Cosmetic gynecology FAQ
Your Questions, Answered by a Board-Certified OB/GYN
You have questions about cosmetic gynecology, and that is completely normal. Researching your options is one of the most important steps you can take before scheduling a consultation, especially when the procedure involves such personal and delicate anatomy.
Whether you are considering labiaplasty, clitoral hood reduction, vaginal tightening, perineoplasty, labia majora enhancement, or a non-surgical feminine rejuvenation treatment, the answers on this page reflect the clinical experience of Dr. Sue Kafali, MD, FACOG, a board-certified OB/GYN and cosmetic gynecology specialist at FemSculpt Cosmetic Gynecology in Chicago.
Dr. Kafali’s OB/GYN background gives her a medical foundation in female anatomy, pelvic health, childbirth-related changes, sexual wellness, tissue healing, and vulvovaginal concerns. Her advanced cosmetic gynecology training builds on that foundation with a focused approach to intimate aesthetic and functional procedures.
Procedures
What they are and how they work.
What is a labiaplasty?
Labiaplasty reshapes and resizes labial tissue. The procedure most commonly addresses the labia minora, though Dr. Kafali also treats the labia majora. She uses a technique called the Modified Inferior Wedge, which preserves your natural labial edge and keeps scarring minimal. The procedure is performed under local or general anesthesia at FemSculpt Cosmetic Gynecology in Chicago.
Why do women get a labiaplasty?
The reasons are as varied as the women who come in. Some are dealing with real physical discomfort: chafing during exercise, pain during intercourse, difficulty with hygiene, or irritation in clothing. Others want a change in appearance. Both reasons are equally valid. You do not need to justify your motivation to anyone. Labiaplasty is one of the most common cosmetic gynecology procedures Dr. Kafali performs at FemSculpt, and patients consistently report relief from discomfort, improved confidence, and better sexual function afterward.
How is a labiaplasty performed?
Dr. Kafali chose the Modified Inferior Wedge technique for a reason. Unlike the “edge-trim” method (which removes the outer portion of the labia) or the standard wedge, this approach removes a V-shaped section of tissue while keeping the natural labial edge intact. The result: minimal scarring and an appearance that looks and feels natural. She specifically selected this technique for its superior cosmetic outcome and preservation of anatomy.
What is vaginal tightening (vaginoplasty)?
Vaginoplasty tightens the vaginal opening and canal. It can address just the vaginal opening (introitus), or it can tighten the canal all the way up to the level of the cervix. The procedure is performed in an operating room under IV sedation or general anesthesia. During surgery, Dr. Kafali removes excess tissue from the posterior vaginal wall and sutures the remaining tissue to narrow the space. The external opening can also be tightened in the same session.
What is a clitoral hood reduction?
If you have excess tissue in the folds of skin surrounding your clitoris, a clitoral hood reduction trims it back. The clitoral hood varies greatly in size and shape from person to person. When there is too much tissue, it can affect both appearance and sexual stimulation. Dr. Kafali performs this procedure in-office under local anesthesia or deeper sedation. It takes under one hour on its own and is often combined with labiaplasty.
How is a clitoral hood reduction performed?
Dr. Kafali marks the area of excess tissue, applies local numbing, and removes the extra skin using one of several patterns: a diamond shape, an upside-down moon shape, or a horseshoe shape. Which pattern she uses depends entirely on your anatomy and goals. Because clitoral hood skin is thin and flexible with strong blood supply, it heals well. After a few months, scars are almost invisible.
What is a monsplasty (mons pubis reduction)?
A prominent or sagging mons pubis can develop after weight changes, pregnancy, or aging. If you feel self-conscious about the area above your pubic bone, or if it causes discomfort in clothing, monsplasty reduces that fullness and creates a flatter, more proportional contour.
What is the Climax Shot?
The Climax Shot is a PRP (platelet-rich plasma) injection that uses your body’s own growth factors to increase sensitivity and enhance your ability to orgasm. Also called the Sex Shot or Orgasm Shot, it works like this: Dr. Kafali draws a small amount of your blood, processes it to concentrate the growth factors, and injects it into the clitoral area, vaginal opening, G-spot, and urethral opening. No downtime. You can resume sexual activity immediately.
What is fat grafting to the labia (Labia Puff)?
Fat grafting to the labia, sometimes called a Labia Puff, transfers fat from another area of your body to the labia majora. Aging, weight changes, and childbirth can cause volume loss in this area. Dr. Kafali harvests fat through gentle liposuction, processes it, and injects it into the treatment area. The result is fuller, more youthful-looking labia majora using your own tissue.
