Dr. George A. Toledo is a double board-certified plastic surgeon who is nationally renowned for providing high-quality patient care in a safe, comfortable and private environment. A compassionate and discreet surgeon, Dr. Toledo is dedicated to helping patients improve their aesthetic concerns while preserving their unique beauty, so they feel confident with their appearance. With this in mind, he offers labiaplasty, sometimes referred to as vaginal plastic surgery, for women who are uncomfortable with the appearance or size of their labia. At Dr. Toledo’s Dallas facility, Highland Park Plastic Surgery Center, women are confident in trusting him with their vaginal surgery.
"So impressed with Dr. Toledo's rhinoplasty results! And even more impressed with how much my breathing has improved! I didn't even realize how blocked my breathing was until now, it really is life changing. Beautiful results. And a perfect little nose!"- J.D. / Yelp / Mar 24, 2019
"I went to Dr. Toledo for a septo-rhinoplasty in February 2022. I initially met with an ENT in June 2020 due to breathing issues--he said I had a deviated septum and collapsed nostril, and referred me to a plastic surgeon to fix both at the same time. The ENT mentioned that straightening a nose is technically challenging even for a skilled plastic surgeon, this made me kind of nervous about picking the right doctor because I didn’t want to end up with a botched pixie piglet nose. I looked into roughly 15 surgeons in the DFW and LA area before settling on Dr. Toledo. 1. He is a double board certified ENT & plastic surgeon. This was important to me because functional issues were my primary concern. 2. Doctor Toledo has done over 3,000 nose jobs in his 30 year career. Rhinoplasty is one of the most challenging surgeries from a technical standpoint, and it’s also the plastic surgery procedure with the highest revision rate. 3,000+ over 30 years is 2+ nose jobs per week (less two weeks vacation / year), that is a lot of opportunities to understand the nuances of a rhinoplasty. I wanted a doctor who has had plenty of practice before I got on his table. Try asking another doctor how many of X procedures have you done in their career, you will be hard pressed to get an answer. 3. Office staff are really nice and helpful. I had a lot of initial questions which they politely answered over the phone before my initial consultation. I value my time, and I felt that they did too in their professional and polite communication. This might seem like a lower priority than the experience of the surgeon, but these are the people you talk to 80% of the time. 4. He’s a fly fisher. As a fellow angler, I know the unspoken qualities one must possess to catch a fish. Patience, perseverance, thoughtfulness, focused, dexterous. I booked my surgery immediately after our initial consultation. Dr. Toledo is a straight shooter. He confirmed what the ENT said, told me what he could do, showed me a new nose proposal and that was it. Overall, I just like the guy, he’s professional, knows what he’s doing and has a cool demeanor. Dr. Toledo is not the guy who swings open the door and starts shmoozing you, he’s chill and normal. He’s not trying to convince you to go to him. So surgery day comes, I’m kind of freaked out because I’m an anxious creature. Dr. Toledo comes in with a cup of coffee, definitely has Coffee Mate creamer in his, maybe hazelnut and my anxiety melts away. Anyone who uses Coffee Mate creamer in 2022 is down to earth and confident--it’s unpretentious and confident. I wake up, I’m a zombie but oddly no pain really... He prescribed Tylenol #3 (ultra weak) but after surgery I saw why. I took half a painkiller every 8hrs for like 3 days and then just regular Tylenol. Surgery was Thursday, was back to work 1/2 day on Monday and fully back Tuesday. Oh, he also extracted this longterm zit I had on my cheek which was the best thing to wake up toCast came off 1 week later, nose internal splints came out at 3 weeks. WOAH, I did not realize you were supposed to be able to breathe out of your nose at 100% like your mouth. I really thought your mouth was the primary breathing hole for my entire life. Obviously, he hit the aesthetic aspect (I am not a pixie piglet) but the breathing is pretty life changing. Sleep is wildly improved, and I generally feel better. I’m only 4 weeks out, but I’m glad I chose Dr. Toledo and can’t wait to see how it looks in a few months when swelling subsides. Doctor Toledo is THE nose guy in Dallas. Easily a top rhinoplasty doctor in the US."- E.M. / Yelp / Mar 07, 2022
"Real review from an Oklahoma doctor: As a physician myself I spent a lot of time researching who I was going to use when I finally decided to do rhinoplasty/septoplasty. I’ve always wanted this done and finally made the leap. My biggest fear was not liking the results and being stuck with them. I did 7 consults with different ENT and Cosmetic Surgery specialists. After my consult with Dr Toledo I was very confident in His skill and experience. He listened to my concerns and what I was looking for and was able to deliver. I am extremely happy with my results and am so very glad that I found Dr Toledo. Do not hesitate in using him for your Rhinoplasty. He is fully capable and you will not be disappointed."- C.B. / Google / Mar 05, 2022
