Category Archives: Labiaplasty

Vaginoplasty and Labiaplasty –

Vaginoplasty is a procedure that aims to “tighten up” a vagina that’s become slack or loose from vaginal childbirth or aging. Some surgeons claim it can even improve sensitivity — a claim the American College of Obstetricians and Gynecologists (ACOG) has strongly challenged.

While it’s true that vaginal tissues can stretch, surgically tightening the vaginal tissue in itself cannot guarantee a heightened sexual response, since desire, arousal, and orgasm are complex, highly personal responses, conditioned as much by emotional, spiritual, and interpersonal factors as aesthetic ones. In addition, sexual “sensitivity” doesn’t automatically lead to more pleasure – it can actually lead to pain.

Labiaplasty, plastic surgery on the labia (the lips” surrounding the vagina), can be performed alone or with vaginoplasty. Surgery can be performed on the labia major (the larger, outer vaginal lips), or the labia minor (the smaller, inner vaginal lips). Labiaplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them.

In order to decide if you should consider vaginoplasty or labiaplasty, its important to understand the difference between reconstructive surgery and cosmetic surgery.

Reconstructive surgery improves the function of a body part, while cosmetic surgery changes the aesthetics of essentially normal anatomy. You can think of it like a nose job: a surgeon can restructure the interior nasal cavities to help you breathe better or reshape the nose, just for the sake of appearances.

It’s a critical distinction, because the American College of Obstetricians and Gynecologists evaluates surgeries and outcomes to fix functional problems, such as urinary incontinence. But ACOG remains skeptical and cautious about cosmetic vaginal surgery due to its risks and lack of scientific data on safety and effectiveness.

Some vaginoplasty procedures, for instance, were originally developed as reconstructive surgeries to repair birth defects when the vagina was malformed, too short, or absent (such as in vaginal agensis), so that a girl could grow up to have normal urination, menstruation, and intercourse.

More recently, vaginoplasty has grown into a group of cosmetic surgeries marketed as “vaginal rejuvenation” and “designer vagina” procedures. Plastic surgeons and gynecologists are marketing their own array of designer vaginoplasty surgeries, claiming the same benefits to women as with other cosmetic surgeries, such as beauty, self-esteem, and confidence.

In fact, says ACOG, women’s genitals naturally have a wide range of normal appearances that are anatomically correct. There’s no one “look” or right way for a vagina and labia to be formed.

Recently, laser technology has been introduced by some surgeons for “vaginal rejuvenation” and other vaginal surgeries to replace the traditional scalpel.

Individual doctors who are members of the American Society of Plastic Surgery (ASPS) offer various “vaginal rejuvenation” procedures, but the ASPS itself does not endorse particular surgeries and cautions that “vaginal rejuvenation” surgery may need further scientific study to determine efficacy and success. None of the cosmetic vaginoplasty surgeries are considered accepted, routine procedures by ACOG.

Here are some examples of “vaginal rejuvenation” and “designer vagina” procedures:

“Revirgination.” The hymen, the thin tissue at the entrance to the vagina, normally “breaks” the first time a woman has intercourse. A surgery called a hymenoplasty repairs the hymen to mimic its original, virginal state, before a woman was sexually active. Because of the strong religious convictions surrounding the importance of virginity in some cultures, this is among the most controversial of cosmetic vaginal surgeries.

Clitoral unhooding. Some surgeons are marketing a procedure called clitoral unhooding, which removes the tissue that normally covers the clitoris.

G-spot amplification. The front wall of the vagina, some experts believe, holds the highly erotic G-spot, an especially sensitive stimulation site for female arousal and orgasm. The G-spot amplification procedure involves injecting collagen into the front wall of the vagina, theoretically to increase pleasure.

Women’s long-term satisfaction and complication rates from vaginoplasty and labiaplasty have not been tracked. Further, because these surgeries have not been evaluated in peer-reviewed medical journals the way other surgeries have been — some procedures are proprietary and trademarked — ACOG considers them “unproven.”

The risks of vaginal cosmetic surgery include:

The best advice for women considering vaginal surgery: talk openly with your doctor about your feelings and concerns about your genitals, as well as your expectations for surgery and any possible non-surgical options. Targeted Kegel-like exercises can tone weak, loose vaginal muscles, for instance, and enhance sexual arousal; and counseling can address issues of sexual self-esteem and confidence.

Some questions to ask your surgeon include:

Most health insurance plans don’t cover vaginoplasty, labiaplasty, or other plastic surgery that’s elective rather than medically necessary. Only occasionally, according to ACOG, is labiaplasty medically necessary, such as with labia hypertrophy (overgrowth) caused by excess testosterone, congenital conditions, or chronic irritation.


American Urological Association Foundation: “Vaginal Anomalies.”

American College of Obstetricians and Gynecologists: “ACOG Committee Opinion No. 378: Vaginal ‘rejuvenation’ and cosmetic vaginal procedures.”

News Release: “ACOG Advises against Cosmetic Vaginal Procedures.”

American Society of Plastic Surgeons: “Vaginal Rejuvenation.”

The Times of London: “Like a Virgin.”

The Wall Street Journal: “Genital Procedure Draws Warning.”

