Usha Rajagopal, MD, in San Francisco Offers First-of-Its-Kind Non-Invasive Body-Sculpting Treatment Emsculpt®

Revolutionary New Technology Offers Dual Treatment to Address Abdominal Fat and Muscle Tone  

SAN FRANCISCO, CALIFORNIA – August 22, 2018– Usha Rajagopal, MD, Board-Certified Plastic Surgeon, introduces a groundbreaking new approach to sculpting the abdomen with Emsculpt –the first and only non-invasive body shaping procedure that simultaneously addresses both Muscle and Fat. Dr. Rajagopal’s center is the first in San Francisco to offer Emsculpt. Bringing an entirely new technology to the category, Emsculpt utilizes HIFEM® energy to induce powerful muscle contractions which builds muscles and burns fat. FDA-cleared for the improvement of abdominal tone and strengthening of the abdominal muscles, Emsculpt helps patients achieve next-level, contouring results.   

“The current approach to body shaping is through circumferential reduction; however, overall body contour is affected by muscle structure as well,” shared Dr. Rajagopal. “Emsculpt goes beyond waistline reduction to address abdominal contouring through muscle tone, so I’m thrilled to now offer this combination to my patients” added Dr. Rajagopal.

Muscles represent about 35% of the human body, but existing aesthetic treatments only address fat. Emsculpt introduces a first of its kind application of a unique magnetic field. HIFEM technology penetrates through skin to impact fat, as well as muscle tissues. Once penetrated, the energy induces 20,000 supramaximal muscle contractions that are accompanied by a rapid metabolic reaction in fat cells to not only strengthen and build muscle, but also reduce fat. This is the ONLY technology that builds muscle and burns fat simultaneously, all while leaving the surrounding tissues unaffected.

Tested in five unique abdominal clinical studies utilizing all four established methods of evaluation including MRI, CT, Ultrasound, and Histology, Emsculpt delivered consistent results in muscle gain and fat loss:

  • 19% reduction in subcutaneous abdominal fat
  • 16% increase in muscle mass
  • Average waist reduction of 4.4cm
  • 96% satisfaction with treatment results

For optimal results, Dr. Rajagopal recommends four 30-minute treatment sessions over the course of a two-week period. Best results will be seen after 3-months with continued improvement over a 6-month time period.

Dr. Rajagopal has been in practice for over 20 years in the San Francisco Bay Area and specializes in surgical and non-surgical cosmetic procedures of the face, body, and breast. She has treated thousands of patients with body shaping procedures utilizing Ultrasonic Liposuction, Power Assisted Liposuction, Smart Lipo, Coolsculpting, and now Emsculpt!


Contact: Dr. Usha Rajagopal, MD
Telephone: (415) 392-3333

Vaginal Rejuvenation Expert Usha Rajagopal, MD on the 'Designer Vagina' Trend

Though vaginal rejuvenation has only recently reached its peak in popularity, one San Francisco-based surgeon has had her finger on the pulse on the trend for nearly 20 years.

More women than ever are seeking “designer vaginas.” A 2016 report from the American Society of Plastic Surgery reveals that labiaplasty, a vaginal rejuvenation procedure used to enhance the shape and function of the labia, has skyrocketed in popularity. Over 12,000 labiaplasties were performed in 2016 alone, representing a 39 percent increase from the previous year.

This rise in demand comes as no surprise to Dr. Usha Rajagopal, who has helped patients achieve more functional and aesthetically-pleasing genitalia for nearly 20 years at the San Francisco Plastic Surgery and Laser Center. Rajagopal, who credits the uptick to the increased availability of before and after photos on the Internet, more females watching pornography, and the prevalence of hair removal methods like the Brazilian wax, recently reconnected with her first labiaplasty patient. In 1999, the client shyly confessed some of her female-specific discomforts and insecurities to Rajagopal.

Many women, for example, report their labia minora hang lower than their labia majora, complaining it protrudes out of underwear and swimsuit bottoms or sticks to the inner thigh. In addition to embarrassment in the locker rooms or bedroom, this can cause physical pain when biking, horseback riding, practicing yoga, or simply walking down the street.

