have Pro-Nox to help you relax.

What results can you expect? Increased volume and firmness and noticeable improvement in the tone, texture and appearance of the skin. The VBL can also lift, smooth, enhance cleavage, and add fullness. Treatment is ideal for patients who want to see an increase of 1-2 cup sizes. A surgical lift with implants provides a more dramatic result. Sometimes, this can be an overly obvious change to the body. If you’re looking for a more natural result, the VBL option may be the better choice for you.

How long does the VBL procedure take? The entire procedure takes about 90 minutes, including numbing but it can vary with each patient. A surgical lift can take a few hours including recovery, depending again on each woman.

How long do breast lifts last? You can expect the VBL lift to last 2+ years. Your body has generated new tissue, so it’s not going to disappear with a given deadline. If you love your results but want to increase the size, we’ll do a second treatment. The great news is that the VBL will continue to improve over a year after the procedure as your body builds collagen.  The VBL can also help women who have had breast implants by using PRP to augment shape and fullness.  Surgical breast lifts can last 10 years, depending on the implants.

Will I lose sensitivity? The VBL can actually improve sensitivity by generating new nerve endings and blood vessels for improved circulation.  One potential negative side effect of surgical breast augmentation is necrotic nipples. This is when a patient experiences a partial or complete loss of sensation in the nipples. There are no contraindications with the Vampire Breast Lift because it is using the regenerative power of your body.

How does the cost compare? Breast augmentation or breast lift surgeries can cost upwards of $8,000. The VBL costs $1,800.

Intrigued?  Want to know more? Call us!

The 4 Rules of Lip Enhancement

Lip enhancement is now the second most popular aesthetic procedure in the US.
It’s non-surgical, quick, easy and has lasting results.
If you want more volume, read on.

Our patients tell us, this is what they want when seeking lip filler…

“Keep the look natural. Nothing overdone, please!”

“Make sure my lips are still in balance with my face.”

You can’t pick up a woman’s magazine or visit a beauty website without reading about lip fillers. What’s interesting is that lip fillers are no longer just about anti-aging and plumping up lips that have lost their volume or have become wrinkled. Lip shape and fullness is a concern for women of all ages. As the premier medical aesthetic skin treatment and wellness practice in the North Sound, our office is in the top 1% in the country based on the amount of filler and Botox® we perform each year. So, as qualified experts in our field we’ve put together important advice for you to consider prior to your treatment:

Our 4 Rules of Lip Enhancement

1. Choose an experienced expert to perform lip injections. Do your research. Find a practice with providers who have years of education, training and experience who will recommend the best filler for your goals. There are different types of filler and not all can be reversed if you don’t like your results. Experience is more important than price. If lip filler is injected improperly, complications can arise making you wish you went with someone more practiced in anatomy. At RejuvenationMD, our goal is to deliver natural-looking results that flatter your face. Small subtleties can make a big difference!

2. Go to a practice that has a variety of lip fillers to choose from.
Like everything in life, one-size doesn’t fit all. Depending on your age, goals, gender, quality of your skin and other factors, having more than one filler option is essential. That’s why we offer a variety of fillers, and we’ll recommend the best option for your body and goals.

3. Start slow. You can always add more.
Ask a friend or relative for a referral, understanding that the most important aspect of this procedure is attention to detail. Rushing through a lip filler procedure is a real no-no. It takes time, attention and focus to achieve optimal results. If it’s your first time getting filler, it’s a great idea to start small and see how your body responds after the swelling goes down. At RejuvenationMD, we never rush any treatment. As we say, time is the secret ingredient.

4. Be Realistic.
One syringe of filler is equivalent to 1/5 of a teaspoon, so our experts will always recommend the best dosage for your goals.

Be aware of the infamous “lip filler cycle”: Immediately after your treatment, you’ll love the results. But over the next 2 days, it’s common for your lips to swell. On day 3 or 4, if you bruise, you may notice a little bruising. We’ll give you some arnica if you bruise so let us know in advance of your treatment. The swelling will recede around the 5th day, and true to the cycle, people LOVE their results, but 3 weeks later they call wanting more filler!

Once you experience this cycle, you’ll have a much better understanding of your lip filler goals. Every body responds differently. The duration of your filler is directly affected by the dose you receive and how your body processes filler (hyaluronic acid filler for example). We’ll go over everything you need to know during your complimentary consultation.

At RejuvenationMD, we pride ourselves in balancing form and function…beauty and comfort. In honor of Valentine’s Day, here’s a question we get asked often:

“Can I kiss right after my lip filler?”

Unfortunately, the answer is no. Avoid kissing for up to 24 hours. So, if you have a hot date, schedule your treatment before Valentine’s Day!

Agnes RF and Scarlet SRF

“I feel like I had a facelift but without the surgery”
-Rebecca Eberharter, Patient Care Director at RejuvenationMD

Rebecca has been a huge proponent of Agnes RF and Scarlet SRF, two non-surgical breakthroughs for face and body, and was so excited when RejuvenationMD chose to add these extraordinary devices to their treatment menu.  She says, “I’ve done all the research on every single machine and this is my baby!” You can see from her own before and after photos that her excitement was fully justified. 

