About Dr. Alinsod:
Dr. Red Alinsod has been a pioneering vaginal surgeon in this past decade. He was one of the first surgeons in the United States to perform minimally invasive transobturator slings for incontinence, originated and developed the first uterine suspension approach done through the vagina without any abdominal scars, developed and obtained the patent for a sling with bladder support, invented the Ascend Pelvic Support System marketed by Caldera Medical, designed the shapes of Restorelle Mesh for Mpathy Medical, developed the Lone Star APS retractor (the most popular vaginal retractor in the world), developed the Alinsod UROGYN Scissors, invented and developed the Advanced Infusion Alinsod Pain Catheter System and Alinsod Labial Cathether System. Perhaps even more important for the art and science of Aesthetic Vaginal Surgery is Dr. Alinsod’s pioneering use of Ellman radiofrequency, or RF, in labial and vaginal surgery. The surgical device, known as the Ellman SurgiMax, has enabled him to do precision excisions and resurfacing to a level of unheard of accuracy. The Ellman is 10x more precise than any surgical laser and uses radio waves with its cool tip to gently resculpt vulvar tissues to achieve the desired appearance in a safe and minimally traumatic manner. Working closely with Ellman, Dr. Alinsod has perfected his approach and techniques, and has developed unique solutions to complex gynecologic issues in vulvovaginal surgery.
Dr. Alinsod and his Alinsod Institute of Aesthetic Vaginal Surgery are exceptionally proud of the Aesthetic Vaginal Surgeons he has taught and mentored listed on the pages of lasertreatments.com and labiaplasty.net. Drs. Tom Easter, Oscar Aguirre, Edward Jacobson, Otto Placik, Martin Naughton, Elizabeth Hutson, Michael Safir, and Stefan Smajda all bring stellar surgical skills and accomplished training into their practices. Dr. Alinsod has passed on his years of experience and surgical pearls to these and many more surgeons in the past decade of his active teaching.
What are the advantages of having surgery by Dr. Alinsod?
Dr. Alinsod has performed beautiful aesthetic vaginal surgery for
thousands of women over the past 15 years. He has concentrated his
skills in the art of aesthetically pleasing vaginal repairs and
has taught hundreds of gynecologists, urogynecologist, and urologists.
Fellow physicians, physician wives, nurses, operating room technicians
have sought out Dr. Alinsod to perform their surgeries. Furthermore,
Dr. Alinsod is always in the forefront of his field and travels
extensively to meet and discuss with other prominent surgeons what
is new and better for the patient. Dr. Alinsod truly cares for his
patients and it is this commitment to service that drives his entire
What are the advantages of having surgery in Laguna Beach?
We have some of the finest resort lodging available in California.
The Ritz Carlton, St. Regis, and Montage Resorts are within minutes
of our office. You can choose to have your recovery at one of these
world-class resorts with a home health nurse visiting you or even
staying in an adjoining room for total care. Of course you can also
stay in the hospital for about the same room rates as these hotels.
Believe or not, the views from the hospital rooms compete very well
with the resorts!
Dr. Alinsod graduated from Loma Linda University School of Medicine
in 1986 and completed his OB/GYN residency at Loma Linda University
Medical Center in 1990. His focus in those early years was pelvic
surgery. He was the first Rutledge Fellow at MD Anderson Cancer
and Tumor Institute and was also selected as a Galloway Fellow at
Memorial Sloan Kettering Medical Center.
Red was accepted to Yale’s Gynecologic Oncology fellowship
but was unable to attend due to a military commitment with the US
Air Force during this time of global strife. His career took a 180
degree turn as he headed the Gynecologic Services at George Air
Force Base, CA, and Nellis Air Force Base, NV, as he concentrated
on benign gynecology, urogynecology, and pelvic surgery. He was
affectionately called a “Combat Gynecologist” by his
colleagues. He was the first one to achieve the Accreditation Council
of Gynecologic Endoscopy in Nevada. He left the Air Force as a Major
in 1994 and joined and joined Facey Medical Group in Southern California.
After ten years in Los Angeles, Dr. Alinsod moved his very successful
practice to the
beautiful coastline of Laguna Beach.
Red is very active in presenting talks locally and nationally and
in teaching physicians the art and science of incontinence/pelvic
reconstructive surgery. Red’s focus on pelvic surgery to improve
patient lives has led to innovations and inventions that will have
a major impact on how pelvic reconstructive surgery is performed
worldwide. He remains active in research and design of innovative
products and procedures.
Dr. Alinsod’s focus is on providing the highest quality of
care to his patients in a compassionate and trustworthy manner.
He is absolutely thrilled to be part of the South Coast family.
He welcomes your correspondence and inquiries.
