Before and After Photos by Red M. Alinsod, M.D., FACOG, FACS, ACGE

Labia Minora Plasty - Hybrid appearance

Labia Minora Plasty - Hybrid appearance

Patient History:  This young lady in her thirties had completed her childbearing and wanted to improve the appearance of her vulva.  She consulted with an experienced plastic surgeon who claimed to have performed a significant amount of labial surgeries.  The plastic surgeon had no photos to show on her website or in the office.  The plastic surgeon had done other very successful procedures on the patient and had an excellent relationship with the patient.  The plastic surgeon recommended a labia minora plasty with clitoral hood reduction.  "De-epitheliazation" labiaplasty was performed where strips of skin were removed from both sides of the labia minora.  An "Inverted U Clitoral Hood Reduction was performed under general anesthesia in the surgeon's office surgery center.  After only a few weeks it became obvious that the healing was sub-optimal as the labia produced holes in the "de-epithelialized" areas.  The blood supply was compromised and full edge healing did not occur.  Two unsightly flaps of labial tissue with strands of skin connected the minora to the majora.  A firm scar on the top of the clitoral hood occurred which caused pain.  Procedure Performed:  Labia plasty revision to a Barbie Look, extensive radiosurgical resurfacing of the clitoral hood scar was perfumed initially. A secondary resurfacing was performed months later to refine her labial appearance. Outcome: Extremely happy patient able to resume normal sexual relations with confidence after a two month recovery.

Patient History:  This young lady in her thirties had completed her childbearing and wanted to improve the appearance of her vulva.  She consulted with an experienced plastic surgeon who claimed to have performed a significant amount of labial surgeries.  The plastic surgeon had no photos to show on her website or in the office.  The plastic surgeon had done other very successful procedures on the patient and had an excellent relationship with the patient.  The plastic surgeon recommended a labia minora plasty with clitoral hood reduction.  "De-epitheliazation" labiaplasty was performed where strips of skin were removed from both sides of the labia minora.  An "Inverted U Clitoral Hood Reduction was performed under general anesthesia in the surgeon's office surgery center.  After only a few weeks it became obvious that the healing was sub-optimal as the labia produced holes in the "de-epithelialized" areas.  The blood supply was compromised and full edge healing did not occur.  Two unsightly flaps of labial tissue with strands of skin connected the minora to the majora.  A firm scar on the top of the clitoral hood occurred which caused pain.  Procedure Performed:  Labia plasty revision to a Barbie Look, extensive radiosurgical resurfacing of the clitoral hood scar was perfumed initially. A secondary resurfacing was performed months later to refine her labial appearance. Outcome: Extremely happy patient able to resume normal sexual relations with confidence after a two month recovery.

Labiaplasty  Laguna Beach, CA Patient History: This young lady in her twenties had a labia minora plasty by a prominent plastic surgeon. The surgeon advertised that he had done many cases in his practice and that he learned the techniques in his residency. Surgery in a surgery center was done under general anesthesia. A "Barbie Look" was requested and the surgeon reassured her that he would be able to perform the specific technique. The patient wanted her labia minora to be reduced a significant amount and found the results to be less than what she requested. No clitoral hood reduction was discussed or recommended. Three months after surgery she was unhappy with the clitoral hood prominence and the still large labial size and protrusion dramatically past the labia majora. The patient visited our office and requested a minora revision and resurfacing. Her goal was to have the labia minora not protrude past the labia majora and to have the bulkiness of the clitoral hood area reduced in size and prominence. Procedure Performed: Labia minora revision to a Barbie Look with clitoral hood reduction and radio surgical resurfacing of irregular edges. Outcome: Barbie Look with smooth and undetectable surgical lines. Full return to daily activities at eight weeks.

Labiaplasty  Laguna Beach, CA Patient History: This young lady in her twenties had a labia minora plasty by a prominent plastic surgeon. The surgeon advertised that he had done many cases in his practice and that he learned the techniques in his residency. Surgery in a surgery center was done under general anesthesia. A "Barbie Look" was requested and the surgeon reassured her that he would be able to perform the specific technique. The patient wanted her labia minora to be reduced a significant amount and found the results to be less than what she requested. No clitoral hood reduction was discussed or recommended. Three months after surgery she was unhappy with the clitoral hood prominence and the still large labial size and protrusion dramatically past the labia majora. The patient visited our office and requested a minora revision and resurfacing. Her goal was to have the labia minora not protrude past the labia majora and to have the bulkiness of the clitoral hood area reduced in size and prominence. Procedure Performed: Labia minora revision to a Barbie Look with clitoral hood reduction and radio surgical resurfacing of irregular edges. Outcome: Barbie Look with smooth and undetectable surgical lines. Full return to daily activities at eight weeks.

Patient requested labia minora plasty and labia majora plasty.

Patient requested labia minora plasty and labia majora plasty.

