Vaginal Rejuvenation: Vaginoplasty, Perineoplasty, Labia Majora Augmentation with Fat Injections
This woman was displeased her deflated labia majora - a common problem at low body fat levels. She also requested vaginal tightening for laxity which developed after childbirth. I designed the operation to make full use of the vaginoplasty to tighten the muscles and skin of the labia majora and create a firm platform for the fat injections. Fat was harvested from the back of the inner thighs using a Brazilian liposculpture technique that leaves no visible traces.
Vaginal Rejuvenation: Vaginoplasty, Pelvic Floor Reconstruction, Muscle Tightening, Hernia Repair
Age 40 mom with gaping vagina, absence of posterior labia minora, and perineum consisting of only wrinkled loose skin needed The Works. A hernia of the rectal wall was literally pushing her vagina apart. I repaired the hernia, tightened all of the pelvic floor muscles, then brought the muscles under that labia majora together in the center (Labial Tuck).
Labiaplasty: Labia Minora Reduction, Bilateral, Contoured Modified Linear
This young lady was bothered by the protrusion of her labia into the thigh gap and bulging with underwear and bathing suits. I designed a beveled modified linear excision that dove-tailed with a clitoral hood contouring. The technique eliminates the two-tone appearance of less evolved linear excisions and wedge resections.
Labiaplasty: Labia Majoraplasty, Labia Majora Reduction, Unilateral, Left Vulvar Cyst, Hydrocele
After leaving no less the five pediatric specialists scratching their heads, this 17-year-old was brought to my office by her mom with a gradually enlarging painless bulge. Rare in females, but completely benign, this is a distant cousin of inguinal hernias known as a hydrocele or a cyst of the Canal of Nuck. I managed her with a laparoscopic hernia repair through the navel and a complete excision of the cyst through the left labium majus including cosmetic majoraplasty. The challenge in this case was in dissecting the cyst away from the nerves of the clitoris. I used a specialized anesthetic block with a liquid tourniquet to conduct a precise, nerve-sparing and bloodless dissection. Every nurse in the recovery room was amazed – they had never seen a teenager awaken from that type of surgery with absolutely no pain. The aesthetic results speak for themselves. She was back to school in under a week.
Labiaplasty: Clitoral Hood Reduction, Bilateral Labia Minora Reduction, Beveled Modified Linear
This young woman was referred by her gynecologist for reduction of the prepuce. A large clitoral hood with excess skin bilaterally along with enlarged labia minora demands a complex aesthetic solution to achieve a cosmetic result. I’ve designed a highly refined fusion of the best elements of several techniques to give a reliable result with flow along the natural creases. It never looks fake, “chopped off”, or incomplete.
Labiaplasty: Clitoral Hood Reconstruction, Circumferential Labia Minora U-plasty Reduction
A large clitoral cyst, protruding labia minora, and excess labial tissue in the center posteriorly prompted this woman to seek a cosmetic solution. A meticulous clitoral cystectomy along a natural skin crease left no visible scar and avoided nerve injury. The labia minora and central loose skin were reshaped with a unique U-plasty single-stage reduction that I've designed specifically for this situation. Smooth, natural contours are consistent with this approach.
Hymenoplasty: Reconstruction of Torn Hymen
A hymenoplasty repair is performed by carefully dissecting and suturing the delicate skin remnants to reduce the size of the vaginal opening to less than 1 centimeter in diameter. A q-tip in the vagina shows how small the opening appears immediately after the procedure.
Drs Pelosi on Cosmetic Vaginal Surgery
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