"Real review from an Oklahoma doctor: As a physician myself I spent a lot of time researching who I was going to use when I finally decided to do rhinoplasty/septoplasty. I’ve always wanted this done and finally made the leap. My biggest fear was not liking the results and being stuck with them.I did 7 consults with different ENT and Cosmetic Surgery specialists. After my consult with Dr Toledo I was very confident in His skill and experience. He listened to my concerns and what I was looking for and was able to deliver.I am extremely happy with my results and am so very glad that I found Dr Toledo. Do not hesitate in using him for your Rhinoplasty. He is fully capable and you will not be disappointed."- C.B. / Yelp / Mar 03, 2022
"Real review from a fellow doctor - extremely happy with my results - Real review from an Oklahoma doctor: As a physician myself I spent a lot of time researching who I was going to use when I finally decided to do rhinoplasty/septoplasty. I’ve always wanted this done and finally made the leap. My biggest fear was not liking the results and being stuck with them. I did 7 consults with different ENT and Cosmetic Surgery specialists. After my consult with Dr Toledo I was very confident in His skill and experience. He listened to my concerns and what I was looking for and was able to deliver. I am extremely happy with my results and am so very glad that I found Dr Toledo. Do not hesitate in using him for your Rhinoplasty. He is fully capable and you will not be disappointed."- I. / RealSelf / Mar 03, 2022
Candidates For Labiaplasty
There are two main reasons why women undergo labiaplasty or vaginal rejuvenation surgery in Dallas. Women either have a functional problem or a cosmetic issue. In many cases, it is both.
Women with a very large labia minora can have a true physical impairment, not just with sexual intercourse, but also during a variety of sporting activities such as cycling, horseback riding, and even jogging. This chronic irritation of the labial tissue is accentuated by wearing tight-fitting workout clothing or jeans.
As pubic hair removal has become popular, more emphasis has been placed on the appearance of a woman’s genitalia. Dr. Toledo recognizes the frustration and lack of self-confidence that patients suffer due to an aesthetic concern. This is especially true in regards to vaginal plastic surgery. Women with excessively large, elongated or unusually shaped labia may feel self-conscious in intimate settings and may avoid intimacy altogether. Thankfully, by performing labiaplasty, Dr. Toledo is able to help these women improve their aesthetic concerns, so they can overcome their inhibitions and live life more fully.
As a highly experienced plastic surgeon who has been in practice for more than 34 years, Dr. Toledo understands that undergoing any type of cosmetic procedure is a personal and delicate situation. Since 1985, he has operated his plastic surgery practice in Dallas, Texas under the principles of safety, comfort, and privacy, ideas which are of the utmost importance to labiaplasty patients. Women who are interested in pursuing vaginal plastic surgery can feel comfortable and confident knowing that Dr. Toledo will provide compassionate, attentive care and satisfying surgical results. Experience matters.
Labiaplasty is performed at Dr. Toledo’s state-of-the-art facility, Highland Park Plastic Surgery Center, and typically takes about one hour to perform. The surgery can be performed under local anesthesia or with intravenous sedation. During the procedure, Dr. Toledo uses advanced surgical techniques to reshape the labia. He is careful to make incisions that are inconspicuous to ensure the best aesthetic results possible.
Labia Minora Surgery
The anatomy of the labia minora is divided into two distinct segments:
- The long segment of the labia minora running distal, or below, the clitoris alongside the vaginal vestibule down towards the anus.
Surgery for the distal portion is relatively straight forward and involves trimming the excess labia minora skin to a level just inside the labia majora being careful not to excessively remove too much tissue.
- The upper portion of the labia minora and skin above and alongside forming the clitoral hood, including the two paired oblique bands radiating laterally and inferiorly from the glands of the clitoris.
Surgery of the labia minora and skin surrounding the clitoris should be undertaken only in specially selected patients by a very competent surgeon with precise knowledge of the anatomy. Surgery in this area can affect sensation and alter the response to sexual stimulation. Nevertheless, some patients do have excess skin along the top and sides of the clitoral shaft. In others the clitoral shaft is long and protrudes outside the labia majora. Both of these conditions may be improved with surgery.
