Aesthetic female genital surgery or female genital cosmetic surgery, includes a range of procedures designed to enhance the appearance and/or functionality of the female genitalia. These interventions can target aesthetic issues, such as the appearance of the labia minora, clitoral hood, labia majora, mons pubis, or vaginal opening, as well as functional issues like discomfort or pain.

This is a surgical procedure which removes excess of skin from your inner lips to make it more aesthetic. This is commonly combined with clitoral hoodplasty so as to make the clitoris more visible.
It is important to note that labia minora come in various shapes and sizes and therefore the surgical procedure is individualized and tailored to the patient’s needs so as to make the genital area more attractive. Dr Adhikari, with his years of surgical experience, will ensure that you get the desired results.

• Pubertal growth spurt affecting the labia.
• Post menopause.
• Pregnancy followed by childbirth.
• Changes in bodyweight.
• Genetic predisposition.

1. Discomfort with tight clothing like jeans, gym dresses, thongs, bikinis which might cause irritation in the genital area.
2. Tight dresses especially during the gym and in swimwear may create a visible bulge.
3. Embarrassment when opening clothes which might lead patients to avoid intimacies.
4. Friction and tearing of the labia minora can occur during sex making it more painful.
5. Urinary Tract Infections may be increased in females with large labia minora.
6. Repeated rubbing may lead to thickening, darkening and dryness of the labia minora.
7. Peer ridicule can lead to depression in affected individuals.
8. Participation in sports can be troublesome.
9. Aesthetic concerns in patients.
10. Problem during normal vaginal delivery with tearing and resultant asymmetry.

• Your surgery will be done under local anesthesia without any form of sedation so that you would be able to go back home immediately after the procedure.
• The area is cleaned and markings are done for labiaplasty.
• Additional markings for clitoral hood reduction would also be done if needed.
• Local anesthesia would then be applied.
• After a waiting period, the surgery would be done.
• You would then be discharged home.
• Rarely, in patients with large labia majora, labia majoraplasty may be added to labia minoraplasty.

• Trim Procedure – Trimming of the outer edges of the labia minora are done to invert the edges inside.
• Wedge Procedure – In this technique, a wedge shaped tissue is removed from both sides of the labia minora.

• Over resection of tissue.
• Under resection of tissue.
• Bruising.
• Hematoma.
• Wound breakdown.
• Wound infection.
• Abnormal scarring.
• Persistent pain, aggravated during sex.

• Clean the operative area gently with lukewarm water and soap, do not rub.
• Take high fiber diet so that constipation and thereby straining is avoided.
• Wipe your genital area with a clean cloth and then apply an antibiotic cream as directed.
• Wear loose undergarments.
• Light work can be started after 3-4 days.
• Heavy work including gym can be started after 3-4 weeks.
• Sex can be started after 4-6 weeks as per your comfort.

For before after pictures, please contact Dr Adhikari by email or WhatsApp.

The inner aspect of the vaginal opening is normally covered by a thin membrane also known as the hymen. Breakage of the hymen can occur after sexual intercourse, horse riding, tampon insertion, cycling, vigorous exercise and so on.
Hymenoplasty or hymen rebuilding surgery is a surgery done to reattach portions of the broken hymen. It is not able to restore virginity however, but many women want this procedure for emotional, religious, cultural and social reasons.

• Restoration of hymen for their wedding night.
• To overcome a prior sexual trauma.
• Wives who want to be virgins again!
• Anniversary gift of wives to their husbands.

• Your surgery would be performed under local anesthesia so that you can go back home immediately after surgery.
• The area would be cleaned and then markings would be done.
• Local anesthesia is then given using a very fine needle so that the pain encountered is minimal.
• Hymenoplasty is then done.
• Added procedures like vaginoplasty or introitus tightening can be done if desired.
• Dressing is done and you would be sent home.

• Pain and discomfort.
• Bruising and swelling.
• Spotting and bleeding.
• Tearing of reconstructed hymen leading to failure of surgery.
• Infection.
• Painful sexual intercourse.
• Abnormal bleeding.
• Foul smelling discharge.

• Keep the operative area clean, wash with soap and lukewarm water.
• Do not rub the area as hymen is a very thin membrane and may tear on slightest pressure.
• Use more fibers in your diet to avoid straining as it may disrupt the hymen.
• Do not stretch your legs suddenly and avoid sports that exert pressure on your genital area.

A vaginoplasty, also known as posterior colporrhaphy is a surgical procedure which aims to tighten the vagina when it is lax, especially after childbirth.

• Vagina appears extremely lax after childbirth.
• Sexual dissatisfaction.
• Tampons fall out easily.
• Repairing vaginal injuries after childbirth.
• To boost self-esteem and confidence.
• Enhanced aesthetic appearance.

• Bowel preparation is needed the day before surgery.
• Surgery is done usually under local anesthesia although some patients may prefer general anesthesia.
• The vaginal area is cleaned and markings are done.
• Local anesthetic infiltration is done.
• Redundant mucosa from the vagina is removed.
• Vaginal muscles are tightened.
• If there is external skin protrusion then this might be addressed as well.

• Infection
• Bleeding
• Impaired wound healing
• Postoperative pain
• Painful intercourse
• Rectal Injury
• Rectovaginal fistula

G-spot amplification, commonly referred to as a G-shot, is a minimally invasive treatment aimed at enhancing a woman’s sexual sensitivity and pleasure by temporarily augmenting the size and sensitivity of the G-spot. This enhancement is generally accomplished through the injection of a filler, such as collagen, into the G-spot region, situated on the vaginal wall.
The procedure is non-surgical and utilizes a local anesthetic, rendering it a relatively swift and comfortable choice.

• Identification of the G Spot in the anterior vaginal wall.
• Application of a numbing gel to the area.
• Injection of local anesthetic is optional.
• Filler injection, which might comprise of collagen, hyaluronic acid or fat is then injected in the area of the G Spot.

1. Some but not all women report increased sensitivity and more pleasure during sex after G Shot.
2. Orgasms become more intense and satisfying because of the heightened sensitivity after G shot.
3. Improved sexual experiences in many women.

The term ‘designer vagina’ encompasses a range of cosmetic surgical interventions conducted on the vulva and vagina, intended to improve aesthetic appeal or alleviate discomfort. These interventions include labiaplasty, clitoral hood reduction, and vaginoplasty. Although frequently associated with cosmetic improvements, certain procedures such as vaginoplasty may also serve reconstructive functions or be part of gender-affirming surgeries.