Vaginoplasty and Labiaplasty –

Florida Labiaplasty & Vaginoplasty | Dana Goldberg MD

With one of the best female plastic surgeons in Florida, its easy to see why we’ve become a leader in labiaplasty surgery.We see many patients who feel self-conscious about an enlarged or asymmetriclabia. Somehave discomfortrelated to an enlarged labia that make it difficult to wear tight pants, exercise, ridea bike, or enjoy intercourse. Otherpatients experiencevaginal looseness as a result of childbearing, trauma, or aging. There may be a loss of muscle tone and stretching of the vaginal opening, which may interfere with sexual relations.

Fortunatley,labiaplastyand clitoral hood reductionsurgery can improve both the appearance and symptoms related due to over-sized or asymmetriclabiaor clitoral hood, and vaginal rejuvenation surgery or lasercan tighten the vaginal walls and opening.

Our patients are often excited to find out that clitoral hood reduction andLabiaplasty surgeriesare usually done in the office with oral medication to manage discomfort and anxiety if needed. Becauseoral sedation is used,labiaplasty surgery costs can be far lower than labiaplasty surgery isperformed under general anesthesia.Vaginal rejuvenation surgery can often be achieved with non surgical or office based surigical tightening. However, full tightening of the vaginal canal usually done at an outpatient surgery center under general anesthesia or IV sedation.

After labiaplasty surgery or clitoral hood reduction, there will be discomfort and swelling for 1-2 weeks, which is controlled with prescription pain medication. This is similar to recovering from an episiotomy. Depending on your job you may be able to go back to work in as few as two of three days. Stitches dissolve on their own within a few weeks after labia reduction or clitoral hood lift surgery. You should also refrain from resuming strenuous activities for 4-6 weeks after labiaplasty or clit hood reduction surgery. The final result is seen as early as 6 weeks, although for some patients it can take 2-3 months for swelling to resolve.

Some women are born with an enlarged labia minora (inner lips) or labia majora (outer lips), and somenotie a change in the size, shape, or color of thelabia after childbirth, trauma, or with aging. We often see patients who experience embarrassment and discomfort in tight clothing, with exercise, and with sexual intercourse.

Dr. Dana uses labiaplasty surgery to reduce the size of the labia to alleviate discomfort and improve the appearance of the labia. The labiaplasty surgery can be extended to the clitoral hood to provide a clitoral hood lift without a change to the nerves using techniques designed to produce minimal scarring. In most cases, the scars cannot even be seen after 4-6 weeks. You will likely have swelling and discomfort for a few days to weeks after labia or vaginal rejuvenation surgery.

Surgical tightening of the muscles near the entrance of the vagina (called the introitus) can often be done in the office with similar recoery to labiaplasty. This can help women whose muscles have been injured in childbirth leading to a weak or widened vaginal opening. Other patients experience stretching and weakness of the entire vaginal canal, which can be tightened with a surgery under general anesthesia.

Our Femtouch laser isan alternative to surgery for some patients and can be used in addition to surgery for others to maximize reuslts. Laser stimulates collagen and improves blood flow to the vaginal lining, which can improve vaginal atrophy. It can also improve the texture and color of the labia minora or majora.Our patients have seen improvements in vaginal tightness and an improvementin incontinence,although severe cases might require more invasive treatments. Patients also notice a significant improvement in symptoms of vaginal atrophy, like improved moisture and decreased discomfort with intercourse.The laser treatment involves a ten minute in office procedure with no time needed off work and only 2-3 days avoidance of intercourse. Most patients have 2-3 treatments about 1-2 months apart and then maintain with a yearly treatment.

Any surgery, including vaginal surgery, labia surgery, and clitoral hood reduction surgeies carry a risk of infection or bleeding. Serious infection and bleeding are extremely rare with labiaplasty and clitoral hood reductions. Additional risks with include asymmetry, delayed wound healing, injury to nerves and blood vessels, injury to the colon (with vaginoplasty), and excessive scarring. Internal vaginal laser has been associated with temporary discomfort but not with more serious complications.

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Florida Labiaplasty & Vaginoplasty | Dana Goldberg MD

What is a labiaplasty? | Vaginal Rejuvenation | ASPS

The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia.

Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness.

The goal of the procedure is to reduce the labia minora so that they don’t hang below the hair-bearing labia majora. A labiaplasty may be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit.

The average cost of a labiaplasty is $2,730, according to 2016 statistics from the American Society of Plastic Surgeons.

Labiaplasty is a procedure that can be done under either local anesthesia with oral sedation or under general anesthesia.

The most common type of labiaplasty is the trim procedure, in which the extra tissue is removed and sewn up directly. Next in popularity is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been removed. Extra folds of the clitoral hood can also be reduced at the same time. Closure is usually done with absorbable sutures.

The risks associated with labiaplasty include those of most surgical procedures, including bleeding, hematoma and infection. The most common complication is over-resection. While some women desire an aggressive reduction, this can result in chronic dryness, scarring at or near the vaginal opening and pain with intercourse. Healing problems are more likely to occur with a wedge procedure, particularly if the patient is exposed to substances that cause blood vessels to shrink.

Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.

Patients can resume wearing tampons or having intercourse after four to six weeks. Trim labiaplasty generally allows for a quicker recovery.

While the most distorting swelling is gone by 6 weeks, residual swelling may take six months to disappear.

Labiaplasty typically results in shorter labia that no longer hang down below the level of the hair-bearing labia majora. Most patients who experienced symptoms from twisting and tugging of their labia generally find relief after surgery. According to multiple studies, labiaplasty surgery is associated with a high satisfaction rate of over 90 percent.

