G- Enhancement

The Gräfenberg spot, more commonly known as the G-spot, is an internal erogenous zone located on the front vaginal wall. There is some controversy about its existence. When stimulated, the G-spot can lead to more intense sexual arousal and stronger orgasms, yet can be difficult for women and their partners to locate and stimulate properly. The G-spot augmentation procedure is a simple injection that enlarges the G-spot for improved sensation without surgery.

Board certified plastic surgeon Dr. Otto Placik is a leading provider of G-spot enhancement for women in the Chicago area. A genital rejuvenation specialist, Dr. Placik has helped thousands of women to feel positive about their bodies and enjoy a more vibrant sex life.

About G-Spot Enhancement

The G-spot is located beneath the surface of the anterior vaginal wall, typically about halfway between the cervix and the pubic bone. Because of its location, this erogenous zone can only be stimulated indirectly through the vaginal wall. This normally occurs during intercourse to some extent, but G-spot augmentation can help those women who desire more sensation, or who want to experience more intense vaginal orgasms.

G-spot augmentation delivers a shot of filler directly to the G-spot, enlarging the erogenous area to about the size of a quarter in diameter and augmenting the thickness as well. In a pilot study, 87 percent of women reported enhanced sexual arousal and gratification following the injection.

G-Spot Enhancement

During your appointment, Dr. Placik will position you in stirrups, similar to getting a Pap smear. Next, he’ll measure exactly where you currently feel the most sensation in your vaginal wall, so he can more precisely target the treatment to your unique anatomy. Finally, the area is numbed with a local anesthetic and Dr. Placik administers the injection. After the treatment, Dr. Placik will ask you to wear a tampon for 4 hours.

The entire appointment generally takes less time than your lunch break, and you can resume sexual activity as soon as the tampon is removed, about 4 hours following your procedure. Results should be immediately noticeable, and can last for several months or more.

G-Spot Enhancement FAQ


The best results from G-spot augmentation are seen in sexually active women who are familiar with their own anatomy and who enjoy G-spot stimulation. Any woman who is interested in more a accessible G-spot or who wants to experience more intense vaginal orgasms may be a good candidate.


Making G-spot stimulation easier by amplifying the G-spot itself can lead to faster arousal and stronger vaginal orgasms. The majority of women who undergo the G-spot augmentation report a more intense sex life after the procedure. If clitoral stimulation is a concern for you as well, Dr. Placik may also recommend clitoral hood reduction to allow easier access to the clitoris during intercourse.


The cost of G-spot enhancement can vary depending whether the procedure is administered on its own or in combination with additional vaginal rejuvenation. G-spot augmentation may also be included as part of a mommy makeover, in which case the total surgical costs would also include the anesthesiologist’s fee and charge for the surgical facility. However, it is often best to defer the injection when sexual activity is permissible and resumed following the more extensive procedures. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


Since you can resume sexual activity just a few hours after your appointment, most women notice results almost immediately. You and your partner should be able to locate your G-spot in a non-aroused state more easily, and notice heightened G-spot stimulation during intercourse along with deeper vaginal orgasms. Although the body naturally absorbs the injected collagen over time, the effects typically last between 3-6 months, with an average of 4 months for most women.


Dr. Placik uses a local anesthetic prior to performing the treatment, so the procedure should be completely painless with a comfort level that’s similar to an annual gynecological exam. There may be slight spotting after your appointment, but this is not normally accompanied by pain or cramping. More time during your appointment will be spent on determining the correct measurements than delivering the injection itself, which only takes a few seconds.


Because a G-spot injection is nonsurgical, the risks are very minimal, and include concerns like itching, irritation or bleeding at the injection site. More serious complications, like urinary tract infections, scarring or lumpiness, are possible but rare.

Dr. Placik is a board certified plastic surgeon in Chicago and an active member of The American Society of Plastic Surgeons. He received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery.

Clitoral Hood Reduction

The clitoris is the most sensitive area of a woman’s body, with over 8000 nerve endings. The visible tip of the clitoris (clitoral glans) is partially covered by the clitoral hood. Although the clitoral hood provides protection, excess hood tissue can interfere with stimulation and make achieving orgasm more difficult.

Clitoral hood reduction permanently removes excess or redundant tissue so the clitoris can be more easily stimulated or accessed during sex. This can help women become aroused and achieve orgasm more quickly. The clitoral hood can also be reduced for aesthetic reasons, often as part of a labiaplasty. It is quite different from a hoodectomy, where all the hood tissue is removed with constant exposure of the clitoris. Clitoral hood reduction has many other names such as a hoodoplasty, hoodotomy, and may be referred to as a clitoroplasty, although this should be distinguished from a clitoropexy or clitoral reduction, which are performed for an excessively large or protruding clitoris.

Genital rejuvenation specialist Dr. Otto Placik is a board-certified plastic surgeon serving Chicago and its suburbs. Dr. Placik is a skilled surgeon who has helped hundreds of women achieve improved sexual confidence through clitoral hood reduction.

About Clitoral Hood Reduction

The sole purpose of the clitoris (sometimes colloquially referred to as the “clit”) is to provide sexual pleasure, and the majority of women cannot climax without clitoral stimulation. However, if the clitoral hood provides too much protective coverage or the excess tissue is so bulky that direct stimulation of the clitoris cannot occur, the feelings of arousal can be greatly diminished. An overly large clitoral hood can also make reaching orgasm more difficult.

During clitoral hood reduction, Dr. Placik uses a meticulous and cautious surgical technique to avoid removing too much tissue that could leave the clitoris overly exposed, a sensation that patients may find too intense. The clitoris itself and surrounding nerves are not touched during the procedure, ensuring that you retain full sensation after surgery.

In most cases, clitoral hood reduction is performed as an outpatient procedure and doesn’t require general anesthesia or a hospital stay. Instead, Dr. Placik prefers using a local anesthetic, sometimes combined with oral sedation. Dr. Placik adopts a delicate approach toward clitoral hood reduction in order to prevent scarring and ensure optimum results.

