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Cosmetic Gynecology

Cosmetic Gynecology Guide

Every vagina looks unique.

Vulvas of all shapes and sizes are perfectly healthy and function exactly as they should. As women’s health providers, the team at Amy Brenner, MD & Associates always emphasizes that the appearance of your vagina does not equate to gynecologic health. Improving its appearance through cosmetic gynecology is a choice that is totally up to the individual. 

Cosmetic gynecology refers to a range of procedures that improve the cosmetic appearance of the vulva and/or vagina. These treatments are not for your health, which is why they’re considered “cosmetic,” however, some of these procedures may improve discomfort and increase pleasure.



The Vulva

To understand what’s possible with cosmetic gynecology, it’s important to understand the anatomy of the vulva.

Cosmetic gynecology can improve several conditions.

We can improve many common concerns for both the vulva and vagina. Everyone’s anatomy differs, and certain areas are the primary concern for individuals seeking cosmetic gynecology treatment. 

And not everyone experiences the same severity or combination of symptoms. Everyone’s body, lifestyle, and genetics are unique, and it’s important to understand how different conditions can affect your sex life.


Vaginal laxity

Vulvar laxity is skin that is lacking elasticity outside of the vagina, typically on the labia majora, labia minora, or perineum. Skin laxity is common with aging as skin loses collagen and elastin, the two building blocks of elasticity. This breakdown of these elements’ structure creates sagging skin.


Vulvar laxity

Vulvar laxity is skin that is lacking elasticity outside of the vagina, typically on the labia majora, labia minora, or perineum. Skin laxity is common with aging as skin loses collagen and elastin, the two building blocks of elasticity. This breakdown of these elements’ structure creates sagging skin.


Vulvar Pigmentation

Darker pigmentation on and around the vulvar region is totally normal. This skin color difference is from a change in hormone levels, friction, and aging. Some cosmetic gynecology treatments can help lighten skin in this area, if desired.

LMa, LMi, CH

Labia Majora, Labia Minora, & Clitoral Hood

These three areas of anatomy are very common for cosmetic gynecology procedures. We can improve several conditions by a reduction in the amount of tissue.

Bulges in Clothing

Excess tissue in the labia majora, labia minora, or clitoral hood can cause the area to be prominent in underwear, swimsuits, and even certain types of clothing. 


Excess tissue in these areas can also cause skin irritation from day-to-day activities like sitting, riding a bike, or during sex. The skin tissue can cause excessive rubbing or friction, leading to pain and discomfort.


Anal Skin Tags

Anal skin tags happen to both women and men, and they are also a common cosmetic concern. Like any other skin tag, anal skin tags can develop from excessive friction over time. While they pose no health risk, they can be a cause of discomfort or embarrassment.

Procedure Types

Cosmetic Gynecology

There are a wide variety of cosmetic gynecology procedures designed to treat the above conditions. Our team of gynecologists and women’s health providers tailors all of these procedures to each patient’s unique anatomy and goals for results. Below is a quick overview of surgical and non-surgical cosmetic gynecology procedures offered at Amy Brenner, MD & Associates. 




A vaginoplasty is a form of vaginal tightening or vaginal rejuvenation. This procedure tightens both the inner and outer muscles and tissue structures of the vagina. This leads to better muscle tone, strength, and control to improve sexual function while also resulting in a smaller vaginal diameter.

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Labiaplasty Majora

A labiaplasty is a cosmetic procedure that removes excess labial tissue. For a labiaplasty majora, the surgeon reshapes the outer vaginal lips to improve symmetry, reduce size, and reshape the area. 

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Labiaplasty Minora

A labiaplasty minora also seeks to reduce excess labia tissue. In particular, a labiaplasty minora reduces and reshapes the inner vaginal lips (labia minora) for symmetry and rejuvenation.

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A perineoplasty repairs the perineum, the skin tissue between the opening of the vagina and the anus. A perineoplasty is a common procedure to improve the tissue in this area, as one of the primary causes of damage to the perineum is tearing during childbirth. A perineum tear can cause scarring, discomfort, and a change in the vaginal opening. A perineoplasty restores this tissue to improve comfort and cosmetic appearance.

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Clitoral Hood Reduction

The clitoral hood is the skin that covers the clitoris, the most sensitive part of female genitalia. Some people are born with excess tissue in this area, and a clitoral hood reduction can reduce the skin surrounding the clitoris. This procedure is also referred to as Hoodectomy or Clitoropexy. 

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Anal Skin Tag Removal

Anal skin tag removal is a quick procedure that removes rectal skin tags surrounding the anus. Skin tags in this area may be confused with hemorrhoids; however, these skin tags are harmless but may cause discomfort. 

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This cosmetic gynecology procedure restores the hymen and is also known as hymen reconstructive surgery. The hymen is membrane tissue that surrounds or partially covers the external vaginal opening. 

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Votiva encompasses multiple devices: FormaV, Morpheus8, and Aviva. We use all components of the Votiva to address concerns such as excess labia majora tissue, clitoral hooding, lax vaginal tissue, and more. 

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FemiLift® is a common cosmetic gynecology laser device that restores collagen to improve tone and appearance of the vulva. It can also treat the vagina to tighten and even improve vaginal dryness or urinary incontinence.

