I seem to be asked more often these days if I do vulva reduction surgery. I’ve even been asked if I “refresh” vaginas (refer them to their gynecologist). I am happy it is a extremely small part of my practice.
In his 2008 article in the Journal of Plastic and Reconstructive Surgery, Dr Gary Alter, who is also featured on the E! Network series, "Dr. 90210," stated:The papers and Round Up summaries in this journal issue and their sources use the following terms for a mind-boggling list of procedures: labia reduction, labiaplasty (also called nynfoplastia in Brazil), genitoplasty, pulling the labia to make them longer, filling or replenishing of the labia majora, female genital reshaping, intimate surgery (translated from the Brazilian cirurgia intima), vaginal narrowing or tightening (e.g. after vaginal delivery or for increased pleasure for men), vaginal rejuvenation, hymen reconstruction, hymen repair (for restoration of virginity), clitoral lift, clitoral hood reduction, clitoral repositioning, breast reduction, breast augmentation, breast lifting, liposuction, and abdominoplasty (tummy tuck). And how about G-spot augmentation?Then there is the terminology surrounding female genital mutilation – or cutting or circumcision or excision – and the reconstructive surgery that has developed to address the physiological problems it creates. This includes, according to Elena Jirovsky’s research in Burkina Faso, surgery to the vaginal opening if it has become too small due to adhesions, or the removal of perturbing scar tissue and keloids. More recently, she reports, a surgical procedure to reconstruct the excised clitoris has emerged, developed by a French surgeon. ……..Too big, too small, too narrow, too wide, too high, too low, too flabby, too wrinkled. The permutations are endless. What a great way of making money!
The most common female genital aesthetic procedure is a labia minora reduction (labioplasty).Women have become more aware of differences in genital appearance as a result of explicit photographs and movies and the wide acceptance of genital hair removal. Most consider an aesthetic ideal as labia minora and clitoral hood that do not protrude past the labia majora, but individual aesthetic judgment varies.If a woman considers her labia enlarged or deformed, she may have diminished self-esteem and be sexually inhibited. In addition, the vast majority of women with enlargement of the labia minora also complain of a variable amount of discomfort with clothes, exercise, and/or sexual activity. The large size can interfere with hygiene and can cause constant irritation. Demand for labia minora reduction has increased because of recent media coverage of this operation.