The Complete Guide to Female Genital Cosmetic Surgery

What Every Woman Deserves to Know, All in One Place

Female Genital Cosmetic Surgery is a collection of different procedures that elevate the aesthetic appearance and function of the intimate region.

As a specialty within aesthetic medicine, Female Genital Cosmetic Surgery has grown substantially in recent years. The American Society of Plastic Surgeons (ASPS) has documented a consistent increase in labiaplasty procedures year after year, and the number of people searching online for intimate procedures has grown. Even in my own practice, I have noticed the demand has never been greater.

Despite the statistics, some women are not aware that this is an option for them. Society still stigmatizes intimate procedures. In reality, countless women around the world have sought out these solutions to live more freely and comfortably.

I, Dr. David Matlock, am a cosmetic surgeon and specialist in Female Genital Cosmetic Surgery. I pioneered proprietary techniques like Laser Vaginal Rejuvenation®, Designer Laser Vaginoplasty®, and more. With these unique approaches, I have helped many women from all 50 states and 70 different countries restore their wellness and femininity.

This guide aims to provide you with the helpful, direct information you deserve. Read on to learn more about your options.

Why Women Seek Female Genital Cosmetic Surgery — And Why Every Reason Is Valid

One of the primary things I try to communicate to my parents is that all reasons for undergoing Female Genital Cosmetic Surgery are legitimate and deserving of a solution. Several of the most common reasons why women seek out intimate procedures include:

The Complete Procedure Menu — Everything Available at Dr. Matlock’s Practice

Laser Reduction Labiaplasty

Laser Reduction Labiaplasty (LRL) is a procedure where I carefully reshape the inner vaginal lips, or labia minora, using advanced laser technology. It is natural for women to have enlarged, asymmetrical, or protuberant tissue due to genetics, hormonal shifts, age-related changes, or childbirth. However, this tissue can also cause lasting discomfort.

During this procedure, I use laser technology—the techniques I use cannot be matched by a scalpel. As I remove excess tissue, the laser coagulates the blood vessels. This significantly reduces bleeding during the procedure and shortens overall recovery time. This technique produces virtually no scarring, and the area heals more rapidly.

Most of my patients who have undergone LRL return to light activity within one week and see refined results after about six weeks. Results are a greater sense of physical comfort, a more aesthetically pleasing appearance, and boost in self-confidence.

Laser Vaginal Rejuvenation® (LVR®)

Laser Vaginal Rejuvenation® (LVR®) can restore vaginal muscle tone, strength, and control. It rebuilds the vaginal canal and perineal body, the muscular structure that supports your urogenital system and plays a significant role in continence. ⁽¹⁾ It can effectively address post-pregnancy concerns and eliminate stress urinary incontinence, and is the gold standard treatment in Female Genital Cosmetic Surgery for these concerns.

During the procedure, I use a precision laser that will minimize bleeding, prevent unnecessary tissue damage, and stimulate the production of new collagen. The laser removes excess tissue, tightens the vaginal canal, and rebuilds the perineal body—achieving long-lasting and profound changes.

Designer Laser Vaginoplasty® (DLV®)

Designer Laser Vaginoplasty® is a comprehensive solution for restoring both the appearance and comfort of your vaginal region. This procedure is a customized surgical plan that can address both functional and aesthetic concerns regarding the labia minora, labia majora, perineum, or clitoral hood. It uses a combination of techniques, including tissue reshaping, reduction, tightening, and more, to address the various concerns affecting each of your intimate structures.

Because this procedure is fully tailored to your specific anatomy and needs, no two DLV® procedures are the same. I design each treatment after a thorough and personal consultation, ensuring that each patient receives exactly what they want.

This procedure is more than just surgery—it’s a form of artistry guided by over three decades of knowledge and experience.

Labia Majora Augmentation

Over time, the naturally puffy, cushioned tissue of the intimate region can lose its volume and take on a misshapen or deflated appearance that leaves patients feeling less than confident. To address this, I can perform labia majora augmentation.

Labia majora augmentation can restore the natural shape and volume of the outer vaginal lips. I can either transfer your body’s own fat from another region to your labia using liposuction techniques or use a structural biological filler composed of donor-derived adipose material. Both of these approaches result in soft, seamless, natural-looking, and feeling results that you can enjoy for years to come.

