Aesthetic Vaginal Surgery

Urogynecology of Kansas City offers aesthetic vaginal surgery to restore and enhance the appearance of the vaginal area. These procedures are also known as “Vaginal Rejuvenation”, “Cosmetic Vaginal Surgery”, “Labiaplasty” or “Vaginoplasty”. These procedures can enhance intimacy and help alleviate pain, itching, irritation, or self-consciousness.

About Aesthetic Vaginal Surgery

This procedure is performed by Dr. Patrick Nosti, who is double board certified and fellowship trained in Gynecology and Female Pelvic Medicine and Reconstructive Surgery. He has over a decade of experience in female reconstructive surgery, which includes complex vaginal reconstructive surgery and smaller cosmetic procedures. While some discourage discussing intimate issues, Dr. Nosti and the staff at Urogynecology of Kansas City commonly talk about sensitive topics like labiaplasty and understand the impact they can have on a woman’s life. No embarrassment. No shame. We are here to help you feel better—in whatever capacity that may be for you.

elegant woman in white attire holding her genitals

Who Is a Candidate for Aesthetic Vaginal Surgery?

Every woman’s body is completely different. The vulva is no exception. Every woman has unique vaginal features of her clitoris, labia, and vagina. While most women are comfortable with their natural makeup, others may not be. When excessive tissue is present in this area some women find that this causes twisting and/or tugging, which can be uncomfortable or extremely painful. They may also find it uncomfortable to wear a bathing suit and fear the risk of the labia falling out or otherwise being exposed in public. If you feel restricted from activities like biking or horseback riding or even just feeling uncomfortable wearing yoga pants or leggings, we can help. Many women aren’t aware that there is a way to correct the labia in a way that will be more comfortable for them!

Candidates for aesthetic vaginal surgery should have realistic expectations for what the surgery can accomplish as well as an understanding of what must be done to ensure proper recovery. There are other requirements, such as:

  • You’re in good physical health.
  • Your body is fully developed, and you’ve healed from childbirth.
  • You have enlarged labia.
  • You’re a non-smoker or willing to stop smoking before and after surgery.
  • You’re not taking any medications that could complicate your procedure, such as blood thinners, aspirin, and certain anti-inflammatory drugs, among others.

What to Expect During Aesthetic Vaginal Surgery

Your initial consultation will include an office visit. At this visit Dr. Nosti will meet with you to discuss your concerns and goals relative to surgery. An examination is then performed and measurements are obtained. Often, Dr. Nosti will provide a mirror during the examination to ensure the appropriate anatomy is being discussed. If you would prefer to discuss surgical options without the examination this too can be arranged. Once the exam is complete, you will meet with Dr. Nosti in his office and review details regarding the planned surgery including preoperative and postoperative instructions. If you choose to proceed with surgery, you will meet with our office billing supervisor to pay your fee. We will then find a time and date that works best for you.

Does Aesthetic Vaginal Surgery Hurt?

Aesthetic Vaginal Surgery is primarily performed in our office under local anesthesia but can be performed under general anesthesia in a surgery center. In either scenario, the procedures are very well tolerated both during and after surgery. Office based procedures offer multiple benefits including decreased cost (no anesthesia or surgery center fees) as well as decreased risks associated with general, spinal or epidural anesthesia. In our office, we offer Micro Tumescent Vaginal Rejuvenation (MTVR) which was developed by Dr. Red Alinsod, a pioneer in Aesthetic Vaginal Surgeon. Small volumes of local anesthetic are strategically placed throughout the tissue. Patients are able to watch TV, listen to music or read a book while the surgery is being performed. Moreover, with the use of mirrors, patients are able to provide real-time feedback so adjustments can be made, which allows for the best possible patient outcome. This is not something that can be done if you are asleep in a surgery center. In addition, if desired, Exparel can be used during your procedure for a small additional cost to provide several extra days of pain control.

How are the Procedures Performed?

Most aesthetic vaginal procedures last about 2 hours. The tissue is numbed with both topical and injectable medication. It is then tested to ensure adequate anesthesia. A marking pen is used to outline the tissue to be excised. Next, a radio frequency Ellman device is used to make incisions. This device is extremely precise with minimal lateral thermal spread allowing for the best possible cosmetic results as well as minimal postoperative pain. Once the tissue has been excised and refined, small dissolved sutures are used to close the incisions.

How Long Does it Take to Recover?

It is essential to follow all pre and post-operative instructions to make sure your procedure and the healing process go as smoothly as possible. Dr. Nosti recommends one to two weeks off work. That includes no cleaning or errands. You’ll need to keep your activity level very low as walking will be slightly uncomfortable. Walking, as long as you go slowly, is okay. You should also refrain from sexual activity, bike riding, horseback riding, or other strenuous athletic activities for 5-6 weeks following the surgery in order to promote proper healing. You should keep the area clean to avoid infection after your surgery and avoid clothing or activities that irritate the surgical site.

After two weeks, your pain and swelling should improve, and you can resume light activity. Most patients return to work after two weeks, and the swelling will continue to go down. The minor scars from your procedure will fade over time, and you should see your full results within a few months.

What are the Benefits of Aesthetic Vaginal Surgery?

Aesthetic Vaginal Surgery can be performed for a variety of reasons, including cosmetic purposes or to reduce pain or embarrassment that larger labia may cause during athletics and/or intercourse. Contrary to popular belief, labia reduction will not enhance sexual pleasure in itself. However, many of our patients report it works wonders in restoring confidence in their sexuality!

