I am a board-certified Regenerative Gynecologist, Genitoplastic Surgeon, Instructor, Clinical Researcher, Entrepreneur, and founder of Scarlett Phoenix, a Concierge Clinic for Regenerative Aesthetics, Wellness, and sexual health with locations in San Antonio, Texas, and Fairhope, Alabama. My area of expertise is restoring the youthful function and aesthetic appearance of aging and dysfunctional Genitals and Faces. I am a sexual function specialist with particular interests in Advanced Regenerative Procedures, Advanced Bioidentical Hormone Replacement, Peptide Therapy, and Genitoplastic Surgery. I have many novel protocols for treating complex conditions such as Lichen Sclerosus, Vaginismus, Anorgasmia, Clitorodynia, and other Genito-Pelivc Pain Disorders. As a seasoned Gynecologic Surgeon for over 25 years and an expert in Aesthetics, Hormones, Regenerative Gynecology, and Sexual Medicine, my focus has centered on surgical restoration of the aging and dysfunctional female genitalia as a premiere Genitoplastic Surgeon. I perform all of my procedures in-office, under local anesthesia, without an I.V. Procedures I perform include Labia Minoraplasty, Labia Majoraplasty, Vaginoplasty, Clitoral hoodorrhaphy, Clitoral Hood Reduction, Phimosis Release, Hymenectomy, Hymenorrhaphy, Perineoplasty and Anal Skin Tag Excision. As an advanced Neurotoxin and Dermal FIller Injector, I am also quite skilled at Nonsurgical Aesthetic Restoration of the Face, Breasts, and Genitals with multiple modalities, including PRP (Platelet Rich Plasma), Neurotoxins, Hyaluronic Acid Fillers, radiofrequency lasers, microneedling and peels. Services offered include Natural Bio-Identical Hormone Replacement and Optimization for Men and Women, Supervised Medical Weight Loss, Urinary Incontinence Treatments, Sexual Function Enhancement for Men and Women, OShot®, PShot®, Priapus Toxin®, Clitoxin®, Advanced Protocols for Lichen Sclerosus, Vaginismus, Clitorodynia, Vulvodynia, Dyspareunia, Erectile Dysfunction, Anorgasmia and other forms of Sexual Dysfunction as well as Advanced Aesthetic treatments available, including Advanced Neurotoxin Injections, Facial Balancing with Hyaluronic Acid Dermal Fillers, Vampire Facelifts®, Vampire Breast Lifts®, Vampire Facials®, Vampire Wing Lifts® Micro-needling with or without PRP for Facials, Stretch Marks, Acne Scars, Skin Resurfacing, Hair Restoration for Men and Women, Radiofrequency Lasers, Acoustic Wave, Plasma Pen®, EmSella®, IV Therapy and Peptide Therapy. Dr. Alexandra Runnels is a board-certified OB/GYN with over 25 years of experience and expertise in Aesthetics, Bio-identical Hormones, Regenerative Gynecology, and Sexual Medicine. She specializes in the surgical and nonsurgical restoration of female genitalia, including procedures like Labia Minoraplasty and Vaginoplasty. As a leader in sexual medicine, she addresses complex conditions such as lichen sclerosus and vaginismus, recently co-authoring a study on botulinum toxin for improving sexual function published in the International Journal of Women’s Healthcare. Dr. Runnels also offers advanced aesthetic treatments like PRP, neurotoxins, dermal fillers, and microneedling. Her services include Natural Bio-Identical Hormone Replacement, medical weight loss supervision, urinary incontinence treatments, OShots®, PShots®, and more. She practices at The Scarlett Phoenix Center for Regenerative Gynecology, Aesthetics, and Sexual Medicine in San Antonio, TX, and Fairhope, AL.