Cosmetic

Gynecologic

Surgery

Precision surgical techniques for women seeking aesthetic refinement, functional correction, or both. Every procedure is performed by Dr. Bahnmiller — a board-certified physician with advanced subspecialty training in cosmetic gynecology.

01

Labiaplasty

Trim · Hybrid · Level 3

02

Clitoral Surgery

Clitoroplasty · Clitoropexy · Hood Reduction

03

Vaginal Surgery

Vaginoplasty · Perineoplasty · Mons Reduction

Procedure 01

Labiaplasty —

Minora & Majora

Labiaplasty addresses enlarged, asymmetric, or uncomfortable labia minora or majora. It is both a functional and aesthetic procedure — alleviating chronic irritation during exercise, discomfort with clothing, and hygiene challenges while achieving a proportionate, refined result. Dr. Bahnmiller offers three distinct techniques depending on your anatomy and goals.

Trim Technique

Removes excess edge tissue in a linear excision — ideal for patients with elongated labial edges and uniform hypertrophy.

Wedge / Hybrid Technique

Preserves the natural labial edge by removing a wedge of interior tissue — maintaining natural contour with reduced scar visibility.

Level 3 / Complex

Reserved for significant hypertrophy, asymmetry, or combined procedures requiring extended surgical planning and precision.

Majora Reduction

Excision of excess labia majora tissue, often following weight loss or postpartum changes — hidden scar in the labial crease.

Majora Augmentation

Fat transfer or filler to restore volume to deflated labia majora — achieving youthful fullness and coverage.

Labia Majora Reduction & Augmentation FAQ ——— Click here to view

Frequently Asked Questions

Labia Majora Reduction

What is labia majora reduction?

Labia majora reduction removes excess skin and fatty tissue from the outer labia to create a smoother, flatter, more proportionate appearance. It's often chosen by patients who feel the outer labia are enlarged or sagging, which can happen with weight changes, aging, or genetics.

Why do patients choose this procedure?

Common reasons include discomfort with clothing or during exercise, self-consciousness about fullness or sagging, or simply wanting the outer and inner labia to look more balanced together. We'll talk through what's bothering you and what result you're hoping for.

How is it different from labia minora reduction (labiaplasty)?

Labiaplasty typically refers to reshaping the inner labia (labia minora), while labia majora reduction addresses the outer folds. Many patients have concerns in both areas, and we can address them together in one surgery if that's the right fit for you.

What does the procedure involve?

The surgeon removes excess skin and, if needed, fatty tissue from the outer labia to create a flatter, smoother contour, typically performed under local, sedation or general anesthesia depending on your case. We'll walk through the specific approach for your anatomy during your consultation.

What is recovery like?

Most patients take about a week off from work and normal activities, with swelling and tenderness improving steadily over the first two weeks. Full healing and clearance for intercourse or strenuous exercise usually takes four to six weeks.

Will there be visible scarring?

Incisions are placed within natural skin folds and typically heal to be very faint and difficult to notice over time. Your surgeon will go over expected healing and scar care specific to your procedure.

Labia Majora Augmentation

What is labia majora augmentation?

Labia majora augmentation adds volume to the outer labia, most often using fat transfer or filler, to correct volume loss, asymmetry, or a deflated appearance. This is a common concern after weight loss, childbirth, or with natural aging.

Is fat transfer permanent?

A portion of transferred fat becomes permanent once it establishes blood supply, though some patients choose a touch-up session for optimal fullness. We'll set realistic expectations with you based on your body and goals.

Is the procedure painful?

Most patients describe mild soreness at both the donor site and the treated area, generally well managed with over-the-counter or prescribed pain relief.

What is recovery like?

Downtime is typically shorter than reduction surgery — most patients return to normal activity within a few days to a week, with final results visible once swelling resolves over four to six weeks.

General Questions

Am I a good candidate?

The best way to know is a private consultation where we examine your anatomy and listen to your goals — whether that means reducing excess tissue, restoring lost volume, or something in between.

Does insurance cover these procedures?

Labia majora reduction and augmentation are considered elective cosmetic procedures and are typically not covered by insurance. Our team can walk you through pricing and financing options.

Can these be combined with other procedures?

Yes — labia majora surgery is frequently combined with labiaplasty, clitoral hood reduction, or vaginoplasty for patients who want a more complete result in a single recovery period.

How do I get started?

Reach out to schedule a private, judgment-free consultation. We'll listen to your concerns, examine your anatomy together, and help you decide on the best path forward for your body and your goals.

This content is for general educational purposes and isn't a substitute for a personalized medical consultation. Individual results vary.

Procedure 02

Clitoral Surgery —

Precision & Function

Clitoral procedures at IWish are among the most specialized surgeries offered. They address aesthetic concerns, functional limitations, and conditions caused by Lichen Sclerosis, GSM atrophy, or congenital variation. Each is performed with extreme anatomical precision to preserve — and often improve — sensation and function.

Clitoroplasty

Surgical reshaping of clitoral tissue — addressing excess prepuce, phimosis, or anatomical irregularity affecting comfort or appearance.

