Labia Minora referd to the smaller, inner vaginal lips. Labia Majora refer to the larger outer lips. The clitoral hood area is the skin covering of the clitoris. The mons pubis is the fat pad that covers the pubic bone. The perineal area/body is the area of skin between the opening of the vagina and anus. The vulva refers to these structures combined: Labia Minora, Labia Majora , Clitoral Hood and Mons Pubis. AVIVA FemTite is an elective, cosmetic procedure that can treat the entire vulva, if needed, for the reduction of excess, lax, or uneven tissue.

Labiaplasty is a cosmetic gynecology procedure that can improve the appearance of the labia minora (smaller inner lips) and/or the labia majora (larger outer lips). Many physicians only perform labiaplasty minora so their websites will just refer to this as “labiaplasty.” This isn’t completely accurate. Dr. Brenner performs a full array of cosmetic gynecologic procedures . Therefore, the true definitions are as follows for the reduction of the labia.

Labiaplasty minora- surgery/procedure to reduce the excess/redundant/ bulging skin of the labia minora

Labiaplasty majora- surgery/procedure is often used to describe the reduction of elongated/loose outer labia.

The simple answer is - YES! Labia come in many shapes, sizes and even colors. No two women’s labia look exactly alike and, usually, the two sides are not exactly the same size or shape . Some women have minimal labial tissue , whereas other women have elongated labia with multiple folds and grooves.The color and thickness of the labia can also vary from person to person. Some have labial edges that are pink; others have dark edges on their labia. Some women’s labia extend to the bottom of the vagina; others have labia that only extend halfway down the opening of the vagina. Some women have thin labia, others have thick labial tissue.

It’s all normal! However, just as with breasts and noses, just because it’s normal doesn’t mean you are stuck with it. Labiaplasty has become one of the most popular cosmetic procedures in the world.

If you are over age 18 and feel self-conscious about the size, shape, unevenness/asymmetry or appearance of your labia, you may be a good candidate for an AVIVA FemTite scarless labiaplasty in Cincinnati. The best candidates are those with mild/moderate elongation of labia minora, mild/moderate labia majora laxity and desire a less invasive approach. Typically, patients see a 20 to 30% reduction in the tissue with this nonsurgical approach.

During your consultation, Dr. Brenner will review your complete medical history and perform a physical exam or review your photos, if this is a virtual consult. She will discuss your desired changes and aesthetic goals and work with you to determine if an AVIVA FemTite nonsurgical procedure is right for you. The two of you will also discuss if you would be better suited for a surgical approach. The two of you will determine your aesthetic goals and develop a customized plan based on your unique anatomy. Dr. Brenner will review with you her album of before and after pictures to help you determine the aesthetic look you are seeking. She will answer questions you may have about cosmetic gynecologic procedures. Next, our patient coordinator will review the financial aspect and costs associated with having a scarless labiaplasty in Cincinnati Ohio. If needed, we can discuss financing options. The final steps include scheduling and preparations for your big day.

Patient comfort is of upmost importance for Dr. Brenner’s patients. Patients are given the options to take oral and injectable pain medications and and an anxiolytic medication. If patients choose to have pain medications and anxiolytic medications, a driver is needed. Dr. Brenner then injects the local anesthetic in several areas of the vulva. It is the local anesthesia that can be uncomfortable. Therefore, during the injection of the numbing medicine, patients are also given a handheld device called ProNox^®. ProNox^® is a self-delivery nitrous oxide system that significantly assists with any discomfort or anxiety you may have . After the numbing injection, you will should not feel any further discomfort during the procedure. Next, Dr. Brenner inserts the Aviva Femtite cannula to perform radio frequency-based tightening and fat reduction in the desired areas of the vulva to reduce excess skin and laxity.. Following Aviva Femtite , she then performs a Morpheus8 (Radio frequency Microneedling) treatment on the entire vulva (labia minora, labia majora, clitoral hood and mons pubis) for enhanced tissue tightening. Finally, she applies a recovery cream on the external genitalia.

Yes! Many patients have traveled across the country to have Dr. Brenner perform their cosmetic gynecologic procedures and surgery. It follows the same process for the in person consultation. We perform an in person physical exam the day before the scheduled surgery or the morning of the surgery. Our team will work with you to coordinate your stay in Cincinnati.

The AVIVA FemTite procedure is a relatively short procedure (less than 1 hour) and has a significantly less recovery compared to a surgical approach. Women are back to their full routine and sex life in 1-2 weeks. Women are back to work the day after the procedure.

As with any medical procedure, there are remote risks. Typically, complications with a scarless labiaplasty are rare. Surgical risks can be reduced by selecting an experienced cosmetic gynecologist and carefully following post-operative instructions. Dr. Brenner typically performs labiaplasty surgery in her office with local and oral anesthesia and Pronox inhaled nitrous oxide. Therefore, since general anesthesia and a hospital stay isn’t necessary, many risks typically associated with surgery are eliminated. Dr. Brenner will have an in-depth discussion with you during the consultation process of the remote risks that have been associated with labiaplasty.

Our consent form includes the following: prolonged healing ,infection, loss of sensitivity, uneven labia, pain with intercourse, changes in pigmentation, irregular areas of the skin, numbness, and cosmetic results not up to expectations.The biggest concern that you need to be aware of is that the tissue reduction is not as significant as with a surgical repair.

Therefore, choose your cosmetic gynecologist carefully - one that offers both surgical and nonsurgical options.

Dr. Brenner and her team will give you a detailed explanation of what to expect after the procedure and several tips to enhance the healing process. Most women experience minimal pain and swelling after an Aviva Femite procedure. Narcotic pain medications are not typically needed. You will have some mild swelling and soreness for a week or two. Typically, the swelling and soreness is just a few days. After one to two weeks, you can resume all your activities including intercourse.