Dr. Alinsod is adamant about protecting your privacy and will not
do interviews with the media. Anonymity is golden.
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!”
Vaginal Surgery (Labiaplasty) Photos:
Before Labiaplasty Image
After Labiaplasty Image
Before Labiaplasty and Vaginoplasty Image
After Labiaplasty and Vaginoplasty Image
here to view Dr. Alinsod's vaginal surgery before and
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. Perineorrhaphy is free when part of a vaginoplasty. 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.
Aesthetic Vaginal Surgery/Vaginoplasty
This aesthetic vaginal 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.
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
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.
takes 15 to 30 minutes to perform.
The visible area between the vagina and the rectum is called the
perineum. This is the region where episiotomies are cut and where
tears during childbirth are most common. Perineoplasty (or Perineorrhaphy)
aims to make this region appear normal by excising excess skin,
loose skin tags, and suturing the underlying muscles or the perineal
body closer together to give a more snug feeling in the introitus
or vaginal opening. This procedure has been advertised by many to
“Enhance Sexual Gratification.” The procedure almost
always accompanies vaginoplasty since you are working in the same
area. This procedure takes 10 to 15 minutes to perform.
CO2 lasers have been used for over 20 years to ablate lesions in
the vaginal area. Examples include venereal warts and skin tags.
They have also been used to treat precancerous vulvar, vaginal,
and cervical lesions. We often marveled at the beautiful new tighter
skin that grew after a laser treatment. We have used the CO2 lasers
since 1986 with excellent success. Now, the CO2 laser is getting
more acceptance by other gynecologists as a tool for cosmetic vaginal
surgery and resurfacing. Other lasers that have been used in the
vaginal region include the Yag lasers of varying wavelengths. Laser
resurfacing takes 5 to 15 minutes to perform.
A cystocele is when the bladder falls down and often becomes visible.
Urinary leakage often accompanies a cystocele. Cystoceles may cause
pelvic pressure or just be unsightly. Cystocele repair (also called
Anterior Repair or Anterior Colporrhaphy is the surgical reduction
of the bulge to place the bladder back into its normal anatomic
location. The traditional repair of plicating or overlapping tissues
with suture unfortunately has a very high failure rate ranging from
25 to 60 percent. It is certainly one of the most challenging surgeries
gynecologists and urogynecologists
perform. More modern surgery treats cystoceles as a hernia of the
bladder into the vagina, hence, the use of mesh or donor tissues
as a patch or graft has been gaining steady acceptance. We have
some of the most extensive experience in this type of surgery in
the United States with
success rates of about 90% in our hands.
The urethra is the tube that drains the bladder. The urethra is
where you see urine coming out. This structure may fall down just
like the bladder does. This often results in leakage of urine when
one coughs, laughs, jumps, or bends down. Repair of this organ often
means you must place a
mesh below it and support it to stop the leakage of urine. Many
women have urethroceles with absolutely no symptoms. No surgery
is needed in these asymptomatic patients.
When the bulge into the vagina comes from the rectum it is called
a rectocele. As with other forms of pelvic organ prolapse (cystoceles,
enteroceles, vaginal prolapse) childbirth, chronic cough, chronic
constipation, and obesity are predisposing factors. Symptoms are
cystoceles such as pelvic pressure, an unsightly bulge in the vagina,
and constipation. Furthermore, the need of reaching into the vagina
to push stool out is not uncommon. Surgical repair consists of using
sutures to bunch up the bulging tissues together. More modern repair
consists of the use of mesh or donor tissues. This newer method
gives success rates of over
95% in our hands.
A bulge into the vagina can also be caused by small bowel pushing
the vaginal tissues. This is called an enterocele. It can occur
at the same time as a cystocele and a rectocele. In fact, we often
cannot tell what is causing the bulge in the vagina whether it is
bladder, rectum, or bowel, or
all! Modern repair uses mesh or donor tissue with excellent success
found. This repair is technically quite challenging and few are
trained in the modern repair of this problem.
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
approximately the same at 80 – 90%.
The newest and safest trend to deal with incontinence involves
the use of polypropylene, an inert nylon-type material, that is
placed right under the mid urethra to act as a backboard when one
sneezes or coughs to then occlude or block the urethral opening
and either decrease of stop the
leakage of urine. These procedures are all called “Tension-Free”
because the slings are not sutured into muscle, fascia, or bone
and are just left alone for ones own fibroblast to ingrow and hold
the mesh. You may hear the term TVT or TOT. They refer to the route
the slings are placed. TVT, or tension-free vaginal tape can be
placed through an incision right above
your pubic bone. TOT, or transobturator tape, is placed through
incisions on the crease of your inner thighs. These incisions are
just about invisible. Both procedures are outpatient surgeries of
about 15 to 30 minutes.