I WISH SPECIAL OFFER [BOOK NOW]
Restore Comfort. Enhance Confidence. Feel Like Yourself Again.
01
Labiaplasty
Trim · Hybrid · Level 3
02
Clitoral Surgery
Clitoroplasty · Clitoropexy · Hood Reduction
03
Vaginal Surgery
Vaginoplasty · Perineoplasty · Mons Reduction
For many women, enlarged or uneven labia are more than a cosmetic concern. They can affect comfort, confidence, intimacy, exercise, and even the clothes they enjoy wearing.
Whether you've noticed changes after childbirth, aging, weight loss, or simply have always felt self-conscious about your anatomy, labiaplasty can help restore both physical comfort and self-confidence.
At Columbia Shores Regenerative Health, we understand these concerns are deeply personal. Our goal isn't to change who you are—it is to help you feel comfortable in your own body.
As a board-certified gynecologist specializing in women's intimate health and cosmetic gynecology, Dr. Daniel Bahnmiller performs advanced labiaplasty techniques designed to create natural-looking results while preserving sensation and function.


Labiaplasty is a surgical procedure that reshapes or reduces the labia minora (inner vaginal lips).
The procedure can:
Reduce excess tissue
Improve symmetry
Eliminate discomfort
Improve appearance
Enhance confidence
Improve hygiene
Reduce irritation during exercise or intercourse
The goal is never to create a "perfect" appearance.
The goal is to create the anatomy that feels right for you.
Many patients tell us they have spent years thinking they were the only one experiencing these concerns.
Common reasons include:
Pain during exercise
Pulling or twisting during intercourse
Irritation from leggings or swimsuits
Difficulty wearing tight clothing
Recurrent irritation
Hygiene concerns
Changes after childbirth
Age-related changes
Weight loss changes
Congenital asymmetry
Loss of confidence during intimacy
Many women wait years before talking to someone.
We're here to make that conversation comfortable.
You may be a candidate if you experience:
Labia that protrude beyond the outer lips. Some women describe having to “tuck them in.”
One side larger than the other
Pain while cycling, horseback riding or exercising
Discomfort during intercourse
Self-consciousness about appearance, especially in swimsuits or yoga pants
Tissue that twists or gets caught
Changes after childbirth or aging
Our Philosophy

