Cosmetic Vaginal Surgery

Currently the majority of Cosmetic Vaginal Surgeries are done by GPs or by Plastic Surgeons and very occasionally by Gynaecologists. Doctor Vadim Mirmilstein does Cosmetic Vaginal Procedures as he believes that Corrective and Cosmetic Procedures on female genital areas should be done by specially trained Gynaecologist. Gynaecologist knows better than any other specialist not only anatomy and functions of the female intimate areas but deals on the daily bases with female genital problems, dysfunctions and diseases and will be able to understand and address your problems in the best possible way.

Dr Vadim Mirmilstein performs a wide range of Cosmetic Vaginal Surgeries. During the consultation Dr Mirmilstein will provide his opinion about requested procedures and suggest the best approach to address your issues and concerns.

You will be fully informed regarding the treatment options and the potential risks and benefits of those procedures.

Dr Vadim Mirmilstein is trained in the field of Cosmetic Vaginal Surgery by one of the best European Cosmetic Gynaecologist Dr Alexandros Barder and certified by European College of Aesthetic Medicine and Surgery.

Treatment options:


Labiaplasty (labioplasty, labia reduction, labial reduction) is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding the human vulva. The size, colour and shape of labia vary significantly, and may change as a result of childbirth, sexual intercourse, aging, and other events. Sometimes the inner labia (labia minora) are too large and/or asymmetrical and this can cause difficulty and discomfort whilst wearing certain clothes and during activities such as sex, cycling horse-riding etc. The appearance itself may be distressing or embarrassing and hypertrophic labia can furthermore result to excessive sweating, and thus contribute to unpleasant smell developing in the sensitive area.

There are two main categories of women seeking cosmetic genital surgery: those with congenital or acquired conditions and those with no underlying conditions who wish to alter the appearance of their genitals because they believe they do not fall within a normal range.

Possible complications like bleeding, infection, cosmetic result is not as expected, etc. will be discussed with your during initial consultation before surgery.

Post-operative pain is minimal, and the woman is usually able to leave hospital the same day.


Labia reduction surgery is relatively contraindicated for the woman who has active gynecological disease, such as an infection or a malignancy and the woman who is unrealistic in her aesthetic goals. The latter should either be counselled or excluded from the surgery.

Labia Minora Labiaplasty

Labia Minora Labiaplasty aims to change the size and shape of labia minora(smaller interior vaginal lips) as well as the removal of dark skin discoloration of the labia, which could be the cause of nuisance and unhappiness for many women.

The most common reasons behind a prospective patient thinking about performing labiaplasty minora are symptoms caused by excessive size (friction and feeling of the genitals) as well as a psychological discomfort (lack of self-confidence or sexual performance due to psychological burdens resulting from “dislike” of the genital appearance.

Labia Majora Surgery (Labia Majora Lifting)

Labia Majora Labiaplasty aims to reduce the size and look of the labia majora (larger, exterior vaginal lips) region, as well as remove excess fat existent in the region, and tighten / lift relaxed skin present there. Excessively sized labia majora can exist due to a variety of factors, such as genetic predisposition, large-scale weight loss, aging or result of childbirth. Another common factor inflicting labia majora hypertrophy is genetic construction and anatomy of the female body, which tends to store amounts of body fat in this particular area.

Labia Majora Augmentation

Labia majora augmentation aims to restore the size and look of the labia majora in cases of hypotrophy of the region. By performing labia majora augmentation some quite impressive results regarding the overall presence of the vaginal area can be achieved. Dr Mirmilstein uses liquid hyaluronic acid to achieve the desired effects. The results of the procedure are temporary, lasting about 12 months on average.

Vaginal Tightening (vaginoplasty)

Women undertake vaginal tightening procedures for a number of reasons, the primary one being to enhance and revitalize sexual experience for themselves and their partners during intercourse. Some of the women have different degree of vaginal and uterine prolapse and urinary incontinence which can be fixed during the vaginal tightening procedure. In the majority of cases vaginoplasty is combined with perineoplasty.

Childbirth can stretch the vagina reducing both tone and strength and usually those symptoms are increasing with age. An overstretched or wide vagina and resulting smoothening may reduce friction and sensation during sex for both partners. Some women also have trouble keeping tampons in place and may encounter gas-like noises during intercourse.

Pelvic Floor Exercises—sometimes referred to as perineal and sphincter re-education—can help improve lost muscle tone while also strengthening the pelvic floor. However, the benefits of exercise are limited, especially for women who have had multiple children.

Anyone who has laxity of the vagina and sex is less satisfying for you or your partner because your vagina feels “loose” or weak is a candidate for this procedure. Vaginoplasty can also be combined to include labiaplasty, hymenoplasty, and G-spot augmentation.

The surgery takes around an hour and will be done under anaesthetic. A section of the vaginal lining is removed, and the muscles repositioned and tightened. Any tissue that may have been stretched or torn during childbirth can also be corrected. The lining of the vagina is stitched with dissolving stitches, and there is absolutely no visible scarring. Results are immediate – your vaginal canal will be narrower and the muscles noticeably tighter.

You’ll feel back to normal within one to three weeks, and can have sex after about six weeks.


Multiple childbirths, episiotomies (an incision in the perineal area allowing the infant to be properly moved and brought to life), other age related factors may destroy or alter a significant portion of tissues in the perineal area, often resulting to problems related to the natural function of the area. A typical side effect may be the gradual relaxation of the perineum muscles, with an increase in vaginal diameter. Furthermore, the skin present in the perineal area may lose its firmness, and the region may become extraordinarily "flexible", to a degree where sexual intercourse is no longer at the same level as it used to be.

Perineoplasty is reconstruction procedure of the perineal area which aims to restore the malformed tissues of the region. Perineoplasty can successfully tighten the area, remove excess of relaxed or folded skin, and strengthen the perineum, thus enhancing sexual gratification as well as day-to-day function.

Quite often the perineoplasty is done together with vaginal tightening.

Hymenoplasty(hymen reconstruction surgery)

The hymenis a membrane which is anatomically positioned close to the entry point of the vagina. It is believed by most scientists that hymen has no known anatomical function whatsoever, but is simply a remnant from the development of the fetus into a girl in the womb. There are arguments that it serves as an infection barrier to the vagina in infancy but this is simply a hypothesis.

Girls or young women who have not yet begun their sexual activity have an intact hymen, in most of the cases. However, there are situations which may lead to an accidental hymen breaking such as during intense physical activities such as exercise, sports, riding a bicycle, etc. A hymen may also break as a result of a severe fall, an injury, using tampons or as a result of masturbation.

Hymenoplasty is the surgical repair of the hymen. Using a surgical technique, the torn edges of the hymen are put back together. If done correctly, to the visible eye, there is no apparent scarring and the hymen appears intact. After this type of hymen surgery and without complication, subsequent intercourse will typically but not always tear the membrane causing pain and bleeding.

There are several reasons why women request a hymenoplasty procedure. These include:

  • Cultural or religious reasons: In some cultures, a woman is physically inspected to make sure the hymen is intact (a sign she is a virgin).
  • As part of the rape, incest, sexual abuse healing process: Some women view this as a way to empower themselves and symbolically restore something that was taken from them.
  • Injury to the hymen prior to marriage: Tampon use, vigorous exercise or sexual intercourse can cause a hymen to rupture.
  • Revirginization: Women who want to give their partner a unique gift.

Whether a hymen was ruptured by sexual intercourse or by physical strain, if you desire hymen repair, then hymenoplasty may be a good option for you.