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What is a labiaplasty? | Vaginal Rejuvenation | ASPS

Labiaplasty: Understanding why women have cosmetic surgery on their vulva – ABC Online

From a young age, Sally* felt there was something wrong with her body.

It started when she went through puberty. She developed the view that her genitals weren’t normal.

She became convinced that her labia, the folds of skin or lips that surround the vaginal opening, weren’t like other girls. She was convinced that they were bigger and more asymmetrical.

The images of women’s vulvas that Sally was exposed to, in sex ed classes and on the internet, didn’t help.

“From a young age, I experienced what porn was like, so I just didn’t understand how or what the average vagina should look like. I just didn’t feel like mine was normal,” she said.

But it wasn’t just Sally’s confidence and self-esteem that were affected. Her labia caused her physical discomfort too.

“I was very athletic and I used to do a lot of running. Pants sit high on the crotch for women, so there was a lot of rubbing which would leave my vulva quite tender and quite sore,” she said.

When Sally became sexually active, her anxiety about her genitals affected her confidence with sexual partners.

“My mind would constantly be fixated on the issue … it was really difficult to relax and sort of enjoy nice moments,” she said.

“I never received any negative comments from partners. It was always a positive thing and it was never an issue with them.

“But with my mind already made up, it was really difficult for me to sort of accept that it was okay and that I shouldn’t have to worry about it.”

Sally’s belief that there was something “wrong” was made worse by the fact that there was no-one for her to talk to.

“It was something that women don’t really bring up, and it wasn’t something that I was comfortable bringing up in front of other women [either],” she said.

Eventually she went to the internet looking for answers, and that’s when she found out about labiaplasty.

Research suggests Sally’s experience of not feeling normal is increasingly common.

Last year, a study published in the British Medical Journal (BMJ) found a growing number of doctors had received requests from girls younger than 18 for cosmetic surgery on their labias.

Dr Magdalena Simonis from the University of Melbourne, the study’s lead author, says she has had girls as young as 10 coming to see her with their mothers.

“You sort of wonder where that concern comes from because mothers can often compare what they see of their daughters with what they have seen of themselves,” she said.

“But children will often go through certain growth spurts and the genital tissue might look more prominent in a 10 or 12-year-old. As the rest of the body grows, [it] balances out the appearance.”

Dr Simonis says the way we talk to children about their bodies, in particular their genitals, as they go through puberty, is problematic.

“Girls often grow up thinking that the entire area, the vulva, is called a vagina and that’s incorrect,” she said.

“The vagina is actually just a very distinct orifice and the other parts are very important in the sexual responsiveness and also in lubrication … they’re developed for a purpose.”

And it’s not just younger women caught up in genital anxiety.

Ninety-seven per cent of GPs surveyed in the BMJ study reported women of all ages had expressed concern about their genitals and whether they were normal.

When their doctors examined them, they found “they were perfectly normal or fitted within a range that is representative of the diversity that exists”.

Labiaplasty in Australia

Women choose to have labiaplasty for a number of reasons.

Most women say it’s because they don’t like the appearance of their labia. Some say they are motivated by functional reasons, such as discomfort during sex or while wearing tight clothing. Others, like Sally, say it’s a combination of both.

When it comes to concerns about genital appearance, experts say that what we see in the media particularly in pornography is one reason for growing genital dissatisfaction.

In Australia, protruding inner labia are considered too explicit to be shown to M15+ audiences. This means women’s genitals are often airbrushed to a single crease (so they are hidden behind the outer labia), or else publishers are hit with a R18+ classification.

This is to fit with Australian Classification Guidelines, which state: “Realistic depictions of sexualised nudity should not be high in impact. Realistic depictions may contain discreet genital detail but there should be no genital emphasis.”

It’s not just how female genitals are shown naked, either. An analysis of women’s magazines found the female pubic area (when shown in underwear, swimming costumes or gym wear) is “usually obscured in some way” or represented as a “smooth curve”.

These images and the failure to depict a broad range of labia size may be promoting an unrealistic genital ideal, and setting women up to dislike the way they naturally look.

As well, Dr Simonis says the trend to remove pubic hair means women’s vulvas are more exposed than they were in previous decades.

“Brazilian waxes have actually exposed an area that has traditionally been either mysterious or has had negative sort of values ascribed to it,” she said.

“When they see this tissue, it’s new to them, so there’s ignorance, there’s sometimes alarm and sometimes disgust as a consequence.”

Research has also shown that derogatory comments from other people can be a motivating factor for women seeking labiaplasty.

A 2016 study found some women elected to have the surgery because of negative comments made to them about their genitals from a former sexual partner causing long-term psychological distress.

Sally underwent labiaplasty surgery earlier this year and says she’s now more confident in herself and her sexuality.

“I’m more comfortable now being exposed with my partner. I feel like it generally looks a lot better and it definitely feels a lot better more comfortable,” she said.

Indeed, research shows most women who have the surgery are, by and large, very satisfied with the appearance of their genitals after surgery.

But labiaplasty is often advertised as a way for women to restore self-confidence and even improve sexual relationships.

Research shows that this is not always the case: women’s overall psychological and sexual wellbeing does not improve.

In 2015, the Royal Australian College of General Practitioners (RACGP) introduced world-first guidelines to assist GPs and other health professionals navigate women’s concerns about their genital appearance.

