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    Vaginal Rejuvenation With A Plastic Surgeon

    Tag Archives: Labiaplasty

    Breast Exchange | Plastic Surgeon | Cosmetic Surgeon | Atlanta | GAA procedure that has been gaining popularity in recent years and that we are receiving more and more questions about is vaginal rejuvenation. Vaginal Rejuvenation is a procedure that repairs and tightens the vaginal canal. Like all areas of the body, the vagina loses elasticity and youthful shape with age and following child bearing which can cause issues with sexual intercourse and even vaginal prolapse.

    Dr McCluskey, is trained over several years in cosmetic and reconstructive surgery which gives them the skill and expertise

    Labiaplasty surgery typically involves reducing the size of the labia minora (inner vaginal lips). However, at times it may also involve addressing the labia majora (outer vaginal lips).

    Patients usually seek to understand the difference between the trim and wedge labiaplasty techniques which are the most commonly used techniques for the reduction of the labia.

    It is essential to understand the distinctiveness of each technique and what would be the most suitable technique for a patient. Dedicated cosmetic surgeon Dr. Paul McCluskey provides labiaplasty to patients in Atlanta, Buckhead, Georgia, and other towns and suburbs in this magnificent area of The Peach State.

    Trim Labiaplasty

    As the name suggests, a trim labiaplasty involves “trimming” the excess labia minora. The surplus labia minora is eliminated along its entire length. This technique can successfully remove hyperpigmented tissue on the labia minora’s leading edge.

    Once this darkened tissue is eliminated, it commonly restores normal pink tissue at the new edge of the labia. The trim technique is the most used method for labiaplasty surgery. It is an effective surgery to alter the size and shape of the labia minora.

    The trim technique of labiaplasty can successfully treat excessive length, asymmetry, and hyperpigmentation. The primary limitation of the trim technique against the wedge technique is that in the former, a scar is placed along the labia minora’s length. The cosmetic surgeon places this scar away from the vaginal introitus and clitoris.

    This minimizes the risk of loss of sensation after the procedure. After the scar matures, it is usually discreet. The surgeon can place one uninterrupted incision during this surgery if the patient chooses to undergo a clitoral hood reduction along with the trim labiaplasty.

    Wedge Labiaplasty

    In the wedge labiaplasty technique, the surgeon will remove a central wedge of the labia minora in a V-shape. Then they will join the front and back portions of the labia minora together. This technique may be suitable for patients who have asymmetry or surplus length on the labia minora’s central third portion.

    It is not as effective in the elimination of excess tissue in other areas. Furthermore, wedge labiaplasty cannot eliminate the darkened tissue at the labia’s leading edge. Both trim and wedge labiaplasty techniques involve the use of dissolvable (resorbable) sutures to prevent discomfort to the patient during the removal of stitches.

    At times, one or two sutures may give away before time. In case this occurs after a trim labiaplasty, any tiny wound openings will commonly close by themselves without the need for a surgical procedure. A primary limitation of the wedge technique of labiaplasty is that a full thickness or notch wound gap may form if the sutures fall out prematurely.

    The patient may need another procedure to address the notching or related wound healing issues. The outcomes with a wedge labiaplasty may seem more natural as the darkened labial edge remains intact. But this tissue is the very reason that some women want a labial reduction in the first place.

    Judicious plastic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for labiaplasty surgery.

    For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

    summary-of-the-american-society-for-aesthetic-plastic-surgery-reportI am always trying to improve our patients’ experience before, during, and after surgery.  As I’ve discussed with regard to breast augmentation many patients have a huge fear of general anesthesia. Because vaginal rejuvenation focuses on a very limited region of the body, the labia and vaginal tissues can easily be “numbed” or anesthetized locally while the patient is in a sedated state. The process is simple. Our anesthesia team will start an IV before surgery and administer sedation medications.  Patients enter what we call a “dissociative state” whereby they are still breathing on their own (without breathing tubes or the assistance of a ventilator) but they do not feel pain. These sedative medications are short acting and the anesthesia provider can quickly awaken the patient when the procedure is complete. Once the sedative medications are on board I inject Xylocaine (lidocaine with epinephrine) into the tissues. With the tissue adequately anesthetized with lidocaine I can safely peform vaginal rejuvenation, labiaplasty, G-spot augmentation, clitoral hood reduction, episiotomy (perineal body) repair, and autologous fat grafting while the patient rests comfortably. If a patient specifically requests general anesthesia, or if vaginal rejuvenation is being combined with a larger procedure such as a tummy tuck or breast lift, then that can easily be arranged. Recovery after sedation/local procedures is quicker and easier; the patients return to normal activities more rapidly and they aren’t burdened with the “fog” of general anesthesia for 3-4 days.