What non-surgical options does FemSculpt offer?
Not everyone needs surgery. FemSculpt offers several non-surgical treatments for mild to moderate concerns: FormaV (radiofrequency for vaginal tightening and dryness), Morpheus8V (microneedling with radiofrequency for tissue remodeling), Aviva (minimally invasive radiofrequency for labial tightening), and Kegel exercises as a complementary approach Dr. Kafali may recommend alongside treatment. These work best when surgery is not desired, not needed, or when you want to try a less invasive option first.
What is the difference between surgical and non-surgical options?
The short answer: surgical procedures deliver more dramatic, longer-lasting results for moderate to significant concerns. Non-surgical treatments like FormaV, Morpheus8V, and Aviva involve minimal to no downtime and are best suited for mild to moderate laxity, dryness, or sensitivity changes. Some patients benefit from combining both approaches. Dr. Kafali will evaluate your anatomy and goals and tell you honestly which path makes the most sense.
Candidacy
Am I a good candidate?
Am I a candidate for labiaplasty?
If enlarged or asymmetrical labia cause you chronic irritation, chafing during exercise, discomfort in tight clothing, difficulty with hygiene, or pain during intercourse, labiaplasty can help. But here is something worth knowing: you do not need a “medical reason” to consider this procedure. Many patients pursue labiaplasty purely for aesthetic reasons. Both motivations are equally valid, and Dr. Kafali treats them with the same level of care.
Are there medical reasons for getting a labiaplasty?
Yes. Chronic irritation, recurring discomfort, and pain caused by enlarged or asymmetrical labia are medical indications. Some patients deal with repeated skin infections or ongoing hygiene difficulties because of excess labial tissue. Dr. Kafali will evaluate whether your concerns are functional, aesthetic, or both, and tailor her recommendation to what you actually need.
Am I a candidate for vaginal tightening?
If you feel laxity during intercourse or have a history of vaginal childbirth, especially traumatic deliveries, vaginal tightening may be right for you. Other factors that contribute to laxity include chronic cough, asthma, constipation, weight changes, pelvic organ prolapse, trauma, aging, and genetics. For mild to moderate concerns, Dr. Kafali may suggest starting with non-surgical options or Kegel exercises before recommending surgery. She is straightforward about what level of intervention your situation actually calls for.
What causes vaginal laxity?
Vaginal childbirth is the most common cause. Multiple deliveries, deliveries involving tearing, or the use of instrumentation increase the effect. But childbirth is not the only factor. Chronic cough or respiratory conditions like asthma, constipation, significant weight fluctuations, pelvic organ prolapse, trauma, natural aging, and genetics all play a role. The degree of laxity varies widely from person to person, even with similar histories.
Am I a candidate for a clitoral hood reduction?
You might assume this procedure is only cosmetic. Actually, it can also address a functional issue: excess tissue that physically blocks stimulation and interferes with orgasm. You may be a candidate if you are unhappy with the size or shape of the skin around your clitoris, if excess tissue interferes with sexual sensation, if you experience discomfort in tight clothing, or if you are already planning a labiaplasty and want to balance the overall appearance.
Who is a candidate for the Climax Shot?
The Climax Shot may be right for you if you experience decreased sensitivity, difficulty reaching orgasm, vaginal dryness, or reduced lubrication. It can also help with mild urinary incontinence. Because the treatment uses your own blood (PRP), there is no risk of allergic reaction. Dr. Kafali can combine it with a G-Spot Augmentation for enhanced results.
Who is a candidate for non-surgical treatments?
Non-surgical options like FormaV, Morpheus8V, and Aviva work well for women experiencing labial atrophy or dryness, mild to moderate vaginal laxity, reduced stimulation during intercourse, discomfort during intercourse, or urinary concerns. These treatments involve minimal downtime and can be a good starting point if you are not sure whether surgery is the right step for you.
Is it normal to want this kind of procedure?
Yes. So many women deal with these concerns and simply do not talk about them. One patient told us, “I’m reaching out from a vulnerable place and this is really difficult for me to do.” That feeling is more common than you think. Cosmetic gynecology is one of the fastest-growing areas of women’s health. The patients Dr. Kafali sees at FemSculpt come from all backgrounds and age groups. Some are postpartum. Some are post-menopausal. Some have never had children. Whatever brought you here, your concerns are valid. It is your right to feel comfortable in your own body, and seeking information is a healthy, empowered step.
