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Subscribe on YouTubeI explain about female intimate surgery in Brazil
Female intimate surgery encompasses a set of procedures designed to correct both functional discomfort and aesthetic concerns in the genital area. Labiaplasty, the reduction of the labia minora, is the most commonly requested procedure, but many women also benefit from labia majoraplasty, clitoral hood reduction, perineoplasty, and vaginoplasty. In my practice in Brazil, I frequently combine two or more of these surgeries in a single session to deliver a comprehensive and balanced result. With over twenty years of experience and more than eight thousand plastic surgeries performed, I have seen how profoundly these procedures transform the lives of women who suffer in silence with physical irritation, discomfort during exercise, self-consciousness during intimacy, or dissatisfaction with the appearance of their genital region. My goal is to provide a safe, judgement-free environment where every patient receives the personalised care and technical excellence she deserves.
Female intimate surgery specialist in Brazil
My training with Dr. Gary Alter in the United States was a defining moment in my career as an intimate surgery specialist. Dr. Alter is the creator of the wedge technique for labiaplasty, which I now perform routinely at my clinic in Brazil. Unlike the traditional longitudinal resection that removes the entire labial edge and eliminates the natural border, the wedge technique excises a V-shaped segment from the central portion, preserving the original labial contour and creating a more natural appearance. Beyond labiaplasty, I also perform labia majoraplasty for sagging or deflated labia majora, prepucioplasty to reduce excess clitoral hood tissue, and clitoroplasty for cases of clitoral hypertrophy. Each procedure demands specific surgical expertise, and having trained directly with the world's foremost authority in female genital aesthetic surgery gives me the confidence to handle even the most complex anatomical variations with precision and safety.
As an intimate surgery specialist, I offer a comprehensive range of female intimate surgery and vaginal rejuvenation procedures. Beyond labiaplasty, there are several other treatments that may be right for you -- from pubic liposuction and labia majora reduction to clitoral hood reduction and perineoplasty. I trained specifically in intimate surgery in the United States with Dr. Gary Alter, learning the wedge technique for labiaplasty alongside other advanced approaches. With over 20 years of experience and more than 8,000 surgeries, I deliver natural, long-lasting results. International patients considering medical tourism in Brazil for cosmetic surgery abroad receive dedicated support throughout their journey.
Labiaplasty
Labiaplasty (labia reduction) is the surgical reduction of the labia minora. During the procedure, asymmetries between the two sides can also be corrected. I perform two techniques -- longitudinal resection and the wedge technique, which I learned from Dr. Gary Alter in the USA -- and I choose the most appropriate one for your anatomy. The procedure is virtually painless, recovery is quick, and most patients return to their normal routine within days.
Labia Majora Reduction
If you have sagging or excess tissue in the labia majora, labia majora reduction can easily address this during your intimate surgery. The procedure removes excess skin and sometimes fat. Recovery is just as smooth as with labiaplasty, and the results are highly satisfying.
Fat Grafting to the Labia Majora
Labia majora fat grafting is performed when the labia majora have lost volume and appear deflated. Fat is harvested from another area, such as the abdomen, processed, and then injected into the labia majora to restore a youthful appearance to the intimate area. This procedure is often combined with labiaplasty or pubic liposuction for comprehensive results.
Pubic Liposuction
Excess fat in the mons pubis can be noticeable when wearing a bikini or workout leggings. Pubic liposuction (mons pubis contouring) easily improves this common concern. You can get rid of that stubborn fat through a simple procedure requiring just two tiny incisions. It pairs well with labiaplasty or labia majora fat grafting.
Mons Pubis Lift
If you feel your intimate area has started to sag, you may benefit from a mons pubis lift. Through an incision similar to a caesarean section scar, the excess skin above the mons pubis is removed and the pubic area is lifted with internal sutures, repositioning the mons pubis to a higher, more youthful position.
Clitoral Hood Reduction
The skin that covers the clitoris is known as the clitoral hood (prepuce). Excess hood tissue can be cosmetically bothersome and may interfere with clitoral stimulation. Clitoral hood reduction is performed by removing a crescent-shaped segment from its upper surface, leaving a virtually invisible scar. It can be performed alongside labiaplasty or another intimate procedure.
Clitoroplasty
The clitoris may be enlarged due to genetic factors or hormone use. When caused by hormones, they must be discontinued to achieve a satisfactory result. Clitoral surgery can be performed in two ways: clitoropexy -- which involves suspending the clitoris for mild cases -- and clitoroplasty, or actual reduction -- where the cavernous bodies are reduced in more pronounced cases. In my experience, the procedure has never interfered with sensitivity.
Hymenoplasty
Hymen reconstruction is commonly sought for cultural or religious reasons before marriage. There are several effective techniques that restore this structure at the vaginal introitus. Recovery is quick, and a waiting period of six weeks is recommended before sexual activity.
