The desperate search for the perfect V

The desperate search for the perfect V

There are some... interesting new trends in fashion and cosmetic surgery.

In fact, earlier this year, a “Designer Vagina Showcase,” was held during Fashion Week in New York. The event was staged like an exclusive club or art gallery opening, complete with women in lingerie and shortened lab coats, handing out glasses of pink champagne...

Now before we dive in, I want to share two thoughts with you.

First, let’s remember that our bodies -- and specific body parts, including your vulva -- come in all shapes, colors, and sizes. There is no “normal.”

Unless you have a problem or concern, you are perfectly normal “as is” in all areas. Perfectly you.

Second, please keep in mind the difference between Reconstructive Surgery (to correct function, often a medical necessity) and Cosmetic Surgery (to alter appearance, typically not a medical necessity, but maybe important for an individual’s comfort, confidence or self-esteem).

Now, back to V-Fashion Week…

There are a number of prominent gynecologists/plastic surgeons hosting such events to market surgical miracles and “solutions” for your V, including labiaplasty--

Which is actually more about Designer Vulvas.

Labiaplasty is plastic surgery, under anesthesia, to reshape or resize the lips of the vulva—either the larger labia majora, or the smaller labia minora, which frame the opening of the vagina.

It sounded so crazy to me at first. But when I did a little more digging, I learned that nearly 100,000 women around the world chose to have labiaplasty surgery in 2015.

And the practice seems to be growing in popularity and demand, especially among younger women and adolescents.


Most often cited is the appearance of labia that are “too big” or “too long” or “asymmetrical”— as if there is some perfect standard somewhere, regarding the size and shape of vulva lips. 

Personally, I don’t remember EVER having a conversation like this with a girlfriend, a doctor, or even my husband!

Of course, sometimes there can be a functional problem that women with large or extended labia can have problems or discomfort when exercising, having sex, or wearing fitted pants.

Even so, labiaplasty is considered cosmetic gynecology.

The American College of Obstetricians and Gynecologists (ACOG) strongly advises against cosmetic vaginal surgery, due to the risks involved and the lack of scientific data to support the long-term safety and effectiveness of the procedures, especially in younger women.

The short- and long-term risks include infection, temporary bruising and swelling, permanent and irreversible changes in feeling and sensation, pain and scarring.

Cosmetic gynecology is not generally covered by insurance, and can cost between $8,500 and $10,000 for one procedure. Although the surgery takes about an hour, recovery can take up to six weeks--or longer, if there are complications.

Only you can decide if surgery is the right choice for you to resolve your concerns or discomfort.  And it’s good to know there are options available, if necessary.

Just please be careful down there.

To your health and happiness -- top to bottom,

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