Tell Me About: 'Fixing' your butt and vagina with cosmetic surgery


Gluteal augmentation can improve and contour the size and shape of your buttocks. — 123rf.com
Is there any cosmetic surgery that can make my butt smaller? I’ve always had a big butt and I want something smaller and shapelier.

Yes, there is.

This is called buttock or gluteal augmentation. It can improve and contour the size and shape of your buttocks by increasing their fullness, roundness and even the way they jut out from your body.

This surgery can also improve your body balance.

Just like breast augmentation, this uses buttock implants, fat grafting and sometimes both of them.

Are butt implants the same as breast implants?

They use silicone too, so yes.

But if there is fat grafting involved, the surgeon will transfer fat from one area of your body into the tissues of your buttocks. This technique is also called the Brazilian Butt Lift.

Most of the time, you may need a buttock lift in addition to buttock augmentation.

Will a butt lift make my buttocks perkier?

A butt lift will certainly improve the shape and tone of the underlying soft tissue and fat under the skin of your buttocks. These may have previously been damaged by ageing, pregnancy or fluctuations in your weight.

I have read from women’s magazines that there is such a thing as vaginal cosmetic surgery. Is this true?

Yes. There are plenty of what is considered “aesthetic” genital plastic surgery procedures to make parts of your genitals look better and also reduce the discomfort of sex, if you are having it.

Many magazines also refer to these procedures as “vaginal rejuvenation”, “vulvovaginal plastic surgery” and “designer vagina surgery”.

What types of vaginal surgery are there?

There are:

> Labiaplasty

This surgery reduces the length of your labia minora, which are the smaller and inner labia inside your external labia.

It is the commonest female genital surgery performed.

It reduces the length of the labia minora so they hang inside the labia majora.

It also balances the length of one labia minora if they were of different lengths in the first place.

Women usually go for it because they experience pain from twisting or tugging of the labia when they do cycling or during sexual intercourse.

> Clitoral hood reduction

Some women have very huge clitoral hoods, and they are ashamed because they think it looks too much like a small penis. This surgery reduces the folds of the clitoris, and it is usually done together with a labiaplasty.

> Labia majoraplasty

This one reduces the size of your labia majora (the outer ones). Some women feel their labia majora are too huge.

> Monsplasty

This one reduces the area or fullness of your mons, which is the hairy area above your vulva.

> Vaginoplasty

This surgery will tighten your vagina, because many women complain that after childbirth, they experience vaginal stretching and separation of the muscles.

This may cause something like a tampon to fall out, or cause dissatisfaction during sexual intercourse.

This procedure is also known as posterior colporrhaphy.

Extra layers from the back of your vagina are removed, and separated muscles are brought together.

You can also do this without surgery, through radiofrequency waves or laser.

However, if your vagina is very lax, you can only benefit from actual surgery.

I have heard of such a thing as “repairing my hymen”. Is there such a surgery? Will I be made a “virgin” again?

Well, I would like to think of virginity as an “experiential” state rather than a physical one!

But, yes, there is such a thing as hymen repair surgery.

Your hymen is a thick, membranous layer of tissue which encircles your vaginal orifice from the urethal orifice backwards.

It does not fully cover your vaginal orifice because it needs to allow escape of menstrual blood.

Some women’s hymens are so elastic they do not tear during the first sexual intercourse.

But for most women, the tear does occur during the first intercourse or after tampon insertion.

In many cultures, the hymen is taken as proof of virginity.

Hymen repair involves the excision of the torn edges of a hymen which has been “broken”.

The surgeon can stitch them together with fine, dissolvable sutures.

Once the hymen heals, it will appear intact.

If your hymen is so torn that it cannot be saved, the surgeon can even reconstruct a new hymen from the lip of the vagina.


Dr YLM graduated as a medical doctor, and has been writing for many years on various subjects such as medicine, health, computers and entertainment. For further information, email starhealth@thestar.com.my. The information contained in this column is for general educational purposes only. Neither The Star nor the author gives any warranty on accuracy, completeness, functionality, usefulness or other assurances as to such information. The Star and the author disclaim all responsibility for any losses, damage to property or personal injury suffered directly or indirectly from reliance on such information.

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Cosmetic Surgery , Butt , Vagina , Hymen

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