Cosmetic Surgeries

Some women note excess labia minora (inner lips), labia majora (outer lips), and/or clitoral hood tissue. Others may wish that their labia majora had a more full appearance. As a fellowship-trained specialist in Female Pelvic Medicine and Reconstructive Surgery, Dr. Minaglia has performed thousands of labial and vaginal surgeries for over ten years. Most commonly, Dr. Minaglia performs the following four cosmetic procedures described below.


  • Labia Minora Reduction
    Labia Minora Reduction is the most common procedure requested in my practice. There are many different ways to perform the procedure, and tailoring the procedure to each individual’s goals is important when achieving optimal results. An optimal procedure reduces the hyperpigmentation and bulk of the labia minora (inner lips) leaving behind barely visible, very small scars.
  • Clitoral Hood Reduction
    Excess skin of the clitoral hood, which lay across the top of the clitoris, can be present in some women. This excess skin may be removed to decrease the bulk of the area and allow greater exposure of the clitoris.
  • Libia Majora Reduction
    Some women may also note excess labia majora (outer lips). The labia majora are commonly reduced by removing redundant skin and concealing the scar along the natural contour between the labia majora and minora.
  • Labia Majora Augmentation
    Some women desire a more full appearance of the labia majora (outer lips). Labia majora augmentation is accomplished by injecting adipose (fatty) tissue beneath the skin of the labia majora after it has been removed from other areas of the body. The procedure begins by making small incisions (a few millimeters) to allow access to subcutaneous adipose tissue in areas such as the butt or thigh. A tumescent solution is injected into the adipose tissue and the tissue is then easily aspirated. The natural contours of the body are easily preserved since only a small amount of adipose tissue is needed.

The above procedures are all performed in the outpatient setting. You can return to work in 5-7 days and return to exercising in about 2 weeks. You can resume sexual intercourse once complete healing occurs, which in general takes about 4 weeks.

We have arranged a special fee schedule with our local ambulatory surgery center and a local anesthesia group in order to deliver the highest quality care at the lowest available price. Our cost of labia minora reduction, for example, is a fraction of the cost other surgeons charge locally, on the neighbor islands, and on the mainland. For more information on the costs of the above procedures you may contact Dr. Minaglia directly at sminaglia@ucera.org .