As women become more comfortable with cosmetic procedures of their faces, breasts and tummies, they want to alter or “rejuvenate,” even more intimate areas of their bodies. They may call this as vaginal rejuvenation, designer vagin- oplasty, G spot amplification and / or revirgination . They are all categorized under Vaginal Aesthetic Surgery ( VAS) or Vagina Facelift .
There has been an avalanche of publicity about labiaplasty and other VAS procedures. They have been extremely popular in Australia in women across all age groups with a post-procedure satisfaction rate of 92%.
We believe, it becomes a responsibility of a clinician to ensure that the push and desire for improving genital aesthetics should be guided by scientific protocols and research
Understanding the benefits VAS procedures have to offer to women, Dr Mahadik decided to refine his skills in this subset of cosmetic surgery. He is now helping many Australians across the country in achieving their goal of an aesthetically pleasing vagina.
At initial consultation understand that you may be uncomfortable and nervous. Our staff at Esmee Clinic will comfort you through the whole process and guide you to arrive at a decision that suits you better.
|Surgical time||1- 2hrs|
|Hospital||Accreditated day surgery hospital, under General Anaesthesia administered by a board certified anaesthetist|
|Length of stay||2- 4 hrs|
|Back to work||1wk – 10 days . Sexual intercourse and any vaginal manipulation restricted for 4 wks at least.|
|Final outcome||3 -6 mnts|
|Cost||Medicare item number ( if applicable) will be factored in the quote.|
Very clear photos in lithotomy position
LABIAPLASTY – Labia minora are the inner lips maintaining moisture and keeping the genital doors closed. Ageing , puberty and even normally they may spread Labia majors ( outer lips ) and protrude
MONS REDUCTION / LIFT – The soft, fatty , hairy area just above the clitoris is called mons pubis. Excess fat and skin makes it look bulky, saggy or unsightly even through the clothes. Liposuction combined with wedge excision can flatten it out
VAGINOPLASTY – In simple terms this is tightening of the vaginal opening improving sexual function along with appearance.
Pregnancy hormones , childbirth and age will weaken the pelvic floor muscles. Vaginoplasty procedure tightens these muscles by excising an ellipse of skin, mucosa and scar tissue.
CLITORAL UNHOODING – Clitoral hood is a fold of skin overhanging the sensual Clitorus in females. This can enlarge interfering with sexual stimulation and giving an unpleasant look.
This excess skin needs to be removed to improve sexual function by increased stimulation. It also enhances cosmetic appearance.
HYMENOPLASTY – This is a ‘Revirgination ‘ procedure. Hymen is a thin membrane at the vaginal introitus
Intercourse and excessive exercise causes this to atrophy. An intact hymen is regarded as an emblem of virginity in some cultures. Surgically unfolding it with meticulous suturing can restore the hymen integrity
Vaginal Aesthetic Surgery ( VAS ) is a different surgical specialty by its virtue of dealing with very delicate, and unforgiving tissues. Dr Mahadik, offers you his 18 years of vast surgical experience. He has mastered innovative surgical techniques in complex vulval and perineum reconstruction He has presented his work in National and International Plastic Surgery meetings and is a highly regarded medical practitioner in vulvo-vaginal reconstruction. The difficulty around this area is to deal with a delicate , sensitive and extremely vascular tissues . Hence it is important to choose a surgeon who has a specific interest in Vaginal rejuvenation and does such procedures on a regular basis.
Dr Mahadik, helps many women across Australia by educating and empowering them to choose a procedure that will bring in the desired confidence and aesthetic outcome. More importantly he is a very easy going person and most women are comfortable to speak out their mind.to him. At the end of the day we want to see you happy ,no matter what you choose.
Its surprisingly true that many woman are not quite comfortable with their genitalia . Some may complain about their looks while others find them annoying with tight fitting clothes.
Regardless of the cause ,Vaginal Aesthetic Surgery procedures which consists Vaginal rejuvenation and Vaginal tightening procedures will always make them happy.There has been a more than 50% increase in Labiaplasty procedures over the 2 yrs from 2013 to 2015 . Contrary to the popular belief the increased popularity doesn’t come from media marketing alone. Labiaplasty has a highest patient satisfaction rate than any cosmetic procedure of 90-95%
Women feel very confident socially and sexually after having a beautiful vagina that they may have always wanted.
Normal and Abnormal
Labia are those delicate vertical lips at the entrance of vagina. There are 2 sets of Labia for each woman, one inside the other.
Labia Majora – outer lips that are seem without spreading the legs . They have hairy skin.