Mons Pubis Reduction and Lift

The mons pubis is the protruding area located above your pubic region. The effects of weight fluctuations or pregnancy can cause this area to bulge or sag, creating cosmetic issues even under clothing.

I can perform a mons pubis reduction and lift by using precision liposuction. This will restore the natural contours of this area by addressing fat causing bulging or asymmetry. I often combine this with Renuvion J-Plasma, a skin-tightening treatment that contracts the skin and stimulates collagen production.

Clitoral Hood Reduction

The clitoral hood is the skin that covers the structure of the clitoris. While having a clitoral hood with more skin or asymmetrical tissue is natural, it can create aesthetic concerns.

I can perform a clitoral hood reduction by using the precision laser to reshape your clitoral hood and remove any excess tissue.

Perineoplasty

A perineoplasty is a procedure that can restore the perineum, or the muscular structure found between your vaginal opening and rectum. Damage to this area is common during pregnancy and affects approximately 9 out of 10 women. ⁽²⁾ I can surgically reconstruct and tighten the tissues and muscles of the area to restore its appearance, strength, and functionality.

I recommend pairing this procedure with Laser Vaginal Rejuvenation® to achieve pre-pregnancy tightness.

The Laser Advantage — Why Technology Changes Everything

What sets me apart from other doctors is my exclusive use of laser technology in place of more conventional surgical tools.

The use of this technology also allows me to produce more refined results without any noticeable scarring. It also seals the blood vessels during the procedure to minimize bleeding.

I have been honing my laser surgery skills for far longer than most practices have had it available. With over 30 years of experience and over 50,000 performed procedures, you can rest assured that you are in the care of a doctor who truly knows what they are doing.

What to Expect — The Complete Patient Journey

Your Consultation

Your journey will begin with a private consultation with me. This meeting is a judgment-free place where I can learn more about your medical history, listen to your personal concerns, discuss your goals, and assess your anatomy. I will use each piece of information to create a treatment plan exclusively for you.

I offer consultations both in person at my Beverly Hills office or online via video call for those who are traveling for their treatment. I have treated patients from all 50 states and more than 70 countries, and can help guide out-of-state and international patients through their entire process.

The Procedure

Each procedure I perform takes place on an outpatient basis at my surgical center. The duration of your procedure will depend on the type of procedure you undergo and its complexity, but it typically takes between one and two hours to perform these types of treatments.

Recovery

The length of your recovery will also vary, but most of my patients can return to work within one week and to full activity within six weeks.

I always talk with each patient about what to expect ahead of time and provide them with detailed post-operative instructions to guide them through the phases of their recovery.

The Results

As you continue to recover in the following weeks, your results will become more noticeable. After about 8 weeks, you will be able to more fully enjoy the results of your procedure, depending on the treatment you underwent. Patient experiences may vary.

You Are Not Alone — And You Do Not Have to Keep Waiting

When I posted a video discussing vaginal changes from GLP-1 medications, over 334,000 watched it. The top comment read: “I thought I was the only one.”

It is important to know that you are not the only one, and you never will be. Millions of women around the world share this experience and frustration. However, most of them are unaware that there is a surgeon who has a long-lasting solution to their concerns.

I am that surgeon, and I can help you restore your sense of intimate wellness and confidence. Whenever you are ready to start discussing your procedure, I will be ready to help!

Cost of Female Genital Cosmetic Surgery in Los Angeles

I will discuss costs with you once I have created your treatment plan. Pricing is dependent upon certain factors, such as the type of procedure you undergo, the extent of your corrections, and more. I offer financing options for those who qualify.

Your Confidence Deserves to Be Complete

If you are ready to learn more about your options, we invite you to schedule your private consultation online or by calling (424) 424-1462. We offer consultations in person at our Beverly Hills office or virtually.

References

1. Bordoni B, Launico MV. Anatomy, Abdomen and Pelvis, Perineal Body. Nih.gov. Published December 11, 2024. Accessed June 16, 2026. https://www.ncbi.nlm.nih.gov/books/NBK537345/#article-26973.s2
2. Okeahialam NA, Sultan AH, Thakar R. The prevention of perineal trauma during vaginal birth. American Journal of Obstetrics and Gynecology. 2023;230(3). doi:https://doi.org/10.1016/j.ajog.2022.06.021