Patients typically return home the same day as their surgery, although recovery time will vary depending on if other procedures were performed at the same time. It’s common to perform a clitoral hood reduction in combination with other female genital rejuvenation procedures such as labiaplasty or vaginal rejuvenation. Incorporating G-spot enhancement at the same time can help increase internal sexual sensation in addition to the enhanced clitoral stimulation women often experience after clitoral hood reduction.

Clitoral Hood Reduction

Clitoral Hood Reduction FAQ


Women who find that achieving clitoral stimulation is difficult or diminished or who are unhappy with the physical appearance of excess tissue covering their clitoris are usually good candidates for a clitoral hood reduction. It’s also important to have realistic expectations about the procedure, and to be in good general physical and mental health overall.


During your first meeting with Dr. Placik at our office in Chicago or Arlington Heights, you’ll discuss your hopes fur surgery in detail. Dr. Placik will also ask you several questions in order to gain a better understanding of your goals. It’s not uncommon for Dr. Placik to recommend additional procedures that can complement the effects of your clitoral hood reduction either in terms of aesthetics or function.


Costs for clitoral hood reduction will vary depending on the complexity of surgery and whether other procedures are being performed at the same time. The fees include payment to Dr. Placik himself as well as the fee for the surgical facility. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


A clitoral hood reduction can typically be performed in a fairly quick amount of time under a local anesthetic, even when combined with other genital rejuvenation procedures. Because the surgery is relatively simple and the vaginal area has such a robust blood supply, recovery is also reasonably fast for most women. Over-the-counter pain medication can help ease discomfort, especially in combination with ice packs. You can expect some swelling initially, but this should dissipate rapidly. Dr. Placik will give you detailed information about the surgery itself as well as instructions he’ll ask you to follow during your recovery.


The purpose of clitoral hood reduction is to enhance clitoral stimulation during sex by facilitating access. In women for whom aesthetics were a concern prior to surgery, the renewed self-confidence that often arises as a result of clitoral hood reduction can contribute to a more positive sexual relationship as well.


Because clitoral hood reduction is not a complex surgery in the technical sense, the risks of serious side effects during or after the procedure are minimal. Potential risks include those that exist during any surgery such as bleeding or infection. The risks for more serious complications, like numbness or scarring, are possible but rare.

Hymen Repair

The hymen is a thin membrane that partially covers the vaginal opening. In the past, the integrity of a woman’s hymen was used as evidence of her virginity, since the hymen would normally only be broken during her first sexual encounter. However, in this modern age of vigorous exercise and tampons, the hymen may be broken for a number of non-sexual reasons.

Hymen repair, reconstruction or restoration, also known as hymenoplasty or hymenorrhaphy, can restore the hymen to an unbroken state. This procedure can be performed out of respect for religious or cultural influences, or for personal reasons. It’s not uncommon to incorporate hymen repair along with other vaginal rejuvenationprocedures.

Dr. Otto Placik is a female genital rejuvenationspecialist serving Chicago and its suburbs. A board-certified plastic surgeon, Dr. Placik understands the significance that hymen repair and reconstruction can represent, and has helped women feel whole and confident again.

About Hymen Repair and Reconstruction

Virginity used to be the greatest determining factor of a woman’s worth as a new bride. If her sexual history was suspect, the family of the bride could present the sheets from the wedding night to prove their daughter’s innocence, as breaking the hymen typically causes bleeding after intercourse. While today’s women may espouse and assimilate with contemporaneous ideals of female independence and strength, many still value their cultural traditions; there are still many reasons why a woman may prefer an intact hymen for her wedding night, or to restore her hymen for personal reasons.

In the course of the consultation, Dr. Placik discusses the unique considerations of the individual with attention to their specific personal and, perhaps, cultural expectations. Different techniques may be applied depending on the desired outcome and timing. During a standard procedure, Dr. Placik first treats the fragments of the hymen to remove the top layer of tissue through a process called denuding, which allows the membrane edges to heal together after surgery. Next, Dr. Placik gathers together the remnants of the hymen and reattaches them using dissolvable stitches. However, there are a variety of alternative surgical approaches.

Dr. Placik most often performs hymenoplasty as an outpatient procedure, so neither general anesthesia nor a hospital stay is required. Instead, Dr. Placik uses a local anesthetic to ensure that you’re comfortable throughout the surgery, or can offer oral sedation if you prefer. The entire surgery takes just an hour or two.

The actual restoration of the hymen takes place during your recovery, as the body’s natural healing process heals and regrows the reconstructed membrane when a standard procedure is performed. Most patients can resume normal daily activities almost immediately. More vigorous exercise, tampon use and sexual activity should all be abstained during the recommended period. Women can expect sexual intercourse after hymenoplasty to rupture their repaired hymen, often accompanied by some discomfort and spotting or bleeding.

           Hymen Repair & Reconstruction

      Hymen Repair & Reconstruction FAQ

           AM I A CANDIDATE?

 Women who are concerned about the integrity of          their hymen may be good candidates for hymenoplasty. Hymen reconstruction may be performed for societal reasons, as part of the healing process following sexual abuse, to correct an injury to the hymen or as part of “revirginization,” the process of reclaiming a virginal status for yourself or as a symbolic gift for your partner.


Dr. Placik will meet with you at our office in Chicago or Arlington Heights, where you’ll talk about your personal hopes for hymen repair and reconstruction. Dr. Placik will conduct a pelvic exam to determine the best approach to take and discuss your options with you, as well as gain a better understanding of your goals for surgery. Dr. Placik may recommend additional genital rejuvenation procedures if he feels they may better help you meet those goals.


The length of time since your hymen was torn has no bearing on the outcome of your hymenoplasty. Whether your hymen was broken in childhood due to a love for gymnastics or during a sexual encounter as a young adult, Dr. Placik can help recreate a complete hymen again.