Perineoplasty and Vaginoplasty
When the posterior vaginal wall becomes lax, the vaginal opening elongates and shifts closer to the anus. Perineoplasty reconstructs the external portion of the vagina by tightening the muscles, raising the vaginal opening, and increasing the distance from the anus. Vaginoplasty extends this repair approximately 10 cm along the vaginal canal, tightening additional muscles and reducing laxity over a greater area. After a physical examination, I will be able to tell you whether perineoplasty, vaginoplasty, or both would be right for you.
Book your female intimate surgery consultation
Get in touch and book a consultation with me in Brazil. As a board-certified intimate surgery specialist with international training (Ivo Pitanguy Institute, SBCP, ASPS), I am prepared to help you achieve the results you desire. My team welcomes international patients from the United Kingdom and worldwide seeking cosmetic surgery abroad through medical tourism in a warm, modern environment. We also offer online consultations for patients from other cities. Learn more about our pricing.
Dr. Walter Zamarian Jr.
Consultant Plastic Surgeon in Londrina, Brazil
Rua Engenheiro Omar Rupp, 186
Londrina, Brazil
Postcode 86015-360
Brazil
YouTube Channel: Dr. Walter Zamarian Jr.
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The recovery from female intimate surgery is surprisingly smooth, which is one of the aspects that most positively surprises my patients. I perform the majority of these procedures under local anaesthesia combined with light sedation, allowing the patient to return home the same day. I use absorbable sutures that dissolve on their own, eliminating the need for a separate stitch removal appointment. Most women return to desk work within approximately one week, though physical exercise and sexual activity should be postponed for four to six weeks to ensure complete healing. The genital region has an exceptionally rich blood supply, which promotes faster tissue repair compared to many other body areas. In my experience of over twenty years performing intimate surgery at my clinic in Brazil, the lasting results and the high degree of patient satisfaction confirm that this is one of the most rewarding procedures I perform, consistently improving both comfort and confidence.
Frequently Asked Questions about Intimate Surgery
What types of female intimate surgery do you perform?
I perform various procedures of female intimate surgery, including labiaplasty (reduction of the labia minora), labia majora reduction, fat grafting to the labia majora, liposuction of the mons pubis, mons pubis lift, preputioplasty, and clitoroplasty. Each procedure is recommended for a specific concern, and during the consultation, I assess which is the most suitable for you.
Does female intimate surgery hurt?
In my experience, intimate surgery is practically painless. I use local anaesthesia with sedation in most cases, which ensures total comfort during the procedure. In the postoperative period, there may be slight discomfort in the first few days, easily controlled with common painkillers. The intimate area has excellent healing, and recovery is usually smoother than patients imagine.
Does intimate surgery affect sensitivity?
This is one of the most common questions, and I can confirm that, in my experience, intimate surgery does not affect sensitivity. The nerve endings responsible for pleasure are preserved during all the procedures I perform. Many patients even report an improvement in their sex life after surgery, as the discomfort they previously felt ceases to exist.
What is the recovery like after intimate surgery?
The recovery is quite smooth. I recommend relative rest in the first few days, the use of cold compresses, and careful hygiene with neutral soap. Most patients return to their daily activities in about a week. Physical activities and sexual activity should be avoided for approximately four to six weeks, depending on the procedure performed.
Do the stitches need to be removed?
No. I use absorbable sutures in all intimate surgeries, which means that the stitches dissolve on their own over the following weeks after surgery. This eliminates the need for an additional appointment to remove stitches and makes the postoperative period more comfortable for the patient.
Does intimate surgery leave a visible scar?
The skin in the intimate area has excellent healing, and the scars are practically imperceptible. I use refined techniques that position the incisions in naturally discreet areas. After a few months, it is very difficult to identify that surgery took place, even upon close examination.
Can I combine more than one intimate procedure in the same surgery?
Yes, it is quite common to combine procedures in the same surgery. For example, many patients undergo labiaplasty along with preputioplasty or liposuction of the mons pubis. This reduces the number of anaesthetics and the total recovery time. During the consultation, I assess which combinations are recommended for your specific case.
Does intimate surgery interfere with future pregnancy or childbirth?
No. The intimate surgery procedures I perform act on the external genital area and do not interfere with reproductive capacity, pregnancy, or childbirth. However, I recommend that patients planning to become pregnant soon discuss this with me during the consultation, so we can plan the best timing for the surgery.
How do I choose the ideal surgeon for intimate surgery?
I recommend that you seek a plastic surgeon who is a member of the Brazilian Society of Plastic Surgery (SBCP), with proven experience in intimate surgery. I trained with Dr. Gary Alter in the United States and have performed thousands of procedures over more than 20 years.
Is the consultation for intimate surgery confidential?
Absolutely. The entire process, from the consultation to the postoperative period, is conducted with total confidentiality and discretion. My team is prepared to welcome you in a warm and private environment. Medical confidentiality is guaranteed by law, and in my clinic, we treat this subject with the naturalness and respect it deserves.