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AVIVA FemTite Scarless Labiaplasty

AVIVA is a non-surgical vaginal procedure that reduces vulvar tissue with radiofrequency technology using the FemTite device by InMode. This procedure uses no incisions to reduce excess tissue vulvar and labial tissue.

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Labial Puff

Labial puff treatment addresses volume loss within the area using dermal filler. This restores appearance to the labia and vulva areas.

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Carboxytherapy uses CO2 gas to stimulate blood flow and lymph circulation to improve lubrication, signs of aging in the skin, and vulva appearance through a simple topical treatment that can be used at home or post-treatment in the office.

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Quiz: Which Cosmetic Gynecology Procedure is Right for Me?

Take this short quiz to find out if you are a candidate for a cosmetic gynecology treatment.

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Group of happy women at the gynecologist in Kenwood
woman with youthful skin after a bbl facial treatment in Cincinnati

A customized approach to cosmetic gynecology.


Prior to any treatment, our team always meets with you to get to know you and your concerns. We provide an open, welcoming environment where women feel heard and comfortable to discuss their experiences and desired results. After a consultation, we’ll examine the prospective treatment areas and talk about different treatment options. 

One discussion within the consultation will be whether you prefer a surgical or non-surgical route. We can go into details, pros and cons, and typical results for both types of cosmetic gynecology treatments and recommend a specific procedure to suit your needs. Some patients achieve the best results by combining different types of procedures.


The process we use for performing these procedures varies depending on your individual treatment plan. Your provider will be with you through every step of the process to answer questions, help set expectations, and check in with you post-treatment for recovery and healing. We can perform all of our cosmetic gynecology procedures in-office in a comfortable, relaxing procedure suite.


Many treatments produce immediate results, while others may require a bit of downtime for healing. Our team will regularly check in with you to monitor your results and progress for optimal outcomes. 

Maintaining your procedure results.

Many patients find the best results with long-term maintenance plans, and we always recommend maximizing your dollar through an AB VIP membership! Members save on a wide variety of aesthetic, sexual wellness, and wellness treatments. Learn more about the benefits or use our Design My Membership tool to get your membership match.

Design My Membership

Customized solutions for cosmetic gynecology.

Tell us about your concerns and we'll design the best treatment plan for your individual needs.

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Additional Resources


Labiaplasty Minora

Great experience! Love the staff and Dr. Brenner! I love the results and am so happy I did the procedure with them. Would recommend to anyone! Also, they give the option for no pain meds and everything was tolerable!!! 10/10

Labiaplasty Minora

Amazing! All around exceptional. I waited to long to have this procedure. I was not happy with my vagina after a bartholin cyst and 5 children. It was just ugly and uncomfortable. Stephanie and Dr. Brenner are wonderful. Very professional and skilled. Also humorous which I appreciate.

They were quick to reply to my msgs and address my concerns. Dr. Brenner called to check on me the night of my surgery. Much appreciated. I stayed awake for surgery which was ok. The pain afterward was expected but the outcome is like they said just beautiful.

I'm told my surgery was one of the harder ones due to the condition of my vagina lol but you would not know that now. It is beautiful. I'm in love with it. I would absolutely recommend this office, procedure and this dr. Over and over. I feel like I can't thank them enough.


I had a vaginoplasty (Vaginal tightening) done by Dr. Brenner. I could not be happier about my experience from start to finish. I was able to have a virtual consultation that helped a lot since she is a few hours away. Her Assistant Stephanie was a great person to have help with the entire process. She was even in the room during the procedure. It was apparent from the start to me that Dr. Brenner takes pride in her work and she is very confident in her abilities, I did a lot of research and had several consultations even flew across country looking for the right doctor and it was all worth it to find Dr. Brenner! I am so happy with the results. She gave me exactly what I wanted and she didnt try to charge me for every little requests like some other doctors wanted too. She tightened the entire length of my vagina, I’m back to pre child birth; I completely forgot what that was like! She also listened to my concerns about the perineum and hymen area and corrected everything with out any additional fees. I would have paid a lot more for the result she gave me so I am a very happy woman! Thank you Dr. Brenner, you’ve changed my life!


I am a 37 yr old mother of two. After my second birth I did not heal well (ripping quite a bit). I dealt with sexual frustration for about a year before researching options. I found Dr. Amy Brenner on realself and read reviews and procedure details. I scheduled an appt immediately. This is a sensitive topic obviously but IMMEDIATELY the entire team and office environment made me feel comfortable and not alone in my issues. I felt like I was talking to friends!! I had my procedure with a team of females that were kind and passionate for me to be comfortable! The follow up was phenomenal I had a nurse (Stephanie) following up very regularly! She was top to bottom game changer in my total experience! 11 weeks out I have no regrets and have healed great! I have tried out my new results and I can truly say worth every penny!! I have also had an uterus ablation, O shot and next I scheduled a tubal. I will be a returning customer!! Its a 2.5 hr drive from home but I have no issue driving for the best!!! Good luck and at least get the consultation to learn more!!


Dr. Amy Brenner and her staff were amazing to me.

I paid for the vaginoplasty and perineoplasty procedure. I was very pleased with my results. I have referred her to friends and family.

I felt like I was a virgin again. I have been waiting so long to get this procedure due to financial issues. I was so grateful that I saved up enough money to take care of this procedure.

Thanks again doctor!!! You’re the best!