Costs for repair or reconstruction of your hymen depend on a number of different factors, including the complexity of the procedure and whether additional surgeries will be performed as well. The total cost will include Dr. Placik’s fee, as well as any payments for the surgical facility or anesthesiologist, if necessary. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


During your hymenoplasty, Dr. Placik will administer a local anesthetic to ensure that you feel comfortable throughout your procedure. The surgery itself is relatively quick, and you can normally return home to begin your recovery as soon as later the same day. You may notice a feeling of tightness or soreness for the first few days, although this is mild for most women. You should refrain from sexual intercourse and tampon use for the recommended period.


The risks associated with hymen repair are considered very minimal, and include discomfort, bleeding or hymen discoloration, premature hymen breakdown or, conversely, a repair that may require surgical release or intervention. The risks for more serious complications, such as hematoma or numbness, are rare but still possible.


The labia are the most visible portion of a woman’s sexual anatomy, so it’s only natural to feel sensitive about their appearance. Labiaplasty is the enhancement or reduction of the inner and/or outer labia (vaginal lips) to create more aesthetic contours that can help you feel more confident in your intimate relationships.

While cosmetic appearance is one of the primary reasons why women seek this procedure (some women may refer to the “camel toe” appearance), other concerns such as visibility or irritation from clothing, interference with sexual intercourse, discomfort with sexual activity, repeated infections, redundant tissues and hygiene issues, and/or diversion of the urinary stream are a few of the other complaints women report.

Dr. Otto Placik is a Chicago labiaplasty specialist and board-certified plastic surgeon serving Chicago and its suburbs who has helped thousands of women like you to feel better about the appearance of their labia. He has likely the greatest experience in the Midwest and has participated in and conducted numerous research studies, performed presentations, written book chapters and attended conferences on this subject. In addition to labiaplasty, Dr. Placik offers a number of other vaginal rejuvenation proceduresthat can help improve the appearance of your vaginal area as well enhance sexual sensation.

About Labiaplasty

More than just cosmetic concern, labia that are asymmetrical or too large can cause discomfort during daily activities like exercising or sexual intercourse. Emotionally, worries over looking “normal” can undermine your self-confidence, especially with regards to sexual relationships. Dr. Placik performs one of the best surgical labiaplasty Chicago has to offer and can improve symmetry and create more discreet contours that are more in line with your cosmetic goals.

Dr. Placik considers the size and shape of the inner and outer labia in relation to each other and the surrounding area to determine the best surgical approach. For example, the outer labia (labia majora) may benefit from fat transfer to add fullness, creating a more proportionate look relative to the inner labia (labia minora). Alternatively, large or redundant labia majora which occur frequently in combination with a prominent mons pubis may create an undesirable fullness or visibility in clothing and may be treated with reduction and/or liposuction. Most commonly, the inner labia are reduced to improve any existing discomfort, or to remove the darkened edges that can become more prominent after pregnancy or with age. It’s very common to include additional genital rejuvenation procedures with a labiaplasty, such as vaginoplasty, clitoral hood reduction and G-spot enhancement.

Labiaplasty is generally performed as an outpatient procedure under local anesthesia or local anesthesia with oral sedation. In some cases, usually if labiaplasty is performed as part of a more extensive procedure such as a mommy makeover, Dr. Placik may recommend general anesthesia. Most women who undergo a labiaplasty alone or in combination with other genital rejuvenation procedures can return home the same day.


Reasons to get Labiaplasty

The reasons to get a labiaplasty usually stem from cosmetic, hygienic, and comfort issues that women experience either due to the aging process, genetics, or other factors. Some of the reasons women choose to undergo a labiaplasty include:


With larger labia there is the potential for chronic discomfort during certain activities such as strenuous exercise, sexual intercourse, or even while walking. Pinching and chafing of the labia during these activities can lead women to seek to have their labia reduced to enhance daily comfort.

Excess labia skin

An excess of labia skin can add discomfort during exercise but can also interfere with intercourse or be a source of embarrassment for some women. Excess labia skin can hang low enough beyond the vulva that they interfere with simple activities such as walking and can prevent women from feeling comfortable while wearing tight-fighting clothes or swimsuits. Having the skin of the labia reduced allows for greater comfort during activities and boosts self-confidence.

Labiaplasty revision

There are also situations where women have undergone a labiaplasty and now require a correction due to unsatisfactory results. Due to Dr. Placik’s vast experience performing labiaplasty procedures he is often sought out to correct surgeries that have been performed by other surgeons. Reasons for a labiplasty revision could be that the results from the initial surgery were uneven or that the patient is unhappy with the results.

A labiaplasty does not only have to involve surgery performed solely on the labia but can include other aspects of the vulva. Such procedures that could be performed during a labiaplasty would be a clitoral hood reduction or liposuction of excess fat on the mons pubis.

Resolving the issues “downstairs” can increase vaginal hygiene and comfort, and it can also help you feel more confident about the appearance of the area, along with all of its intricate and delicate parts.

Recovery from Labiaplasty

Immediately after surgery, you can expect to see some bruising and swelling, both of which should dissipate over the next few weeks. You should be able to resume your normal routine within a few days, and active exercise at 3 weeks, although Dr. Placik recommends waiting at least 6 weeks before engaging in sexual activity.

Labiaplasty FAQ


Labiaplasty is a cosmetic gynecology procedure that can improve the appearance of the inner labia (labia minora, or inner vaginal lips) and/or outer labia (labia majora, or outer vaginal lips) by creating a more proportionate look. While labiaplasty is often used to describe the reduction of elongated inner labia, the procedure can also include enlarging or reducing the outer labia, although this is less common. This is often confused with vaginal rejuvenation which refers to tightening of the vaginal canal.


If you feel self-conscious about the size, shape or appearance of your labia, or notice discomfort during sexual activity or while wearing slim-fitting clothing, you may be a good candidate for labiaplasty. Cosmetic vaginal surgery can help you feel more confident about your appearance by reshaping the contours of your labia for greater comfort and symmetry. The best candidates for labiaplasty are old enough to have fully mature labia, and should be in good mental and physical health overall. Similar to breast reduction surgery, labia reduction may be considered at any time if causing significant discomfort or interference with daily activities.

