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.

dr dereska urogynecologist

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

  • Highly experienced surgical specialists
  • Proven outcomes with advanced techniques
  • Personalized, unhurried consultations
  • Direct access to your surgeon
  • Faster recovery with modern procedures

We treat:

  • Urinary incontinence
  • Overactive bladder
  • Pelvic organ prolapse (bladder, uterus, rectum)
  • Vaginal & vulvar conditions
  • Menopause-related concerns

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

Take the Next Step Toward Relief and Confidence

Experience matters. Transparency matters. Your care should reflect both. Contact us today.