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Vaginal Cosmetic Surgery

What is Labiaplasty Surgery?

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Recovering from Surgery

Costs and Financing

Frequently Asked Questions (FAQ)

Definitions - What Do These Female Cosmetic Genital Surgery Procedures Mean?

Who Gets Labiaplasty or Vaginoplasty and Why?

How Do You Proceed With Labiaplasty And What Can You Expect?

Labiaplasty Gone Wrong?

Labiaplasty Revision Surgery

Botched Labiaplasty Revision Photos

Labiaplasty Surgical Techniques Vary, Depending On Individual Case—Here’s What You Need to Know—And the Questions to Ask

How to Choose the Best Labiaplasty Surgeon

Before & After Photos -Dr. Stern, Miami, FL

Before & After Photos - Dr. Goodman, Davis, CA

Before & After Photos - Dr. Gonzalez, Kansas City, KS

Before & After Photos - Dr. Placik, Chicago, IL

Before & After Photos - Dr. Kolb, Atlanta, GA

Before & After Photos - Dr. Hardwick-Smith, Houston, TX

Before & After Photos - Dr. Rosenfield, Portland, OR

Before & After Photos - Dr. Penmetsa, Rochester, NY

Before & After Photos - Dr. Jason, Long Island, NY

Before & After Photos - Dr. Chambers, Las Vegas, NV

Before & After Photos - Dr. Hardas, Flint, MI

Before & After Photos - Dr. Miklos and Dr. Moore, Los Angeles, CA & Atlanta, GA

Before & After Photos - Dr. Ennis, Boca Raton, FL

Before & After Photos - Dr. Owens, Crowley, LA

Before & After Photos - Dr. Agrusa, Meridian,

Before & After Photos - Dr. Owen, Lubbock, TX

Before & After Photos - Dr. Gershenbaum, Miami, FL

Before & After Photos - Dr. Vallecilla, Rome, GA

Before & After Photos - Dr. Liu, Burlingame, CA

Before & After Photos - Dr. Knudsen, Missoula, MT

Before & After Photos - Dr. White, Frisco, TX

Before & After Photos - Dr. Lauriston, Yonkers, NY

Before & After Photos - Dr. Furnas, Santa Rosa, CA

Enduring Constant Pain And Discomfort From Enlarged Labia


Vaginoplasty Before and After Photo Gallery

Vaginoplasty Photos

Vaginoplasty Frequently Asked Questions

Vaginoplasty Patient Success Story

Vaginoplasty Surgery Success


Perineoplasty Before and After Photos

Labiaplasty and Vaginoplasty Combination Surgery

Labia Vagina Combination Surgery Before and After Photos

Combination Labiaplasty, Vaginoplasty, Clitoral Unhooding Patient Success Story

Female Sexual Enhancement Surgery

G-Spot Enhancement

Clitoral Unhooding

Patient Information

Patient Case Studies

Labiaplasty Patient Clinical Study

Selecting a Surgeon

What to Expect Before and After Your Surgery

General Surgery FAQ

Women's Health Articles

Women's Health Books


Otto J. Placik, M.D., F.A.C.S.

Associated Plastic Surgeons, SC
MD Aesthetics Skin Care Center
845 N. Michigan Avenue
Suite 923 East
Watertower Building
Chicago, IL 60611

Phone: (312) 787-5313

880 W. Central Rd.
Suite 3100
Arlington Heights, IL. 60005

Phone: (847) 398-1660

Email Dr. Placik:


Meet Dr. Placik - A candid interview about Labiaplasty

View Dr. Placik's Labiaplasty Before and After Photo Gallery

Dr. Placik's Credentials | Costs & Financing | Our Facility | Map & Directions | Press

A Candid Discussion About Labiaplasty With Dr. Placik

Dr. Placik also performs Breast Augmentation, Liposuction, Tummy Tuck, Facelift, Gynecomastia, Neck Lift, Nose Surgery, and many other cosmetic surgery procedures. Click on his Before and After Patient Photo Gallery to see his work in these areas.


Dr. Placik photo

Dr. Otto Placik

Dr. Placik believes in not only giving patients the best in medical care, but also in achieving a sensitive understanding of their aesthetic goals. Every member of our medical and support team wants to help you gather the information you need to make the best possible decision.


northwest community hospitalDr. Placik received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery. He completed a fellowship in the aesthetic reconstruction of complex nasal and facial deformities at St. Joseph Hospital in Chicago and an additional fellowship in microvascular and hand surgery at Davies Medical Center, an affiliate of the University of California, San Francisco.