The best candidates for labiaplasty want to change the size, shape or contours of their external vaginal area. This is often due to physical reasons, like feeling that labia get in the way during normal daily activities like exercise or sexual intercourse. Labiaplasty can also be performed for emotional reasons, such as feeling that the inner labia look overly prominent or the outer labia appear deflated. Concern over a visible “camel toe” is another reason women may consider labiaplasty. Since the labia often change in appearance following pregnancy and childbirth, many women include labiaplasty as part of a mommy makeover.


Most women can return home the same day as their surgery, after which they can expect to rest for the first few days. When privacy is a concern, procedures can be performed under straight local and patients may then drive themselves to and from surgery. However, most women prefer some oral sedation, in which case a driver is required to safely transport patients home. Swelling is normal the first few days, sometimes accompanied by bruising and bleeding. Ice packs and over-the-counter pain medications can help you feel more comfortable. After the first week, you can return to work and regular daily routine, although exercise and sexual intercourse should wait at least 6 weeks.

After surgery, you can expect your genital region to look swollen and feel sore for the first few days. Discomfort can often be alleviated using ice packs and over-the-counter pain medications, although Dr. Placik may prescribe a pain reliever as well. Although you should refrain from vigorous exercise or sexual activity for the first 6 weeks after surgery, you should be able to return to work and your normal routine in about a week.


The costs of your labiaplasty will vary depending on the approach Dr. Placik needs to take during surgery, whether there will be other procedures performed at the same time and a number of other factors. In some cases, insurance may cover all or a portion of the surgery. The total fees include not just Dr. Placik’s surgical fees, but also the cost for the surgical facility and anesthesiologist. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


There are two approaches that can be taken during labiaplasty: the “trim” method or the “wedge” method. Dr. Placik is experienced in both techniques. The trim method is fairly straightforward, and involves a simple trimming away of excess tissue to shorten the labia minora. The wedge method removes a triangular segment of tissue from the middle third of the inner labia instead. There are pros and cons to each technique, so Dr. Placik will go into more detail on your options during your consultation to help you decide which is best for you.

The subject of trim vs. wedge labiaplasty is hotly debated among cosmetic gynecological surgeons.

  • Trim labiaplasty is a relatively simple procedure that removes the outer edge of the labia by trimming the excess away.
  • During the more complex wedge labiaplasty, a V-shaped section of tissue is removed from the middle third of the labia, and then the edges are sutured together.

Although many surgeons currently advocate for wedge labiaplasty, this approach does not address one of the most common cosmetic concerns for many women: the darker labial edge. By fully removing this portion of the labia, trim labiaplasty creates a more uniformly pink edge for a discreet final result.

Both approaches allow for safe, effective reduction of the inner labia in a way that should still preserve sensation. The decision of which surgical technique is best for you often comes down to your anatomy, your personal goals and the recommendation of your surgeon.


Although it’s impossible to perform any surgery without incisions, labiaplasty scars are typically minimal. The initial incisions should heal completely by about the two-week mark, although the scars may appear red or pink for several months. The trim method of labia reduction will leave longer scars than the wedge method but can remove more of the darkened edge. In either case, scars from either surgical approach should fade to nearly invisible with time. To see real patient results look at our Labiaplasty before and after gallery


Dr. Placik performs labiaplasty revisions for “botched” labiaplasty procedures or situations where patients are not happy with the results they have achieved from other surgeons. These procedures are highly customized to the unique situation of the patient, and Dr. Placik will work closely with you so that you can feel confident about your result. Watch our video on labiaplasty revision for more information about arguably the best labiaplasty in the US.


Dr. Placik will cover the possible labiaplasty risks, side effects and potential complications during your initial consultation at our office in Chicago or Arlington Heights to ensure that you completely understand the procedure. Although serious side effects are rare, they are possible, and include concerns such as scarring, infection, changes in sensation and asymmetry.



Because female sexual satisfaction is a complex issue that includes many different factors, labiaplasty can play an important role in improving your sex life, especially when performed with additional genital rejuvenation procedures.

For women who feel frustrated about their labia size detracting from their sexual experience, labiaplasty can correct physical issues to help make intercourse more physically comfortable. Additionally, women who may have previously felt inhibited during sex due to the cosmetic appearance of their labia can find that sex becomes more emotionally enjoyable after surgery.

Frequently, larger inner labia can also mean excess clitoral hood tissue, which can interfere with clitoral stimulation during intercourse. Dr. Placik can combine clitoral hood reduction with labiaplasty to improve sexual sensation.


Typically, insurance companies view labiaplasty as cosmetic and therefore elective, a category that is not covered under most insurance plans. Exceptions may be made in some cases, such as if the surgery is being performed to repair a torn labia or other form of injury or trauma, although this is not common. However, since labiaplasty is usually performed under local anesthesia, the total costs can be kept low. You can also look into cosmetic surgery financing to help make your labiaplasty even more affordable.


Labiaplasty is normally performed as an outpatient procedure using local anesthesia to help you stay comfortable during surgery, which can last an hour or two. The surgery most often includes reducing the size of the inner labia using either the wedge or trim technique. Labiaplasty can also enhance the size of the outer labia using fat transfer (following the same principles as those used in fat transfer breast augmentation). The goal is to improve symmetry and balance for a flattering final result.

Labiaplasty Revision

Time takes a toll on our bodies, including on the genitals. Some women take the step of having a labiaplasty to correct these issues. Sadly, many women are left with a bad outcome, with too much or too little tissue removed, uneven lips, or a vaginal area that appears deformed. These botched surgeries can be surgically corrected, but only a highly-skilled surgeon should perform the corrective surgery.