The guidelines stress that women’s motivations for seeking surgery should be thoroughly examined, and that they should be informed of the serious risks involved including infection, scarring, bleeding, and loss of sensation, particularly during sex.

There is also the recommendation that these women be educated about female genital anatomy and reassured that there is a wide range of normal labial appearances.

While this approach may dissuade some women from undergoing labiaplasty, interviews with women who have had the surgery suggest they were aware they fell within the “normal” range and that this did not dissuade them.

“If they know it’s what they want, they should do it with no doubt. I feel as though it’s your body, so make a decision that’s going to be best for yourself,” Sally said.

“But if a woman feels like she has to have it for her partner or for anyone else other than herself, I think that’s all the wrong reasons to get it done.”

Sally agrees with Dr Simonis that women would benefit from being more aware of genital diversity, including labia size and shape.

Dr Simonis says parents and teachers needed to “use correct terminology” when teaching children about genital anatomy.

“We need to explain that there are different parts we need to explain that this is all normal,” she said.

Sally says better education might help us all to embrace our bodies for what they are.

“I guess if I had had that sort of exposure, I would have been more accepting and more open to feeling a lot more confident and comfortable in my body,” she said.

*Sally’s name has been changed.

Dr Gemma Sharp is a clinical psychologist registrar and psychological researcher at Curtin University. She is also one of RN’s Top 5 Under 40 scientists.

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Labiaplasty: Understanding why women have cosmetic surgery on their vulva – ABC Online

Women being ‘upsold’ into labiaplasty by cosmetic clinics, say health experts – Esperance Express

Women are being ‘upsold’ invasive genital surgeries by unscrupulous cosmetic clinics that do not properly inform them about the risks, or whether the surgery might be unnecessary, experts say.

Doctors are now advised to give women seeking genital surgery a mirror, and a lesson on just how much variation there is among women. Photo: Fairax Photographic, 1959

Doctors are now advised to give women seeking genital surgery a mirror, and a lesson on just how much variation there is among women. Photo: Louie Douvis

Women are being “upsold”invasive genital surgeries by unscrupulous cosmetic clinics that do not properly inform them about the risks, or whether the surgery is even necessary, health experts say.

While data showspublic health authorities have managed tolowerrates of publiclyfundedlabiaplasty, which involves cutting away parts of the labia minora, the private sector is still a”wild west”, according to clinicians working in the area.

The Royal College of General Practitioners in Julyreleased a new guide for doctors on treating patients who request genital surgery, including recommending that they be directed to images of female genitalia that have not been digitally altered, such asthe online databaseThe Labia Library(note: link contains images of labia).

It also warnspurely cosmetic female genital surgery could actually fit the legal criteria for female genital mutilation, areligious and cultural practice among some groups that is banned across Australia.

Medicare data shows a 28 per cent decline in the number ofsubsidised labiaplasties in the past financial year, after new rules were put in place to ensure women were not undergoing the procedure unnecessarily.

Women who apply to have publicly fundedlabiaplasty must now provide an expert review panel with photographs of their genitalia, so they can be assessed for unusual physical symptoms that need repair, or told that they fall within the range of normal variation.

Magdalena Simonis, who wrote the college guidelines, said publicly funded genital surgery was just “the tip of the iceberg”.

“Private cosmetic surgeons don’t need to list their data and they don’t,” she said. “There are some plastic surgeons who say they see 100 patients a year, but then there are big cosmetic franchises who say they are doing thousands.”

While plastic surgeons must undergo years of training to qualify, cosmetic procures are less regulated and may be done by practitioners with varying levels of training and expertise.

Dr Simonis said it was questionable whether all women undergoing genital surgery were actually being given the information about the range of appearances that were normal, and the risks of surgery, which they needed to give informed consent.

“If she doesn’t get that information from her doctor, she’s going to get it from the internet.”

In some cases, women were being pressured into more extensive surgery to the clitoral hood because doctors had removed so much of their labia that they needed to “balance”out the other areas.

“Some of the clinicians that are performing these surgeries are not acting in the best interests of patients,” she said.

Frances D’Arcy-Tehan, a counselling psychologist and clinical sexologist who is completing a PhD at the University of Sydney on genital perceptions and surgery among Australian women, said it was strange that female genital mutilation was banned, but genital cutting was OKfor “Susie from North Sydney”.

“I don’t think women here are really getting the full story,” she said. “This [surgery] is still for cultural reasons, but it’s just for an ideal image [rather than religion].”

She said many patients were not warned that cutting their labia could reduce sexual functioning.

“The labia minora is a highly erotic and sensitive tissue and it’s important for arousal,” she said. “It’s normal to have protrusion and when you are aroused, it actually gets engorged”.

Ms D’Arcy-Tehan said the surgery industry was a “wild west” and there were anecdotal reports of women seeking repairs for botched treatment.

She said women might seek the surgery so they could participate in transient fashion trends for tight clothes or small bikinis, because they had removed their pubic hair and were uncomfortable with the sight of their labia, or because they or their partner had only seen highly stylised labia depicted in pornography.

“One study found about 30 per cent of women who had labiaplasty were teased by their boyfriend about the appearance of their labia,” she said.

Monash University is currently undertaking a study about men and women’s attitudes to women’s genitals in Australia. You can participatehere.

The story Women being ‘upsold’ into labiaplasty by cosmetic clinics, say health experts first appeared on The Sydney Morning Herald.