“Agnes RF and Scarlet SRF gave me back the contours of my face.”

Rebecca worked in plastic surgery for years before joining RejuvenationMD and says that Agnes and Scarlet rival the surgical results she is so familiar with — without negatives like anesthesia and long recovery times.  Of course, for some patients, we do suggest they seek surgery but for the majority of our patients, Agnes and Scarlet are the perfect solutions.

She said, “For my own procedure, my face was numbed with lidocaine and I didn’t feel a thing during the treatment.   There was a bit of redness right after but it went away quickly and I went right back to my life. No downtime. No scars.  No bandages.”

“I was self-conscious about my jawline, double chin, and overall skin laxity.”

Rebecca says something she hears over and over from patients is that they really dislike their profile because it no longer looks like their younger selves.  That was her concern too – but not any longer! She says, “I feel like I look younger.  That old cliché about turning back the clock is my story now! I feel like an Agnes and Scarlet Ambassador because I love being able to offer these fabulous options to patients. And proudly show off my face!”

“The key is that Agnes and Scarlet combine radiofrequency with microneedling – that’s the magic.”

As Rebecca explains it, Agnes is a very precise tool that sculpts your face, adds definition to your jawline, and diminishes eye bags.  It removes pockets of fat and volume while tightening the tissue around it. It also treats acne by eliminating the oil glands that cause the problem.

Scarlet does the smoothing, tightening, and lifting on the face and neck.  In fact, Scarlet has been called the “Instant Facelift.”  It also targets virtually any skin issue like texture, pores, photo-aging, scars, and stretch marks.  And, it works just as well on the body as the face. Depending on each patient’s situation, the devices can be used alone or in combination with one another.  “During the consultation, a detailed plan is recommended to achieve whatever the patient is looking for,” Rebecca says.

“It’s important for patients to know that Agnes and Scarlet are safe, FDA cleared, and work on any skin type.”

Rebecca says, “Surgery brings up a lot of fear in patients.  But Agnes and Scarlet do the work without the worry. And, the procedure takes 30-90 minutes instead of several hours. I can honestly say that these treatments are the best available to easily beautify the face and body.”  

“I personally invite anyone reading this blog to call us, set up a complimentary consultation, and explore your options. We’ll be honest, explain every detail of the procedures, and recommend the path we think will make you feel like your younger, fresher self too!”

Healthier Skin for 2021

Close up photo of good-looking cute nice lovely lady with naked
Our largest organ oftentimes gets overlooked and taken for granted, but you can start making small changes to your every-day routine to see and feel big differences in the health and appearance of your skin. Continue reading “Healthier Skin for 2021” »

Feeling stressed? Here are 3 Ways to Help You Keep it in Check!

African-american woman relaxing and listening to music
The holidays have always been known to add stress to our normal routines, but now in the face of a pandemic, we need to be proactively managing our stress to prevent it from impacting our health and our immunity. Continue reading “Feeling stressed? Here are 3 Ways to Help You Keep it in Check!” »

Want to Look Fab for the Holidays? Start now with Halo, BBL, and Plasma Pen

Dr. Tsitsis and the staff at RejuvenationMD are here to help you look your best every day.

Now that we’re past the summer season and we’re spending more time indoors, it’s an optimal time to resurface and renew with laser treatments because our skin is less vulnerable to sun-sensitivity— though daily sunscreen use is still a must. Specific laser treatments can help eliminate age spots, sun damage, the appearance of melasma, fine lines, wrinkles, and more.  Continue reading “Want to Look Fab for the Holidays? Start now with Halo, BBL, and Plasma Pen” »

About BOTOX® Cosmetic

Young happy woman with a beautiful smile in a stylish T-shirt in a coat is standing and enjoying the orange sunset in the city near the houses. Joyful girl model relaxes in the sun. Sunny weekend.
BOTOX® Cosmetic is a neuromodulator that works by blocking the signals between muscles and nerves in the treatment area, allowing underlying structure to soften and overlying skin to smooth. Continue reading “About BOTOX® Cosmetic” »

CoolTone™ for Body Contouring

Abdomen, hips, and thighs of toned womanCoolTone™ is a body contouring treatment from CoolSculpting® that tones, strengthens, and firms muscles in the mid and lower body. Utilizing Magnetic Muscle Stimulation, CoolTone™ penetrates below the fat layer to produce multiple muscle contractions in succession. Creating around 20,000 contractions in a single 30-minute session, CoolTone™ is able to work the muscles in ways not possible through traditional forms of exercise, thereby significantly improving results. Continue reading “CoolTone™ for Body Contouring” »

Best of the Northwest 2015 Best of the Northwest 2016 Best of the Northwest 2017

"We tailor the experience to every person...
this is not a cookie-cutter practice. Each face and body has different challenges and different solutions. Deciding on the right solution is an art. Creating the most beautiful results is an art unto itself.”

- Tianna Tsitsis, MD

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