    For more information on procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    One of my colleagues recently showed me an excerpt from another doctor’s website.  This doctor is an OBGYN who specializes in vaginal rejuvenation and urinary incontinence (a urogynecologist).  This doctor’s website has an entire page explaining how OBGYN’s who did a fellowship in urinary incontinence have superior training to plastic surgeons as it relates to cosmetic vaginal rejuvenation and labiaplasty.  I have worked with a number of urogynecologists over the years and I’ve trained along urogynecology fellows and assisted them on complicated surgical cases.  In 20 years I’ve never heard a urogynecologist discuss cosmetic surgery such as vaginal rejuvenation or labiaplasty.  But I’m not very territorial.  I feel that an OBGYN has just as much right to perform these procedures as a plastic surgeon.  I do take issue when those same doctors disparage our plastic surgery training, and they do so with blatant ignorance.  The page from this OBGYN website contains a lot of false information about plastic surgery training and I’d like to clarify a few points.

    I have great respect for OBGYN’s and it is a shame that decreasing insurance reimbursement and worsening liability has pushed many OBGYNs away from delivering babies.  I understand the financial pressures of running a medical practice but I also firmly believe that doctors should stick to their training.  I cannot comment on the specifics of OBGYN training but from what I recall from medical school and residency 99% of their training involves obstetrics, reproductive medicine, gynecologic cancers, and other gynecologic disorders such as endometriosis, uterine fibroids, and hormone imbalances.  I’ve never associated OBGYN’s or urinary incontinence specialists (Urogynecologists) with cosmetic surgery or cosmetic procedures.  In Atlanta I’ve encountered numerous OBGYN’s who perform tummy tucks, breast lifts, and even breast augmentation and facial procedures including Botox, injectable fillers, and laser skin rejuvenation.  I’ve also repaired a number of botched cosmetic procedures by these OBGYN’s, including tummy tucks with the incision placed at or above the belly button, and liposuction with terrible contour deformities.  It is unfortunate that they feel the need to step so far out of their “realm of practice” (the specialty in which they trained) in order to make money.

    The OBGYN website to which I’m referring states:  “Plastic Surgeons – usually spend 3 years in general surgical training learning various surgeries including bowel surgery, chest surgery, appendix removal, gallbladder removal and then another 2-3 years in plastic surgical training where they spend most of their time doing wound treatment for ulcers and burns…”  This statement is 100% false.  I don’t know the source of their information (no sources are cited) but my training was typical of many plastic surgeons so allow me to take a walk down memory lane.  I completed 8 years of residency in surgery and plastic surgery.  The entirety of my training from the moment I graduated from medical school was devoted to surgery and the careful handling of tissue.  As a result of completing a full general surgery residency, like many of my peers, I have operated on every structure and tissue type in the body from head to toe.  I’ve performed these operations in both elective and trauma settings and I’ve literally participated in lifesaving surgical procedures, whether it be a stab wound to the heart, a ruptured aorta, a severed limb, or a log through the neck (yes, a 6-inch log through the neck, in a patient who arrived in the ER at 2am one night, and after a 4 intense hours of surgery and a few days in the hospital that man went home in good condition).  For five years, day after day, night after night, my colleagues and I learned proper tissue handling, wound healing principles, and surgical skills by operating constantly.  I’m from what you call the “old school” in that I trained before the limited 80-hour workweek.  Most of my weeks in surgical training extended 7 days and well beyond 100 hours and I never complained because this training prepared me for every possible surgical situation.

    All of that training landed me in a world-class plastic surgery residency program at UT Southwestern Medical Center in Dallas, Texas.  The focus of plastic surgery training is again on handling delicate tissues, wound healing, and refined surgical skill.  Without getting into the gory details, the field of plastic surgery encompasses cosmetic and reconstructive surgery of all parts of the body.  If a physician wants to become an expert in cosmetic surgery, whether that is breast augmentation, eyelid lifts, labiaplasty, or vaginal rejuvenation, then that physician will receive superior training as a plastic surgeon.  Likewise, if a physician wants to do Botox and injectable fillers should that physician become an OBGYN, or would she be more suited as a plastic surgeon or dermatologist?