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Women being ‘upsold’ into labiaplasty by cosmetic clinics, say health experts – Esperance Express

Lodi cosmetic surgeon stripped of license over sexual allegations, DUIs – Stockton Record

Almendra Carpizo Record Staff Writer @AlmendraCarpizo

LODI A Lodi physician had his license to practice medicine revoked after allegations of sexual exploitation and negligence surfaced.

The Medical Board of Californias decision to revoke the license of Dr. Gordon Bruce Roget went into effect June 30, 2017, after investigating complaints and alcohol-related arrests.

The board initially ordered an interim suspension on Jan. 30.

Roget could not be reached for comment. A telephone number listed for his practice was no longer in service.

The states Medical Board alleges Roget sexually exploited and engaged in sexual misconduct with two patients, engaged in gross negligence, failed to maintain adequate records and was convicted of driving under the influence of alcohol.

Roget, 68, was issued his license in September 1979 and had most recently operated a cosmetic surgery practice at 510 Fairmont Ave., according to online records. He also worked as an obstetrician and gynecologist. He received his medical degree from the University of Lausanne in Switzerland, completed an internship at the University of Iowa Hospital & Clinics and his residency at San Joaquin General Hospital.

The board noted one of the incidents is a Feb. 25, 2016, labiaplasty procedure, where the patient reported that while Roget made incisions to her vagina he stopped and placed two fingers inside of her and stroked back and forth.

When the woman asked what that was for, he reportedly smiled and replied, You didnt like it? according to public documents.

The woman, who was not identified, alleges she told Roget his actions had nothing to do with the procedure, which caused him to get angry and leave the room. She then said she heard him making unusual noises in a nearby room. According to the board, when Roget returned to the room he resumed cutting the womans labia in an aggressive manner before telling her he was not going to complete the procedure. When the woman begged him to finish the labiaplasty, he reportedly refused and called her an ungrateful (expletive).

She alleges Roget watched her get dressed and did not provide her any covering for the incisions or care instructions for her procedure. The patient reported the incident to the Lodi Police Department, who had him recorded on audio inviting her to Las Vegas and Maine, as well as describing the size of his genitalia.

The board enlisted Dr. Debra Johnson, a board-certified plastic surgeon, for an expert opinion and she stated protocol required a female chaperone be present when its an intimate exam between a female patient and a male physician. Johnson also said there was absolutely no reason for Roget to insert his fingers into the patients vagina.

In its decision, the states Medical Board also cited Rogets sexual relationship with another patient, his failure to document treatments, and his admittance of making his own sterile saline solution by using salt he bought online and distilled water, which he boiled at home and would take to his office.

Roget was also arrested for two alcohol-related incidents in Lodi.

On Aug. 18, 2016, the Lodi Police Department arrested Roget on suspicion of public intoxication after he parked his Jeep in traffic, got out of the car, fell and then crawled toward another car in an attempt to get in. Then on Aug. 31, 2016, Lodi police officers found Roget inside his vehicle, which was stopped on the roadway. He reportedly had his pants unzipped with his penis exposed and smelled of alcohol and urine, police said.

Police reported Roget had a blood alcohol content of .28.

When all the evidence is considered, on order to adequately protect the public, health, welfare, and safety, (Rogets) license must be revoked, the Medical Board of California stated in its decision.

Contact reporter Almendra Carpizo at (209) 546-8264 or Follow her on Twitter @AlmendraCarpizo.

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Lodi cosmetic surgeon stripped of license over sexual allegations, DUIs – Stockton Record

It Happened to Me: I Had Labiaplasty Surgery

When I told people I wanted labiaplasty surgery, the usual response was, What’s that?!

Well, I explained, it’s basically when they chop your inner labia off. Sounds fun, right?

This of course prompted terrified faces, and the expected, Why the hell would you do that?

As much as I tried to explain why this was necessary for me, most people were confused, horrified, and put off by the subject. It was unfathomable. It was obviously unnecessary. I was crazy.

Ever since I was 11 or 12, my labia have been, how shall we put it, enormous. Monstrous. Excessive. Not only was this physically uncomfortable (think slipping out of underwear and constant chafing), it was unsightly. The first guy I had sex with actually commented, Wow.. you’ve got some… big lips…

While I already knew that, the fact that a guy NOTICED it was horrifying. What? You mean I’m weird? It didn’t exactly boost my self-esteem.

I researched the surgery many years ago, back when it was hardly done, something you had to essentially fly to California for. I thought I could never get it. Maybe rich, older women who were obsessed with plastic surgery, but not me. I begged my mom for years, and she, being an obstetrics nurse, told me I was normal and thought I would grow out of my insecurity.

After years of complaining and telling her about my self-loathing, she agreed to pay for it only a few months ago (me being the poor college student that I am). I met with a very experienced male surgeon who I had researched extensively, in the same city I live in.

On the appointment day, as I talked with the nurse, I realized I wasn’t scared, but excited — After waiting so long, I was finally going to do this! I gave my information, talked about why I wanted the surgery with the nurse and the surgeon, and discussed a payment plan. We set the date for my surgery as Tuesday, May 15.

I was anxious for weeks. Having to study for finals and write papers for classes seemed so unimportant compared to what was coming. Finally, that magical day arrived.

I walked in at 7:25 in the morning with my boyfriend, the spa-like center desolate. The patient coordinator guided me to a room where I donned a gloriously ugly patient gown and white robe. After putting my things away in a small closet, a nurse came in with a bottle of water and two large pills which I had trouble swallowing, but eventually managed.

