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Vaginal Rejuvenation

Are your lady parts not looking very good?

Are they creating a bulge in your clothing or causing pain when you run or cycle?

We understand that private parts are, well, private, and this subject can be embarrassing for some women. Others approach it with a sense of humor. The always outspoken and self-deprecating Khloe Kardashian recently named the bulge in her pants, Camille. Although our surgeons, Dr. Gordon and Dr. Reid, have great senses of humor, they approach this issue very seriously and with the utmost sensitivity and discretion.

Weight loss, pregnancy, genetics and aging are the most common culprits of why things not only look different down there, but feel different. These changes can be a real confidence killer both in and out of the bedroom. In most cases, functional issues are the primary reason women seek treatment. Physical discomfort and pain can prohibit women from wearing tight clothing and participating in some sports. Enlarged labia are at risk for trauma and can easily become irritated, infected and swollen. Bleeding can even occur. This makes hygiene difficult and can cause frequent and painful urinary tract infections. Labial surgery can provide emotional and physical relief, along with a boost of self -confidence.

Our surgeons have years of experience performing labiaplasty and will customize your surgery based on your anatomy and how you wish to look and feel. Our patients who undergo labiaplasty and other vaginal rejuvenation procedures experience improvements in self-confidence and comfort, as well as more pleasurable sex. It’s no wonder these procedures are booming in popularity!

Our surgeons leave internal vaginal tightening or vaginoplasty to gynecologists and urologists, but they frequently perform the following external vaginal rejuvenation procedures:

We also offer ThermiVa, a revolutionary non-surgical treatment that uses radiofrequency to tighten the external labia and internal vaginal tissues. ThermiVa increases vaginal moisture, improves mild to moderate urinary incontinence, and increases sexual pleasure.

Drs. Gordon and Reid have a keen understanding of the best techniques for correcting the labia and surrounding areas with minimal scarring and discomfort, along with a quick recovery.

We’ve made a list of the most common concerns women have about this area. Click on yours to learn more about the cause(s) and, more importantly, the solution.

Your Concerns

I have decreased clitoral sensation due to excess tissue on my clitoral hood

Cause: Usually a genetic condition
Surgical Solution: A clitoral hood reduction can be performed to remove some of the excess tissue covering the clitoris, thereby restoring or increasing sensation when the clitoris is stimulated.

I have pain during sex because of friction caused by enlarged, stretched labia minora

Cause: Enlarged labia minora, as a result of genetics, aging or stretching from pregnancies
Surgical Solution: A labiaplasty to remove the excess tissue and reduce the size of stretched inner lips, thereby eliminating uncomfortable friction during sexual intercourse.

My labia majora are deflated

Cause: Aging or weight loss
Surgical Solution: Labia majora fat grafting to restore youthful fullness. This process involves removing fat from another part of the body using liposuction and re-injecting the purified fat into the deflated labia majora. Dermal fillers, like Perlane, can also be used.

I’m self-conscious because my mons pubis (fatty deposit over my pubic bone) bulges and is visible under clothing

Cause: Genetics, menopause, or the result of weight gain
Surgical Solution: Mons pubis liposuction using SAFELipoTM techniques can remove the excess fat from the bulging area and create a flatter contour.

I’m self-conscious because my labia protrude out in a way that is noticeable when I wear tight clothing

Cause: Enlarged labia minora, as a result of genetics, aging or stretching from pregnancies
Surgical Solution: Depending on whether the labia majora or labia minora protrude, a labia minora reduction (labiaplasty) or labia majora reduction can be performed to make the labia smaller and more proportionate

I don’t like the appearance of my labia or they are asymmetrical

Cause: This can be due to a number of reasons depending upon what you dislike. Sometimes, the labia majora or labia minora are asymmetrical, enlarged, stretched and/or out of proportion.
Surgical Solution: A labiaplasty can be performed to reduce the size of the inner labia and make them more symmetrical or more attractively shaped. Labia majora fat grafting or labia majora reduction can be done to reshape and rejuvenate the outer labia.

