How To Decide Upon A Surgeon

If you are a person who does her diligence to determine the best surgeon for vaginal rejuvenation, you will find yourself confronted with a multitude of websites claiming incredible results using different surgical techniques. So how do you go about choosing the proper surgeon with the best training, skills and experience? The information below should help you with your search.

First, understand vaginoplasty and labia reduction are not part of any residency training program, so doctors learn these techniques only after they complete their formal studies. Second, and probably most important, there are no post graduate certification programs in this specialized area. Anyone who has attempted just one surgery can claim they are ‘experienced’. Third, there is a wide variation in training programs available to gynecologists, urologists and plastic surgeons, with varying outcomes due to technique and expertise.

So let’s talk about each of these critical factors.

Your surgeon’s training is the most important criteria in your decision making process. A physician’s medical school, residency program and Board certification are important and should be readily available on the website. However, you really need to assess the post residency surgical training experience to really learn about your doctor. Some doctors are self taught. Others take a weekend lecture course with video presentations or group observation of live surgery. This is hardly the initial exposure you would want your surgeon to have. Since there is no certification process you ideally want your surgeon to have had a preceptorship, that is, having spent 20-40 hours one-on-one with an expert in the field, someone who is a pioneer in developing innovative techniques with lots of operating room and teaching experience. The instructor should have a formal intense academic program with live operations to transfer knowledge to the student physician. That includes hours of observation of surgery, assisting at surgery, and lots of time in the animal laboratory being taught instrumentation and learning how tissues respond to surgical materials and devices. Physicians who have completed these rigorous programs will let you know of their training. Seek out this information on their websites.

Having done these procedures for over eight years I can tell you it takes scores of labia reductions and vaginoplasties to learn how to approach the multitude of variations and achieve the desired result. The doctor who occasionally does these procedures is not giving you the best care and should refer you to someone who is frequently in the operating room. Ask your surgeon what their training experience has been, who did their training, how many procedures they have done and what is their current volume of surgery.

You will quickly learn there are many techniques and instruments used with aesthetic vaginal surgery and it can be very confusing determining which the best is for you. The fact is they all have their advantages and disadvantages and what matters is how skillfully the surgeon uses them. As a general overview, surgeries can be performed with a scalpel or knife, a laser or more recently with high frequency (no scalpel) surgery. Laser has received the greatest publicity and has been very heavily marketed over the past decade but has the major drawback of generating lots of heat. This results in post operative swelling, discomfort and thermal damage, especially to delicate labia tissue. High frequency surgery uses a cool tip which generates negligible heat and results in an excellent cosmetic outcome. Always critically view the Before and After photographs on the surgeon’s website.

But this addresses only the cutting phase of surgery. The unique reconstructive techniques, the materials used and how the tissues are handled are probably more important to the cosmetic and functional outcome than how the skin is cut. With regard to labia reduction for example, there is the so called wedge technique, in contrast to the vertical resculpturing approach, which I advocate. You can read about a comparison of both techniques under Procedures/Labiaplasty Details on this website.

Finally you need to consider location and cost. The surgery center should be licensed by the state, certified and accredited by the American Association for Accreditation of Ambulatory Surgical Facilities (www.aaaasf.org). Surgeons who use these facilities will state this information on their websites. You should not be reluctant to travel great distances to find the aesthetic surgeon who is right for you. This is an important decision and you will want the very best result. Learn about your anesthesia options and what to expect after your surgery. Accessibility and availability of your surgeon and staff are paramount, especially if you have traveled a distance for your procedure.

Let’s not forget cost. You should never use the least expensive physician as your major decision making factor. In fact, when it comes to all aesthetic vaginal surgery it is always worth your while spending more to achieve the best outcome. Meticulous surgery takes time, and the overall cost of the surgery center and its staff, anesthesia and the surgeon is based on time. This is not a procedure you want rushed. You are paying for an expert and a team who has devoted a lot of training, expense and effort to provide the best cosmetic result, not to have you realize a less than desired outcome.

Back to top

click here

1183 E. Foothill Blvd, Suite 160
Upland, CA 91786 | (909) 931-1033

email: gwilliams@wmgu.com