The surgeon came in one last time, and marked my outer labia with a marker — the place he’ll be injecting a filler, to make my outer labia more, well, full. An extra thousand dollars, but I wanted it. As I stand there before this man and two other nurses, no makeup, legs apart, gown open, in my yellow polka dotted socks, I have never felt so ugly. Fortunately, it doesn’t last long, and I am eventually taken into the back room where they perform the surgeries.

The room is completely white, well-lit, and frankly, quite scary. I am told to lift the gown up and lay on the operating table, and I do so. The surgeon tucks two pillows under my legs, and puts my arms through two loops on each side, Velcro-ing me down. It’s like they’re going to torture me.

They stick many white, circular patches to my chest in order to monitor me, and I basically enter a consciousness of what they call twilight, where I’m awake, but just barely. I remember saying somewhat ridiculous things during the operation, but I’m sure they’ve heard worse. I was awake the whole time, and while I could have slept if I wanted to, I strained to keep awake, because I was interested in what was happening.

I could feel the doctor stitching me up at the end — I could feel the movement, but there was no pain. It was weird, and kind of fun.

After surgery, they took me back to the room where they put in my IV, and a nurse helped me back into the comfortable cotton dress I came in. She places a huge square cotton pad into my underwear, and I’m too drugged up to have any shame.

I am reminded about my post-surgery appointment a week away, before my boyfriend and I leave, victorious.

The first day is a sleeping, pill-popping blur, but I do remember bleeding excessively. After applying pressure and not moving for a few hours, it subsides, and I look at my genitals for the first time.

Holy shit, I look like a baboon in heat. My vulva is swollen to five times its size, red, bloody, stitched up. Franken-Vagina, I think to myself. Yet, nothing hurts.

I continue to pop pills every few hours, and I end up sleeping about 18 hours a day for several days. When I’m not sleeping, I’m busy stuffing my face with horribly unhealthy food — I’m healing. I have needs, okay?

Today, exactly one week later, the swelling has gone down extremely, but I’m still slightly bruised and it still looks pretty gory down there. The stitches sting a bit from time to time, but I finally get them taken out on Friday, and I can’t wait.

The whole process still hasn’t hit me yet. After waiting for this for 8 years or so, it seems completely unreal. I looked at myself in a full body mirror yesterday and thought for the first time, I look feminine. I look right.

I can’t wait to see what I look like when everything is finally healed — I think I’ll enjoy sex more, I’ll be able to wear jeans comfortably, and I won’t have to worry about if my lady bits are going to fall out of my thong or not (it’s a very serious problem, people). I’ve never had particularly high self-esteem, but I know this surgery is definitely going to help me in that department.

This surgery, which so many scorn and misunderstand, has finally brought me to a place where I like my body, and there’s absolutely nothing wrong with that.

And for the people that still think plastic surgery is ludicrous: You try walking a mile with a lip hanging out of your underwear.

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It Happened to Me: I Had Labiaplasty Surgery

Labiaplasty Beverly Hills, Vaginal Rejuvenation Los Angeles

Labiaplasty Specialist Dr Cat Can Help You

Labiaplasty (labia reduction and shaping) is becoming more popular as more women are realizing there is a solution to their concerns in this area. In many cases the procedure is more than cosmetic, it truly improves a womans quality of life.

As a woman myself, I am particularly sensitive to women seeking vaginal cosmetic surgery procedures. Often women live with discomfort, embarrassment, avoidance of certain tight fitting clothing and feel self conscious in their relationships because of labial asymmetry, protuberance, or excessive labial show. Many of my Los Angeles and Beverly Hills labiaplasty patients were often unaware that there is a surgery that could help them. I became a labiaplasty specialist to help women comfortably find the solution to their problems. In your consultation, myself and my staff will do everything we can to make you as comfortable as possible. We will discuss what your specific concerns are and develop an individual goal for you.

Labiaplasty permits the reduction of large labia (labia minora and labia majora) to reduce their outward appearance and correct misshapenness or irregularities. I recently wrote a book chapter on female vaginal cosmetic surgery in the International Textbook of Aesthetic Surgery.

The edges of the labia minora to be excised are marked in a symmetric fashion on both labia. The incisions are placed on the medial (inside) surfaces of the labia. The excessive protuberant area is excised and the remaining edge is oversewn with a running suture. All sutures used are absorbable.

Post-operatively my patients are given antibiotics and told to apply a significant amount of lubricant to the surgical site for 3-4 weeks. They are instructed to refrain from sexual intercourse for 3-4 weeks.

My patients are usually extremely happy with their Labiaplasty results. They are pleasantly surprised how little pain they feel after the procedure. Women who felt embarrassed to wear bathing suits, leggings, or yoga tights are finally able to. They feel much more confident and overall feel that the surgery changes their life for the better.

Many of Dr. Cat Begovic patients come from around the country for cosmetic and plastic surgery procedures like labiaplasty. Beverly Hills is a great place to recover from surgery, just as one of Dr. Cats happy out of town patients. Schedule an on-line consultation with labiaplasty specialist Dr. Begovic.