I have discomfort and irritation between my legs when biking, running, and/or horseback riding

Cause: Enlarged labia minora, as a result of genetics, aging or stretching from pregnancies
Surgical Solution: A labiaplasty to remove the excess tissue

Labiaplasty/Labia Minora Reduction

If you feel that your labia minora or inner lips are enlarged, stretched out and/or asymmetrical, labia minora reduction surgery or labiaplasty can make them smaller, more symmetrical and in balance with the outer lips or labia majora. Just as your face and breasts can sag and deflate with time, so can your labia. The thin nature of the inner lips puts them at risk for this accelerated aging and stretching.

Because our surgeons are plastic surgeons, they are creative and artistic, and they apply this to every surgery they do. They use an advanced technique for labia minora reduction or labiaplasty that is far superior to the traditional method used by most gynecologists. It was developed by a plastic surgeon who is also an urologist, Dr. Gary Alter from Beverly Hills, and it’s called the “modified wedge” technique. It is more challenging for the surgeon, but provides a very natural-looking result, without a visible scar and with less postoperative pain. The wedge of tissue that is removed is taken from the central labia minora on each side. This means that the scar lays in the crease between the inner and outer labia and not on the bottom of the labia minora. Once this scar heals, it is almost imperceptible. Another advantage is that the normal scalloped edge of the labia minora is preserved.

The traditional method involves placing a clamp across the excess tissue, amputating it, and closing the two sides with a running baseball type of stitch. Surgeons like this technique because it is very quick, but there are several disadvantages that make it unacceptable for Drs. Gordon and Reid. It leaves a linear scar on the bottom of the labia minora. This is very unnatural looking because not only is the scar visible, but the normal scalloped appearance of the inner lips is gone. In addition, the location of the scar can be problematic long term because of friction in clothing, exercise and/or sex.

Labia Majora Fat Grafting

If you feel your outer labia are wrinkled or deflated, labia majora augmentation with fat grafting can help. While we typically see more stretching of the inner lips or labia minora, we see more deflation or volume loss in the outer lips. Fluctuations in weight can also contribute to this. Much like lip augmentation, this procedure involves removing fat using removed from one part of the body through liposuction and injecting the purified fat cells into the deflated labia majora. This give a plump, firm and youthful appearance to the outer lips. Dermal fillers, like Perlane, can also be used. The advantage of fat is that it will last longer.

Mons Pubis Liposuction

The mons pubis is the fatty deposit just above your pubic bone. While this region has a natural “mound” appearance, the fat cells in this area can expand and begin to bulge excessively, as a result of genetics, menopause and/or weight gain. If you feel your mound is turning into a mountain and is now unsightly, especially under clothing like jeans and exercise wear, mons pubis liposuction is right for you. SAFELipoTM techniques are used to remove the excess fat and create a flatter contour.

Clitoral Hood Reduction

Do you have excess tissue of your clitoral hood, or the layer of tissue that covers your clitoris? As a result, you may experience reduced sensation during sex. In a clitoral hood reduction, sometimes called a clitoral hood lift or clitoral hoodectomy, a small amount of the extra tissue will be carefully removed, so your clitoris can be more easily stimulated. This surgery is usually done for functional rather than cosmetic reasons.

Labia Majora Reduction

Do you feel that your outer labia are uncomfortably large or are they just deflated? Deflation is the much more common of the two, and the treatment is labia majora augmentation with fat grafting. If the labia majora are truly enlarged, labia majora reduction can be done to to restore the outer labia to a more normal size and shape.

Labiaplasty Q&A

What are the risks of labiaplasty?

Like all surgical procedures, labiaplasty and other vaginal rejuvenation procedures involve certain risks, including the possibility of bleeding, infection, contour irregularities, fluid collection, changes in sensation and unsatisfactory results that may necessitate additional procedures.

Will I be able to see the results of my surgery immediately?

After the swelling has subsided and the stitches have dissolved, you will start to see the final results of your surgery.

