What is Cosmetic Gynecology?
The broad term Cosmetic Gynecology, also known as aesthetic vulvo-vaginal surgery, refers to rejuvenating surgical procedures performed on the vaginal and vulvar region. Procedures such as Labiaplasty (minora and majora), Clitoral Hood Reduction, Vaginal Rejuvenation Vaginoplasty, Perineoplasty, Hymenoplasty, and Vaginal Advancement, are included. Cosmetic Gynecology improves the appearance and function of a woman's most intimate areas.

Who is a candidate for Cosmetic Gynecologic surgery?
Any woman who is not satisfied with the look, feel or function of their vulvar or vaginal area, may be a candidate for cosmetic gynecologic surgery, also known as aesthetic vaginal surgery. Many patients explain feeling as if they have something that might not be quite right or that something has changed down there ...

They may complain of:
  • Enlarged or asymmetric labia that rub or pull
  • Swelling, wrinkles and hyper-pigmentation of the vulvar area
  • Unpleasing appearance of the vulva
  • Increased incidence of infections or irritation
  • Vaginal laxity due to childbirth, weight changes, or health conditions
  • Lost tissue and muscle tautness
  • A wider vaginal opening with loss of sensation with intimacy
  • Embarrassment in sexual situations with the look, feel, or function of the vulva/vagina
  • Bulging of tissue in the vagina
  • Difficulty with bladder or bowels
  • A small, tight vaginal opening that causes pain and/or bleeding with intercourse
Do the benefits outweigh the risks?
We think so! If you are unhappy with your vulva/vagina, improving the appearance and function of this area is important for your body image and overall health. Choosing a Board Certified, highly trained Cosmetic Gynecologist, who understands and is dedicated to the intimate female anatomy, reduces the chance of risks immensely. Infection, blood loss, organ injury, medication reactions, anesthesia complications, and being unhappy with results, are rare complications of these types of surgeries, but can occur, and are important risk factors to consider with any surgical procedures.

What can I expect during my consult visit?
You will meet with your aesthetic vaginal surgeon in a comfortable consultation room to discuss your concerns, desires, and questions. After discussing your individual needs, you may review some of our before and after photos and/or illustrations to better understand the procedures and see real results.

You will then change into a gown and have an exam of the area involved. This allows you and your doctor to discuss your individual issues and desires for change. Your physician may elect to take before pictures at this time, to help plan your rejuvenation.

If you decide to move forward with surgery, you will meet with the surgery scheduler to discuss a specific date and information useful for pre and post-operative planning. You will also meet with a financial representative from our office to discuss the cost and financial planning associated with your desired procedure(s).

What can I expect during the procedure(s)?
Whether your procedure is done in our comfortable office setting, an outpatient surgery center, or in the hospital, it is our priority to keep you involved, comfortable and confident in the direction of the care plan. Labiaplasty and vaginoplasty procedures are typically finished in 1 - 2 hours. If other procedures are performed in conjunction, such as a hysterectomy or repair of the bladder or rectum, the time would naturally increase. Various tools are used during these procedures such as a pinpoint radio frequency device, blades, fine scissors, sutures, and/or grafts, to excise, tighten, plicate, re-approximate, suspend, reshape and renew tissue and muscles, leaving you rejuvenated.

What can I expect my recovery to be like?
Amazingly, in office labiaplasty or vaginoplasty patients may be able to return to work and their normal routine in as little as 1 week. Undergoing multiple procedures may take you more time to recover before you feel ready to return to life as usual. Much depends on the types of procedures you have, and the type of things you do! You will be on strict pelvic rest for four to eight weeks, and can expect complete healing to take place in about three months. We will help you with pain and discomfort post-operatively by giving you pain medications, recommendations for over-the-counter remedies, instructions on how to use creams, ice, ointments, etc. Remember, we are just a phone call away to help with any problems or questions that you may have.

Can I have a vaginal delivery after aesthetic vaginal surgery?
Absolutely. There are no contraindications to vaginal birth after cosmetic vaginal surgery but there are some practical concerns. With vaginal delivery, the vaginal and vulvar tissues are stretched and may tear. While these can be repaired and will heal after the delivery, the tissues may not look, feel, or function like they did before your delivery.

How will aesthetic vulvo-vaginal surgery affect my sex life?
This depends on the patient, the type of surgery, and reason for the surgery. Most times, your sex life will be impacted in a positive way. By improving the look, feel, and/or function of this area, most women experience an improvement in their self-esteem making them more willing to engage in spontaneous relations. Vaginoplasty will increase the friction during intercourse, thus, enhancing sensation for you and your partner. Labiaplasty reduces the size of the labia, so if larger labia were interfering with intercourse, this will likely alleviate that problem. All in all, women seem to be very satisfied after aesthetic vaginal surgery, indicating a positive affect on their sex life.

Does aesthetic vulvo-vaginal surgery damage nerves and make it difficult to become aroused?
No, patients do not complain of numbness or difficulty achieving arousal after these types of surgery. The labia are not as important when it comes to arousal as the clitoris or G-spot. Most patients are as satisfied or more satisfied with their sexual arousal after these types of surgeries.

Can labial reduction surgery be reversed?
No. After labiaplasty, we are unable to replace what has been removed. It is possible to make some modifications post-operatively to achieve the look or feel you may desire. It would be very difficult to reconstruct the labia minora completely. This is why it is so important to seek out a highly qualified aesthetic vulvo-vaginal surgeon and to feel comfortable communicating your desires with this physician pre-operatively, to help insure your satisfaction post-operatively.

Can vaginoplasty be reversed?
It is possible to make the vagina larger again after a vaginoplasty. It may not look or feel exactly the way it did prior to the initial procedure, though. This is why it is so important to seek out a highly qualified aesthetic vulvo-vaginal surgeon and to feel comfortable communicating your desires with this physician pre-operatively, to help insure your satisfaction post-operatively.

Does insurance cover these types of surgeries?
Health insurance companies do not usually cover aesthetic vaginal surgery since it is considered "cosmetic" in nature. However, if the patient is symptomatic enough for her insurance company to deem the procedure medically necessary, all or a portion of the procedure(s) may be covered. Our staff would be happy to discuss your individual situation regarding coverage, additional costs, insurance, and financing options, should you decide to have these procedures.

How much does cosmetic vaginal surgery cost?
Our prices range from $1000 - $5000 for each individual procedure performed, with discounts offered for combining procedures (i.e. having both a labiaplasty and a vaginoplasty) or for paying in cash. Keep in mind, anesthesia providers, surgery centers, lab work, and certain prescriptions, may be additional costs to consider. Again, our staff will do everything possible to elucidate the various costs involved in your particular case, as it depends on many factors and needs to be individualized.

Labiaplasty (Minora or Majora)     $3500
Clitoral Hood Reduction     $1000
Vaginoplasty (includes perineoplasty)     $4500
Perineoplasty     $3000
Hymenoplasty     $2500
Laser Resurfacing     $1000
Vaginal Advancement     $1800

(These prices are for procedures done in the office. There are additional costs if the procedures are done in a surgery center or hospital.)

If I need financing, whom do you recommend?
There are companies that specialize in loans for healthcare, especially patients interested in cosmetic surgery. The two companies that we commonly work with are:
  • Surgery Loans - can be contacted at surgeryloans.com or 1-888-502-8020
  • Care Credit - can be contacted at carecredit.com or 1-866-893-7864
If you are interested in working with a different loan company, please let us know, so we can obtain any information from our side and work closely with you in this process.