Dr. John Serrão is proud to be one of the first physicians to offer labiaplasty or labial reduction surgery (labioplasty or labiol reduction), to women in and around Orlando, Florida. Labiaplasty is a one to three hour surgical procedure designed to sculpt the external genitalia by reducing and/or reshaping long or uneven labia. This cosmetic gynecologic surgery may involve multiple procedures involving the labia minora (inner lips), labia majora (outer lips), perineum, clitoral hood, prepuce, and frenulum in order to provide for a pleasing aesthetic outcome. The details of these procedures will be discussed with you at your initial consultation.
Childbirth, the aging process, and the effects of gravity may all erode the beauty of the female genitalia including the labia minora, labia majora, and perineum. Long labia minora may interfere with exercise or intercourse, and may cause embarrassment for some when wearing certain clothes, such as bathing suits, leggings, or jeans; which may call attention to any bulge. Over time the labia majora may relax and sag, while the perineum may show signs of scarring from an episiotomy or laceration incurred during childbirth. Together, you and Dr. Serrão will create a surgical plan based our your needs and requests so you can restore the beauty of your genitalia and feel feminine again.
At the Serrão Rejuvenation Center, the five principles that Dr. Serrão considers in order to achieve aesthetically pleasing results for the external genitalia are as follows:
1. Contour – the shape of the labia minora needs to be smooth and pleasing with a natural appearance. Some women prefer rounded or curved labial shape while others want a straight or linear labial shape.
2. Color – the colors should be consistent and matching on both sides. Many women request to have darkened areas corrected and prefer pinker edges.
3. Symmetry – both sides should be even and look-alike.
4. Size – most women want their inner labia just below or even with the level of the labia majora. They want the labia minora (inner lips) smaller and the labia majora (outer lips) fuller – you choose how much.
5. Smooth edges – the “natural” look has smooth edges with hidden suture lines.
Although, each patient is unique and surgery is designed to your individual specifications, the most common procedures are as follows:
LABIA MINORA (Smaller Inner Lips)
This is a surgical procedure to reduce labial hypertrophy (thickened or enlarged labia), create balance and smooth contours, and reduce the height and length of the labia minora. This is the most common cosmetic external genitalia problem that women are concerned with. There are many different surgical techniques that may be used or combined based on your labial characteristics and requests
This is a surgical procedure to transform the clitoral prepuce to a more pleasing appearance with preservation of function. The clitoral prepuce is the overlying skin fold over the clitoris, also known as clitoral hood or clitoral foreskin. Often patients complain of too much skin or skin folds lateral to or over the clitoris. Aesthetically it gives the clitoris a wide appearance. Patients sometimes describe less friction with stimulation in this area because there is too much skin over the clitoris. This is the second most common cosmetic external genitalia problem women are concerned with. Women tell us that they want the skin to drape neatly over the clitoris like a curtain; this can be achieved through clitoral hoodoplasty. There are two distinct types of clitoral hoodoplasty: restorative clitoral hoodoplasty and reductive clitoral hoodoplasty. Different surgical procedures will be used based on your clitoral characteristics and requests.
The clitoral frenulum is an anatomical structure that is created by the extension of the upper part of the thin labia (the labia minora). It attaches to the back of the clitoral glans (the visible part of the clitoris when the overlying skin is pushed-up away). A surgery for aesthetic motives is usually needed when the clitoral frenulum is enlarged, asymmetrical or over-pigmented or any combination thereof. Sometimes it also requires transposition of the frenulum to the posterior clitoral glans.
This procedure is performed almost always in association with a clitoral hoodoplasty. Caution must be exercised during clitoral frenuloplasty, since between and posterior to both frenula just under the epithelium lays the bulboclitoral region that is a very neurosensitive area. The bulboclitoral region incorporates the clitoral root and the commissure of the vestibular bulbs known also as the “Pars Intermedia”. It is much safer to reduce the frenulum by excising the outside part of the clitoral frenulum. In many instances, the clitoral frenuloplasty is mandatory to perform in order to achieve aesthetically desirable results.