The ultimate goal for our patients is that they no longer need to think about this area. This is a welcome change for many who previously felt self-conscious or uncomfortable on a daily basis due to excessive tissue.

What are the Risks of Aesthetic Vaginal Surgery?

General surgical risks include infection, bleeding, pain, nerve damage, and inadvertent injury. Aesthetic vaginal surgery may result in scarring, particularly in cases where blood thinners or nicotine are resumed too quickly.

You reduce your surgical risks by carefully following all of the pre and postoperative directions provided by our office. Risks can be further reduced by choosing a board-certified surgeon, like Dr. Nosti, who utilizes advance.

Is Aesthetic Vaginal Surgery Cost Covered by Insurance?

No. Aesthetic Vaginal Surgery is considered cosmetic and elective. Despite the fact that problem labia can lead to medical issues and discomfort, insurance companies do not cover the cost of this surgery.

Schedule a Consultation

Schedule your consultation for Aesthetic Vaginal Surgery in Kansas – contact Dr. Nosti and set up your appointment. During your appointment, you will be able to ask questions and bring up any concerns you may have about the procedure. Contact us today to get the look you’ve always wanted!

Related Blogs

Before & After Gallery

Curious about the results of advanced pelvic reconstructive procedures? Explore the Before & After Gallery at Urogynecology of Kansas City to see real patient outcomes from experienced, board-certified, fellowship-trained surgeons Dr. Nosti and Dr. Stork. Their expertise in minimally invasive vaginal and robotic surgery has helped restore confidence and quality of life for hundreds of women.

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Excellent248 reviews
Kathy Ginestra profile picture
Kathy Ginestra
November 9, 2026
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Kind and understanding. Surgery went very well. Very happy I used Dr Nosti.
Texanna Ollenberger profile picture
Texanna Ollenberger
November 9, 2026
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Dr. Nosti, Please excuse my tardiness in Thanking You for doing my surgery and giving me the opportunity to do a newer surgery that provided me with a quicker recovery time than what I had expected. I have just finished my 12th week following surgery. I feel great and for the past 6 weeks I have been back to my regular work schedule. No longer do I rely on my children or friends to help me. THANK YOU! Sincerely, Texanna Ollenberger
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Lorraine Ford
November 6, 2026
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If your looking for a urogynocolist Dr Nosti is your man he's the best. Great beside manners,caring and compassionate. Great staff too.
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Jenny H
November 4, 2026
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I cannot recommend LaTasha Reed, WHNP, highly enough. From the moment you walk into her care, it is completely evident that she treats her patients as whole people, not just a list of medical symptoms. No one ever wants to find themselves needing treatment for women’s health issues, but LaTasha approaches her work with a profound sensitivity to exactly that. She pairs deep clinical expertise with genuine compassion, completely removing any anxiety or discomfort from the experience. Instead of the usual rushed, quick-visit feel of modern medicine, LaTasha takes the time to truly get to know you beyond the chart. She dedicates an impressive amount of time to patient education, ensuring you fully understand your body, your options, and your path forward. If you are looking for a provider who will truly advocate for you, listen to you, and invest in your well-being, LaTasha is the absolute gold standard.
Kathleen Asbury profile picture
Kathleen Asbury
November 4, 2026
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Dr Nosti is a great listener! I am 6 weeks post op and he was reassuring, kind, and a definite expert in telling me what to expect! Everything he has explained has been exactly as I've experienced it. How wonderful for his patients! I would highly recommend Dr. Nosti and everyone in his office for Urogynecology care.
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Veronica Malm
October 16, 2026
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I am so grateful to have found Dr. Nosti. He is incredibly kind, patient, and always takes the time to answer all of my questions. He is an outstanding professional, and I feel very fortunate to have been under his care. His entire team, from the clinic staff to the operating room team, was truly wonderful.Everyone was extremely professional, attentive, compassionate, and supportive exactly what you need when going through surgery. Six weeks after my surgery, I can honestly say that I would rate this entire team a 10/10, both professionally and, just as importantly, on a human level. Thank you, Dr.Nosti, and thank you to the entire team for taking such great care of me. I couldn’t be more grateful!💕
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Michelle Butcher
October 14, 2026
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I live in Eastern Jackson County. We have trouble in this area seeing sub specialists. He comes to this area once a month and I truly appreciate him for this. He is very understanding friendly and gives me his full attention. His staff are very nice as well. I would give his name out to anyone who needs help with these kind of problems. He gets five stars from me.
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Dana Smith
September 25, 2026
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I can't recommend Dr. Nosti and the team at Urogynecology of Kansas City enough. I had surgery with him last month, and from my very first evaluation appointment through recovery, the entire experience exceeded my expectations. Dr. Nosti took the time to listen, explain my options clearly, and made me feel confident and comfortable with my decision to move forward with surgery. The surgery itself went smoothly, and my recovery has been great. Every member of the staff was kind, professional, and attentive at every visit. I'm so glad I made that first appointment to get evaluated — it's made a real difference in my quality of life. I would give Dr. Nosti and his team a 10/10 recommendation to anyone considering care with this practice.
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Patty Cowan
September 23, 2026
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Latasha Reed was great to work with. She was very thorough and took the time to listen to everything that was going on. She went beyond the scope of the initial reason I was coming to see her and helped me with another concern. I would highly recommend her.
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Shawn Kyndesen
September 11, 2026
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I had my first visit with Kellie James, CRNP and she listened to all my concerns. She gave me a plan to help my urinary in-continuance. She was so easy to talk to! I am so thankful that I saw her. My life has changed for the better! SKK

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