Labia Majora Surgery
Cosmetic and functional problems with the labia majora usually occur with aging. The most common deformity is deflation from deficient fat volume which results in empty, unattractive skin folds. These thin, atrophic labia majora folds will accentuate the size of the labia minora and clitoris making them appear disproportionally enlarged.
Increasing volume in the labia majora is performed either by fat injections or dermal skin fat grafting using a patient’s own tissues. Fat injections to the labia majora, unlike the face, don’t always “take” and at best 50% of the fat dies. But the fat that lives should be permanent. The dermal fat skin graft is more expensive and requires a donor site incision in the abdomen, but it’s more durable and the percentage of graft take is higher. Dr. Toledo has been performing this same procedure to the oral lips for over 20 years. Synthetic implants or fillers for labia majora augmentation are not recommended. Sometimes very saggy, droopy labia majoras need to be lifted by excising a strip of excess tissue.
After surgery, the patient is released into the care of an authorized individual, so she can recuperate in the comfort of her own home. Dr. Toledo provides patients with thorough postoperative instructions to ensure a safe and quick healing period. Most patients are able to return to work and other normal activities in two to four days. However, more strenuous activities and sexual intercourse should be avoided for four weeks. Dr. Toledo and his staff are always available to answer any questions or concerns that may arise during the recovery period.
Women who undergo labiaplasty surgery with Dr. Toledo find that they are more comfortable with the appearance of their labia following surgery. This can help to feel more confident with their partner, enabling greater enjoyment in their sex life. The procedure also may eliminate some physical pain or discomfort. Most importantly, undergoing labiaplasty liberates women from the worry and embarrassment they may have about their most intimate area, thereby improving their overall sense of self, health and wellbeing.
Frequently Asked Questions
How much does a labiaplasty cost?
The determination of the exact pricing for a labiaplasty requires a personal consultation at our facility. Actual plastic surgery prices depend on your specific anatomy, operating time involved, surgical technique used, and type of anesthesia.
These are fee range estimates only and are subject to change.
- $3,000 - $5,000 Labia Minora
- $4,000 - $6,000 Labia Majora
- $6,000 - $10,000 for both
Should I choose a plastic surgeon or OB/GYN?
When researching vaginal rejuvenation surgery, you may find that a large majority of obstetricians and gynecologists (OB/GYNs) offer labiaplasty. While many OB/GYNs are capable of performing labia rejuvenation, the procedure is most often considered cosmetic. An OB/GYN will be able to surgically remove excess skin from your labia; however, a plastic surgeon, like Dr. Toledo, will consider the aesthetics as well. This ensures scarring is minimal and that the final color, contour, and symmetry all look and feel natural.
Will vaginal rejuvenation surgery cause insensitivity?
As with any surgery, there may be some numbness in your vaginal area after the procedure is completed. This is temporary as the skin and vaginal lips heal. In regard to sexual sensitivity, it is important to understand that labia rejuvenation addresses the vaginal lips and not the clitoris. A skilled plastic surgeon, like Dr. Toledo, who has many years of experience performing vaginal rejuvenation surgery will work around the clitoris so that a loss of sensitivity does not occur.
What is the recovery process like after a labiaplasty?
Before your surgery, Dr. Toledo or a member of his team will go over what to expect after your labiaplasty and tips to make your recovery more comfortable. You will have some swelling in your vaginal area causing mild discomfort immediately after your surgery. You should plan to rest for at least 2-4 days before returning to work. You will be restricted from strenuous exercise for 3 weeks and sexual intercourse for 4 weeks after surgery.
Are there nonsurgical vaginal rejuvenation treatments?
There are nonsurgical vaginal rejuvenation treatments that can help to improve mild to moderate looseness in your vaginal area. However, vaginal rejuvenation is best for significant improvements to tighten and reshape your labia. During your consultation with Dr. Toledo, he can discuss your options and make recommendations based on your needs and goals.
Plan Your Procedure
- Average Cost
- $3,000 - $4,200
Comfortable and Confident
If you are considering labiaplasty, or vaginal plastic surgery, it is important to select a surgeon who will value your privacy, treat you with respect, and provide the aesthetic results you need to feel comfortable and confident. Dr. Toledo is a renowned plastic surgeon who is committed to providing a high-quality surgical experience, so you feel free to focus your energy on living life to the fullest. Learn more about labiaplasty or schedule a consultation today by calling our office. Experience Matters.