Dr. Placik is certified as a diplomat by the American Board of Plastic Surgery, Inc.® and is an active member of The American Society of Plastic Surgeons. He is an active member of several local and national professional organizations.
Dr. Placik's hospital appointments include Northwest Community Hospital in Arlington Heights and Evanston Northwestern Healthcare (Evanston and Glenbrook Hospitals).

Otto J. Placik, M.D. is a member of the Northwestern University Division of Plastic Surgery Teaching Staff. He holds an academic appointment as a Clinical Assistant Professor of Surgery (Plastic) at Northwestern University Medical School. Dr. Placik actively participates in the reconstruction of complex pediatric deformities at the Shriner's Hospital for crippled children in Chicago.


Costs and Financing

You may pay for your cosmetic surgery by cash, cashier's check, credit card (Visa or Master Card), or for your convenience, we have made arrangements through a national financing corporation ( 800-788-  0711, medprova 888-444-0016) to help you with the necessary funding for your surgery. Please ask our patient representatives and they will provide you with the details.

Prices listed below do not include Operating Room fees and Anesthesia.

$3700 + fees

$5500 + fees

Clitoral Unhooding $1000 + fees
Labiaplasty & Vaginoplasty performed at the same time
$8500 + fees
Labiaplasty & Clitoral Unhooding
$4200 + fees


Our Facility

lobbyWe and our staff are focused on exceeding the expectations of each patient. receptionWe believe in not only providing the best possible medical and surgical care, but also in achieving a sensitive understanding of each patient’s aesthetic goals. Time is taken to answer the questions for each patient so that the best possible cosmetic surgery decisions can be made.

We have extensive experience in breast enlargement (augmentation) as well as liposuction, laser and endoscopic-assisted lift, tuck and implants of the face, ears, eyes, cheeks, chin, nose, neck, body, breast, abdomen (tummy), thighs and legs. We also now offer labiaplasty.


Where to Stay

RED ROOF INN 847-228-6650

    100 W. ALGONQUIN RD.


    3400 W. EUCLID AVE.


Map & Directions



A Candid Discussion About Labiaplasty With Dr. Placik

A variety of techniques are grouped under the procedure "labiaplasty". I have described some of these below. It is unlikely that you will need all of these. Therefore a clinical exam is necessary in order to assess you anatomy and to determine the most appropriate procedure to achieve your goals.

Labia Minora Reduction
Labia minora (the inner hairless lip portion of the female genitalia) is the most commonly requested procedure. Labiaplasty is a procedure performed on women who dislike the large size of their labia minora, which may cause embarrassment with a sexual partner or discomfort in tight pants, with sports, or during sexual intercourse. Some women are born with enlarged labia and therefore opt to have labiaplasty; whereas others develop the enlargement with age or from child-birth. Occasionally, a woman is self-conscious of her labia since childhood. A labia reduction (labiaplasty) procedure can be performed to reduce the labia minora.

Various techniques are available for treating prominent labia minora. Traditionally, gynecologists and plastic surgeons perform labia minora reduction (labia reduction or labiaplasty) by excising the protuberant labia minora and over sewing the raw edge. This is the easiest technique and can be performed quite easily in the office. The incision line lies along the edge of the labia minora. Another modification was recently described by Dr. Alter called the "Alter labia contouring" procedure "the new labiaplasty", which preserves the normal contour, color, and anatomy of the labia minora edge. The protuberant labium is excised in a "V" manner and the upper and lower edges are sutured together. Therefore, the only suture line visible on the edge is a transverse horizontal line instead of a longitudinal vertical suture line.

The surgery is relatively minor and is not very uncomfortable. It is performed in a fully accredited surgical center. General anesthesia is usually used, but sedation with local anesthesia is possible. The complication rate is extremely low. If you have a relatively sedate job, you can probably return to work in 5 days. I will see you on the day before surgery, and you can return home 2-3 days after the operation. You can resume sexual relations in about 4 weeks.

Labia Majora Remodeling
The outer lips of the vagina can be enlarged with excess skin and tissue. This enlargement causes an embarrassing bulge in pants or swimsuits. The labia majora may be enlarged from birth, secondary to childbirth, or due to aging and frequently associated with massive weight gain and subsequent loss. A technique is available to reduce their size by removing a crescent shaped portion of each inner labium. The scar is hidden in the concavity between the inner and outer labia. This surgery is also minor and takes about one and a half hours.

Labia Majora Fat Injections to increase the fullness of the outer lips of the vagina
Aging, weight loss, or heredity can cause loss of the youthful fullness of the labia majora. This is easily corrected by injecting fat taken from another area of the body. The procedure is minor and takes about an hour. Surgery is usually performed under sedation with local anesthesia. It can be done alone or in conjunction with another procedure. You can resume sexual relations in about two weeks.