Everyone heals differently. For patients that follow our detailed post procedure instructions, the swelling has resolved after 1-2 weeks, but usually sooner.

This is one of the main benefits of a nonsurgical approach. Dr. Brenner recommends her patients to avoid sexual intercourse for 1 week after a nonsurgical labiaplasty procedure. Then, if there is discomfort with intercourse, one more week of abstaining is recommended for a total of 2 weeks.

Radio frequency heat is used to contract the vulvar and labial tissue. Therefore, we recommend not adding additional heat from hot baths or tubs for 1 week.

Patients can resume swimming after 1 week.

Depending on how quickly your body heals, you can resume your regular exercise routine after 1-2 weeks.

In this nonsurgical procedure, we give patients the option to pre-medicate with pain medications and an anxiolytic medication. We also use Pro-Nox, which is inhaled nitrous oxide during the numbing injections. After the patient is numb, typically, our patients are sleeping, listening to music, or watching TV during the procedure.

Mild blood-tinged drainage from your incisions is normal. This is the numbing medicine that was injected. After AVIVA FemTite Scarless Labiaplasty in Cincinnati, minimal discomfort, tenderness, and swelling are to be expected.

Yes! However, the Aviva Femtite Scarless labiaplasty treats the whole vulva. With this procedure, the labia minora, labia majora, clitoral hood area, perineum and mons pubis are all treated. The most popular procedure that women choose to add on to an AVIVA procedure is the O-Shot or PRP injections for enhanced results and quicker healing.

Absolutely! In fact, traveling to Ohio to have Dr. Brenner perform your procedure is common. There are actually very few fully trained and experienced cosmetic gynecologists in the United States. Our team can work with you for your travel needs and stay in Cincinnati, Ohio for your Aviva Femtite procedure. Initial consultations may also be conducted by phone and patients can also send photos of the area that needs treatment.

Unfortunately not. Insurance companies consider labiaplasty and cosmetic gynecologic procedures as elective. The good news, however, is that Dr. Brenner performs most her cosmetic gynecologic procedures in her office under local anesthesia. This avoids the need to pay for hospital and anesthesia fees.

Your comfort is of utmost importance to us! We have developed a protocol to optimize your experience for your cosmetic gynecology procedure.

We will give you the option to have oral and injectable pain medications and an oral sedative. We also have ProNox, which is inhaled nitrous oxide that is used during the lidocaine numbing injections. Most of our patients do not even remember the numbing injections because they are using ProNox. After we anesthetize the area with the lidocaine injections, patients rarely report any discomfort during the procedure.

Typically, patients resume their routine the day after the procedure. Most patients can resume sexual intercourse and exercise at 1 week. Some patients find that they need to wait for 2 weeks for sexual intercourse.

Final results take up to 6 months after your body has made collagen and elastin to tighten the tissue. Most patients notice a significant improvement at 3 months.

Typically, patients do not require narcotics for pain after an AVIVA FemTite procedure. Any discomfort is usually managed with over-the-counter type of medications such as acetaminophen. You will be advised to wear tight leggings or compression underwear for 1 week and avoid intercourse for 1 week (occasionally 2 weeks if still having discomfort). We also have patients avoid NSAIDS (like Motrin/Aleve) for 1 week before and after the procedure. We instruct our patients to use a recovery cream for the vulva for 1 week.

You should budget 1-2 days off work. If you had a minimally invasive non-surgical labiaplasty procedure, you will have to avoid sex for 1 week afterward.

Mild/moderate enlargement of labia minora, laxity/sagging skin of labia major, excess skin of clitoral hood, gaping vaginal Introits (opening), enlarged/lax mons pubis.

No. The procedure is purely cosmetic and will not interfere with the inner parts of your anatomy.

No. We do not recommend cooling the area as heating the tissue is important to optimize the results.

The cost of an AVIVA FemTite scarless labiaplasty includes all pre-op and post-op appointments, anesthesia, the procedure, and surgical materials. It also includes a recovery ointment is also. Prescription medications such as pain medications are not covered in the cost of surgery and are not dispensed by our practice. Post-procedure garments such as tight leggings or Spanx are also not included.

This is another great advantage to this procedure. Because we rarely need narcotics, our patients can drive or fly home immediately after the procedure.

Combination therapies are a great option for some patients. This is an advantage to having your procedure performed by Dr. Brenner, as she performs both surgical and nonsurgical procedures. Many patients have opted for combined surgery and nonsurgical options. For example, we have performed a vaginoplasty and AVIVA FemTite on patients. We have also performed a surgical labia minoraplasty and then used the AVIVA FemTite to treat the labia majora, mons and perineal body for a beautiful result. The cost is markedly less than the single combined price of having each done separately.

There are two types of energy-based treatments for vaginal and vulvar rejuvenation. Both treatments use heat. We are pleased to offer both Radiofrequency and CO2 laser energy in our practice.
• Radiofrequency (RF) treatments: Electromagnetic waves are used in RF devices. Similar to the waves used in a microwave – but to a lesser extent – the energy is focused to heat the tissue. Brand names of noninvasive topical RF devices include Geneveve by Viveve and ThermiVa. Votiva is the latest and greatest RF devices. Aviva Femtite is a minimally invasive treatment that uses RF energy.
• CO2 laser treatment: The laser heats up the upper layers of the tissue, causing the tissue in the lower layers to make more collagen. This makes the skin firmer and tighter. Brand names of laser devices include MonaLisa Touch^®, FemTouch^™ , FemiLift and CORE Intima.