Surgical Expertise
Houston
We believe patients deserve clarity, time, and exceptional surgical care—without financial surprises.
More Surgical Experience. Better Outcomes. Your Choice.
Expert Urogynecologic Surgery with Transparent, Patient-First Insurance Options
At LifeSculpt by ChristiMD, you receive advanced, specialized care from highly experienced surgeons—without the confusion or surprises often associated with out-of-network care.
Meet Your Surgeons
Board-certified urogynecologic surgeons specializing in complex pelvic floor conditions.
Christi Pramudji, MD
Dr. Christi Pramudji Dawe, a leading urogynecologist in Houston, founded LifeSculpt™ by ChristiMD to provide a more advanced, personalized approach to health and wellness. Her practice combines traditional medicine with modern biohacking, aesthetics, and longevity treatments to help patients optimize their health, not just treat symptoms.
Nina Dereska, MD
Dr. Nina Dereska is a board-certified, fellowship-trained urogynecologist and reconstructive pelvic surgeon who joined LifeSculpt Urology by ChristiMD in 2025. With extensive experience in both academic and private practice, she specializes in treating pelvic floor disorders.
Outside of medicine, she is a certified personal trainer and professional figure bodybuilder, passionate about helping women—especially during menopause—improve strength, mobility, and overall long-term health.
Why patients (and physicians) choose LifeSculpt:
We provide Specialized Care for Women’s Pelvic HealthSurgical Expertise
We treat:
Out-of-Network Doesn’t Mean Out-of-Reach
You don’t have to sacrifice expertise to stay within your budget.
Choosing an out-of-network provider doesn’t mean higher or unpredictable costs. At LifeSculpt, we prioritize transparency and work closely with you to make high-quality care accessible—so you can feel confident in both your treatment and your investment.
- Upfront Good Faith Estimates before any procedure
- Costs often comparable to in-network care
- Many patients pay ~$75 for initial consultation with out-of-network benefits
- We work directly with your insurance to maximize reimbursement
- We accept in-network fee equivalents in many cases
What Makes LifeSculpt Different
At LifeSculpt, care is built around time, expertise, and collaboration. Patients receive unhurried, comprehensive consultations with direct surgeon involvement every step of the way. Each treatment plan is personalized, with an education-first approach that ensures you feel informed and confident in your decisions. We also work closely with referring physicians to support a seamless, collaborative care experience—because better outcomes start with better conversations.
Patient Testimonials
I’ve been seeing Dr. Christi P. for couple months already and am quite impressed with her knowledge, skills, and professionalism. She speaks graciously and kindly and is one of the few MD’s that does not rush through a visit but takes time to explain. Dr. Christi goes the extra mile as a physician and I appreciate her approach and insight in female urology matters. Her two skilled CMA’s, Lisa and Mika, were not only patient and professional as Dr. Christi, but quite knowledgeable. Briana and other office staff efficiently provided wonderful customer service each time I saw them. I am so thankful for medical care from Dr. Christi and her skilled team!
I’m so happy I found LifeSculpt Urology! All of the staff are very friendly and helpful. They always treat me with dignity, respect, and compassion. The doctor listens to my concerns and helps me understand the different options for treatment. I never feel rushed. This practice has helped me get my life back! Thank ChristiMD and team.
