Wednesday, May 11, 2005

Why So Large Down There?

The question was raised on an board today:

Why do these women get such large vaginal lips?

The more important question is probably what constitues large vaginal lips.

The bottom line is that nobody knows. I routinely ask my patients how long they have been aware of the issue. Most say they have felt "large" down there for quite some time. Others feel that child birth may have made the problem worse. None so far have indicated that a male partner had said anything about it or indicated that it was a problem.

A Korean surgeon that described one of the operations to reduce large Labia minorae thought it might have something to do with masturbation or having lots of sex. There is not good data to support such a conclusion. He also indicated that he felt women were more aware of it as an issue because of pornography.

Here he is probably right. It is painfully easy to look at plenty of women's privates in the comfort of your own home: internet porn. I'd wager that women are comparing like they have not been able to compare in days gone by. That and public awareness probably fuel the desire we are now seeing.

Best Regards,

John Di Saia MD
San Clemente, Ca.

Monday, May 09, 2005

It's been a month

This last month has just flew by. I can't believe it has been a month since I started this blog.

Meanwhile, I have started another blog, "Truth in Cosmetic Surgery," in which I will likely spend more time.

Although I do labiaplasty surgery (did one today), I perform many other operations. And my big opinion (problem?) extends to all of them as well. The cosmetic surgery blog provides many more topics.

Neverthless, for those interested, the Truth in Cosmetic Surgery Blog is


Best Regards,

John Di Saia MD

Thursday, May 05, 2005

Australian Law Journal Addresses Female Genital Surgery

Interesting article here from an Australian Law / Medical Journal. The author argues that adults should be allowed to even have Female Genital Mutilation (yikes!):

Exorcising Excision: Medico-Legal Issues
Arising From Male and Female Genital
Surgery in Australia

Female Genital Mutilation is ghastly and in no way similar to reduction labiaplasty. The real problem is that the legal systems of most countries are just starting to grapple with the idea of Female Genital Mutilation. Differenciating this from cosmetic procedures designed to improve the self-image and well-being of a woman will hopefully follow.

Until Later,

John Di Saia MD

Monday, May 02, 2005

Scarleteen "Loving Your Labia"

An interesting place Scarleteen despite the dissing Dr D part discussed in the post a week or so ago. They have a section on "loving your labia" trying to convince women not to get them reduced.

Worth looking at for those women thinking about surgery.


My preference is for women I may operate to have thought about it for a while first. I do ask first.

Best Regards,

John Di Saia MD

P.S. My forum provides a section on labiaplasty. I check the forum more frequently than this Blog.