Labia Minora – inner lips situated inside the Labia Majora , better seen after spreading the thighs . They are pink , thin and delicate and don’t have hair.
There is ‘ no normal ’ labia. Labia differ so widely amongst women that there is no set standard of an ‘ ideal Labia ‘ This poses a question for any Cosmetic surgeon “what to achieve”, if there is no set normal”.
What Is accepted as normal standards are the relative positions of the 4 genital elements . They serve as guidelines for surgeons.
They seem ‘abnormal’ when , inner lips ( labia minora ) protrude out more than the outer lips ( Labia majora ).
The Labia may also loose volume with age and appear deflated and flat exposing the vagina.
This makes women anxious and self conscious about their unsightly genitals. It is also uncomfortable when they can’t wear swim suits and other tight clothes at gyms and socially . Many become nervous in bed with lost confidence.
Labiaplasty surgery is careful surgical manipulation of the delicate tissues to give a more balanced and pleasing aesthetic outcome. The aim is also to reduce functional problems and restore confidence.
There are various techniques of labiaplasty tailored to specific needs. One thing common to all is to achieve finest scars hiding them in crease lines so they cant be seen.Trimming labia
This is simple trimming of the excess inner lip. It achieves good balance by harmonising proportions. Taking away the dark pigmented labia after pregnancy is all what many women want.
The downside is ‘how much trim is a good trim‘. It shuld not expose the clitoris and neither should it leave that hood to look oversized.Wedge Resection
This gives a better look since it restores the normal texture. It removes a wedge of that thickened Labia Minora. However darkened labia cannot be addressed in its entirety.De epthelialisation
Narrow strips of excess skin are removed from the inner and outer wall of the labia. This might enhance the bulk of labia to make them fuller.
Larger labias could look too full and thick after this procedure and hence are unsuitable for this method.Composite procedure
No key fit all locks. Dr. Mahadik will examine and assess patients and formulate a customised plan for each. Every woman needs to know what better suits their situation rather than offering them a generic plan.
Sometimes a combination of 2 procedures called ‘composite labiaplasty’ is an answer. However, a detailed consultation is necessary to come to a conclusion.
Dr Mahadik has the breadth of experience with all techniques and is in a best situation to help you out.
The outer lips may loose volume with ageing when they look flat. This inturn exposes the inner lips and vagina which is unpleasant in appearance. Fat transfer with trimming of the excess skin folds bring you the desired look
The Labia Majora can also hypertrophy and gather more fat which will need liposuction and trim excision.
Both procedures can be done as a day only procedures under local anaesthesia in the rooms.
Clitoris is the most sensitive part of the female genitalia that helps in arousal. Its synonymous to glans penis in males. A clitoral hood is a skin fold that ‘partially’ covers the clitoris as a protection against friction and irritation.
Abnormal Clitoral hood is something that hangs excessively to cover the clitoris completely . This may interfere with sexual arousal and can also be unpleasant to look at. Women often want to get rid of this extra apron while they are going in for a Labiaplasty or Vaginoplasty procedure.
The size of the hood is genetically determined rather than the body frame of a woman. Pregnancy and hormonal changes cause it to droop.
The surgery involves reshaping of the hood with 2 small incisions, one on each side to remove the excess. The sensitive clitoris remains untouched.
Dr. Mahadik ensures that the ‘exact amount’ of the hood is unhooded. This still protects your clitoris from irritation and oversensitivity.
Many women say that clitoral unhooding has enhanced their sexual gratification restoring their confidence. Its surprising how relationships can be enriched by such minor procedures.
Mons pubis a soft hair-bearing area just above the clitoris. At the upper mons, the pubic hair-bearing skin changes into abdominal hairless skin.
Normal Mons Pubis of puberty is flat and blends with the flat tummy. Pregnancy, aging, weight fluctuations will all cause the mons to sag down to look abnormal. Excess fat or sagged skin makes the mons look very ugly through the clothes. Women try to hide it under the upper thigh lining of the garments, but it still does shows up that bulge. There are a few procedures that can reshape your mons.
Large, puffy and saggy mons can result from a combination of excess fat and stretched skin. A pre-measured wedge of skin and fat is excised as a wedge. The freshly cut edge is resuspended to the abdominal fascia so it retains its set position for long.
This is done in the rooms under local anaesthesia if it’s a small to moderate reduction . Average time is one hour.
In patients who have a more generalised bulge extending on the sides, those areas are out of reach for a wedge excision. Fine liposuction cannulas are used to suck out excess fat where the knife doesn’t reach. The skin then shrinks and re drapes with time.