Clitoropexy

Elevation and repositioning of the clitoris displaced by laxity, scarring, or prior surgery — restoring anatomical position and improving sexual response.

Adhesion Release

Surgical release of clitoral adhesions secondary to Lichen Sclerosis or chronic inflammation — restoring mobility, exposure, and sensation.

Congenital / Hormonal

Tailored correction for congenitally enlarged or hormonally enlarged clitoris — performed with specialist-level anatomical expertise.

Procedure 03

Vaginal & Perineal

Surgery

Vaginal and perineal procedures restore structural integrity, tighten lax tissue, and address anatomical changes from childbirth, aging, or prior surgery. Dr. Bahnmiller performs full-depth repairs — not the superficial techniques common to general gynecology — ensuring lasting functional and aesthetic results.

Perineoplasty

Reconstruction of the perineum addressing laxity, scarring, or structural damage from childbirth or episiotomy — restoring the vaginal opening, perineal body, and surrounding tissue.

Vaginoplasty

Full-depth tightening of lax vaginal muscles and removal of excess vaginal skin — narrowing the vaginal canal and opening throughout its entire length.

Mons Reduction

Surgical reduction of excess mons pubis tissue causing a prominent bulge — often combined with liposuction for optimal contouring.

Mons Pubis Reduction FAQ ——— Click here to view

Frequently Asked Questions

What is mons pubis reduction?

Mons pubis reduction, sometimes called a "FUPA reduction," removes excess skin and fatty tissue from the pubic mound to create a flatter, smoother contour. It's often chosen by patients who feel this area doesn't respond to diet or exercise the way the rest of the body does.

Why do patients choose this procedure?

Common reasons include fullness or sagging after weight loss or childbirth, discomfort with certain clothing, or simply wanting a flatter, more proportionate contour. We'll talk through what's bothering you and what outcome you're hoping for.

Am I a good candidate?

Good candidates are generally at or near a stable, healthy weight and have mons fullness that hasn't improved with diet and exercise. If you're planning significant future weight loss or pregnancy, we may recommend waiting — we'll talk through timing during your consultation.

What does the procedure involve?

Depending on your anatomy and goals, treatment may involve liposuction alone to remove excess fat, a skin excision to address sagging, or a combination of both. Your surgeon will recommend the right approach for you after examining the area.

Is mons pubis reduction the same as a tummy tuck?

They can overlap, but they're not the same — a tummy tuck addresses the abdomen, while mons reduction specifically targets the pubic mound. Some patients combine the two for a more complete lower-body result, especially after major weight loss.

Will there be visible scarring?

If skin removal is needed, the incision is typically placed low, along the bikini line, so it's easily hidden by underwear or swimwear. Fat-only cases using liposuction involve only small, virtually unnoticeable incision points.

Is the procedure painful?

Most patients experience soreness and swelling similar to other body contouring procedures, generally well managed with prescribed pain medication and improving over the first one to two weeks.

What is recovery like?

Most patients take about a week off from work, with compression garments worn for several weeks to support healing. Swelling gradually resolves over four to six weeks, with full results settling in around three months.

When will I see final results?

Initial swelling improves over the first few weeks, and final, settled results are typically visible around three months after surgery.

Are results permanent?

Results are long-lasting as long as your weight stays relatively stable, since significant future weight gain can affect the outcome.

Does insurance cover this procedure?

Mons pubis reduction is considered an elective cosmetic procedure and is typically not covered by insurance. Our team can walk you through pricing and financing options.

How do I get started?

Reach out to schedule a private, judgment-free consultation. We'll examine the area together, listen to your goals, and help you decide on the best approach for your body.

This content is for general educational purposes and isn't a substitute for a personalized medical consultation. Individual results vary.

Am I a Candidate?

Good Candidates for

Cosmetic Gynecologic Surgery

Experiencing Functional Discomfort

Chronic irritation, chafing during exercise, discomfort with clothing, or hygiene challenges caused by anatomical irregularity — each addressable with precision surgery.

Post-Childbirth Structural Changes

Laxity, tearing, scarring, or anatomical changes following vaginal delivery that affect comfort, function, or self-image — restorable through perineoplasty or vaginoplasty.

Seeking Aesthetic Refinement

Women who are bothered by the appearance of their intimate anatomy — regardless of functional symptoms — are valid surgical candidates deserving non-judgmental, specialist-level care.

"Every technique is chosen based on your anatomy, not a preference list. Precision is not optional here — it's the standard."

Dr. Daniel Bahnmiller, DO · IWish at CSRH

Ready for a

Surgical Consultation?

Your consultation includes a full anatomical evaluation, a review of all appropriate techniques, and a personalized surgical plan.

Institute for Women's Intimate Surgery & Health

Expertise in Intimate Wellness & Surgical Precision.

Dr. Daniel Bahnmiller, DO

Women's Intimate Health & Cosmetic

Gynecologic Surgeon

Founder, IWish at CSRH

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