3. GLANS CLITORIS - the round and very sensitive area of the vulva whose only purpose is sexual arousal. It is covered by a skin extension of the labia minora called the clitoral hood or prepuce.
4. VAGINA (or the birth canal) - is the tube between the cervix portion of the uterus and the outside. Most of the vagina is internal. The vaginal opening (or introitus) is its only externally visible portion.
(Note-Neither birth or frequent sex can permanently "stretch" your vagina through vigorous sex)
5. Urethral opening - the opening where you urinate from. 

Are my Labia Attractive?

Without engaging in “everyone-is-beautiful-in-their-own-way” debates, it is very clear that many women and men have long prefered thin, symmetrical curves to thick and asymmetric curves. From the lines of the gothic arch windows, to the streamlined car designs of the 1920’s to today’s women’s  magazines, TV; It is all around us.

The painter Georgia O'Keefe (1887-1986), best known for her paintings of flowers, skulls, and desert landscapes, is thought to have painted vaginas metaphorical disguised as flowers. She often painted them with very short, thin inner labia that don't protrude, with a small, visible clitoris.

Georgia O'Keefe is sometimes used as slang for vaginal lips. 

Understandably, as the majority of women began routinely shaving, wearing sheer, tight underwear and more frequently began seeing both their privates as well as other women’s privates,

WHAT exactly ARE

Edge-trim Labiaplasty, Wedge resection Labiaplasty,
Nymphoplasty, Labial Puffing, Labia Majora Plumping, Labial Reduction, Labial Tucking, Clitoral Hood Reduction, Clitoral Unhooding, Monsplasty, G-Spot Amplification, Vaginoplasty, Vaginal Rejuvenation, Designer Vagina?

Which Designer Vagina Operation(s) is right for me?

Now that you understand the anatomy, examine yourself with a handheld mirror both standing and on your back with your legs spread.
- What features do you like?
- What features do you wish to change?
Puts your thoughts on paper and discuss them with Dr. Aldea and Dr. Eby.

1. Labiaplasty (Labia Minora Reduction, Nymphoplasty)

You may benefit from a Labioplasty (Nymphoplasty) IF you have some or all of the following:

• You dislike the size and, or length of your Inner Lips (Labia Minora)
• You HATE the way your Inner Lips (Labia Minora) look
• Your Inner Lips are too Prominent (labial hypertrophy) or “Peaky”
• Your Inner Lips (Labia Minora) are too long and asymmetric
• You have dangling Inner lips which overlap and surpass the Outer Lips (Labia Majora) by an inch or more
• You have discomfort or pain from the friction, twisting and tugging of your labia when cycling, jogging or during sex
• Your lips fall out or hang outside your panties or bathing suit
• You avoid wearing revealing clothing or bathing suits because you feel “bulky”
• You are tired of the constant irritation and self-consciousness
• You are tired of urine getting all over the place when you pee because the longer lips get in the way of the urine steam
• You having difficulty maintaining proper hygiene
• Have any of the above and the terms “meat curtains, beef curtains, meat wings, meat flaps, ham sandwich, rooster head, velvet buzzsaw” etc” feel personal and painful
• You are in good physical and mental health and have realistic expectations of what a Labioplasty could do for you

Labiaplasty has a very high satisfaction rate. The vast majority of women are extremely happy with their labioplasty procedure. According to RealSelf‘s Worth it Index - 97% of of the 276 responding women felt Labiaplasty was well worth it (compared to 98% of women having Breast Augmentation).

Depending on your anatomy, Dr. Aldea and Dr. Eby may perform one of the following 3 different Inner Lip (labia minora) Reduction Labiaplasty methods:
1. Edge-trim Labiaplasty
2. Wedge resection Labiaplasty
3. The Extended Wedge method 

1. Edge-Trim Labiaplasty/Labial Edge Resection Labiaplasty

The most common type of labiaplasty method is the Edge Trim Labiaplasty which removes the excess protruding edges of inner lips and it is then sewn up with dissolving stitches. Most women (97%) prefer pink edges and want the dark edges of the inner lips removed. The advantage of the edge trim technique is that it allows precise removal of as much of the inner lip edge, including its darker edges with little likelihood of compromise of the blood supply of the surgical wound. It also allows a customized removal of excess tissues along the entire lip, including the clitoral hood, with a single incision. The potential disadvantage is that it removes the wrinkly darker edge of the inner lips which may result in visibility of outward turning (eversion) of the pink part of the inner lips. Over-removal of the inner lips (as in the “Barbie Look”) may result in vaginal dryness (i.e. “less is more”).

2. (Alter) Wedge Resection Labiaplasty

The Wedge Resection Labioplasty preserves the color and appearance of the original inner lip edges. It reduces lip excess by removing one or more pie-shaped pieces of lip tissue often with excess tissue along the outer side of the lip leaving one more scars along the inner lip. As with the Edge Trim Labiaplasty, the wounds are closed with dissolving stitches which do not require removal.

The advantage of the Wedge Resection Labioplasty is the preservation of the natural wrinkly and darker appearance inner lip edges.

The disadvantages are that less excess lip tissue can be removed because of tension on the wound closure and it requires one or more scars on the inner portion of the lips. Importantly, the removed wedges must be partial thickness (NOT full-thickness), to minimize damage to underlying nerves and blood vessels. In some cases, especially in the obese and smokers, the blood supply to the lip is reduced resulting in disruption of the closure (dehiscence creating holes) requiring revision surgery. Damage to labial nerves may be associated with numbness and painful neuromas. Other uncommon (2-4%) complications may be scar widening, pizza-shaped notch scalloped deformities, holes (fenestration) openings, overcorrection with posterior webbing, under correction with leaving excess lip tissue behind,  and, or edge pigment mismatching.