Rajagopal, a board-certified surgeon, carefully listened to her patient. By applying tried-and-true principles of plastic surgery to the labia, Rajagopal began innovating techniques to empower these women. Labiaplasty is a surgical procedure that modifies the size of the labia by surgically removing labia tissue, ultimately to improve both appearance and comfort. The surgery lasts 1.5 hours, uses a light, short-lasting anesthesia to minimize pain, and requires a few days of recovery. Rajagopal personally guides every client through each stage of the process, from consultation, to surgery, to recovery. In terms of cost, labiaplasties performed by Rajagopal range from $4,500 to $5,000, compared to the $7,000 to $8,000 average in the Bay Area.

“That first patient was thrilled with the results and to this day is still so happy she had it done,” says Rajagopal. Since this initial success story, Rajagopal has completed nearly 2,000 labiaplasties. “Just like with anything, the more you do, the better you get,” says Rajagopal. “The principle that you need 10,000 hours of deliberate practice to become an expert is very valid.” She’s performed labiaplasties on a wide variety of everyday women, from judges and stay-at-home moms to acrobats and pilots, who range in age from 14 to 75.

Combining her surgical expertise with a continued focus on client empathy and empowerment, Rajagopal began offering additional cutting-edge vaginal rejuvenation procedures like monsplastyvaginal tighteningFemilift, and the O-Shot. Each procedure is designed to instill a sense of pride in patients and meet their most intimate needs, whether related to pain, vaginal tightness, sexual dysfunction, urinary incontinence, aesthetic, or self-consciousness.

The O-Shot, for example, is a simple, non-surgical injection used to improve the quality of sex for women. The injection delivers platelet-rich plasma (PRP) to the clitoris and the “O-Spot” in the vagina. The platelets encourage new, healthy tissue growth in these areas. As a result, a majority of women experience increased sensitivity, a stronger sex drive, and consistent arousal from this invigorated tissue. From the increased blood flow and nerve growth, vaginal and clitorial orgasms become more intense and frequent after a single treatment.  

But no matter how cutting-edge or popular vaginal rejuvenation becomes, Dr. Rajagopal remains relentlessly committed to the same trademark care and compassion she offered to her first labiaplasty patient. “I find great pleasure in helping my patients look and feel attractive, and thus live more fulfilling lives,” she says.

According to her patients, Dr. Rajagopal doing exactly this. “The results are stellar,” writes one woman who received a labiaplasty from Dr. Rajagopal. “Why had I waited so long? My confidence level has skyrocketed.”

Contact: Dr. Usha Rajagopal, MD
Telephone: (415) 392-3333

Under Eye Filler Treatment for Dark Circles and Eye Bags

Watch this video to see Dr. Rajagopal’s technique when it comes to injecting the under eye area. Using a cannula is the safest way to inject the area around the eye and reduces bruising. This is the patient’s second session. The first session was 3 months ago. After this treatment, the results will last her 1-2 years.

⚠️ Please Note: Success of under eye injections depend on the skills of the injector. Find a physician who is board-certified and make sure he or she has a long history of performing this procedure.

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How is a Nipple Areolar Reduction Surgery Performed?

The surgery you're observing is a nipple areolar reduction (nipple lift surgery). This is for a young patient who has larger, widened areolar tissues, and wants a smaller areolar size (periareolar mastopexy). In order to do this, we remove the excess areolar skin and then elevate the breast skin in a circumferential manner around the areola so it's loosened. Then I use a suture called a GORE-TEX Suture that is extremely strong and versatile and does not stretch. I use this in a "cartwheel-style" pattern and cinch it in to reduce the size of the areola. The entire breast tissue will come in and you will get a really nice, small areolar diameter.

Nipple Areolar Reduction Before and After Photos

7 Questions from RealSelf, Answered

Board certified plastic surgeon Dr. Usha Rajagopal performs dozens of different procedures every week. Patients come to her with questions about every stage of treatment: from preparation to recovery.  This week we’ve gathered some commonly asked question taken from is the definitive community for cosmetic surgery, plastic surgeon review, and procedure referrals on the web. Through, Dr. Usha extends her expert knowledge to help everyday people better understand cosmetic surgery.

Today, Dr. Usha briefly answers 7 questions from the site, ranging from injectables to liposuction, to labiaplasty and more.

Question 1: Botox vs. Kybella in Jaw and Chin?

I had wanted to get Botox on my chin/ jaw area to make it appear more defined. I was wondering if this would remove any fat around that area. Would Kybella be a better option? I have very slight fat around (these areas), I just wanted it more defined. Thanks!