How do I know which procedure is right for me?
A consultation with Dr. Kafali is the clearest path. She will listen to your concerns, review your medical history, perform an examination, and recommend a specific treatment plan. Some patients benefit from a single procedure. Others get the best results from combining two or more treatments in one session. You will leave with a clear recommendation and a quote.
Recovery & results
What to expect after your procedure.
What is labiaplasty recovery like?
Most patients tell Dr. Kafali that recovery was much easier than they expected. Plan for about one week off from work and daily activities. Total healing takes six to eight weeks. During that time, you will use ice packs to manage swelling and avoid tampons and sexual intercourse for four to six weeks. Most swelling resolves within the first few weeks. Follow-up visits are included in the cost of your procedure.
Does a labiaplasty reverse after pregnancy?
No. Results are permanent. The procedure withstands childbirth, menopause, and aging. If you are planning future pregnancies, you can proceed with confidence.
What is recovery like after vaginal tightening?
Vaginal packing is placed for the first 24 hours after surgery. Expect pelvic discomfort that is manageable with prescribed painkillers and ice. No intercourse or tampon use for six to eight weeks. Most patients feel significantly improved within the first two weeks, though full healing takes longer. Dr. Kafali will clear you for sexual activity at your final post-operative appointment, typically around the six-week mark.
How do I prepare for vaginal tightening surgery?
Get adequate rest in the days leading up to your procedure. Abstain from intercourse beforehand. Dr. Kafali may recommend a bowel prep depending on the extent of the surgery. You will receive specific preparation instructions during your pre-operative appointment.
When can I have sex after vaginal tightening?
Six weeks minimum. Dr. Kafali will confirm at your final post-operative appointment when it is safe to resume. Resuming too early can compromise your results and increase the risk of complications.
Are there scars after vaginal tightening?
Internal sutures leave no visible scars. If the external vaginal opening is also tightened, there may be a small external scar, but it becomes barely noticeable over time.
What is recovery like after a clitoral hood reduction?
This one surprises most patients. Recovery involves little to no downtime. Most people return to work within one to two days. You may experience mild bleeding and mild to moderate discomfort. No sexual activity for six weeks. Swelling and bruising typically resolve within two to three weeks.
Does a clitoral hood reduction hurt?
You might expect it to be painful given the area. Most patients find it tolerable. Dr. Kafali applies local numbing before the procedure, and any post-procedure discomfort responds well to ice and over-the-counter pain medication like acetaminophen (Tylenol).
Are there scars after a clitoral hood reduction?
Technically, yes. Practically, they are almost invisible. Clitoral hood skin is thin, flexible, and has strong blood supply, which promotes excellent healing. After a few months, you would have to look very closely to see them.
When will I feel results from the Climax Shot?
Most patients notice an immediate increase in sensitivity. Full results develop around two weeks as the growth factors take effect. The regenerative process continues over several additional weeks, and results last six to 12 months. Touch-up treatments are available to maintain the effects.
Does the Climax Shot hurt?
Dr. Kafali applies a local numbing cream before the injection. Most patients report little to no discomfort.
When can I have sex after the Climax Shot?
Immediately. Dr. Kafali actually recommends regular direct stimulation daily for at least two weeks after treatment to enhance the effects.
How long do Climax Shot results last?
Six to 12 months, depending on your sex life, metabolism, and individual response. Touch-up treatments are available at FemSculpt to maintain the benefits over time.
Will I lose sensation after surgery?
This is one of the most common fears patients bring to their consultation, and it deserves a direct answer. Permanent nerve injury is rare. Sensation preservation is a clinical priority for every procedure Dr. Kafali performs. Her training as a board-certified OB/GYN means she has specialized knowledge of pelvic nerve pathways and female anatomy. With clitoral hood reduction, the goal is actually to improve sensation by removing tissue that blocks direct stimulation. With labiaplasty, the Modified Inferior Wedge technique avoids the most nerve-dense areas of the labial edge. Dr. Kafali will walk you through the sensation risks specific to your procedure so you know exactly what to expect.
What are the risks of vaginal tightening surgery?
As with any surgery, risks include those related to anesthesia, bleeding, and infection. Risks specific to vaginoplasty include injury to the urethral opening, injury to the anal canal, over-tightening or strictures, and nerve injury. Dr. Kafali reviews all risks with you during your consultation so you can make a fully informed decision.
What are the risks of clitoral hood reduction?