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Labiaplasty Beverly Hills, Vaginal Rejuvenation Los Angeles

Labial Contouring (Labiaplasty) in Vancouver

Laser Assisted Labial Contouring (Labiaplasty) reshapes the lips of the vagina to enhance aesthetic appeal and sexual appearance

Enlargement of the inner vaginal lips, or labia minora, is a medical condition known as labial hypertrophy, which affects many women. The labia may become elongated or stretched out due to hormonal changes or because of the process of one or more vaginal deliveries. In some cases, the labia is very asymmetrical with one labia being much larger than the other one. Regardless of the cause, this condition can be corrected through labial contouringsurgery.

The labial contouring procedure, also known as labiaplasty, can also be completed in conjunction with other procedures if necessary, such as vaginoplasty (repairing vaginal relaxation that may occur after child-birth), perineoplasty (repair of a relaxed perineal body or restoring the normal tone of the opening of the vagina), laparoscopic reconstructive procedures, or even vaginal hysterectomy.

Women from Vancouver and all across B.C. choose False Creek Healthcare Centre because of board-certified Gynecology surgeon, Dr. Roy Jackson. Dr. Jackson has years of experience and excellence performing labial contouring procedures. Our facilities pre and postoperative care is exceptional, and combined with our patient centered philosophy will provide you with a positive and rewarding experience. We will help you regain your confidence and achieve the look you desire

The labial contouring procedure is designed to reduce uneven or enlarged labia minora without leaving any visible scars. Our plastic surgeons do not amputate the enlarged labia, instead they contour, reshape and reduce the size of the labia, without creating a scar on the outer edges leaving the labia with their natural pigmentation and a more youthful appearance. Depending on your needs techniques are available to contour and sculpt the labia minora and inner vaginal lips or tightening the labia majora and outer vaginal lips.

Following the procedure, you will likely experience some moderate discomfort, which can be managed through medication, and are advised to apply cold compresses to the affected area and refrain from sexual intercourse for six weeks. Work can typically be resumed within five days. In most cases after healing, the cosmetic labial contouring is undetectable.

You will have a labia that is sleeker and more symmetrical. Cosmetic labial contouring results in a rejuvenated appearance of the vagina, as well as greater comfort and enhanced sexual experience. Results will be noticeable shortly after the surgery, with optimal results appearing within a few months.

If you are ready to discuss your cosmetic surgery needs with our board certified plastic surgeons, request a consultation today. During your consultation your patient care adviser will discuss:

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Labial Contouring (Labiaplasty) in Vancouver

Why Do 8-Year-Old Girls Want New Vaginas? – Marie Claire

High school was a constant battle to avoid change rooms and intimate encounters. After puberty, it became uncomfortable to wear a swimsuit and participate in sports because of chafing. Sex education classes only made things worse when they showed labelled diagrams of supposedly perfect neat vulvas that looked nothing like her own. Eloise thought she must be so abnormal that she was too scared to even tell girlfriends or her mum about it. I thought if I talked to my mum about the problem shed take me to doctors to get poked and prodded like a freak, she says. When Eloise was around 15 she discovered that her problem might have a solution. Labiaplasty surgery to alter or remove part of the labia minora (the inner vaginal lips) so it more closely resembled textbook images of vaginas. She stored the information away.

Shortly after, Eloise fell in love for the first time and trusted her partner enough to let him see her naked, only to have him comment that her vagina looked “weird.”

Getty Images

“It broke my heart and made me want the surgery even more,” says Eloise.

“It wasn’t until I finally broke up with him when I was 22 that I got it done.” In the course of her research into labiaplasty, Eloise realised that her vagina wasn’t actually abnormal. her GP also reassured her that there was nothing wrong with it. But still, the psychological damage wouldn’t heal. Eloise booked in with a private cosmetic surgeonat the end of last year. A week later she was sore and swollen, but back at work. Within a month she was able to have sex again.

“Nothing has been affected, it looks so much better, she says. Its a bit of recovery time, but the pain was gone after a few weeks and, if anything, sex feels better now. Eloise is part of a growing number of women who are electing to undergo labiaplasty surgery, despite the fact that theres no diagnosable medical issue with their genitalia. The procedure itself isnt new its been around since the 1970s. But between 2001 and 2013, the number of Australian women claiming the surgery on Medicare more than doubled from 640 to 1605 annually. One doctor in Sydney claims he performs the procedure 400 times a year. The trend is reflected throughout the developed world in 2014, labiaplasty was the second-fastest-growing cosmetic procedure in the US, beaten only by buttock augmentation.

By the end of 2014, so many women were requesting the surgery that the Australian government stopped it being claimable on Medicare and private health funds unless it was deemed medically necessary by a doctor. Instead, women now have to pay anywhere between $3000 and $9000 – but even with this price tag, evidence suggests demandhas only grown. Most women want the surgery for similar reasons to Eloise – their inner labia are large, uneven or hang down outside their outer vagina lips, and they’re un-happy with how this looks. Jennifer, a 47-year-old-mother-of-two, said she wanted the surgery ever since she had a Brazilian wax and noticed her shape more clearly.

Labia come in a range of colours and shapes, and most arent symmetrical. A 2005 study published in the International Journal of Gynecology & Obstetrics found that womens inner vaginal lips could be anywhere between 2cm to 10cm long and have a width of 0.7cm to 5cm. The same paper showed that most labiaplasties are performed on perfectly normal tissue. According to Dr Gemma Sharp, a researcher from Flinders University who conducted her PhD on the rise of labiaplasty surgeries, most women go through their lives without seeing another un-retouched vagina.

