Monday, July 07, 2014

Dr D Wedge Labiaplasty Actual Patient Video

This very nice young woman had one of my wedge style reduction labiaplasty procedures and was kind enough to share on her experience. She discussed her reasons for and experience with the surgery and how she adjusted afterwards.

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Tuesday, December 20, 2011

Labiaplasty Video Updated- Trim Versus Wedge Method

Sunday, February 27, 2011

Blog moved

Hello all,

I pretty much moved my blogging pursuits to my own domain in 2009. There are posts on labiaplasty as well.

Best Regards,

John Di Saia MD

P.S. I rarely if ever approve comments here. I just don't have the time. Comments are moderated at my blog above however. :)

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Wednesday, April 30, 2008

Press Release- Dr D publishes "Unusual Labial Rejuvenation" in Journal Of Sexual Medicine

Here's a press release on my latest medical journal publication for those interested.


Recent concern in the medical community has been focused upon discretionary surgery of the female genitalia. The American College of Obstetricians and Gynecologists in September of last year cautioned its members to be wary of procedures promoted as “designer vaginoplasty,” “revirgination,” and “G-spot amplification.” Dr John Di Saia, a board certified plastic surgeon in Orange County California, presents a case demonstrating his technique of safe cosmetic labiaplasty to demonstrate that within limitations these operations can be safely offered to appropriate patients with pleasing results.

Orange County, Ca -- The world of Cosmetic surgery has seemingly become a carnival arena spiced with Internet cliques and sensationalistic television shows. Surgery has become a commodity of sorts and in the hyperbole that has been born the medical community has started to interject itself.

In September of 2007, the American College of Obstetricians and Gynecologists warned its members to be wary of vaginal surgical procedures offered by practitioners claiming to enhance appearance or sexual gratification. The piece advised that member physicians advise their patients to consider these operations of unproven effectiveness with potentially serious complications.

“Over the seven years that I have been offering reduction labiaplasty, the experience has been pretty good,” Dr John Di Saia explains. “The key in safely offering surgery in this area is to focus upon external structures and apply proper technique. The operation described in the recent publication was fairly extensive so it was performed in two parts. Staging surgery in this manner is designed to limit complications.” Long-term problems in the doctor’s cases have been virtually non-existent as he has improved his operation over the past few years. He understands the concerns of the American College of Obstetricians and Gynecologists, but would emphasize that reduction labiaplasty performed by an experienced surgeon on the external genitalia alone is safe and effective.

“I do not present these operations to the patient as the cure for an ailing sex life, but my patients have of course been concerned with appearance. Why else would they seek the services of a plastic surgeon?” the doctor adds. Patients presenting for labiaplasty have predominantly sought reduction of their external inner “lips” for reasons including discomfort in tight clothing, embarrassment and cosmetic displeasure. The doctor performs these operations under anesthesia at an accredited surgical facility.

About John Di Saia MD
John Di Saia MD is a board certified plastic surgeon practicing in Orange County, Ca. He is very active online as the author of Plastic Surgery Interactive ( and his weblog Truth in Cosmetic Surgery ( He also contributes to a few online plastic surgery forums and on occasion to the medical literature.

Media Contact
Dr Di Saia

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Sunday, July 01, 2007

Sue Johanson talks Labiaplasty

I just saw this video on labiaplasty from Sue Johanson cable show. Ms Johanson, like many in the media, seems to assume all surgeons do them the way gynecologists have done them for many years by the "trim method." The "trim method" does reduce sensation. That is why I will not do them using that method. The various versions of modified wedge reductions do not reduce sensation. My patients are invariably pleased with their reductions. I follow them until they are back "in action."

Ms Johanson also fails to address the major reason women consider this operation: discomfort in clothing. When Labia minorae get really large, they hurt in underwear and can give the appearance of a "package" in gym clothing. I agree with the inference made in the clip that women should only consider this operation for internal reasons. Then again no partner of any of my patients to date has been the reason for her considering this surgery.

I usually like the excerpts I have seen from Ms Johanson's show. This one is just off the mark. Maybe it is from an old segment.

Best Regards,

John Di Saia MD

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Friday, April 06, 2007

Reduction Labiaplasty YouTube Video

Monday, January 22, 2007

E-mailed Question Re:Labiaplasty

I am not a patient of yours - but I was wondering if you can address the following questions in your blog. My mother has undergone urology surgery to try to correct the frequent urination that occured after childbirth. You sneeze and you go syndrome..anyway - It wasnot as successful as hoped and I had seen an end of a show where the woman said she had labiaplasty to help correct this very same issue. If you could please discuss that a little in your blog..I am sure that alot of woman would get much needed information from it.

Reduction labiaplasty is cosmetic. In my practice, it addresses the size and "unevenness" that some women note in their labiae. Once in a while the size interferes with normal sexual relations. This is not common.

Procedures to improve stress incontinence (leakage of urine) are urological procedures. Plastic surgeons do not routinely work on such problems.

Best Regards,

John Di Saia MD