Procedure Performed: Labia Minora Plasty, Clitoral Hood Reduction, Pelvic Reconstruction, Vaginoplasty, Perineoplasty, suburethral sling History: This young lady in her mid 30s had bariatric surgery several about two years prior to visiting our office. She was 240 pounds before her bariatric surgery and now was down to 110 pounds. That is a 130 pound weight loss that she has been able to maintain with diet and exercise. She then underwent at lease three abdominal hernia repairs with mesh for her obesity related hernias. Her massive weight loss resulted in an over abundance of excess skin on her entire body. She had a tummy tuck with removal of excess skin as well as a breast lift and augmentation. There was also excess skin and asymmetry in her vulvar structures as well as pelvic prolapse and incontinence. She underwent a staged surgical repair resulting in full functioning of her pelvic and vulvar structures. She was very happy with the results of her vaginal surgeries and was able to resume a normal and active sex life. Her next plan is to reduce the excess skin over her legs and thighs. Outcome: The patient returned to her normal activities and has successfully kept her weight under control. Her next goal is to reduce the excess skin on her thighs and improve her level of fitnesss.

Procedure Performed: Labia Minora Plasty, Clitoral Hood Reduction, Pelvic Reconstruction, Vaginoplasty, Perineoplasty, suburethral sling History: This young lady in her mid 30s had bariatric surgery several about two years prior to visiting our office. She was 240 pounds before her bariatric surgery and now was down to 110 pounds. That is a 130 pound weight loss that she has been able to maintain with diet and exercise. She then underwent at lease three abdominal hernia repairs with mesh for her obesity related hernias. Her massive weight loss resulted in an over abundance of excess skin on her entire body. She had a tummy tuck with removal of excess skin as well as a breast lift and augmentation. There was also excess skin and asymmetry in her vulvar structures as well as pelvic prolapse and incontinence. She underwent a staged surgical repair resulting in full functioning of her pelvic and vulvar structures. She was very happy with the results of her vaginal surgeries and was able to resume a normal and active sex life. Her next plan is to reduce the excess skin over her legs and thighs. Outcome: The patient returned to her normal activities and has successfully kept her weight under control. Her next goal is to reduce the excess skin on her thighs and improve her level of fitnesss.

A globetrotting lady in her early 70s complained of years of constipation and pelvic pressure. She was sexually active but had a loose feeling vaginal canal with lack of sensation during intercourse. She had no bladder or incontinence issues. She wanted a return to a more active physical and sexual lifestyle and her age was of no concern. Procedures Performed: Rectocele and Enterocele Repair, Vaginoplasty, Perineoplasty. Results: Extremely happy patient. Return to full function after a two month recovery period.

A globetrotting lady in her early 70s complained of years of constipation and pelvic pressure. She was sexually active but had a loose feeling vaginal canal with lack of sensation during intercourse. She had no bladder or incontinence issues. She wanted a return to a more active physical and sexual lifestyle and her age was of no concern. Procedures Performed: Rectocele and Enterocele Repair, Vaginoplasty, Perineoplasty. Results: Extremely happy patient. Return to full function after a two month recovery period.

A young mother in her early 30s complained of a vaginal bulge, incontinence and a loose feeling vagina with lack of sensation during intercourse. She also leaked urine with any sporting activity. She wanted pelvic prolapse and incontinence repair with vaginal tightening. She underwent vaginoplasty, perineoplasty, incontinence sling, and pelvic reconstruction surgery. She returned to a full and active lifestyle.

A young mother in her early 30s complained of a vaginal bulge, incontinence and a loose feeling vagina with lack of sensation during intercourse. She also leaked urine with any sporting activity. She wanted pelvic prolapse and incontinence repair with vaginal tightening. She underwent vaginoplasty, perineoplasty, incontinence sling, and pelvic reconstruction surgery. She returned to a full and active lifestyle.

Patient had a long history of discomfort, pulling, and tugging of her labia minor. She requested labia minor reduction surgery. She also suffered from reduced self esteem and difficulty in maintaining an intimate relationship.

Patient had a long history of discomfort, pulling, and tugging of her labia minor. She requested labia minor reduction surgery. She also suffered from reduced self esteem and difficulty in maintaining an intimate relationship.

This patient in her mid 50s had suffered from labial pulling and tugging all her adult life and from discomfort with athletic activities. She did not like the way her labia appeared as they were always feeling saggy and loose. She complained of the "Camel Toes" look. Both the labia minora with its irritation, and the labia majora with its sagginess bothered her quite a bit. Sexual intercourse was noisy and her labia minora was pulled on a bit too much for her comfort. After surgery, the patient returned to a normal life with unrestricted activities. More comfortable intimate relations. Can now wear leotards, swimsuits, jeans thongs, without discomfort.

This patient in her mid 50s had suffered from labial pulling and tugging all her adult life and from discomfort with athletic activities. She did not like the way her labia appeared as they were always feeling saggy and loose. She complained of the "Camel Toes" look. Both the labia minora with its irritation, and the labia majora with its sagginess bothered her quite a bit. Sexual intercourse was noisy and her labia minora was pulled on a bit too much for her comfort. After surgery, the patient returned to a normal life with unrestricted activities. More comfortable intimate relations. Can now wear leotards, swimsuits, jeans thongs, without discomfort.