Will labiaplasty reduce sexual sensation?

When done correctly, none of the vaginal rejuvenation procedures or labiaplasty should reduce or impair your ability to enjoy sex. In fact, many of these procedures enhance enjoyment of sex.

What is the recovery period like after labiaplasty?

Most patients are happy to discover that these procedures and recovery are much better than they anticipated. Discomfort is usually mild. You will be prescribed a pain medication and an anti-inflammatory for the soreness.

What will I look like after my labiaplasty?

You will have visible stitches that will dissolve on their own. You will have swelling that can last for several days to several weeks. The majority of the swelling resolves by 6 weeks.

How long until I can exercise?

You should avoid strenuous exercise for 3 weeks and contact sports for 6 weeks. Sexual activity should be avoided for a period of 4-6 weeks. The amount of time necessary will vary depending upon the type of surgery you have had.

How much time do I have to take off from work after labiaplasty?

Depending upon the extent of your surgery, you might wish to take a few days to a week off from work. For the first few days, it will be uncomfortable to sit in a chair for extended periods of time.

What type of anesthesia is used and will I be put to sleep?

The type of anesthesia depends on the specific procedure you are having, and to some degree, your personal preference. Minor procedures can be performed under local anesthesia. IV sedation and general anesthesia are administered by a Board-Certified Anesthesiologist from Capitol Anesthesiology Association, ensuring your safety and comfort. Safety, comfort and a fast recovery are paramount to Drs. Reid and Gordon. Although it can initially sound appealing to patients to have these type of procedures done under local or sedation in an office setting, our surgeons advise “buyer beware”. These are real operations and should be treated as such.

Where will my labiaplasty be performed?

Your procedure will be done at INSPIRE, our state-of-the-art surgery center that is certified by the American Association for Accreditation of Ambulatory Surgical Facilities (AAASF), which ensures the highest standard of surgical care. INSPIRE is conveniently located in the suite adjacent to Restora Austin and is staffed by a team of Board-Certified Anesthesiologists and very experienced nurses and surgical techs, all of whom were hand-picked by Dr. Gordon and Dr. Reid.

How is labiaplasty done?

Please see the individual procedure descriptions on this page. Before your surgery, we will go over your exact surgical plan so that you have a clear understanding of what will take place and what you can expect.

Am I a good candidate for labiaplasty?

Find out by scheduling a consultation at our office with Dr. Gordon or Dr. Reid. She or he will listen to your concerns, whether cosmetic, functional or both, followed by a discreet examination. We can then advise you on what procedure(s) will best meet your goals.

Why the sudden boom in labiaplasty and vaginal rejuvenation surgery?

Over the last few years women of all ages are more aware and more concerned with the appearance of their genital area. We believe it’s due to the internet and grooming trends toward less or no pubic hair. The internet has provided a greater awareness that these surgeries exist and is a wonderful tool to educate women on the various options. In addition, women can talk to other women about this sensitive subject on forums like Real Self, all from the privacy of their own home. Grooming preferences, especially for fully waxed look, have exposed the genitalia and made women curious about what “normal” or “ideal” look like. It is very important for patients to realize that variation in labias are the norm. Labia come in all shapes, sizes, colors and textures.

Are you interested in labiaplasty or another vaginal rejuvenation procedure? Call Restora Austin today at 512.371.8817.

Our Videos

Restora Austin is largely based on word of mouth referrals from happy patients. Although we are one of the busiest plastic surgery practices in Austin, we will always remain a boutique practice, where quality time spent with patients and building long-term relationships are our top priorities. Watch these patient testimonial videos to learn what you can expect when you visit our practice.

Testimonials

Kelly

My name is Kelly and Dr. Ashley Gordon did my procedures.

I went to many other doctors, did extensive research, did a lot of consultations… I just never had that feeling that everything was a complete package. So I was researching on the internet and I went from the Houston market to the Austin market, and Restora came up. It did not matter if there was one review, or 120 reviews, it was always five stars.

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