The Australian classification board stipulates that magazines and films sold and distributed in the “Unrestricted” category (not recommended for people under 15 and below are not allowed to feature labia minora. This means images of naked women are photoshopped to get that “tucked in” look – even if they’re to be used for health or education purposes. Similarly swimwear shoots and advertisements have to be trimmed and edited to leave no trace of a “camel toe” if they want to make it through the classification process.

The rise in popularity of the Brazilian wax doesnt help, nor does the increased access to online porn meaning men are basing their expectations on unrealistic images. A 2014 study published in the journal Body Image showed that a third of women wanting labiaplasty were teased about their vaginas, often by their partners. If you get negative comments from someone you love in an intimate situation, that stays with you, says Dr Sharp. Private clinics dont need to report data on the number of surgeries they perform, so its impossible to obtain official numbers on how many women are getting labiaplasty.

But GP Dr Magdalena Simonis, who authored the guidelines for the Royal Australian College of General Practitioners (RACGP) about how doctors should respond to women requesting genital surgery, suspects its far more common than people realise. Its something GPs are being flooded with, she says. A study conducted last year stated one in three GPs are now fielding requests for the procedure from girls under 18. Yet 50 per cent of the doctors said these girls had diagnosed or undiagnosed mental health issues. Since October 2016 the Medical Board of Australia has advised that girls under 18 who want labiaplasty should receive mandatory counselling, in addition to a cooling off period of three months.

I wish Id had it done ages ago, she explains. Its definitely helped me feel more confident in the bedroom.

But the reality is that an outie vagina is completely normal about half of all women have labia minora that are longer than their labia majora.

Getty Images

Women seem to have this skewed perception of whats normal and whats acceptable, says Dr Simonis. Were seeing girls and young women who have very little experience in the world, and presumably very little sexual experience, and theyre prepared to have this radical surgery thats irreversible. Many plastic surgeons are equally concerned with how the surgery is sold to vulnerable women. One Sydney clinic told marie claire they get around 10 enquiries every week about labiaplasty and that they turn away at least two to three of these women based on suspicions they only want the surgery due to body dysmorphia, or because theyre under pressure from a partner.

The problem is that for every responsible clinic, theres another willing to take someones money. And the reality is many women are now so concerned about how they look, theyre willing to try anything. Dr Simonis cites a colleague whose patient allegedly went to Thailand for the surgery and woke up with a complete clitoridectomy (removal of the clitoris). On a Reddit forum, someone claiming to be a 14-year-old girl wrote that she hates the look of her vagina so much shes considering trying to cut off the excess tissue herself, seeing as her parents wont let her get the surgery.

The increased demand and spotlight on labiaplasty is causing some experts and politicians to question whether the surgery should be performed at all. In the UK, theres a renewed push to ban the procedure, seeing as it technically falls under the definition of female genital mutilation (FGM) the removal of some or all of the external features of a womans vagina, often including the labia and clitoris. The World Health Organization defines it as procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons. FGM is common practice in many African countries and the Middle East, but is illegal in Australia and the UK.

Unlike labiaplasty, FGM is frequently performed without anaesthetic and is forced upon girls by family members. We cannot tell communities in Sierra Leone and Somalia to stop a practice which is freely permitted in Harley Street, MPs on the UK Home Affairs Select Committee wrote in a report, referring to the London street famous for its cosmetic surgery clinics. Labiaplasty is culturally driven and one would have to ask whether its also female genital [mutilation], associate professor Sonia Grover, director of the Department of Gynaecology at the Royal Childrens Hospital in Melbourne, told SBS in 2012. In Australia, Victorian state legislation already stipulates the removal of the labia minora from girls under the age of 18 as FGM unless it is necessary for the health of the person. (As yet no cases of elective labiaplasty surgery on under-18s have been prosecuted.) While feminist writer and Guardian columnist Van Badham doesnt believe we should enact a total ban on labiaplasty, she is concerned that weve reached a point where women are making decisions about their anatomy driven by cultural expectations.

Women need to make their own choices about their bodies and the skin they feel confident in, she explains.

But I wonder how much of it is really womens choice when the media and culture is feeding them a constant diet of standardisation and telling women that they look abnormal when they dont. Eloise finds this viewpoint frustrating. She does admit it would have been nice to find out from a younger age that her vagina looked normal, and adds that education might have been reassuring, but insists only the surgery could make her feel confident. I think women should wait until theyre 18 and take the time to properly research the surgery, she says. But if it will make them more comfortable and happier, why shouldnt [they] have it done? Dr Sharp agrees that the last thing women need is more people telling them what they can and cant do with their bodies. We have this idea that doing something for appearances sake is not a valid reason especially when it comes to womens vaginas. Were more accepting of boob jobs and nose jobs than we are of labiaplasty.

Her research also shows that, like Eloise, most women are happy with the results of their surgery in terms of function and appearance. There are also positive shifts in educating young girls: resources such as, a website developed by Womens Health Victoria which provides women with free access to unaltered images of real vaginas. The big distinction between our culture and the cultures who are performing FGM is that women in Australia have the ability to make the choice for themselves, says Dr Simonis. We just need to make sure women are empowered with the right information, so they know their own bodies and their decision is educated.

This article appears in the September 2017 issue of marie claire, on sale now.

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Why Do 8-Year-Old Girls Want New Vaginas? – Marie Claire