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Dr. Daniel Medalie
Case Western Reserve University &
MetroHealth Medical Center
2500 MetroHealth Drive
Cleveland, OH 44109
Tel: 216-778-4450
Email: info@clevelandplasticsurgery.com
Web: www.clevelandplasticsurgery.com
Contact Dr Medalie

Labiaplasty is a surgical procedure that reduces and/or reshapes the labia minora (labia minora reduction) - the skin surrounding the vaginal opening. In most women, the labia minora are seen only when the legs are separated. However in some women, large labia minora are visible when the legs are not apart, or are barely separated, causing embarrassment, self-consciousness, and distancing in relationships. Enlarged labia may also be noticeable in tight fitting pants, and can cause discomfort during intercourse, with clothes, or with exercise. Enlarged labia are usually congenital but may be increased from hormonal changes or childbirth.

Labiaplasty is a procedure to correct this problem. I utilize a newly described technique of labia minora reduction (labiaplasty) which preserves the contour, color, and anatomy of the labia minora edge. The excess labium is excised in a "V" manner and the upper and lower edges are sutured together. Therefore, the only suture line visible on the edge is a small transverse line instead of a long longitudinal vertical suture line. This significantly decreases the discomfort and visibility of the procedure. The cost for the surgery is ~$4500 (includes anesthesia and facility fee). The surgery is outpatient and takes around 1.5 hours. I recommend that patients take off 7-14 days from work and refrain from heavy exercise and sexual intercourse for 3-4 weeks. Pain is usually controlled by narcotics for the first several days and then ibuprofen (Motrin, Advil etc.) after that. Irritation can last for several months, but is usually transient. In general this is a very well tolerated procedure.
I also perform other female genital surgery including labia majora remodeling, vaginal rejuvenation or vaginoplasty, pubic liposuction and pubic lift.

The vaginoplasty procedure is designed to remove extra mucosa, plicate (tighten) the underlying muscle and close the defect in a way that tightens the vaginal vault. Typical tightness is to allow only two and one half finger breadths of space in the vaginal introitus (opening). The operation is outpatient and takes around 1-2 hours. It is typically well tolerated and healing is similar in time and length to a standard episiotomy performed at childbirth. The average cost including anesthesia and facility fee is around $4500. It is less expensive if performed in combination with other procedures such as labiaplasty.


Labiaplasty before picture
Before Labiaplasty
labiaplasty after picture
2 months after Labiaplasty
Labia surgery before picture
Before Labiaplasty
labia surgery after picture
After Labiaplasty
Labia reduction before picture
Before Labiaplasty
labia  reduction after picture
After Labiaplasty
Vaginoplasty before photo
Before Labiaplasty and Vaginoplasty
Vaginoplasty after photo
After Labiaplasty and Vaginoplasty

Before Labiaplasty

One month after labiaplasty


Dr. Medalie is certified by the American Board of Plastic Surgery and is a member of the
American Society of Plastic Surgery.

Dr. Medalie prides himself on being at the forefront of plastic surgical technique. In his current role as an assistant professor of plastic surgery at Case Western Reserve University and Metrohealth Medical Center of Cleveland, he has had extensive experience in all aspects of cosmetic and reconstructive plastic surgery. He has presented his clinical and basic science research at both national and international conferences.

A consultation with Dr. Medalie will be comprehensive and detail the surgery to be performed, including the risks, benefits and any alternative treatments. His goal is to treat every patient with the highest level of skill, artistry and compassion.

Dr. Medalie is a board-certified plastic and reconstructive surgeon who originally hails from the east coast, having grown up in Washington D.C. and lived in both Boston and New York City. He graduated magna cum laude from Harvard University and then studied art in New York City at Parsons School of design and the Art Student’s League prior to entering Cornell University Medical College. After his third year of medical school, he spent a year in Paris conducting endocrinology research, returning to Cornell for his fourth year to receive his Doctorate of Medicine with early membership in the honor society, Alpha Omega Alpha. He then received the honor of being the first physician ever accepted into the new and highly regarded University of Pittsburgh Medical Center integrated plastic surgery training program. This comprehensive program combined six years of general and plastic surgery with two additional years of intensive research. He decided to spend those two years at the Massachusetts General Hospital and Shriners Burns Institute as a surgical research fellow studying gene therapy and skin tissue engineering.