The labia are the most prominent and visible portion of a woman’s genitals, having the area appear pleasing and “normal” (although every woman is different) is important. Women go to surgeons to correct a range of aesthetic or medical problems, including the following:

  • Reduce the size of the inner labia
  • Reduce the size of the outer labia
  • Reduce both areas
  • To resolve uneven, overlarge labia
  • Create a more youthful appearance to the labia
  • Reduce visibility
  • Address irritation and multiple infections
  • Hygienic concerns
  • Resolve urine stream diversion issues

After surgery is performed, the patient could be shocked – or even horrified – to see the results of the surgery. In these cases, Dr. Placik is known for being particularly skilled in correcting labiaplasty surgeries that have gone terribly wrong.


If you had labiaplasty that was botched, and left you with a look that is distressing, it is important that the surgeon who fixes the problem is highly-skilled and respected as a leader in this type of surgery. Dr. Placik is a highly-trained, Board Certified plastic surgeon, and a speaker and author on the subject of female genital plastic surgery. Much of his practice is devoted to these surgeries, and he is renowned leader in the field. If your labiaplasty surgery left you with a result that was uneven, appears deformed, or other problem, you want a surgeon with this level of skill and knowledge to help.


Unfortunately, certain surgeons may be less than familiar with performing a labiaplasty, and failed to create a natural, pleasing result — or worse. In these cases, the surgical errors can be corrected. The first step is a consultation to determine what needs to be done to bring the genital area back to a natural, pleasing appearance, both balanced, even, and normal.


Dr. Placik has skills and knowledge far above and beyond the ordinary in female genital surgery, as well the processes that are effective in correcting botched genital surgeries. As a researcher, author and speaker on female genital surgery, he is a leader in the field and known throughout the country. He understands that these are very personal issues, and you can be confident that you will be treated with the utmost sensitivity, kindness, compassion, and discretion. The first step is to speak with us to find out more about what can be done to get this very important personal physical issue resolved, and the result you were seeking when you underwent surgery the first time.

Labiaplasty & Mommy Makeover

Pregnancy can affect the body in a number of different ways, both during your pregnancy and following the birth of your child. A mommy makeover is a combination of procedures that work together to address the major appearance concerns most women have after pregnancy, like separated abdominal muscles or loss of breast volume that also may be accompanied by sagging (ptosis). Labiaplasty can be incorporated as part of a mommy makeover as well.

Dr. Otto Placik is a labiaplasty specialist and board-certified plastic surgeon serving Chicago and the surrounding suburbs. His expertise is acknowledged by numerous other professionals via instructional courses, meeting presentations, book chapters, scientific articles, research studies and Assistant Clinical Professor status. By offering a wide range of body contouring and genital rejuvenation procedures, Dr. Placik can work closely with you to develop a mommy makeover plan that helps you meet your cosmetic goals.

About Including Labiaplasty with Mommy Makeovers

While pregnancy itself may only be temporary, some of the physical changes you notice in your body following your pregnancy and after giving birth can be long-term. Although external differences like a gain or loss in breast size, breast sagging or stretched-out skin over the tummy are often the most immediately noticeable, there are more intimate changes that can occur as well, such as those in the vaginal area.

Labioplasty reduces the size of internal labia that have grown longer as a result of pregnancy and childbirth, and can remove the darker edges that may become more prominent after giving birth as well. The outer labia (majora) may lose volume and appear shrunken. This can be treated with volume restoration with fillers or fat injection, or with skin removal for a more taut appearance. Internal changes in vaginal muscle tone can also be corrected as part of a mommy makeover by including vaginoplasty to tighten the vaginal walls and improve sexual sensation for both partners.

Dr. Placik works closely with each patient to discuss your goals and hopes for a mommy makeover so he can be sure that your specific concerns are addressed. Since a mommy makeover isn’t a single procedure but instead includes a combination of surgical and nonsurgical treatments, your mommy makeover is infinitely customizable, and can easily incorporate labiaplasty at the same time.

The specific approach Dr. Placik takes during your mommy makeover depends on which procedures you have scheduled, and recovery time will vary from patient to patient as well. Generally speaking, you should be back to work and your normal daily routine about two weeks after a mommy makeover, with or without including labiaplasty. Sexual activity should wait until Dr. Placik gives the all clear, typically about six months after surgery.

Actual Patient NOT A MODEL

Labiaplasty & Mommy Makeover FAQ


The best candidates for combined mommy makeover plus labiaplasty are interested in regaining their pre-pregnancy figure again. Mommy makeovers primarily include body contouring procedures such as breast implants, breast fat transfer, breast lift, a tummy tuck and liposuction. They also can incorporate vaginal rejuvenation procedures like labiaplasty, vaginoplasty and perineoplasty. If pregnancy and childbirth have affected your sexual response as well, you may also want to also ask Dr. Placik if you could benefit from clitoral hood reduction or G-spot enhancement. If a C-section or episiotomy incision have left you with unacceptable scars, a revision may help improve the appearance.


Neither a mommy makeover nor a labiaplasty will physically affect your ability to carry future healthy pregnancies to term. However, pregnancy can create enough physical changes in your body to potentially compromise the results of your mommy makeover. Normally, Dr. Placik recommends waiting until you’ve completed your family before considering tummy tuck procedures.


Surgical rates vary significantly for mommy makeovers because no two women have exactly the same combination of procedures. The total surgical fees will include payment to the anesthesiologist as well as the surgical center fee, plus Dr. Placik’s surgical fee. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


This answer is different for every woman, and depends on your specific appearance concerns following pregnancy. Labiaplasty itself is often performed in combination with other genital rejuvenation procedures like vaginoplasty and clitoral hood reduction and perineoplasty. As for the mommy makeover, the most commonly included procedures are breast augmentation (with or without a breast lift), a tummy tuck and liposuction. Some women may also include med spa treatments such as BOTOX® Cosmetic or Xeomin® or Dysport® with or without fillers such as Restylane® or JUVÉDERM® to look younger and more refreshed.


Most women are back to work in about 2 to 3 weeks following a mommy makeover, whether or not labiaplasty is included. Adding labiaplasty should not significantly extend your recovery period, although you may notice some localized swelling and soreness in your vaginal area following surgery. Labiaplasty incisions are quite small and are difficult for the untrained eye to see after healing.