Unlike many cosmetic practices, your surgery is performed by a board-certified gynecologist with advanced fellowship training in female sexual medicine and cosmetic gynecology.
We focus on:
Preserving sensation
Preserving function
Natural proportions
Hidden incisions
Long-term comfort
Individualized surgical planning
No two surgeries are identical because no two women are identical.
Most women request the wedge labiaplasty technique because it:
Preserves the natural edge of the labia
Creates the most natural appearance
Maintains normal pigmentation
Has excellent long-term outcomes
Minimizes visible scarring
For some patients, a “Trime” technique, “Barbie” labiaplasty or a “Hybrid” labiaplasty procedure may be recommended depending on their anatomy, wishes and goals.
Most patients experience:
Days 1–3
Swelling and soreness, well controlled with medications.
Week 1-2
Walking comfortably around the house, most women return to work at this point, but dependent on work.
Weeks 4–6
Resume exercise. Except for heavy lifting and bicycling.
Weeks 6–8
Resume intercourse
Swelling continues improving for several months as tissues soften and heal.
Board-certified gynecologist
Women's intimate health specialist. Fellow of the International Society for the Study of Women’s Sexual Health
Cosmetic gynecology expertise. Diplomate of International Society Cosmetic Gynecology
Advanced surgical techniques. Specialty trained.
Natural-looking results.
Personalized care. Options to meet your wants.
Comprehensive recovery program. Patient’s state very little discomfort during healing due to our specialized treatment protocol.
Over 20 years of gynecologic surgery experience.
Labiaplasty is a surgical procedure that reshapes or reduces the labia minora (inner lips) to relieve discomfort and improve appearance. It's one of the most commonly requested procedures in cosmetic gynecology.
If enlarged or asymmetric labia cause pain, pulling, or irritation in clothing, during exercise, or during intercourse — or if their appearance affects your confidence — labiaplasty may be worth discussing at a consultation. It's a personal decision, not a medical requirement.
The trim technique removes excess tissue along the outer edge, while the wedge technique removes a V-shaped section and preserves the natural edge and color of the labia minora. We prefer the wedge technique for most patients because it maintains a more natural look and optimal sensation.
No, labiaplasty rarely affects sensation. We prefer the wedge technique because it preserves the natural edge of the labia minora, giving the most natural results while maintaining optimal sensation.
With our post-surgery treatment protocol, most patients report very little discomfort and feel comfortable throughout recovery.
Labiaplasty is typically an outpatient procedure completed in about 1 to 2 hours, depending on the technique used and whether it's combined with other procedures.
No, general anesthesia isn't required. We offer oral medication, IV sedation, and general anesthesia. Most women choose oral medication and report very little to no discomfort during the procedure.
Most patients feel comfortable within the first week, with full healing over 4 to 6 weeks. You can start walking shortly after surgery, add light activity within a couple of weeks, and typically return to your normal exercise routine by 4 to 6 weeks.
We recommend waiting 6 to 8 weeks after labiaplasty before resuming vaginal intercourse to allow for complete healing.
You may begin walking shortly after surgery. Light activity is usually possible within a couple of weeks, progressing as you heal based on your post-op evaluation, with a return to full exercise by 4 to 6 weeks.
Incisions are placed along natural tissue lines and typically heal to be very faint and difficult to notice. The wedge technique in particular avoids a visible edge scar by keeping incisions internal to the tissue.
Yes, if you want a vaginoplasty done, we can perform it at the same time as your labiaplasty.
Combining the two procedures won't affect the length or duration of your recovery. You may have some posterior (buttock) pain, for which we provide specific medication.
No. Labia shrinkage during menopause is caused by atrophic changes that occur regardless of labial size or shape. These changes affect your labia either way — the best way to protect against them is to optimize hormones and use preventive therapies for genital health, such as MonaLisa Touch.
If both your labia minora and clitoral hood (or clitoris) are enlarged, it's usually best to treat them surgically together for the most balanced, natural-looking result.
Yes. Labial asymmetry is common, and sometimes only one side needs surgical correction. Your treatment plan depends on the results you're looking for.
No. Labiaplasty has no effect on your risk of bladder or vaginal infections.
The most common reasons include pain from labia being pinched or pulled by clothing or during intercourse, and self-consciousness about appearance that affects sexual confidence or comfort in clothing like bathing suits or workout leggings.
No. Most labiaplasty procedures are performed in-office or in an accredited surgical suite. We can perform it in a hospital operating room on request, but this typically adds cost and time.
Cost depends on the technique used and whether labiaplasty is combined with other procedures, such as vaginoplasty or clitoral hood reduction. We provide a personalized quote after your consultation.
Labiaplasty is typically considered a cosmetic procedure and is not covered by insurance, though we're happy to discuss financing options during your consultation.
There isn't a single ideal age — most patients are adults who have completed puberty and any anticipated childbearing, though this varies by individual. We evaluate candidacy case by case at consultation.
Yes — our goal is always a natural-looking result tailored to your anatomy. Techniques like the wedge method are specifically chosen to preserve natural tissue and color.
Labiaplasty results are generally long-lasting, since the tissue removed does not grow back. Natural aging and hormonal changes can still affect the area over time.
Labiaplasty reshapes the labia minora (inner lips), while labia majora reduction addresses the outer lips. Many patients only need one or the other, but both can be performed together if needed.
Choosing labiaplasty is a personal decision.
We're here to educate—not pressure.
During your consultation, you'll receive a private evaluation, discuss your concerns, learn about treatment options, and receive an individualized surgical plan designed specifically for your anatomy and goals.

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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