Vaginal Tightening Surgery and (Labia Reduction) Photos:
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.
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.
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. 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!”