Labiaplasty does not significantly increase the risks associated with a mommy makeover. The same side effects are possible after labiaplasty as for any other surgery, such as scarring, bleeding or infection. More serious concerns, like permanent changes in sensation or reactions to anesthesia, are possible side effects but rare.

Labiaplasty & Pregnancy

The body goes through a number of changes during pregnancy and childbirth, including changes to the inner and outer labia. The labia may become larger or develop darker edges, or may stretch or tear during childbirth. In other instances, a surgical incision may be performed (episiotomy) to help control stretching and dilation of the vaginal canal during delivery. Because of these concerns, many women choose to wait until after they’ve completed their family before pursuing labiaplasty or vaginoplasty. However, labiaplasty before pregnancy can help alleviate physical discomfort due to the size or shape of your labia even if you have plans to become pregnant in the future.

Board-certified plastic surgeon Dr. Otto Placik serves Chicago and its suburbs, specializing in labiaplasty and other female genital rejuvenation procedures. Dr. Placik is highly experienced in labial contouring and repair for results that help you feel confident about your vaginal appearance. He has been interviewed, taught other medical professionals, attended numerous conferences, performed multiple presentations, written book chapters and online articles as well as conducted and participated in research studies on this subject.

About Labiaplasty and Pregnancy

Pregnancy can take a heavy physical toll on a woman’s body. While many of the changes associated with having a baby are temporary, others may be permanent. The labia enlarge in response to pregnancy-related hormones, and may also darken, stretch or tear during childbirth. Because of this, labiaplasty is often performed on women who have already given birth, either for cosmetic reasons or to repair damaged tissue.

After pregnancy, other appearance concerns and physical changes can also be addressed through cosmetic gynecology, including vaginal rejuvenation to correct lax musculature in the vaginal wall. It’s common to combine labiaplasty with vaginal rejuvenation either as a separate procedure or as part of a mommy makeover.

Dr. Placik performs labiaplasty to create a more proportionate look, which can be accomplished by reducing the size of the labia minora (inner labia) or reducing/augmenting the size of the labia majora (outer labia). Sometimes a combination of both approaches, with or without a clitoral hood reduction, will deliver the best results. In other instances, a C-section scar (Pfannenstiel incision) may contribute to or cause an undesirable fullness of the mons pubis, which can be treated with scar revision and/or liposuction. Poorly healed episiotomy scars may cause discomfort or an unacceptable appearance, which can be addressed with a perineoplasty in combination with the above procedures.

Labiaplasty is usually performed under local anesthetic, so you can return home the same day of your surgery. Dr. Placik and his staff will give you detailed instructions to follow during your recovery, and you should be back to work within about a week after your procedure.

Labiaplasty and Pregnancy FAQ


The best candidates for labiaplasty notice significant changes in the size, shape or color of their labia following pregnancy or childbirth. Other women may be genetically disposed toward larger labia even before pregnancy. Candidates should be in good general health overall and have realistic expectations about their results, and should not be pregnant at the time of surgery.


Since labiaplasty is primarily a cosmetic procedure, there’s no medical reason you can’t continue having children after an earlier labiaplasty that corrected pregnancy-related changes in your labia. However, you should be aware that future pregnancies could impact the results of your initial surgery.


The cost for labiaplasty will depend on many factors, including whether additional procedures will be performed at the same time. Your total fees will cover the cost of the surgical facility and anesthesiologist as well as Dr. Placik’s fee. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financingto make your procedure even more affordable.


It’s very common to include labiaplasty with additional genital rejuvenation procedures. For example, Dr. Placik may recommend a clitoral hood reduction in combination with an inner labia reduction for a more aesthetic final result. Women who choose labiaplasty to help decrease discomfort during intercourse may also want to heighten sexual sensations with G-spot amplification. Every woman is different, and Dr. Placik will work with you to determine the combination of procedures that will work best to meet your needs.


In general, the labia heal very rapidly and scars should be minimal. You may notice a pinkish or reddish tone to the scars at first, but this should fade over the first several months after surgery to become nearly invisible. Most women feel that the small scars that remain visible after labiaplasty are worth the trade-off for the improvement in physical comfort and self-confidence.


Labiaplasty is not a complex surgery, but there are still risks such as bleeding, infection or scarring to consider. In rare cases, more serious complications like hypersensitivity or loss of sensation at the incision site can occur. Dr. Placik will discuss all of these issues in more detail at your consultation.

Labiaplasty vs. Vaginoplasty

The term “vaginal rejuvenation” is often incorrectly used to refer to a number of different procedures, including both labiaplasty and vaginoplasty. Although these and other genital rejuvenation treatments are complementary and may frequently be performed together, they’re not the same thing.

Dr. Otto Placik is a board-certified plastic surgeon serving Chicago and its suburbs who specializes in external and internal genital rejuvenation, including both labiaplasty and vaginoplasty. By working closely with you from consultation through recovery, Dr. Placik can help you understand which treatments will best help you meet your cosmetic and personal goals.

About Labiaplasty

Labiaplasty is performed to address concerns over the aesthetic appearance of the inner or outer labia, or vaginal lips. Labia that feel or look too large (colloquially known as a “camel toe”) or too small, that interfere with normal sexual intercourse or that become chafed or irritated during daily activities can lead to self-consciousness and physical discomfort.

During labiaplasty, Dr. Placik can reduce the labia minora (inner lips) or reduce/augment the labia majora (outer lips) for a more proportionate look. Women state that Labia reduction can also make sex more pleasurable and help them feel less uncomfortable in slim-fitting clothing like swimsuits. It’s common to include clitoral hood reduction (also referred to as clitoroplasty or hoodotomy or hoodoplasty) with labiaplasty to create a more aesthetic appearance overall.

About Vaginoplasty

Vaginoplasty is primarily used to reduce the size of the vaginal canal. Traditionally, it is not used to treat the external appearance but may reduce the visibility of protruding tissue or a wide opening. It is usually combined with a perineoplasty, which treats the area between the vaginal opening and the anus where scars or widening may result following an episiotomy or tears during delivery. Childbirth and age can both contribute to the vaginal muscles losing strength and tightness, which can diminish sensation and intimate sexual contact or desirable friction during intercourse for both partners. Internal vaginal changes after pregnancy can also lead to embarrassing problems like stress incontinence.