Risks are minimal. Bleeding, swelling, and bruising typically resolve within two to three weeks. Uncommon risks include nerve injury (permanent nerve injury is rare) and temporary urinary blockage from post-procedure swelling. Dr. Kafali’s precision technique and OB/GYN training minimize these risks.
What does recovery actually feel like?
Most patients tell us recovery was much easier than they expected. The first few days involve the most discomfort, but it is manageable with ice and prescribed or over-the-counter pain medication. Swelling is normal and resolves over two to three weeks. You will not be left guessing. Dr. Kafali provides specific recovery timelines for each procedure, along with clear guidelines for when you can return to exercise, work, and sexual activity.
What if I have had a bad result from another provider?
You are not alone in this experience, and it takes real courage to start the process again. Patients tell us, “It takes a really specialized person to fix it,” and they are right. Dr. Kafali sees revision cases at FemSculpt and understands the emotional weight of a result that did not go as planned. She will evaluate your anatomy, discuss what can be improved, and give you an honest assessment. Not every result can be fully corrected, but many patients see significant improvement.
Cost & consultations
Pricing, insurance, and what to expect.
How much does a labiaplasty cost?
Labiaplasty at FemSculpt starts at $7,900 to $8,900 and up. That includes the surgeon’s fee, local anesthesia, and all post-operative follow-up visits. The final cost may be higher if you combine additional procedures in the same session. You will receive a specific quote during your consultation with Dr. Kafali.
How much does the Climax Shot cost?
The Climax Shot starts at $1,750 per treatment. Because results last six to 12 months, some patients schedule regular touch-ups to maintain the benefits.
How much does vaginal tightening cost?
The cost depends on the extent of the procedure, the type of anesthesia required, facility fees, and whether it is combined with other procedures. Dr. Kafali provides a specific quote during your consultation after she has evaluated your anatomy and goals. Financing options are available to break the cost into monthly payments.
How much does a clitoral hood reduction cost?
Cost varies based on the extent of the procedure and whether it is performed on its own or combined with labiaplasty. When combined, the total is often less than having both done separately. You will receive a specific quote at your consultation.
Does insurance cover labiaplasty?
Some insurance plans may cover labiaplasty when there is a documented medical indication, but coverage depends on your individual plan. FemSculpt Cosmetic Gynecology does not accept insurance directly. You pay for your procedure in full, and FemSculpt can provide documentation for you to submit a claim to your insurance company for potential reimbursement.
Does insurance cover cosmetic gynecology procedures?
FemSculpt does not accept insurance directly for any procedure. You pay in full at the time of service. If your procedure has a medical indication, you may be able to submit a claim for potential reimbursement. Dr. Kafali’s team can provide the necessary documentation.
What should I expect during a consultation?
Your consultation is a private, thorough conversation with Dr. Kafali. You will discuss your concerns, review your medical and surgical history, undergo a physical examination, and receive a specific recommendation. She explains the procedure in detail, provides a quote, discusses available surgical dates, and reviews financing options. The goal is for you to leave with all the information you need to make a confident decision, not to pressure you into booking.
Can I travel to Chicago for my procedure?
Yes. FemSculpt regularly sees patients from New York, Tennessee, and across the country. Patients consistently say the trip was worth it. Here is how it typically works: Dr. Kafali offers $150 virtual consultations so you can have your initial conversation and develop a treatment plan before traveling. Most procedures require only one to two in-person visits (surgery day and a follow-up appointment). The office is located at 310 W Superior St, Fl 2 Ste 202, Chicago, IL 60654, in the River North neighborhood, with hotels and accommodations nearby.
How private is the process at FemSculpt?
Completely private. FemSculpt is a specialized practice, and the team understands the sensitive nature of these procedures. The office at 310 W Superior St in Chicago is a discreet environment. All medical records are confidential and protected under HIPAA. If you prefer to have your initial conversation from home, virtual consultations are available.
What financing options are available?
Whether you have been saving for years or want to move forward now, financing allows you to break the cost into manageable monthly payments. Your consultation fee ($150 virtual, $250 in-person) applies toward the cost of your procedure. Ask Dr. Kafali’s team about current financing plans when you schedule your consultation or call (312) 809-9983.
Take the next step
Schedule your consultation.
Virtual consultation: $150 | In-person consultation: $250
Call (312) 809-9983
Book a ConsultationMedically reviewed by Dr. Sue Kafali, MD, FACOG, board-certified OB/GYN.
The information on this page is for educational purposes only and does not constitute medical advice. Individual results vary. Consult with Dr. Kafali to determine whether a procedure is appropriate for you.