    With regard to reconstructive surgery, an important aspect of plastic surgery training involves reconstruction of the vagina and vulva after removal of cancer.  Malignancy can often leave large defects and terrible deformities in these areas.  Using combinations of muscle flaps, skin and tissue grafts, and autologous fat transfer techniques, plastic surgeons can completely reconstruct these defects and deformities so that the patients can enjoy normal cosmetic vaginal appearance and normal sexual function.  Many of the cosmetic and functional techniques of labiaplasty and vaginal rejuvenation were in fact designed by plastic surgeons and these techniques were derived from the larger, more complicated reconstructive procedures.

    To sum it up, I do not perform urinary incontinence surgery because I am not a Urogynecologist.  I am not an OBGYN so I do not deliver babies.  If a doctor wants to perform cosmetic surgery then the proper route for training is plastic surgery.  If a doctor wants to fix urinary incontinence then the proper training route is OBGYN and Urogynecology.    That is not to discredit the training of a urogynecologist – I have witnessed these surgeons perform very elegant procedures for very complex problems.  Again, I’ve worked with OBGYN and Urogynecology department chairmen and experts in the field and I’ve never heard them mention cosmetic surgery as part of their training.  I’m sure that their skills can allow them to become adept at cosmetic procedures but it’s a pretty big leap to directly say on a website that plastic surgery training is somehow inadequate.

    Why do I perform labiaplasty and vaginal rejuvenation surgery?  These are cosmetic procedures for which I was specifically trained as a plastic surgeon.  My extensive background in general surgery and plastic & reconstructive surgery have more than amply prepared me to perform these procedures.  A major focus of my practice is also correcting “botched” procedures performed by other doctors or in other countries. Corrective or revision surgery of the labia and vaginal canal requires expertise in reconstruction as I discussed earlier.  I’ve refined a number of labiaplasty and vaginal rejuvenation techniques and I rely on my plastic surgery training and my surgical experience to consistently achieve excellent cosmetic and functional results.

    For more information about procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlanta, visit:

    The trend for women to wax, shave, and at the very least trim their pubic hair is now well established among ladies today. Whether it’s a Brazilian wax, a landing strip, or ‘vajazzle’-ing, what you are doing to maintain your nether regions is a hot topic. While labiaplasty is nothing new, the popularity of the procedure has exploded since more and more ladies have decided to go bare and come to know their labia like never before.


    So naturally, there are those who oppose the hair-free trend and believe women, much to the dismay of men everywhere, should embrace the downstairs hair that they have been naturally endowed with. One of those fighting to free the fuzz is none other than Cameron Diaz. In her new book, Diaz even goes so far as to dedicate an entire chapter to the subject and describes pubic hair as “a pretty draping” and suggests that trends in pubic styling are subject to change. So far responses don’t seem to show a lot of support but could she be right? And could a change in women’s preference lead to a change in the number of labiaplasty procedures performed?

    To learn more about labiaplasty and other procedures offered by Dr McCluskey and the Plastic Surgery Institute of Atlantavisit

    It isn’t a topic that many of us talk about but if you own a pair of labia you’ve probably pondered the attractiveness of your nether regions. In the past few years doctors have seen dramatic increases in requests for labiaplasty and vaginal

    _MG_5727rejuvenation. Any plastic surgery is a matter of personal taste, but there are some desires that are a little more ‘out there’ than others.

    Take for example, patient requests for fatter, plumper labia and clitori. We have all heard about the Brazilian Butt Lift type fat transfers but fat can also be transferred to these areas, and some women, and their partners are all about it!

    Some people suggest that porn consumption is the main factor in this increase, some people point to the trends in personal waxing for women having greater visual connection with

    their downstairs. Whatever the cause, it looks like this trend is one that will keep on growing and minds keep on opening to new interpretations of what the perfect labia should look like.


    If you want to learn more about this and other vaginal rejuvenation procedures visit or call for a consultation!


    For more information on treatments and procedures offered offered by Plastic Surgeon, Dr. Paul McCluskey visit: