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.

ExcellentGoogle star 1Google star 2Google star 3Google star 4Google star 5.0.74.7237 reviews
4.7Google star 1Google star 2Google star 3Google star 4Google star 5.0.7
Excellent237 reviews
charnice burk profile picture
charnice burk
September 4, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Nosti is great! I felt very confident in his work. He has done 2 procedures for me and both have gone so smooth. He tells you what to expect and has a plan for those things. I would refer him to anyone having gynecological issues that they need surgery for. Thanks Dr. Nosti!!
Deb Hundley profile picture
Deb Hundley
August 26, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
As a Provider in the region I self referred to Dr. Nosti for female pelvic organ prolapse and stress incontinence. From the time I walked in the door for my initial consult to my post-op surgical follow up the process has been seamless. Any hiccups were anticipated and a plan was in place prior. I’ve been nothing but happy with this process and my results.
Kathryn Gonzalez profile picture
Kathryn Gonzalez
August 26, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Everyone is so professional and Dr. Nosti is incredible. Surgery went well. I feel more confident.
Rose Hamilton profile picture
Rose Hamilton
August 25, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
This place was amazing, I was treated kindly and softly, everything explained to me as we went, my options and things to help till my next appointment. The office itself is soft, clean, and quiet to help you feel more relaxed in an uncomfortable situation. Everyone was very friendly and respectful. I highly recommend this office. Dr Stork was very friendly, took her time, explained everything and presented my options, pros and cons for each and let me make the choice. She was light-hearted and helped me feel at ease.
Elaine Smith profile picture
Elaine Smith
August 16, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr Nosti is wonderful, I would recommend him to any of my friends. His office staff are kind, courteous and professional. Highly recommend if you need urogynecology services!!
Ashlee White profile picture
Ashlee White
August 13, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I have dealt with IC and bladder pain for the last 3 years. Went to a urologist for years and tried anything he threw at me but after years of suffering and plenty of my own research (spiraling), I found Latasha online. She is the first provider that made me feel seen and heard and actually helped me feel better. Thank you, Latasha! ❤️
Colleen Dublin profile picture
Colleen Dublin
August 11, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Dr. Nosti and LaTasha are excellent practitioners. They are a busy practice but always have time to make you feel like you're the only patient. (I wouldn't recommend a practice that isn't busy... if it's not, the practitioners aren't any good). The staff is excellent, too. I'm a bit of an expert when judging urologists... I'm in my 50's and was born with a bladder condition. Needless to say, I've seen many urologists since childhood (I move around a lot).
Jennifer Sada profile picture
Jennifer Sada
August 2, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
This office is extremely clean and well organized. I never had to wait more than two minutes and the staff is very friendly and professional. I felt fully supported by Kellie James and Dr. Nosti at every step of the diagnosis and treatment.
Lisa Kurz profile picture
Lisa Kurz
July 20, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I had the best experience with Dr. Nosti, he’s so caring and made me feel very comfortable. I’ve never felt better and my life is back to normal again! He is so wonderful and explained everything. I’m so happy I didn’t wait and his staff at his office and at the hospital were amazing!!
Lynette Beebe profile picture
Lynette Beebe
July 20, 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I was struggling. Latasha Reed and Dr. Nosti were so helpful. I can go places without accidents.

Contact Us

This field is for validation purposes and should be left unchanged.
Name(Required)
Preferred Payment Method(Required)

Our Locations

Main Office

Satellite Office

Office Hours

Monday
8:00-4:30pm
Tuesday
8:00-4:30pm
Wednesday
8:00-4:30pm
Thursday
8:00-4:30pm
Friday
8:00-4:30pm
Saturday
Closed
Sunday
Closed