Upon completion of his training he was appointed assistant professor of plastic and reconstructive surgery at the University of Kentucky Medical Center in Lexington, Kentucky. He remained there as an attending surgeon and director of the burn/wound clinic for three years prior to moving to Cleveland to be closer to family. He then served as an assistant professor at University Hospitals and Case Western Reserve University in Cleveland as well as chief of plastic surgery at the Cleveland VA Medical Center. He has most recently joined the faculty of Metrohealth Medical Center and will participate in the training programs of both Case Western Reserve University and the Cleveland Clinic Foundation

Dr. Medalie's consultation fee is $65 for anyone who contacts him through the internet. You can schedule a consultation by calling the number listed below my name. Please note that we do offer patient financing through several companies recommended by the American Society of Plastic Surgery. His main web site is www.clevelandplasticsurgery.com.

Aesthetic and Reconstructive Breast Surgery: breast augmentation, lift and reduction, implant and autogenous tissue reconstruction of the breast as well as microsurgical reconstruction of the breast. Dr. Medalie is also a specialist in treating male gynecomastia.
Aesthetic Body Contouring: liposuction, mini-abdominoplasty and high tension abdominoplasty
Genital Surgery: labiaplasty, vaginaplasty, labia majora and pubic reduction, vaginal reconstruction
Surgery for the post weight loss and gastric bypass patient: panniculectomy, circumferential body lift, brachiaplasty, thighplasty, mastopexy (breast lift)
Facial cosmetic surgery: endoscopic brow lift, blepharoplasty, laser resurfacing, face lift, neck lift, lipoaugmentation of the face, Radiance, Restylane and Botox injection for wrinkles
Facial reconstructive surgery including head and neck miscrosurgery
Transgender surgery: Specializing in facial feminization, breast and body contouring including limited scar FtM "top" surgery and microsurgical reconstruction
Pediatric plastic surgery: cleft lip and palate, vascular malformations, pediatric hand
Hand surgery: carpal tunnel, hand trauma, lipoaugmentation
Wound healing and reconstruction (Two year burn/wound research fellowship as well as director of the burn/wound clinic at University of Kentucky Medical Center)

Board Certification:
American Board of Plastic Surgery - 2000

* Assistant Professor of Plastic Surgery, Metrohealth Medical Center 2006-
* Assistant Professor of Plastic Surgery, University Hospital and Case Western Reserve University and Chief of Plastic Surgery at the Cleveland VA Medical Center, 2002-2006
* Assistant Professor of Plastic and Reconstructive Surgery and Director of the Burn/Wound Center- University of Kentucky Medical Center, 1999-02
* University of Pittsburgh Medical Center, Plastic Surgery Fellowship:1996-1999
* Massachusetts General Hospital and Shriners Burns Institute, Boston, Surgical Research Fellowship:1994-1996
* University of Pittsburgh Medical Center, General Surgery: 1991-94
* Cornell University Medical College, NY, NY, MD Degree: 1986-90
* Hopital Bicetre, Paris, France, Endocrinology Research Fellowship-1988-89
* Parsons School of Design and the Art Student's League, NY, NY, 1985-6
* Harvard University- BA:Magna Cum Laude in Biological Anthropology, Cambridge, Ma., 1981-85

Society Memberships:
American Society of Plastic Surgery
Ohio Valley Society of Plastic Surgery
Ohio Medical Society
Plastic Surgery Education Foundation
Commission for Children with Special Health Care Needs (Commonwealth of Kentucky)
Kentucky Society of Plastic Surgery (vice president 2002)

Insurance / Managed Care:
Most private carriers accepted

Payment Options:
Cash/Personal Checks
Patient Financing
American Express


Park East (Clinic Appointments)
3619 Parkeast Drive
Beachwood, OH 44122

Zeeba Ambulatory Surgery Center (Surgical Procedures)
29017 Cedar Road
Lyndhurst, OH 44124

Suburban Health Center (Surgical Procedures)
1611 South Green Road
South Euclid, OH 44121

And the west side of Cleveland at:

MetroHealth Medical Center (Clinic Appointments & Surgical Procedures)
2500 MetroHealth Drive, Specialty Services Pavillion, 1st Floor
Cleveland, OH 44109

MetroHealth Outpatient Surgery Center (Surgical Procedures)
4330 West 150th Street
Cleveland, OH 44135

Consultations are typically performed Tuesday afternoon or Wednesday morning
At that time, Dr. Medalie will carefully review any and all surgical procedures that you might be interested in as well as go over pictures of former patients to better inform you of potential results of the surgery.
If you are out of state or have a quick question, Dr. Medalie would be more than happy to answer e-mail questions and even evaluate e-mailed photographs. He has found this particularly useful for his gynecomastia and gender patients. Please contact him at www.clevelandplasticsurgery.com
Please call 216/ 778-4050 to schedule an appointment with Dr. Medalie


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