FemiLift was the first fractional CO2 multi-use device on the market for vaginal rejuvenation. It heats the vaginal lining tissues to 60-70 degree celsius to promote Neocollagenesis. It also causes fractional ablation in the vaginal lining resulting in a thicker and more youthful vaginal canal. It will take about 3 treatments over 12 weeks for best results with annual maintenance.
Fem Touch Fractional CO2 creates a 360 degree pattern around the vaginal canal. This allows stimulation of new tissue growth creating collagen. Typically 2-4 treatments are recommended for best results. It treats a variety of concerns from vaginal dryness and laxity as well as painful intercourse. The CO2 laser will cause new blood vessels to develop, increased mucous production and elasticity.
MonaLisa Touch is the only CO2 fractional laser designed for vaginal atrophy. It creates a 360 degree pattern around the vaginal canal. It is FDA approved to treat vaginal dryness and painful intercourse for the post menopausal female. Three 5 minute treatments are spaced over 18 weeks for best results. It’s virtually painless with mild vibration in the canal. You may return to normal activity post procedure but avoid sexual intercourse for 2-3 days. Annual maintenance is recommended.
ThermiVa is a hand held probe in the shape of an “S”. This smooth probe delivers controlled thermal radiofrequency energy directly to the areas you’d like to improve. Its primary function is vaginal tightening however it is the only one of its kind to treat the external genitalia, specifically the labia, and/ or the vaginal canal. The thermal energy is delivered between 45-55 degrees celsius. It stimulates collagen production, promoting its remodeling in both areas. It utilizes a single use probe. Best results are achieved within 3 sessions 4 weeks apart with annual maintenance.
Geneveve by Viveve uses cryogen-cooled monopolar radiofrequency. Geneveve is a treatment that uses gentle deep heating and surface cooling to stimulate the body’s natural collagen formation process to tighten the tissues around the vaginal opening. It is a comfortable, single-session, 30-minute treatment.
Intimalase is an Erbium yag laser for non ablative alternative for vaginal tightening. Usually 2 treatments are needed for best results. Benefits are heightened sexual pleasure, quality of orgasms and also treats symptoms of incontinence.
Diva Laser is an Erbium yag laser utilizing a single use dilator that remains stationary during the treatment. It can be done in 3-5 minutes with minimal discomfort. Patients may need 1-3 treatments spaced every 4 weeks with annual maintenance.


The American Society of Plastic Surgeons (ASPS) have guidelines in place for young girls (13-19) seeking out breast augmentation for cosmetic reasons, suggesting the age of 18 or at least until the breast has fully developed to the last TANNER stage. But for girls seeking labiaplasty? There really isn’t a set precedent. Why are young girls and women concerned about this? Interestingly, it is more than what meets the eye.
Young girls are seeking out advice about what looks “normal”. For a lot of young girls or women its not about aesthetics, its about feeling comfortable, if the labia minor is larger than normal it can create an extremely painful situation. For athletes such as barrel racers, bicyclist, runners with a larger than “normal” labia, it can create a lot of discomfort for the patient.
Your age should not preclude you from enjoying all activities life has to offer and neither should securing your esteem with a labiaplasty.
Dr. Bishara performs labiaplasty at Paragon Plastic Surgery and Med Spa in Mansfield, Texas. The procedure may be done under local or general anesthesia and is an out-patient procedure typically lasting an hour or two. Some patients opt to pair this surgery with other surgical procedures such as liposuction, breast augmentations or blepharoplasty.
Recovery is typically within 2 weeks. Most patients are able to return to work the day or two post operation and pain managed with over the counter pain medication. As dissolvable sutures are used, no stitches need to be removed and ice can be applied to the area in the event of swelling. Sexual activity and strenuous exercise should be postponed approximately six week post procedure
For more information about breast augmentation or labiaplasty please call 817-473-2120 or [email protected]

Q. What is a labiaplasty?

Labiaplasty also coined (labia minora reduction) and (labial major reduction) is a relatively minor form of plastic surgery procedure where the surgeon removes excess skin to improve aesthetic appearance/hygienic reasons/pain relief or to prevent avoidance of sexual intimacy.

Q. Who is a candidate for surgery?

Women who suffer from discomfort associated with protruding labias, to include constrictive clothing, bathing suits, sexual intimacy discomfort or sexual avoidance due to embarrassment are candidates. Those who participate in sports which require sitting (spinning or weightlifting) may also benefit from this procedure.  Patients need an updated pap smear within 3 months.

Q. What can I expect during consultation?

A. Dr. Mark Bishara will obtain past medical history, discuss expectations and your goals and will do a physical/visual examination. This is a good time to ask Dr. Mark Bishara questions you may have surrounding the procedure and he will discuss what can be achieved. The consultation cost is $125 but will be applied to your procedure.

Q. What is the cost of a labiaplasty?

The average cost for a labiaplasty is $4980, however maybe more or less dependent on patient and if in conjunction with another procedure.

Q. Will I have a noticeable scar from labiaplasty?

It is definitely possible, but due to the vascular nature of the area, healing is exceptional. Dr. Bishara uses dissolvable sutures to also mitigate scarring. If scarring does occur in the region it will be very difficult to see.

Q. Are there any risks associated with labiaplasty?

There are risks with any medical procedure however, typically very minor. Some swelling (mangaged with ice); possible risk of infection, tenderness, possible loss of sensation.

Q. Will I be in any pain post procedure?

Dr. Bishara’s ultimate goal is pain management which most control with prescribed or over the counter medications.

Q. Can I finance the procedure?

Yes, you can use your own credit cards or apply with United Medical Credit for an affordable monthly payment. https://www.unitedmedicalcredit.com

Q. What do I do if I am interested in scheduling a labiaplasty?