Dr. Placik performs vaginal rejuvenation to repair and tighten the inner vaginal walls to restore normal function. As a result, women can feel more sensation and a greater sense of emotional satisfaction during sex. Including G-spot enhancement can help take these results to the next level.

Labiaplasty vs. Vaginoplasty FAQ


For the most part, women who feel unhappy with the look of their vaginal area are better candidates for labiaplasty, while vaginoplasty is best for those who are more concerned with sexual sensation and improved function. However, labiaplasty vs. vaginoplasty is not an either-or proposition. Both surgeries are extremely complementary and can be performed together for cosmetic improvement as well internal rejuvenation.


At your first meeting, Dr. Placik will ask you about your goals for surgery in order to determine whether a vaginoplasty or labiaplasty (or a combination of both) will better meet your needs. He may also suggest additional procedures if he feels they may further benefit you. During the examination, the different goals which can be achieved with either procedure will be reviewed and demonstrated.


Because genital rejuvenation is so highly customized, the prices vary widely depending on many different considerations. In addition to Dr. Placik’s surgical fee, there’s also the cost of the surgical facility and anesthesiologist’s fee to keep in mind. Costs will also differ for one procedure compared to combined procedures performed at the same time. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


Like other aspects of your surgery, the specific procedural steps Dr. Placik takes will depend on the procedure itself. Most of the time, patients undergoing a labiaplasty are treated with local anesthetic (with or without oral sedation) and don’t require a hospital stay. If a vaginoplasty is planned, this may best be performed under a general anesthetic for overall comfort and to allow a more thorough repair. This procedure also does not typically require a hospital stay. Dr. Placik will explain the entire process before surgery, including very detailed instructions for you to follow during your recovery.


Vaginoplasty is specifically intended to help you feel stronger sensation during intercourse. And, although labiaplasty is primarily cosmetic in nature, many women feel more confident sexually once they’re less self-conscious about the appearance of their vaginal area. Labial reduction can help reduce physical discomfort that can occur during sex as well.


During your consultation at our Chicago or Arlington Heights office, Dr. Placik will go over the potential side effects and risks associated with labiaplasty and/or vaginoplasty. These include the same risks that are associated with any surgery, like bleeding or infection. There is also the possibility for more serious risks such as permanent changes in physical sensation, nerve damage or scarring, although these complications are rare.


The area between the vaginal opening (introitus) and the anus, known as the perineum or by the slang term “taint,” can tear during childbirth or become scarred from a surgical episiotomy or become stretched out as a result of obesity. This can cause lax muscles, a feeling of the introitus being too loose or open, diminished sexual sensation and problems with incontinence or other urogenital concerns. Women commonly report dissatisfaction with the associated protrusion of visible tissue from the vaginal cavity.

Perineoplasty can help resolve aesthetics or functionality relative to the perineum. Although in some ways similar to vaginal rejuvenation, perineoplasty only addresses the skin and muscles that immediately surround the introitus rather than the muscles inside the vaginal canal.

Board certified plastic surgeon Dr. Otto Placik has helped women from Chicago and the surrounding suburbs to feel more confident about the appearance of their vaginal area and improve sexual confidence and sensation. A female genital rejuvenation specialist, Dr. Placik has the right combination of surgical skill and professional discretion to ensure that you feel comfortable from consultation through recovery.

About Perineoplasty

During childbirth, it’s not uncommon for physicians to perform an episiotomy, an incision made through the perineum that temporarily widens the introitus to allow an easier birthing process and preemptively prevent the possibility of a spontaneous tear. Either an episiotomy or a natural tear runs the risk of not healing optimally. Even without tearing, the introitus may be permanently stretched out in the birthing process. Obesity can also weaken, stress or separate the perineal structures. Perineoplasty can help improve the physical appearance of the perineal area as well as tighten the introitus.

When performing perineoplasty, Dr. Placik repairs damage to the perineum, addressing both the upper layers of skin and the lower muscle layers that are most commonly damaged during an episiotomy. Dr. Placik also restores the introitus to its pre-pregnancy state to improve sexual sensation and excise the visible protruding vaginal tissue (hymenal fragments). Perineoplasty may be performed as an isolated procedure or as part of vaginal rejuvenation, in combination with labia reduction or both.


Actual Patient NOT A MODEL

The perineum presents a unique concern for many women, as there may be problems if the introitus is either too loose or too tight; perineoplasty can help with either. A too-tight introitus can lead to dyspareunia (painful sexual intercourse), and can also be a contributing factor to vaginismus, the involuntary contraction of vaginal muscles that prevents penetration. While perineoplasty is most commonly associated with correcting excessive looseness of the introitus, in these cases Dr. Placik may use the procedure to relieve the opposite concern and promote easier, more comfortable intercourse.

Perineoplasty can be performed under local or general anesthesia, depending on Dr. Placik’s recommendation and whether other procedures will be performed at the same time. Most patients are able to return to work and other day-to-day activities after a few days, although you should avoid more strenuous exercise, sexual intercourse and tampon use for about 6 weeks.

Perineoplasty FAQ


If your doctor performed an episiotomy during childbirth, you experienced tearing during delivery or notice significant looseness around your vaginal opening, you may be a candidate for perineoplasty. Many women report dissatisfaction with the appearance of protruding tissue from the introitus. Problems with decreased sexual sensation can also be improved with perineoplasty. Alternatively, perineoplasty may help alleviate the discomfort associated with dyspareunia or vaginismus. However, this is usually performed in combination with botulinum toxin (BOTOX®) injections to diminish the intensity of the accompanying painful muscle spasms.


Excessive laxity or tightness of the introitus can significantly impair your sexual satisfaction, and a perineoplasty is intended to resolve these concerns. Additional procedures, such as G-spot amplification or clitoral hood reduction can also be beneficial for enhancing sexual stimulation and satisfaction.


