Cosmetic Gynecologic Surgery.

Cosmetic Gynecology
Procedures in Cincinnati

Dr. Amy Brenner is a Board Certified Gynecologic Surgeon and Fellow of the American College of Obstetricians and Gynecologists. In addition to being the first Gynecologic Surgeon in Cincinnati to specialize in Cosmetic Gynecology, she has over 20 years experience in Gynecologic Surgery and 10 years experience in Aesthetic medicine. As an expert in Sexual Medicine, Dr. Brenner and her team are able to combine the latest advances in hormone replacement therapy, Platelet Rich Plasma (the O-Shot®), the Intima® CO2 laser, and cosmetic (aesthetic) vaginal surgery to achieve life changing results.

Cosmetic vaginal surgery is an intricate, precise and meticulous cosmetic surgery and requires an expert in the field to achieve superior results. Most plastic surgeons have little to no experience with this type of cosmetic surgery. Dr. Brenner has trained at the Alinsod Institute for Aesthetic Vaginal Surgery. This specialized training with Dr. Red Alinsod, a pioneer and expert in cosmetic and reconstructive vaginal surgery, has allowed Dr. Brenner to refine her technique and bring cosmetic vaginal surgery to the office setting.

Are you a
good candidate?


A woman may have many reasons for wanting a vaginal aesthetic procedure. Some have experienced labial stretching or tearing during childbirth. Others may suffer from labia minora hypertrophy (enlargement of the labia), a condition that can cause irritation and discomfort during physical activities, and even embarrassment during sexual intimacy.


The good news is, labiaplasty and other vaginal aesthetic options are simple procedures that can improve the appearance of a woman’s vaginal region and give the labia a more proportionate and balanced look. You deserve to feel confident about every inch of your body – find out if any of our vaginal aesthetic procedures are right for you.

cosmetic gyn surgery options

Vaginoplasty (Vaginal Rejuvenation)

This aesthetic vaginal surgery aims to tighten lax muscles and tissues and remove excess vaginal skin to narrow the diameter of the vagina resulting in a smaller and tighter opening and vaginal canal. The tightening is done in the entire length of the vagina and not merely the opening few centimeters. Read more

Perineoplasty (or Perineorrhaphy)

The visible area between the vagina and the rectum is called the perineum. This is the region where episiotomies are cut and where tears during childbirth are most common. Read more

Labiaplasty Minora (Labial Reduction)

This surgery is for the removal of excess, floppy, or uneven labia minora (smaller interior vaginal lips) that often causes chronic irritation, rubbing, or discomfort during sexual intercourse. Read more


The term “Labiaplasty” can also relate to the cosmetic surgery of the labia majora (larger outer lips) to make it less prominent or loose. The broader outer lips of the vulva can be enlarged with excess skin and tissue. This enlargement can cause an embarrassing bulge in pants, swimsuits, or jeans. It can also increase the discomfort of sweating in the vulva. Read more

clitoral hood reduction

Excess skin on the sides of the clitoris often causes the clitoris to look enlarged or uneven. Genetics, estrogen, and testosterone exposure can make significant changes in the way the clitoral area appears. Read more


This surgery is the reconstruction of the hymen. Cultural, religious, or social reasons predominate when this surgery is contemplated. Read more

anal skin tag removal

Anal skin tags, also called rectal skin tags, are growths that hang off around the skin around the outside of the anus and are usually harmless. Anal skin tags may be mistaken for warts or hemorrhoids. Read more

The Process

These are general guidelines and all patients are encouraged to follow the specific instructions given to them at their follow-up visits based on their individual healing.

Interested patients should contact our office via email or phone to discuss the process and schedule a consultation.  The appointment is set with Patient Coordinator and Dr. Amy Brenner and requires a deposit of $225 that can be put toward the procedure.

Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Step 8
Step 1

Consultation Appointment

In this appointment the Patient Coordinator and Dr. Brenner will discuss: anatomy and patient concerns, make a plan for what procedures are needed, review procedure details and post instructions.  Patient Coordinator answers any additional questions and reviews cost and process for scheduling.

Step 2

Scheduling Procedure

Patient Coordinator will work with the patient and our surgery scheduler to find a time that works best.  Once the procedure is scheduled, a pre-operative visit is required (if patient is local).  If patient is out of town, pre-op can be done same day as the procedure (if patient is out of town some medications will be sent to pharmacy ahead of time).

Step 3

Securing your Procedure

In order to have your surgery and pre-operative appointments scheduled, we require a deposit of 50% of the total cost.  Remaining cost is due prior to performing the procedure (required at least 7 day in advance of procedure).

Step 4

Pre-Operative Appointment

During this visit the Patient Coordinator and Dr. Brenner will go over all of the following details in preparation for your procedure:  Discuss and sign consents, answer any questions you have, thoroughly review Before/After instructions, give you prescriptions to be filled that you will need for the procedure and recovery, and then take before pictures for your clinical chart.

Step 5

Procedure Day

Dr. Brenner will review the procedure once more. The Patient Coordinator will thoroughly review post-procedure instructions. Preparation for the procedure begins with vitals and medication.

During the procedure, many patients prefer to bring headphones to listen to music, or a sleep mask is provided if you prefer to rest.  Once the procedure is finished, there is about a 30 minute “recovery” period where your vitals are monitored prior to allowing you to leave with your friend or family member who has escorted you.

