Cosmetic Gynaecology

Clitorial Hood Reduction
G spot augmentation
- The G-spot had been described more than 60 years ago by the German gynecologist Gräfenberg.
- G spot located on the anterior wall of the vagina is 10–20 mm in diameter and is said to be approximately 5 cm above the ostium of the urethra.
- G-Spot Amplification was invented and developed by world renowned gynecologist David Matlock.
- GSA is a patent pending method of amplifying or augmenting the G-Spot with a human engineered hyaluronan or fat.
Hymenoplasty
The function of hymen is unknown but has been proposed as a vaginal barrier against external sources of infection until puberty.
There is no valid scientific indication for hymenoplasty. It is primarily performed for cultural indications.
Anyone who presents with realistic expectations and has sufficient tissue to approximate is a candidate for elective hymenoplasty. Variations in technique can be performed for patients with insufficient hymenal fragments.
- Repair has no direct medical benefit.
- Absence of hymen or failure to bleed is not necessarily a sign of previous intercourse.
- Less than half of the women stated that they had not bled with initial sexual penetration.
Done under IV sedation or general anaesthesia
It is a day care procedure. Patient may be discharged on the day of surgery itself.
- Gentle irrigation following urination and patting after defecation
- Limited physical activity with no exercise for 4 weeks.
- One of the most important instruction is to not inspect the wounds which may cause disruption
Labia majora augmentation
What are the causes for labia majora atrophy?
Labia majora get atrophic because of
- Aging
- Pregnancy
- Weight reduction
- Lower extremity frequent motion
- Friction from tight cloths
What are the methods available to augment the labia majora?
- Augmenting the labia majora,
- By non surgical method - low molecular weight hyaluronic acid injection
- By surgical method – autologous fat injection into the labia majora.


Labiaplasty
Labiaplasty is a procedure that altering the labia minora (inner labia) and the labia majora (outer labia) or the folds of skin surrounding the human vulva.
Functional indications :
- Difficulty in maintaining hygiene
- Chronic chafing of the pudental skin
- Pain during bicycle riding and similar sports activities
- Labia catching in zippers
Aesthetic reasons :
- Appearance of bulge under their clothing
- Enlarged inner vaginal lips that cause embarrassment during sexual relations.
Labiaplasty can be performed under IV sedation, or general anaesthesia either as a discrete, single surgery, or in conjunction with another gynecologic or cosmetic surgery procedure.
The excess skin folds in the labia is removed. Lot of techniques are available for labiaplasty. The technique followed is depending upon the type of skin folds present in the labia.
It is a day care procedure. Patient may be discharged on the day of surgery itself.
Advised antibiotics and pain killer for five days. Advised to maintain good hygiene. Avoid intercourse for 6 to 8 weeks till the wound healed well.
Vaginal tightening procedure
It is a procedure that reduces the calibre of the vaginal introitus and the vaginal canal with simultaneous plication of loose muscles in the vagina
Why this problem is happening?

Vaginal tightening procedure is done only to tighten the vagina to enhance the friction of vaginal intercourse. The surgery may have been intended as aids to sexual pleasure with in marriage.
Done under local anaesthesia with sedation or epidural anaesthesia or general anaesthesia.
It is a day care procedure, patient may be discharged on the day of surgery itself.
Patient should maintain clean hygiene in the operative area. Patient should avoid intercourse for 6 to 8 weeks.