Pubic Liposuction and Lift
A woman may have unsightly fat deposits in her pubic region, which causes a bulge in clothes. This deposit may have been present since birth or acquired with weight gain or puberty. Usually the fat can be eliminated by liposuction - this is called pubic liposuction. Aging or weight gain may cause the pubic and vaginal regions to descend, resulting in an aged appearance. These areas can be rejuvenated and lifted by excising excess skin above the pubic hair and removing excess fat in the pubic region. The pubic liposuction and pubic lift procedure may be combined with a tummy tuck or requested after having a tummy tuck.

Clitoral Hood Reduction
Excess skin of the clitoral hood is commonly associated with prominent labia minora. This may significantly cover or obstruct stimulation of the clitoris during sexual activity. Reduction of this redundant skin can be accomplished concurrent with any other genital remodeling procedure.

The process of reconstructing the hymen

Other Vaginal Procedures: Vaginoplasty
These have typically been grouped under the vaginal tightening procedures and include such procedures as vaginoplasty, perineal body reconstruction, episiotomy reconstruction, muscle repair, etc. Vaginoplasty is considered to be a procedure for "tightening" the vagina. The two most common versions are a perineoplasty (sometimes considered an episiotomy repair) or the posterior repair. The former (perineoplasty) tends to tighten the entrance to the vagina whereas the posterior repair tightens the vagina lengthwise with surgery performed deep into the vagina. The procedure performed is typically performed as a repair of enlargement of the vaginal entroitus (opening) after childbirth but may be associated with numerous other conditions. It is typically performed after completion of having children. Ultimately, the difficulty is "how tight is tight?" It is not unusual for physicians to use a certain gauge such as admitting two fingers but obviously this is not precise and neither is the healing process. What can be considered tight by some physicians may not be considered adequately tight by the patient or her partner because it is dependent on the anatomy of the patient AND THE PARTNER. . A physical examination is required in order to assess the extent and cause of the laxity as well as to determine if the patient is a good candidate. This may require more than one procedure to adjust and achieve the desired goal. It is very important to perform postoperative massage of the incision and demands that the patient be actively involved in this process. If YOU ARE NOT WILLING TO PERFORM THE EXCERCISES, you should seriously think about not having the surgery. If the vagina is made too tight, a prolonged period of manual stretching and dilatation may be required to minimize painful intercourse. This operation results in a long healing period (8 weeks).

When it comes to vaginoplasty, I highly recommend you seek the attention of your gynecologist for an initial exam to determine if there was specific damage caused by the birthing process or an episiotomy. It is not unusual to have associated conditions such as pelvic laxity, uterine prolapse, and or stress urinary incontinence to name a few. Some urogynecologists may also perform this procedure. If you live far away, it will be difficult for me to give you any specific referrals so please seek the recommendations of your personal physician/gynecologist.

As you can see, an important part of this examination is the evaluation of the underlying anatomy. Prior history of weight gain and loss as well as child bearing history is also important. Insurance may cover the labiaplasty surgery if you have any discomfort. It is best to come with a letter documenting and supporting your complaints after evaluation by your gynecologist. Should you seek insurance predetermination of benefits, we are happy to assist you in obtaining preauthorization. However, we do request a $255 consultation fee which can be credited towards your surgical fees.

During the consultation we may determine that other procedures are better suited for your optimal outcome.

The procedure of choice is a complex decision process determined based on your desires, anatomy, practicality, and wound healing. This is usually determined at the time of the initial consultation but may need to be adjusted intra-operatively.
Surgery is about 1-2 hours and is performed on an outpatient basis.

The procedure can be done in several different places (hospital, office surgical suite, or surgicenter) and the prices vary accordingly.

There are risks to crossing the street or flying in an airplane and, of course, there are risks to any surgical procedure. These risks can occur regardless of surgeon or technique. These include but are not limited to: infection, hematoma, discomfort, wound breakdown, hypertrophic scar formation, asymmetry, unfavorable healing, numbness, pain, adverse reaction to medications/injectables/implants, palpability, visibility, distortion with muscular contraction, need for secondary surgical revisions, and inability to guarantee a specific cosmetic result.



After baby is born
Mommy makeovers—for necessity or appearances—are becoming more common
by Dawn Reiss of Chicago Parent Magazine 2/25/2008

"Every doctor was like you’re fine, there is nothing you can do," LaMar says. "I just don’t think they knew what it was. I never knew about labiaplasty until I started watching ‘Dr. 90210.’ " Read entire article here...


Email Dr. Placik:


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