More often than not , it is a combination of Wedge excision and Liposuction that gives the best outcomes especially in post – pregnancy distorted mons pubices.
Vagina is the larger genital opening in females used at intercourse. Vaginal deliveries will always stretch vaginas to their limits to leave them lax and patulous. Pelvic floor muscles become weak which further complicates things.
Sexual dysfunction stems from inadequate contraction of pelvic floor muscles at intercourse leaving lost confidence and unhappy partner. Functional problems like urinary incontinence are also linked to weal pelvic floor.
Vaginoplasty in simpler terms is tightening the vagina along with some part of pelvic floor.
Vaginoplsty is another common post-pregnancy procedure done to restore a woman’s pre-pregnancy sexual health.
This involves excision of a pre measured wedge of tissue ( skin , muscle and mucosa ) and meticulous suturing of the 3 different layers in question. The scar tissue of previous episiotomy during childbirth is also removed along with the muscles and mucosa. Patients should refrain from any sexual activity for 3 wks and active sex for 6 wks .
Hymen is a thin membrane at the vaginal introitus. It keeps the moisture in and protects the vagina
Various activities like strenuous exercise and intercourse cause this to shrink and atrophy.
This can be surgically repaired which is accepted as being an emblem of virginity in some cultures
In the two larger case series, the re-operation rates were 2.9% and 7% indications for re-operation included wound dehiscence and dissatisfaction with appearance.Specific complications –
Most women get Labiaplasties done after pregnancies. Others choose to do them in the 5th decade after menopause. There is no ideal age as such because many women do them at a much younger age these days.
Moderate discomfort and pain remains for a week. This can be controlled by inactivity and pain tablets. Keeping the area clean as advised helps avoid infections and avoid pain.
Labia and mons can sag with other reasons like weight fluctuations, ageing and sometimes women have large labia to begin with . All of them can benefit with Labiaplasty
No, Labiaplasty is mainly done to enhance the genital appearance , with other benefits as a bonus. Vaginoplalsty is tightening of the vagina by reducing the vaginal passage.
Pain – and discomfort is normal for a week
Stitches don’t come out as they dissolve
Maintain hygiene – keeping the area clean avoids infection and wound dehiscence. You will be advised about the necessary details that we recommend
Visit- the clinic after 7-10 days for a check up
Work – Office job can be resumed in 10 days to 2 weeks. Moderate exercise after 4 weeks and strenuous exercise after 6 weeks
Every patient and procedure is different. These are just guidelines.
Monsplasty – 2 wks
Labiaplasty – 4 wks
Vaginoplasty – 6 wks
Clitoral hood reduction – 3 wks
Dr Mahadik specialises in these procedures and keep the scars minimal. They are also hidden in natural creases . They may be raised and pink in the first 3 months , but fade into thin lines over the next year.
Dr Mahadik offers a 2 decades long surgical experience with a special interest in vulvo- vaginal and perineum reconstruction.
He has lectured extensively in this area and has presented his research papers .His innovative perforator flap techniques around the perineum have been applauded all around. He has presented his work in National and International Plastic Surgery meetings and is a highly regarded medical practitioner in vulvo-vaginal reconstruction.
Vaginal Aesthetic Surgery ( VAS ) a different surgical specialty by its virtue of dealing with very delicate, and unforgiving tissues. There is very little margin for error unlike other cosmetic procedures . The moist and difficult areas are not easy to keep dry. They are sensitive and very vascular. This favours blood clots and infection. Any procedure hence requires a very precise surgical hand and an eye and experience to predict the exact outcomes once swelling settles.. There is no way going back to add or reduce extra tissue to make things better.
To be an expert in vaginal rejuvenation you need to be an expert in not just the anatomy but all aspects of reconstructions around the area. There are many surgeons who do Labiaplasty. Its however important to choose a surgeon who has a specific interest in Vaginal Rejuvenation and does such procedures on a regular basis . Dr Mahadik’s innovative rejuvenation skills have evolved from years of complex vulval and perineum reconstruction . he believes that ,Trims and excisions near sensitive and delicate tissues need to be balanced very carefully .
The mantra is “ not too much and not too less, but just enough”
At Esmee we halp many women across Australia by educating and empowering them to choose a procedure that will bring in the desired confidence and aesthetic outcome. We believe that, every woman should understand the procedure in depth before choosing one. You should feel comfortable and safe. Many women find Dr Mahadik very approachable and an easy person. Hence they find it comfortable to speak out their minds in a confidential set up.
Our aim is to see you confident and happy.
our cosmetic and reconstructive surgery services or to book an appointment, contact us via this form!