Vaginal
Labia Reduction
Hymen Reconstruction
Vaginoplasty
Mons Pubis Liposuction
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PROCEDURE GUIDE
There is a real difference between the way the labia are talked about online and the way patients actually describe what brings them to a consultation. The conversation in our office is rarely about looks alone. Most patients have spent years quietly avoiding certain types of clothing, swimsuits, or activities. They describe pinching pain in tighter pants, friction during cycling or running, and discomfort during sex. They describe the kind of self-consciousness that follows them into intimate moments and stays there. By the time someone books a consultation, the issue has usually been on their mind for a long time.
Labiaplasty is a surgical procedure that reshapes the labia, either the inner labia minora, the outer labia majora, or both, to address physical discomfort and aesthetic concerns. The most common version is labia minora reduction, which removes excess tissue from the inner folds when they protrude beyond the outer labia. Labia majora procedures can either reduce excess skin or restore lost volume in cases of deflation after weight loss or aging. The goal across all of these variations is the same: a result that feels comfortable in everyday life and looks natural enough that no one would know surgery was performed at all.
Most patients seeking labiaplasty are between 25 and 55 years old, though good candidates extend on both sides of that range. Younger patients typically come in because of physical symptoms that have been present since puberty. Older patients more often describe changes after childbirth or during menopause. There is no upper age limit for the procedure, but candidates must be at least 18 and have fully developed anatomy before surgery.
Ideal candidates for labiaplasty are:
In good overall health with no active vulvar or vaginal infections
At a stable weight, ideally within five to ten pounds of their long-term baseline
Not currently pregnant and not planning a pregnancy in the near term, since pregnancy and vaginal delivery can alter results
Non-smokers, or willing to stop smoking at least two weeks before surgery and six weeks after to support healing
Realistic about expectations: labiaplasty addresses size and shape, but it does not change skin tone, texture, or pre-existing pigmentation
Motivated by their own goals rather than pressure from a partner or external source
A note on the last point. We turn away patients who appear to be pursuing surgery for reasons that are not their own. This is one of the few procedures where we feel comfortable saying no even to a healthy candidate. The right time for labiaplasty is when the decision is yours, fully, and the goals you describe in the consultation room match what you want for your own life.
There are two primary techniques used to reduce the labia minora, and the right choice depends on the shape and length of your tissue, the color of the edge, and what you want the final result to look like. Both procedures are performed in a fully accredited surgical facility, typically under local anesthesia with sedation, and usually take between one and two hours.
The trim technique, sometimes called the edge or linear technique, removes the outer edge of the labia along its length. This is the simplest of the two procedures and gives the surgeon the most control when significant length reduction is needed or when the existing edge is darkly pigmented or irregular and the patient wants it removed. The trade-off is that the new edge is created surgically rather than preserving the original, so the natural ruffled or scalloped contour some people have is lost.
The wedge technique removes a V-shaped section from the middle of the labia and rejoins the upper and lower portions. The natural edge is preserved entirely, including its color, texture, and contour. This produces a result that often looks indistinguishable from unoperated tissue. The trade-off is technical: the wedge requires precise approximation of tissue layers to heal cleanly, and a poorly placed wedge can result in notching or wound separation. It is the more demanding of the two procedures and not all surgeons offer it.
During your consultation, we discuss both techniques honestly and recommend the one that fits your anatomy and goals. In some cases, a hybrid approach is used, particularly when the upper portion near the clitoral hood needs different attention than the lower portion.
The labia majora are the outer folds, and they are made up of skin and a layer of fatty tissue. They change over time in two opposite directions. In some patients, the skin loosens and stretches, leaving redundant tissue that bunches in clothing or shows visibly through swimwear. In others, the underlying fat volume decreases due to aging, weight loss, or hormonal change, and the labia majora appears deflated, wrinkled, or sunken. Both can be addressed surgically, but the techniques are very different.
For excess skin, a labia majoraplasty is performed, in which crescent-shaped sections of skin are removed from the inner aspect of each outer labia. The incisions are placed within the natural inner crease where they are concealed, and the underlying tissue is closed in layers to support the contour. This is appropriate for patients who feel the outer labia hang loose or appear redundant, particularly after significant weight loss.
For volume loss, the more common approach is fat grafting. Fat is harvested through a small liposuction cannula from the abdomen, hips, or thighs, processed, and reinjected into the labia majora to restore a fuller, more youthful contour. Hyaluronic acid filler can also be used as a non-surgical alternative for volume restoration. For patients who have both excess skin and volume loss, a combined procedure addresses both concerns in a single recovery.
Labia majora procedures are most often performed alongside labia minora reduction or as part of a more comprehensive vulvar rejuvenation. Recovery is generally similar to labia minora surgery alone, with the main difference being slightly more bruising in the outer tissue.
Liposuction is a key component of many Mommy Makeover procedures, offering a safe and effective way to target and remove stubborn fat deposits that don’t respond to diet or exercise. Even with a healthy lifestyle, many mothers struggle with areas like the abdomen, flanks, hips, thighs, or back, where fat tends to linger after pregnancy. Through precise body sculpting, liposuction enhances your natural curves and restores balance to your figure—helping you feel more confident and comfortable in your post-baby body.
A Butt Lift and Brazilian Butt Lift (BBL) are often included in a Mommy Makeover to restore fuller, rounder buttocks while enhancing overall body balance and contour.