3. Composite Reduction Labiaplasty

The Composite Reduction Labiaplasty method is a better method. It combines removal of a wedge of the inner lip (or a modified Labial Edge Resection) with a scar along the valley between the inner and outer lip which allows allowing removal of excess inner lip tissue along the side as well as removing an excess of the clitoral hood (prepuce) with a single scar.

Labioplasty Anesthesia - Depending on how much is done, the operation(s) can be done either under local anesthesia with some relaxation pills or under general anesthesia.

Labioplasty Recovery - Labioplasty is an outpatient procedure with a quick recovery. Trim Labiaplasty is generally associated with a quicker recovery than Wedge Resection. Although each woman heals at a different rate, most women are able to return to nonstrenous work in 5-7 days wearing loose underwear (to prevent friction on the operated area). Bruising and swelling are reduced with 2 days of zip-lock frozen peas/ice packs application (of no more than 20 minutes) with your bottom elevated, then off for 30 min supplemented with over the counter anti-inflammatory agents. (Most of the swelling is gone in 6 weeks but some may last for as long as 6 months). To prevent disruption of the surgical incisions, it is important the privates be kept clean with warm soapy water with a spray bottle or gentle showers and gently dabbing dry 2-3 times a day and after urination. It is very important that you refrain from friction from tight underwear (such as thongs). Topical application of estrogen (estradiol) vaginal cream on the lips may aid in the healing. With Dr. Aldea or Eby’s permission, in 4-6 weeks you may resume using tampons, exercising and jogging. It would be safer to delay having sex for 6 weeks to allow the incisions to heal nicely.

Labiaplasty frequently improves genital appearance and self-confidence. When performed in the right women, Labiaplasty is commonly a life improving with a huge satisfaction rate.

2.  Clitoral Hood Reduction (CHR)(Clitoral Unhooding, Horseshoe Hoodplasty, Hoddectomy)

The Inner Lips unite at the top by creating a foreskin, or clitoral hood (preputium clitoridis), protective covering over the glans clitoris, the eraser-shaped portion of the external clitoris.  The clitoral hood protects the very sensitive clitoris from constant friction and stimulation.

You may benefit from a Clitoral Hood Reduction (CHR) IF you have some or all of the following:

• Your clitoral hood is redundant and heavy

• Your Clitoral hood still covers your clitoris during sex making it hard to stimulate
• Your Clitoral hood interferes with sexual sensitivity and clitoral orgasms
• The size of your overhanging Clitoral hood makes you more prone to discomfort during sex
• You are uncomfortable the size of the hood and are convinced it is interfering with your sexual pleasure.
• You are in good physical and mental health and have realistic expectations of what a Clitoral Hood Reduction could do for you

A Clitoral Hood Reduction removes some of the excess skin coverage to further expose the clitoral glans to increase sexual stimulation. The operation is commonly done along with a labiaplasty to reduce the size of large inner lips.

3. Labia Majoraplasty
Labia Majoraplasty is a group of cosmetic procedures which improve the appearance of the Outer Lips. It usually involves one or a combination of:
1. Labial Puffing (Labia Majora Plumping, Lipofilling) and, or
2. Labial Reduction (Labial Tucking)

Aging is associated with fat loss and sagging in many areas of the body including the face, breasts and the privates. Pregnancy, weight loss, aging, menopause, falling estrogen levels and repeated microtrauma (sports, tight clothes, waxing) are also associated with loss of fat in your lady parts causing a loss of definition, flattening, sagging, drooping or wrinkly of the Outer Lips (Labia Majora hypoplasia). But, loss of fullness and definition of the outer lips may also be seen in many young women who prefer fuller, puffier labia majora look.

Depending on your particular condition and aesthetic goals, your labia majora could be enhanced by addition of volume (puffing/filling/plumping/volumizing) to the outer lip with, or without surgical removal of excess outer lip skin and tucking (Labial Reduction).

Labial Puffing (Plumping) is done with either with your own fat (lipofilling, Lipomodeling) or with one of several commonly used dermal wrinkle fillers (Restylane or Radiesse). With lipofilling, fat is removed from an area of excess and grafted/transferred to the flat labia majora. If the woman prefers not to have a small liposuction to obtain such fat, she can have her Labial Puffing/Plumping done with commonly used dermal wrinkle fillers such as Restylane or Radiesse.

If the Outer Lips are excessively redundant and hanging, the skin excess could be surgically removed with an Excisional Majoraplasty( Labial Reduction/Tucking). The resulting scar is concealed in the valley between the outer and inner lips.

4. Monsplasty (Liposuction with or without “Panty Lift”/Mons lift)

With aging, pregnancies, weight fluctuations the mons can increase in size, become deflated and, or sag becoming a source of embarrassment. Many women in the privacy of their bathrooms often pull up on the lower area of their tummy, to lift their privates to a more youthful position, effectively performing a Mons Lift (“Panty Lift”).

Monsplasty is a group of cosmetic surgery procedures used to improve the appearance of the Mons Pubis (Mons Veneris), the fatty mound above the pubic bone. 

The mons may be reduced (Liposuction), augmented (Fat Transfer) and, or lifted (Mons Lift, “Panty Lift”) as indicated and desired by the individual woman.

Dr. Aldea and Dr. Eby are labiaplasty experts will customize your Labiaplasty  and Clitoral Hood Reduction (if needed) to your individual needs. They will reduce the length of the inner lips so they no longer twist and relieve the pain of the lips being tugged on, create a nicer symmetrical appearance and restore your confidence and self-esteem.

SUMMARY
Designer Vagina Procedures