Procedures vary in time from 30 minutes to 2 hours, and if multiple procedures are being done the time is added up.  This is discussed with all patients when the procedures are determined.

Step 6

After your Procedure

The Patient Coordinator will contact you the day after the procedure to check on how you are doing and discuss expectations for your continued recovery.

Step 7

Post-operative Appointments

Follow-up appointments are scheduled based on the procedure.  At these visits Dr. Brenner will assess your progress in healing.  The first visit is recommended to be within 14 days of the procedure.

Step 8

Recovery Expectations

This is a surgical procedure and involves stitches and downtime for proper recovery.  We expect all patients to follow the post-instructions to the letter and contact us with questions.  Healing is different for each patient and is dependent on many factors.  We encourage all patients to discuss details of expected recovery with the Patient Coordinator and plan work, travel, and activity accordingly to optimize healing.

The first two weeks, pretend you have the flu…rest and ice are the key to great healing.

At 2-4 weeks post-op, as long as healing is going well and swelling is minimal, you can begin gradually increasing activity.  Exercise and lifting is still restricted.

At 4-6 weeks, if you have been cleared at your post-op visit with Dr. Brenner, you can resume normal activity.

Additional Information
Testimonials Videos

I am 52 years old, recently divorced and have had 4 vaginal deliveries. My vagina was destroyed and I constantly had urinary leakage. I had a hysterectomy in Jan of 2016, so menstrual cycles are gone. After investigating my new found freedom of different sexual partners, I felt like I needed more friction down there. Orgasms weren’t necessarily a problem it was just that I felt I was a gaping hole. I had consulted with my regular OB doctor about my incontinence only to be told, “it’s the aging process and vaginal delivery destruction of my muscles”. I settled for this diagnosis and have found that over the years it has been a common “joke” with other moms about peeing on yourself. I find this unacceptable for myself and not ready to be constantly wearing poise pads! My over-sized labia also bothered me. Bathing suits looked obnoxious down there with a huge mass of extra “junk”. After doing extensive research myself, I set up a consultation with Dr Amy Brenner to have an evaluation of what could be done for me. Dr Brenner spent an hour with me which included a full examination and a mirror to make sure I understood my anatomy correctly. My vagina measured a full 4.5 finger in diameter! Almost fist sized! My options were: vaginoplasty which included repair of my perineum, this would give me more friction and reduce my chances of having my vagina collapse as I age. Labiaplasty Majora, reduce the size of my large labia. I had labia minora surgery during my hysterectomy in 2016. My OB at the time was not a plastic surgeon and left a lot of tags hanging about. My labia minora extended and hung outside of the majora making any type of clothing uncomfortable at the time and I just needed some relief. The O-shot ~ this could possibly help my incontinence with my urethra. She also thought a clitoral hood removal would be good because during my labia minora removal, the left over tissue was lopsided and the exposure of my clitoral area was greatly decreased due to the minora removal. I chose to have all procedures done at once and scheduled a surgery date. I thought, go big or go home. This was all completed in her office under close supervision with a medically trained staff. The surgery 6+ hours then I was on my way home with a catheter and ice packs. Follow up and catheter removal 4 days later. There was very little pain during the entire procedure and they kept me extremely comfortable. I was awake the entire time with the exception of a nap here and there. Recovery was the absolute hardest for me as I am very impatient and wanted to get back to my busy lifestyle. The vaginoplasty was a piece of cake but the healing of the labiaplasty took about 6 weeks before I could sit or drive without my donut to sit on. Very tender area!! I am now almost 5 months post-op. I’m going in to Dr Brenner to have a small revision (overgrowth of healing tissue in the perineal area). I’m back to a healthy and active lifestyle and couldn’t be happier! Dr Brenner gave me back my sexual confidence with a few bonuses! (No accidental urinary problems). In my opinion, women’s sexual desires seem to be unwarranted and ignored. Dr Brenner makes it a priority that women can regain a youthful side again after our “mom” phase has passed. I would highly recommend these procedures and Dr Brenner! She has changed my life!


I’m so thankful for Dr. Brenner and her team, especially Stephanie, for their amazing work and communication. I had vaginoplasty and labiaplasty procedures done at her office. At the appointment before, we went over everything to make sure that the end result would be both aesthetically and physically pleasing, and what I wanted. She answered all of my questions and put me at ease about the surgery. The surgery itself was completely pain-free and overall a very good experience. The postoperation office visits were very helpful and informative. I really appreciated being responded back to quickly if I had questions about my healing. Overall I would highly recommend Amy Brenner to any woman who wants or needs a procedure like this!


I just wanted to email you and say thank you for a great experience. You were able to work me in quickly and made an awkward situation very comfortable! Dr Brenner and Stephanie went above and beyond my expectations to make sure I was happy with the end results. I couldn’t be more pleased! I just wanted to let you know how much I appreciate all you did for me.

Watch Video
Our Cosmetic GYN Procedure Suite
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Our Labiaplasty Technique
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Types of Cosmetic GYN Procedures
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Do You Need This Procedure?
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What Type of Anesthesia is Used?
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Dr. Amy Brenner on Local 12 News Cincinnati
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Do We Treat Out-of-Town Patients?
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What Kind of Doctor is Most Qualified to do These Procedures?
It's simple— identify the problem areas of your body and we will recommend the right treatment plan for you.