A BBL removes excess skin from the buttocks to tighten and smooth the area, especially in cases of sagging due to weight loss or aging. When combined with fat transfer, unwanted fat is first removed from areas like the abdomen, flanks, or thighs through liposuction, then carefully injected into the buttocks to create a natural, lifted, hourglass shape.
The result: a sculpted waistline, enhanced curves, and a rejuvenated silhouette—all using your body’s own fat.
Breast enhancement is a key part of many Mommy Makeovers and is fully tailored to your post-pregnancy body and goals. The most common approach involves a combination of breast augmentation and lift, though the exact procedure varies for each woman.
Breast Augmentation
This procedure restores or enhances lost volume using either saline or silicone implants, or via fat transfer—using your body’s own fat to naturally increase fullness.
Breast Lift (Mastopexy)
A breast lift addresses sagging by removing loose skin and lifting the breasts to a higher, more youthful position, while also reshaping and firming the breast tissue.
Breast Reduction
Some women experience larger, heavier breasts after pregnancy or breastfeeding. In these cases, a breast reduction may be combined with a lift to relieve discomfort, improve proportions, and restore balance to the upper body.
Whether you want to restore fullness, reduce size, or simply achieve a more lifted and youthful look, your SixSurgery team will customize a breast enhancement plan that aligns with your body and your vision.
Vaginoplasty, also known as vaginal tightening surgery, is designed to restore the tightness, tone, and shape of the vaginal canal—often stretched or weakened by childbirth, aging, or hormonal changes.
This procedure can help improve physical comfort, sexual function, and overall confidence, especially for mothers who feel their vaginal structure has changed significantly over time. By tightening the internal muscles and removing excess tissue, vaginoplasty helps rejuvenate the area and restore a more youthful appearance and feel.
Tummy Tuck
$10,300 to $13,500+ (drain free or with drain)
$13,300 - $18,500 + (extended or vertical)
Liposection
$7,500 + (First Area), + $2,500 – $7,000 (for each additional area)
Breast Lift
$10,600 +
Breast Augmentation
$10,500 + (saline), $12,800 + (silicone)
Thigh Lift
$10,300 to $13,500+
Arm Lift
$ 7300 + (mini), $ 10300 – $ 11 300 + (full), $ 13 000 + (with chest extension)
Brazilian Butt Lift
$13,800 (one area of liposuction) to $24,100 (with lipo360) + of liposuction) to $24,100 (with lipo360) +nded or vertical)
Labia Reduction
$5,500 + (inner), $6,300 + (outer)
One of the key advantages of a Mommy Makeover is that multiple procedures are performed in a single surgery—meaning you only have one recovery period, even though several areas of the body are addressed.
Recovery time varies from woman to woman and depends on factors such as:
Most patients can expect 2–4 weeks of initial downtime, with a gradual return to light activity after that. Full recovery and final results may take several months as swelling subsides and the body continues to heal.
To enhance your comfort and care, our clinic is conveniently located within the Fairmont Royal York Hotel, where you may choose to spend your first night post-surgery (cost not included, subject to availability). Our team will schedule all necessary follow-up visits to closely monitor your healing and ensure optimal results.
A Mommy Makeover is a customized combination of surgical procedures designed to address the physical changes caused by pregnancy, childbirth, and breastfeeding. It focuses on restoring your body’s shape, contour, and confidence. Common procedures include:
Each makeover is tailored to your unique needs and goals.
Have completed your family (no plans for future pregnancies or breastfeeding), as further pregnancies post-Mommy Makeover will undo all the work that has been done.
Are at a stable weight and have maintained it for several months
Are in good overall health and cleared for surgery
Have loose abdominal skin, stretch marks, or sagging due to pregnancy
Struggle with a protruding belly caused by separated abdominal muscles (diastasis recti)
Notice sagging or deflated breasts that no longer look or feel youthful
Experience changes to the labia or vaginal area following childbirth
Persistent pockets of excess fat anywhere on the body
Have stubborn pockets of fat that don’t respond to diet or exercise
Avoid smoking and anti-inflammatory medications (NSAIDs)
Get lab work or medical clearance (as advised)
Fill prescriptions ahead of time
Arrange help at home for the first week
Plan to take time off work and physical activities
Swelling, bruising, and discomfort are normal
Compression garments will help support your body
Prescription medications may be used for pain management
Most patients resume light activities within 2–4 weeks
Strenuous activity or heavy lifting should be avoided for 4–6 weeks
I am 10 months post op, fully healed and the scars are fading Mommy Makeover10 months post-op Dr Jugenburg.
I am a 47 year old mother who has been eating healthy and hitting the gym for many years, everything was toned except my saggy stomach pouch and deflated breastfed breasts.I began to get frustrated because all the hard work I would put in, I felt went to vain and slowly started going to the gym less frequently.
After extensive research, I decided to stop procrastinating and book an appointment with Dr. Jugenburg and his team to get a tummy tuck, lipo on my flanks and a breast augmentation.
I am 10 months post op, fully healed and the scars are fading Mommy Makeover10 months post-op Dr Jugenburg.
I am a 47 year old mother who has been eating healthy and hitting the gym for many years, everything was toned except my saggy stomach pouch and deflated breastfed breasts.
I began to get frustrated because all the hard work I would put in, I felt went to vain and slowly started going to the gym less frequently.
After extensive research, I decided to stop procrastinating and book an appointment with Dr. Jugenburg and his team to get a tummy tuck, lipo on my flanks and a breast augmentation.
