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

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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

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Combination Labiaplasty, Vaginoplasty, Clitoral Unhooding Patient Success Story

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Labiaplasty Success Story
by Dr. Goodman

All I knew about the patient I was about to see were the few cryptic words typed on my daily schedule: "Danielle Wallace; LP consult."

Danielle, as I discovered in our patient lounge when I went out to greet her, was a 20-year-old college student from UCLA accompanied by her mother who, as I was about to discover, had only recently been informed by her daughter as to the reason for her visit.

Keeping sexual experiences and concerns private from ones parents is the rule in my experience, so I was not surprised when Danielle told me her tale, and the fact that it was only recently that she, in a teary confession, had poured out her feelings and insecurities to her mom who was, as it turned out, initially flabbergasted, then skeptical and, as she began to understand the depth of her daughter's concern, quite supportive.

Danielle had been sexually active for almost 3 years, but felt unable to fully express herself secondary to, as she described it, her self-consciousness over "...being so big... (or, "well-endowed," as we say in our office), " ...down there..." Sex needed to be in the dark ("donít look at me...") and although she enjoyed it, she rarely permitted her boyfriend Ryan to enjoy oral sex with her. Ryan was aware that Danielle was self-conscious about the size of her genitals, especially the "extra flesh over my clitoris..." but, according to Danielle, it didnít particularly bother him- "He says he loves me as I am, I know, but all I know is- what I have I don't like.."

"I feel so large. I feel unattractive. I know it doesn't bother Ryan, but it does bother me. I have to 'rearrange' my lips when I wear jeans and I get so chafed I've stopped riding my bike to classes. I can't even wear thongs for fear that something will bulge out..!"

Danielle went on to say that she had since puberty noticed the "extra flesh," but that it wasn't until high school, talking with her friends and perusing online social sharing sites that she realized that she was ìlargerî than her peers, and that something could be done about it...

I enquired about Danielleís sexual life. She enjoyed sexual intimacy (the forgoing notwithstanding), became appropriately aroused, and was frequently orgasmic. She offered no history of physical, verbal, or sexual abuse.

Examination (see photo) revealed robust-sized labia minora flowing from quite generously sized prepucial and clitoral hood folds. The labia minora fused posteriorly below the introitus via a modestly hypertrophied posterior commisure.

before labiaplasty photoDanielle told me that she "just wanted to be less fleshy, less 'flappy"' all over: hood, labia, and commisure. She "didn't want to "look like a Barbie doll," although she was acquainted with a girl (also a patient of mine, as it turned out), who had a "Barbie Doll Look" and was very happy with it... "I just want the extra flesh off, but I want it to look natural," was how she put it.

We poured over dozens of "before and after" photos from my practice. Each with different "looks" depending on the anatomy and whether I utilized a "sculpted linear resection" or "modified V-wedge" surgical technique. She commented that this was what had drawn her to my office rather than surgeons who were geographically closer to her, but who only used one technique and whose post-op photos"...all looked alike..."

After ~ 1 hour of examination and consultation, answering questions and negotiating the exact procedure and "look" that she wished, a tentative surgical date as set during her spring break. I told her that I wished to see her again prior to surgery to make sure she was making the right decision and to review her cosmetic desires and concerns, and to make certain we were "on the same page..." She was comfortable with the idea of a local anesthetic, allowing for an office procedure and significant financial savings.

Her surgery was performed on April 2, 2009. I saw her for her first post-op visit 1 week later, and again during Summer Vacation. Her post-op photo is shown here. A short time later I received the following note from Danielle. It speaks for itself...

labiaplasty testimonial

Contact Dr. Goodman to find out whether you are a good candidate for Labiaplasty Surgery, call him at (530) 753-2787

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