Vaginal Tightening Surgery and (Labia Reduction) Photos:

Click here to view vaginal tightening and labia reduction surgery before and after pictures.

Vaginal Surgery Costs:

Initial consultations is $250. This includes private time with me for questions and answers and an examination to follow. Labiaplasty $6,000. Vaginoplasty $7,000. Combination labiaplasty and vaginoplasty $12,000.  Clitoral Hood Reduction is $1,700. Perineoplasty is $4,000. Laser resurfacing is $1,600. Hymenoplasty is $4,500. Labia Minora and Majora Plasty is $11,000. Vaginoplasty/Perineoplasty is $10,000. Labiaplasty/Vaginoplasty/Perineoplasty is $15,000. Repair of a fallen bladder/rectum/vagina/or uterus is usually covered by insurance. Incontinence surgery is usually covered by insurance also.

Procedures Performed:

Vaginal Rejuvenation | Vaginoplasty

This vaginal rejuvenation surgery aims to remove excess vaginal skin to narrow the diameter of the vagina resulting in a smaller and tighter introitus (opening) and vaginal vault. This is usually done in the operating room under general or spinal anesthesia or under local anesthetic with some edation. We use the Ellman Surgitron Radiofrequency device to make exceptionally precise and minimally traumatic incisions. This method is dramatically less destructive than the use of Yag lasers. It takes about 30 minutes to perform. Many advertise this procedure for the “Enhancement of Sexual Gratification” as well as a cosmetic procedure.

Labiaplasty

This surgery is for the removal of excess, floppy, or uneven labia minora (smaller interior vaginal lips) that often causes chronic irritation, rubbing, or discomfort during sexual intercourse. The term “Labiaplasty” can also relate to the cosmetic surgery of the labia majora (larger outer lips) to make it less prominent and floppy. Labiaplasty is most often done in the operating room but in selected cases surgery can be done in the office under local anesthetic at dramatically decreased costs. The Ellman Surgitron is also the tool of choice. This procedure takes 30 minutes to
perform.

Hymenoplasty

This surgery is the reconstruction of the hymen. Cultural, religious, or social reasons predominate when this surgery is contemplated. Hymenoplasty is performed to make the patient appear virginal. It only works for women who have not had vaginal deliveries, and preferably, in those who have never been pregnant. We take advantage of the Ellman Surgitron to make extremely precise incisions into the vagina and remnants of the hymeneal ring to bring them into close approximation to allow delicate sutures to hold the tissues in place. Once healed, the act of sexual intercourse can result in bleeding when the hymen is torn or stretched. This procedure takes 15 to 30 minutes to perform.

Vaginal Vault Suspension

A vagina that looses its support may come down and out into the open air. The degree of vaginal prolapse may vary from just having the top fall down a few centimeters to ones that completely go inside out. If a woman still has her uterus then this is called a uterovaginal prolapse. If only the uterus falls out and the top of the vagina is still well suspended then it is called a uterine prolapse. Vaginal vault suspension can be done in many ways. Some physicians prefer an abdominal approach to attach the top of the fallen vagina to the sacrum. Some highly skilled surgeons do this laparoscopicaly. The procedure is called a sacralcolpopexy. More often a vaginal approach is performed. The top of the vagina can be sutured to the uterosacral ligaments or to the sacrospinous ligaments. Either approach works well with different complications to consider. A newer procedure called the Posterior IVS (Intravaginal Slingplasty) has been developed in Australia and New Zealand, popularized in Europe, and now approved in the United States. This vaginal approach uses a polypropylene mesh that is attached to the top of the vagina and suspended “tension-free” via two small incisions near the anus and one incision in the vagina. You can view this procedure in my Video Library. The success rates of all methods are approximately the same at 80 – 90%.

Is the use of Lasers important?

The laser is an important surgical tool that has many advantages. Certain lasers are very precise and are used as scalpels. Some lasers are ablative (destructive) and used more to destroy abnormal tissue or to resurface the skin. Many dermatologist and plastic surgeons use this type of laser. However, there is no magic in the use of lasers. In fact, other modalities such as radiofrequency cautery units can give more precise cuts and less tissue destruction by a factor of ten or more. Other surgeons will avoid electrical units altogether and use highly precise scissors or scalpel units with excellent results Another way to look at lasers is to realize that it is a tool in the doctor’s bag but that it is not ultimately any better than a cold knife. However, it is undeniable that using the term “laser” adds glamour and a sense of prestige to a procedure. We use the CO2 laser to resurface and tighten the skin in the vaginal region to give it a smooth and refreshed appearance. We use it also to flatten bumps unsightly ridges and episiotomies or prior torn tissues. We have had patients comment that the new skin is “smooth like a baby’s bottom!”