Urogynecologic Cosmetic Surgery FAQ

Urogynecology is a medical subspecialty focused on the female pelvic floor, including the bladder, urethra, vagina, vulva, and supporting muscles and nerves. Urogynecologists receive advanced training in pelvic anatomy, nerve pathways, sexual function, and reconstructive surgery.

Cosmetic gynecology includes procedures designed to improve the appearance, comfort, and confidence of the external and internal female genital area. These procedures may address concerns related to labial size or asymmetry, discomfort with exercise or intimacy, changes after childbirth, or age-related tissue changes.

Plastic surgeons are experts in skin and aesthetic contouring throughout the body. A urogynecologist specializes specifically in female pelvic and vulvovaginal anatomy, including nerves, blood supply, urinary structures, and sexual function. Cosmetic gynecology performed by a urogynecologist prioritizes both appearance and long-term comfort, sensation, and function.

Urogynecologic cosmetic surgery refers to cosmetic procedures of the vulva and vagina performed using an anatomy-first, function-preserving approach by a urogynecologist. This means every procedure is planned with careful attention to nerve preservation, urinary health, sexual sensation, and long-term outcomes, not just appearance.

Our practice offers a range of functional-aesthetic cosmetic gynecology procedures, including:

• Vulvar recontouring (commonly known as labiaplasty)
• Neuro-preserving labial reduction or refinement
• Labial volume restoration
• Clitoral hood contour refinement
• Vaginal tissue restoration and rejuvenation
• Revision labiaplasty (correction of prior surgery)

Each procedure is individualized based on anatomy, symptoms, and patient goals.

Vulvar recontouring is a surgical procedure to reshape or reduce the labia for improved comfort, symmetry, and appearance. Unlike traditional cosmetic approaches, our technique emphasizes preservation of sensation, natural contour, and long-term comfort.

Preserving sensation and sexual function is a top priority. As a urogynecologist, I am trained extensively in vulvar nerve anatomy and clitoral structures. Procedures are designed to avoid nerve injury and over-resection, which are common causes of postoperative discomfort or sensation changes.

No. Many patients seek cosmetic gynecology for functional reasons, including:

• Discomfort with exercise or clothing
• Pain or pulling during intercourse
• Irritation or recurrent inflammation
• Changes after childbirth or aging

Our approach addresses both form and function.

You may be a candidate if you experience physical discomfort, cosmetic concerns, or changes that affect your confidence or quality of life. A private consultation allows us to discuss your goals, review your anatomy, and determine whether surgery or a non-surgical option is appropriate.

Recovery varies by procedure but typically includes:

• Mild to moderate swelling for 1–2 weeks
• Light activity within a few days
• Avoidance of intercourse, tampons, and strenuous exercise for 4–6 weeks

Detailed postoperative instructions and close follow-up are provided.

When performed by a properly trained specialist, cosmetic gynecology procedures are generally safe. As a urogynecologist, I am trained to manage not only the cosmetic aspects of surgery but also any pelvic, urinary, or nerve-related issues should they arise.

Revision labiaplasty is one of the most complex procedures in cosmetic gynecology. Many patients seek revision due to over-resection, scarring, pain, or asymmetry. Urogynecologic training is particularly valuable in these cases because of the need to restore comfort, anatomy, and function.

Our philosophy is simple:

Cosmetic gynecology is not about making women smaller; it’s about making them comfortable, confident, and anatomically protected for life.

Every procedure is planned with precision, restraint, and respect for the complexity of female anatomy.

To schedule a confidential consultation or speak with our care coordinator, please contact our office or request an appointment through our website. We are happy to answer questions and help you determine the best next step.