Dr. Usha: Both products work well for various indications in this area. Kybella is very effective in dramatically defining the jaw by removing bulk in the submental (double chin area) as well as jowl areas. Botox works well in narrowing the jawline in patients with square jaws. I have also found Botox very effective in redefining the jaw and neck area of older patients by treating the Platysmal bands of the neck in a procedure called "Nefertiti Lift."

Question 2: Labiaplasty Recovery: How Long Does It Take?

How long is the typical recovery period for Labiaplasty? What can I expect during the recovery period?

Dr. Usha:

  • You will generally need 3-4 days at home to recover.
  • Take Tylenol or the pain medication prescribed by your plastic surgeon to relieve your pain/discomfort. DO NOT take aspirin or ibuprofen because they can increase bruising and bleeding.
  • Shower the day after surgery.
  • Clean the incision site with hydrogen peroxide and put antibiotic cream/ointment on daily.
  • Your stitches should dissolve within 2-2 ½ weeks.
  • Swelling and tenderness should disappear within 6 weeks.
  • It will take between 6 months to a year before you will see the absolute final results.

Question 3: Should I Try to Lose Weight Before Liposuction?

I have scheduled my liposuction in about a month. I weigh approximately 142 lbs now, and am 5'4''. Should I maintain my current weight or try to lose a few pounds between now and then? I have been trying to lose weight and I'm not sure how much weight is even possible for me to lose in a month. Thanks!

Dr. Usha: If you plan to lose a significant amount of weight (30lbs or more) then it is a good idea to do this prior to surgery. If it is more like 5-10lbs, it will not make much of a difference to do this prior to or after liposuction.

Question 4: Can the O-Shot help with Urinary Incontinence?

Dr. Usha: The O-Shot procedure can treat both stress and urge urinary incontinence for 90% of women, while increasing lubrication in the vagina. Many women experience uncomfortable vaginal dryness and urinary incontinence caused by aging, pregnancy, menopause and other medical conditions.

Urinary incontinence can affect women of all ages, but the issue is most prevalent among older women. Another benefit of these injections are more youthful and smoother looking vaginal lips. Femilift is another non-surgical procedure that helps with urinary incontinence.

Question 5: How long will PRP for Hair Loss take to see the results?

Dr. Usha: You will start to notice results in about 4 to 8 months after your PRP hair regrowth procedure. This follows the normal hair growth cycle. With six to twelve months most patients will see remarkable improvement in volume and quality of their hair growth

Hair continues to thicken the next 12 to 15 months. And results can last for months or at time even years.

Question 6: Do You Lose 50 CC's with Behind the Muscle Silicone Implant Placement?

I am getting silicone breast implants on Friday and am really scared of going too big. I am currently a "B"; I want to be a "C". I have chosen 350cc in hopes they will look like the 300-325 implant I tried at my doctor's office.

Dr. Usha: Placing any breast implant below the muscle will cause the implant to loose a small amount of projection. Though the exact amount isn't quantifiable, your estimation is reasonable.

To choose a breast implant, place the implant in your bra. When the implant feels a little too big, you've probably found the right size.

Question 7: Is It Normal to Be Swollen and Hard After 2.5 Months Post Liposuction on Abdomen?

I had liposuction on abdomen 2.5 months ago. The swelling has gone down a little and it is not too tender now. I still have problems with numbness sensation in my abdomen. My abdomen also feels a little hard. Is this normal? When will most of the swelling go away? ...Is there something wrong?

Dr. Usha: It is completely normal to experience numbness and firmness in the area of the body where liposuction was performed.  When undergoing some sort of trauma to the tissue, the body naturally develops scar tissue which can feel firm and numb to the touch.  

Over time (generally 4-6 months), these areas will soften and sensation will return.  Massaging the scar tissue is one way to speed up the healing process.  I have my patients start doing daily massages about 1-2 weeks post op.  If self-massaging isn't enough, ultrasound massage treatments may be an option.

If you have additional questions about any of the procedures covered in this post, contact our office to schedule an appointment. Dr. Usha is a skilled specialist in vaginal rejuvenation procedures and has served the Bay Area for over 20 years. Book your free consultation and evaluation with her today.

Dr. Rajagopal is a RealSelf Top Doctor

The RealSelf Top Doctor (TOP) is a recognition awarded to less than 10% of doctors on RealSelf. This status is earned by achieving high patient satisfaction (as reported in RealSelf reviews), getting favorable feedback on their expert answers, and after investing significant time in Q&A and other doctor activity.