Patient Info
- Gender:
- Female
- Age:
- 43 years old
- Height:
- 5'0"
- Weight:
- 102 lbs
- Surgeon:
- Dr. Inessa Fishman
Description
Our patient is a petite, fit woman in her 40s who came to Aviva Plastic Surgery seeking improvement in the appearance of her labia and vulvar region after four prior Cesarean deliveries. While she remained very active and health-conscious, she noticed changes in tissue tone, contour, and symmetry that no longer reflected how she felt in her body. Her goals included a natural, elegant result that would restore smooth contours while preserving normal anatomy and sensation.
This case highlights the power of comprehensive labiaplasty and vaginal rejuvenation to address multiple aesthetic concerns in a single, thoughtfully planned procedure.
Patient Concerns
During consultation, the patient expressed concern about:
Elongation and asymmetry of the labia minora
Deflation and volume loss of the labia majora
Redundant clitoral hood tissue
Perineal laxity contributing to a less supported appearance
Like many of our motivated, detail-oriented patients at Aviva Plastic Surgery, she was not seeking an overdone or “surgical” look. Instead, she desired refined, balanced anatomy consistent with her petite, athletic frame.
Surgical Plan
After a thorough examination and discussion of options, Dr. Inessa Fishman developed a customized surgical plan designed to achieve harmonious, natural-appearing rejuvenation. The procedure included:
Labiaplasty of the labia minora to reduce elongation and improve symmetry
Clitoral hood reduction for balanced upper vulvar contour
Reduction of tissue excess and concurrent grafting to the labia majora to restore youthful contours, volume and softness
Perineoplasty to improve support and refine the posterior introitus
This comprehensive approach allows multiple related concerns to be addressed simultaneously, often producing more elegant and cohesive results than isolated treatment alone.
Procedure Details
The surgery was performed with meticulous attention to tissue handling, symmetry, and scar concealment. At Aviva Plastic Surgery & Aesthetics, we approach intimate procedures with the same precision and aesthetic focus that defines advanced facial plastic surgery.
Key technical priorities included:
Preservation of natural sensation
Smooth, tension-free closure
Strategic volume restoration of the labia majora
Careful contouring to maintain a natural vulvar appearance
The patient tolerated the procedure well with by-mouth relaxing medications and long-lasting injected numbing medicine, and was discharged home the same day with detailed aftercare instructions.
Results
Our patient is shown before and 7 weeks after surgery, with beautiful results. The labia minora are neatly contoured and symmetric, the clitoral hood appears balanced, and the labia majora show restored youthful fullness from both excess tissue removal and concurrent fat grafting. Perineal support and contour are improved, contributing to a more cohesive aesthetic. Our patient is also shown here immediately post-treatment.
Why Patients Choose Comprehensive Labiaplasty
For many women, especially after pregnancy and childbirth, concerns in the vulvar region are multifactorial. A comprehensive approach may provide:
More harmonious overall contour
Improved symmetry
Restoration of youthful volume
Greater patient satisfaction with a single recovery period
At Aviva Plastic Surgery & Aesthetics in Atlanta, every surgical plan is highly individualized to the patient’s anatomy, goals, and lifestyle.
Considering Labiaplasty in Atlanta
If you are bothered by changes in the labia or vulvar region, a personalized consultation with Dr. Inessa Fishman can help determine whether comprehensive labiaplasty and vaginal rejuvenation is right for you.
Our practice is known for natural-appearing results, meticulous technique, and a discreet, supportive patient experience designed for discerning women seeking thoughtful, expert care.