Surgeon-led intimate aesthetic care in Seattle, Washington
Anal Restoration
This part of your body deserves the same quality of aesthetic care as your face. Here it receives more: the clinical oversight of a board-certified colon and rectal surgeon, in a private practice built entirely around discretion.


Confidence Is A Legitimate Health Outcome
Skin changes in this area are with age, hair removal, childbirth, or simply genetics. Wanting to address them is as valid as any facial aesthetic goal. Our role is to support your goals, never to impose someone else's standard.
There is no default patient for this care. Women restoring their bodies after childbirth. Men who want a smoother or brighter appearance. Anyone who has quietly wondered whether this kind of care even exists.
It does, and this is where it is done properly.
There is no default patient for this care. Women restoring their bodies after childbirth. Men who want a smoother or brighter appearance. Anyone who has quietly wondered whether this kind of care even exists.
It does, and this is where it is done properly.
Treatments
Each treatment can stand alone or be combined into a personalized plan.
Anal Botox
Botox injected to relax the anal sphincter, reducing tension, spasm, and pain. Used to ease discomfort during receptive intercourse and to treat sphincter spasm and anal fissures. Also known as anal Botox.
Scar Revision
Refinement of scarring from prior surgery, childbirth, injury, or healed anorectal conditions, using surgical technique developed over 22 years of colorectal practice.
Laser Hair Removal
Motus Pro laser hair removal for lasting smoothness, comfortable enough for this sensitive area.
Anal Tightening
The complete approach to restoring the appearance and texture of the area, including Everesse monopolar radiofrequency tightening, and how treatments are combined into a single plan.
Anal Brightening
VI Peel and the Moveo GLO laser brightening, used to address darkened skin tone and even the appearance of the area.
Anal Tag Removal
Precise surgical removal of excess skin around the anal opening, performed in-office by Dr. Kratz under local anesthesia, with a structured aftercare protocol built around controlling swelling in the first 72 hours.
Why this belongs in a surgical practice
Most med spas will not treat this area. Most surgical practices will not discuss aesthetics. We do both, because this anatomy is our specialty.

Every plan is directed by a colorectal surgeon
Treatment plans are designed under the direction of a fellowship-trained, board-certified colon and rectal surgeon with more than 22 years of anorectal surgical experience.
Medical problems get treated, not referred out
If something medical is found along the way, a skin tag with an underlying hemorrhoid, a fissure, anything else, it can be treated in the same practice by the same surgeon. You are not sent elsewhere and you do not start over.
Anatomical expertise an aesthetics chain cannot offer
This region contains delicate muscles, nerves, and specialized skin. Cosmetic work here is not a spa treatment. It requires surgical judgment about what to remove, what to preserve, and how the area will heal.

Who performs your treatment
Surgical procedures, including skin tag removal and scar revision, are performed personally by Dr. Kratz. He directs every treatment plan in this section and evaluates for any underlying medical condition along the way.
Laser and skin treatments, including brightening, tightening, and hair removal, are delivered by our licensed master laser esthetician within a medical practice, under Dr. Kratz's direction. That is the difference between this and an aesthetics chain: the same anatomical expertise governs both the surgical and the non-surgical side of your plan.
Laser and skin treatments, including brightening, tightening, and hair removal, are delivered by our licensed master laser esthetician within a medical practice, under Dr. Kratz's direction. That is the difference between this and an aesthetics chain: the same anatomical expertise governs both the surgical and the non-surgical side of your plan.

What to expect
A private consultation
Unhurried, confidential, and judgment-free. You will never need to feel awkward explaining what you want
A clear plan
You will leave understanding what is possible, what it involves, what the recovery looks like, and what to do next.
Transparent pricing
Every cost is presented up front, before care begins. No surprises.

Common questions
Is this covered by insurance?
Does it hurt?
How long is recovery?
Can I combine treatments?
Will treatment leave scarring?
Is the consultation really private?

You do not have to explain why it matters. It matters to you, and that is enough.
Call or text for a private consultation and a clear, honest plan for your goals.