Cosmetic Gynecology Surgeries

There are many reasons why women choose a cosmetic gynecology procedure:

  • Improve appearance
  • Tightening following childbirth
  • Increase intimacy levels
  • Relief of pain or discomfort
  • Achieve a younger, refreshed look

Dr. Sue Kafali Nazarof is a board certified gynecologist and specializes in the areas of advanced endoscopic surgeries (laparoscopy and hysteroscopy), which are procedures not performed by most general gynecologists. She also treats urological disorders and performs cosmetic gynecological procedures including the following.


Vaginoplasty serves to tighten stretched out muscles and tissues and remove excess vaginal skin to make the vagina smaller and to tighten the vaginal opening and canal. The tightening is done throughout the entire length of the vagina and not just the outer opening. The procedure is done IN-OFFICE without the need for anesthesia, and in as little as 10 minutes


A Labiaplasty procedure is performed to reduce the size of the labia minora or labia majora.  The labia minora are inner layers of skin located in the vaginal area.  The labia majora are located in the outer folds of the same area. Each individual may have different labia in terms of color, shape, and size.  The labia minora can be hidden under the labia majora or be more noticeable due to increased size.  These factors can be affected by natural aging or childbirth. Labiaplasty removes excess skin from the labia minora or labia majora.  The surgical techniques can vary depending on your preferences or physical condition.  The incisions are performed in the areas along the length of each labia.  Dissolvable sutures will then be provided to minimize bleeding, these can be removable or detach in 7-10 days after the procedure. During the surgery, IV sedation or general anesthesia will be provided.  The surgery can require up to one hour or more depending on the extent of the treatment.   After the procedure, you will rest in the recovery room for one or two hours. Discomfort may affect the genital area for the following few days after the procedure.  Pain medications can be provided to minimize and manage the discomfort.  The incision area may be sensitive to external stimuli; you can apply antibiotic ointment to this area for the following 72 hours after the surgery.  A follow-up visit can be scheduled to evaluate the healing process and results of the treatment.

Clitoral Hood Reduction

Removal of excess tissue from the sides of the clitoral hood is clitoral hood reduction. It is designed to give a more even, flatter, smooth appearance at the point where the labia meet the clitoris. It is frequently performed in conjunction with Labiaplasty (both majora and minora) because removal of the labia can give the clitoris an enlarged appearance. Dr. Kafali Nazarof will expertly remove the excess folds of skin in the clitoral region. The clitoris and nerves which supply it are untouched during the procedure. This procedure is not female circumcision or mutilation. It is performed under local anesthesia in the office and takes approximately 30 minutes.


Hymenoplasty (hymenorrhaphy) is a surgical reconstruction of the hymen. It is done to make the patient’s vaginal opening appear virginal, and/or repair it from injury. Common reasons to have a hymenoplasty, include cultural or religious reasons, to repair injuries or re-virginizaiton. Precise cuts are made in the vagina and the remaining pieces of the hymen are sutured to the vaginal incisions bringing them closer together. After healing, when sex occurs, it should result in bleeding from the new hymen being torn or stretched. Hymen reconstruction surgery is done in the office under local anesthesia and takes about 1 hour.

Labia Minora Plasty & Labia Majora Plasty

Labia Majora Plasty is the removal of unwanted tissue of the smaller inner vaginal lips. Women may request this procedure to change elongated labia since puberty, after pregnancy or with aging or to fix an uneven appearance. Common complaints include pinching, rubbing of undergarments, an embarrassing bulge in gym wear or swimsuits, and discomfort during intercourse. The surgery is done in the office under local anesthesia (avoiding the cost of OR and Anesthesiology fees). As opposed to using a laser, I use a surgitron, which utilizes radiofrequency waves to perform the procedure; it is much less destructive leading to less scar formation and even healing. It is completed in approximately 60 minutes.

Labia Majora Plasty is reduction of the size of the bigger outer lips (labia). Heredity, weight gain, childbirth and aging can lead to larger vulva with either loose skin and/or excess tissue causing the size increase. This can lead to an embarrassing appearance of “camel toe” or a bulge in swimsuits or gym clothes. I use a linear removal technique; hide the scar in the space between the inner and outer lips, in the office under local anesthesia to reduce the sag of broad outer lips. This procedure is completed in approximately 60 minutes.


Perineoplasty involves surgical reconstruction of the area between the vaginal opening and the anus. This area is the most frequently damaged area during childbirth through natural tears and/or episiotomies. By excising excess skin and stitching the muscles beneath, this area is significantly fortified and the opening to the vagina narrowed. Some will note an enhanced sexual experience following the procedure. Often plastic surgeons will perform this surgery and deem it a vaginoplasty. It is frequently performed in conjunction with true vaginoplasty. It is an in-office surgery done under local anesthesia and takes approximately 30 minutes. Come in or contact us to view before and after photos.

Female Urological Disorders

Thousands of women suffer needlessly from involuntary urine leakage and other Female Urological Disorders. It causes a disruption in daily life as well as shame and embarrassment. While it is a common condition, it is not “normal”. Dr. Kafali Nazarof is a board certified gynecologist and offers a range of minimally invasive treatments to relieve urinary incontinence.

  • Stress incontinence, the most common kind, happens when you cough, sneeze, laugh, run, or perform certain kinds of vigorous exercises like jumping jacks.
  • Urge incontinence is when you have discomfort or an inability to hold urine until you can act appropriately. It can happen unexpectedly when you drink water or even hear or touch running water