This is a surgical procedure to transform the redundant skin of the labia majora. The skin of the labia majora may lose volume and laxity thus creating a sagging and deflated appearance. The incisions will be hidden in the intralabial crease (crease between the labia minora and labia majora) or will be hidden in pubic hairline. Dr. Serrão can enhance the sagging labia majora by utilizing different techniques providing for a more youthful and aesthetically appealing vulva.
This minor procedure can provide aesthetically enhanced and youthful labia majora by autologous fat transfer. Dr. Serrão will remove the patient’s fat via liposuction or cannula with syringe and transfer it by droplet fashion into the labia majora. This procedure may require a repeat/refill transfer to achieve the woman’s desire of plumpness or fullness in the labia majora.
This procedure can remove unwanted fat of the mons pubis and upper parts of the labia majora. Liposculpting can alleviate the unsightly fatty bulges of this area and produce an aesthetically pleasing contour.
Perineal Body Reconstruction (Laser Perineoplasty or Perineorrhphy)
This procedure repairs and restores the relaxed or aging perineum which is the area between the rectum and the floor of the vagina. The perineum is an important structure which acts as a ‘shelf’ for the penis upon entry into the vagina during intercourse. This procedure gives the perineum a more youthful appearance, creating a vaginal entry that is a better fit for a woman’s partner. It can also enhance the sagging labia majora (large outer lips) and labia minora (smaller inner lips). In many women this area has been stretched or injured during natural vaginal deliveries and/or episiotomies. Many women have not healed well and the previous repair of these tears lead to uneven gaping or scarring of the perineum.
The Perineal Body Reconstruction or Laser Perineoplasty procedure can repair and restore the perineum to look like it did before vaginal deliveries or aging. This procedure is usually performed during vaginal rejuvenation but may also be performed by itself.
Dr. Serrao uses the laser to complete this cosmetic-plastic gynecology surgery. He also performs a non-surgical option called ThermiVa using radio-frequency, to tighten the perineal laxity on those women who qualify for this option.
This procedure can reconstruct or can repair the hymen. The Serrão Rejuvenation Center is sensitive to the needs of women from all cultures because we embrace these particular issues based on cultural, social, or religious reasons. Dr. Serrão and his entire surgical team will always maintain strict policies of patient confidentiality.
Combination Surgeries (Our Mommy Make-Overs)
Labial surgeries may be performed in conjunction with other cosmetic procedures including vaginal rejuvenation, clitoral hood reduction, breast augmentation, fat transfer and liposuction.
Serrão Rejuvenation Center, founded in 2008, offers highly specialized cosmetic labial surgery and is comprised of a caring team who is dedicated to the needs of today’s total woman.
E. John Serrão, M.D., a Board Certified Gynecologist and Fellow of the American Congress of Obstetricians and Gynecologists, is on the forefront of labial surgery. He has performed hundreds of cosmetic labial procedures, and works diligently to bring the latest technologies to women across the state of Florida and from around the world. He has trained with Professor Adam Ostrzenski, M.D., Ph.D., Dr. Hab., Dr. David Matlock, and Dr. Marco Pelosi, all of whom are recognized pioneers and experts in the field of cosmetic–plastic gynecology.
His specialized training and comprehensive understanding of varied surgical techniques, enable him to utilize either laser or non- laser labiaplasty, depending on the specific nature of the case and needs of each patient. Dr. Serrão’s trained eye allows him to preserve the natural contour and pigmentation of the labia with minimal scarring, while maintaining sensation thus producing the most natural results.
Privacy and discretion are upheld at all times in our practice. You will speak with Dr. Serrão directly and he will gladly answer any questions you may have regarding the labiaplasty surgery, recovery time, medications, and what to expect before, during and after the procedure.
Remember, when choosing a cosmetic – plastic gynecologist, focus on their qualifications, experience, and functional results. At the Serrão Rejuvenation Center you will be given the opportunity to speak with other patients who have undergone the procedure, read testimonials, meet our healthcare team, tour our facility, and view our before and after photo gallery. Call to schedule your consultation at 407-896-3772 and begin your rejuvenation today.