The Plastic Surgery Center
57 Bay Street, Manchester, NH  03104 Contact Our Office
Contact Us: 1-603-669-0290
1-800-640-0290 (US only)


dr-pacik Board Certified
American Board of Surgery
American Board of Plastic Surgery

Since 1972, Our Plastic and Reconstructive Surgery Practice has helped thousands of women and men overcome conditions, and gracefully improve their appearance. Our long-standing reputation for excellence underscores our deep commitment to your comfort, safety, and satisfaction. At our practice, we consider our patients our family. As such, you can expect to be treated with respect, warmth, and personalized attention.

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When Sex Seems Impossible: Stories of Vaginismus, by Peter T. Pacik, MD

Part 1: Early signs and diagnosis of vaginismus

Part 2: Classifying the severity of vaginismus, treatment with Botox and dilators

Visit Dr. Pacik's YouTube Channel

Botox for Vaginismus & Progressive Dilation
Botox for vaginismus was first described in a 1997 case report. Since then increasing attention has been paid to this simple approach to the treatment of vaginismus.

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View Vaginismus Articles

Choosing the Right Implant
Photos on the internet can be both helpful and confusing. Too often meaningful measurements are not included and it is hard to tell whether the patient is 5’1” or 5″8” and whether they had a size 32 or size 36 chest to start with.

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View Breast Procedure Articles

Before & After: Facial Rejuvenation

Frown Lines are lines around the bridge of the nose and inner eyebrows, due to wrinkles that form as a result of underlying muscular activity. As with “crow’s feet”, they are managed best with Botox®.

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Mission Statement

It is our goal to make every patient that walks into our office feel as comfortable as possible; as if they were a part of our family. Our highly trained staff of professionals will make sure you are comfortable through every step of the process. Our patients become an important part of our family and we try to get to know each patient individually and customize their treatment to meet their desire.

Book in Publication

When Sex Seems Impossiblewhen sex seems impossibleStories of Vaginismus and how you can achieve intimacy

Peter T. Pacik, MD, FACS

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Your questions answered

Fill out the form below with any questions you may have or call us at 603-669-0290 or 800-640-0290 (US only) to schedule a consultation.

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Photo Gallery

View our photo galleries for each procedure to see pictures of actual patients from our practice.

Patient Testimonials

I am indebted to my patients, and I share with you true stories and testimonials about facial and eyelid cosmetic surgery, breast enlargements, breast reductions, liposuction and more.


Have fear and pain stopped you from having intercourse?

Are you unable to use tampons, or feel like they won’t fit?

Do you physically withdraw or panic during gynecological ­exams?

Visit Dr. Pacik's VaginismusMD Website and learn about Botox Treatment for Painful Sex