At our office in Chicago or Arlington Heights, Dr. Placik will discuss your concerns and give you a general physical exam as well as a pelvic exam. From there, you’ll work together to decide the best surgical approach to help you meet your goals. Dr. Placik may also suggest different or further treatments if he feels they may be beneficial.


The total costs for perineoplasty vary widely, depending on many varying factors. In some cases, your health insurance provider may pay for all or a portion of your procedure if your primary doctor determines that a perineoplasty is medically necessary. Surgical fees include Dr. Placik’s fees, the cost of the surgical center and the anesthesiologist fee, if needed. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


A perineoplasty typically takes about an hour, depending on whether other procedures are performed at the same time and which type of anesthesia (local or general) is used. After your procedure, you can expect to feel swollen and sore for the first few days, but most patients are able to return to work in less than a week. Dr. Placik will give you detailed instruction to follow during your recovery to help you feel comfortable. You should be able to return to your normal exercise routine after about 2 weeks, and resume sexual activity 4 weeks later.


There are only negligible risks associated with perineoplasty, including itching, bleeding (which may be exacerbated by walking) vaginal discharge and pain. Other possible risks may occur although this is rare. In the majority of cases, the potential benefits of perineoplasty far outweigh the minimal risks.


A feeling of looseness or decreased sexual pleasure can be a common frustration for women following childbirth, as pregnancy and the birthing process can permanently stretch out the muscles of the vaginal canal. On occasion, this may occur in women without a prior history of childbirth and may be related to chronic pelvic strain associated with constipation or bearing down.

Vaginoplasty, often called vaginaplasty, vaginal rejuvenation or vaginal tightening, is a procedure that repairs lax internal muscles, and may increase sexual pleasure to help you feel like yourself again after pregnancy. For others, the increase in sexual friction achieved through more direct contact of the genitalia during intercourse can enhance one’s feelings of sexual intimacy.

A board-certified plastic surgeon serving Chicago and its suburbs, Dr. Otto Placik is a vaginal rejuvenation specialist whose discreet, professional approach ensures that you feel comfortable from consultation through recovery. Dr. Placik has helped many women feel revitalized through vaginaplasty, and offers a full spectrum of female genital rejuvenation procedures to address any concerns over external aesthetics as well.

Choosing Vaginoplasty from Our Chicago Area Practice

No matter how much joy being a mom can bring to your life, there are a number of physical changes associated with pregnancy and childbirth that may not be quite as welcome as a new baby. Internal changes in sensation or function are among the most upsetting for many women.

Vaginal rejuvenation is a procedure designed to correct the internal differences many women notice following childbirth, like reduced sensation during intercourse. In some instances, combined procedures with other elective procedures such as the mommy makeover may be performed. If improved sexual response is of particular concern, Dr. Placik may also recommend G-spot enhancement for more comprehensive results. Vaginal rejuvenation can also include labiaplastyand perineoplasty to improve the external appearance of your vaginal area as well. This latter procedure can correct the “open” appearance of the vagina that may lead to protrusion of tissue which many women find undesirable. Patients have also desired revision of unacceptable episiotomy scars or tears sustained at the time of delivery.

Vaginaplasty is typically performed as an outpatient procedure using a local anesthetic in combination with oral sedation or a general anesthetic for more extensive repairs, so you can recover at home after surgery. If vaginoplasty is performed with additional procedures, as in the case of a mommy makeover, Dr. Placik may recommend general anesthesia instead.

During vaginal rejuvenation, Dr. Placik uses precise techniques to accomplish the procedure and minimize discomfort. He removes excess tissue and closes the incisions using internal absorbable sutures without mesh. After surgery, you should feel a youthful tightness again along with improved sensation during intercourse for both partners.

Vaginoplasty Chicago


Vaginal Rejuvenation FAQ


If you’ve noticed diminished sensation during sex, or have a persistent feeling of internal looseness, you may be a candidate for vaginoplasty. Vaginoplasty can tighten the internal muscles of the vagina or the vaginal opening itself to decrease the visibility of protruding tissue or an “open” appearance. Women with alteration in their bowel or bladder habits (fecal retention or stress urinary incontinence or leaking) should discuss this with their urogynecologist first as this may require reconstructive procedures.


The price of vaginal rejuvenation varies depending on a number of different factors, such as whether additional genital rejuvenation procedures will be included. Surgical fees include the cost of the operating facility and anesthesiologist fees as well as Dr. Placik’s surgical fee. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.


During your consultation, Dr. Placik will review your relevant past medical history and will talk to you about your hopes for surgery, as well as take time to make sure you understand the benefits and limitations of vaginal rejuvenation. For example, he can explain the difference between a perineoplasty and vaginoplasty using an anterior or posterior repair as well as limitations in altering the external appearance of the vaginal area unless a labiaplasty is included at the same time. During the physical exam, the size and extent of vaginal laxity will be assessed and discussed.


Plan to rest for the first few days after surgery. Stool softeners are highly recommended. You may notice some bruising and swelling, both of which can be alleviated with the use of ice packs or oral medication. Most women return to work and their daily routine after 2 or 3 days, although sexual activity and tampon use should not resume for at least 6 weeks. Specific exercises such as vaginal dilation and scar massage may be instituted during this period. You should also avoid baths, swimming and hot tubs during your recovery period.


While improving your sexual function is a primary goal of vaginal rejuvenation, it’s impossible to predict how different women will respond sexually after surgery. Typically, women report stronger, tighter muscle tone and increased sensation for both them and their partner. The effects of renewed self-confidence after surgery can also be a contributor to an improved sex life after surgery.


Dr. Placik will discuss all potential risks, complications or side effects with you at your initial consultation at our office in Chicago or Arlington Heights. Like any surgery, vaginoplasty carries a low chance of general risks such as bleeding, infection or a reaction to anesthesia. More serious complications are rare but still possible, and include concerns such as permanent changes in sensation.

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