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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 natural 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, judgment-free environment where every patient receives the personalized care and technical excellence she deserves.
Female Intimate Surgery -- Specialist Care 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 a leading intimate surgery specialist in Brazil, I offer a comprehensive range of female intimate surgery procedures. While labiaplasty is the most well-known intimate procedure, there are several other surgeries that may be right for you. Beyond enlarged labia minora, concerns can include excess fat on the mons pubis, sagging of the labia majora, excess clitoral hood tissue, and more. I completed specialized training with Dr. Gary Alter in the United States -- learning the wedge technique labiaplasty directly from its creator -- to bring you the most advanced techniques with outstanding results. Patients from the United States, Europe, and worldwide travel to my clinic in Brazil for medical tourism intimate surgery Brazil.
Labiaplasty -- Labia Minora Reduction
Labiaplasty in Brazil is the surgical reduction of the labia minora. During the procedure, asymmetries between the two sides can also be corrected. I perform two techniques -- trimming and the wedge technique labiaplasty that I learned directly from Dr. Gary Alter in the USA -- and I will 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 -- Labia Majoraplasty
If you have sagging or excess tissue in the labia majora, labia majora reduction (labia majoraplasty) 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.
Labia Majora Fat Grafting -- Labial Fat Transfer
Labia majora fat grafting (labial fat transfer) 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 can be combined with labia majora reduction or labiaplasty for comprehensive results.
Pubic Liposuction -- Mons Pubis Contouring
Excess fat in the mons pubis can be noticeable when wearing a bikini or workout leggings. Pubic liposuction (mons pubis liposuction) eliminates this stubborn fat through a simple procedure requiring just two tiny incisions. I often combine it with mons pubis lift for comprehensive pubic area contouring.
Mons Pubis Lift -- Pubic Rejuvenation
If you feel your intimate area has started to sag, you may benefit from a mons pubis lift (pubic lift). Through an incision similar to a C-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. This pubic rejuvenation procedure is especially effective after significant weight loss.
Clitoral Hood Reduction -- Prepuceplasty
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 (prepuceplasty, clitoral unhooding) is performed by removing a crescent-shaped segment from its upper surface, leaving a virtually invisible scar. It is commonly performed alongside labiaplasty for a more natural result.
Clitoroplasty -- Clitoral Reduction
The clitoris may be enlarged due to genetic factors or hormone use -- a condition known as clitoral hypertrophy. Clitoroplasty (clitoral reduction) addresses this through reduction of the cavernous bodies for more pronounced cases, while clitoropexy suspends the clitoris for milder cases. I perform this procedure using the technique I learned from Dr. Gary Alter in the USA. In my experience, the procedure has never interfered with sensitivity.
Hymenoplasty -- Hymen Reconstruction
Hymenoplasty (hymen reconstruction, hymen repair) is commonly sought for cultural, religious, or personal reasons. I use refined techniques to restore this structure at the vaginal introitus with natural, predictable results. Recovery is quick, and a waiting period of six weeks is recommended before sexual activity.
Perineoplasty and Vaginoplasty -- Vaginal Rejuvenation
When the posterior vaginal wall becomes lax, the vaginal opening elongates and shifts closer to the anus. Perineoplasty (perineal repair, perineum reconstruction) reconstructs the external portion of the vagina by tightening the muscles, raising the vaginal opening, and increasing the distance from the anus. Vaginoplasty (vaginal tightening, vaginal rejuvenation surgery) 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.
Schedule Your Intimate Surgery in Brazil
Get in touch and schedule a consultation with me in Brazil. I am a board-certified plastic surgeon (CRM-PR 17,388 / RQE 15,688) with international specialization in female intimate surgery, having trained with Dr. Gary Alter in the USA. My team is ready to welcome you in a warm, modern environment. We also offer online consultations for international patients considering medical tourism intimate surgery Brazil. Learn more about our pricing.
Dr. Walter Zamarian Jr.
Plastic Surgeon in Londrina, Brazil
Rua Engenheiro Omar Rupp, 186
Londrina, Brazil
ZIP 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 anesthesia 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 in Brazil?
I perform a comprehensive range of female intimate surgery procedures, including labiaplasty (labia reduction), labia majora reduction, fat grafting to the labia majora, pubic liposuction, mons pubis lift, clitoral hood reduction, clitoroplasty, vaginoplasty, perineoplasty, and hymenoplasty. Each procedure addresses a specific concern, and during your consultation, I will evaluate which is the most appropriate for you.
Does female intimate surgery hurt?
In my experience, intimate surgery is practically painless. I use local anesthesia 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 over-the-counter pain medication. 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 frequent questions, and in my experience, intimate surgery does not interfere with sensitivity. The nerve endings responsible for pleasure are preserved during all the procedures I perform. Many patients even report improvement in their sex life after surgery, as the discomfort they previously felt is no longer present.
What is the recovery like after intimate surgery?
The recovery is quite smooth. I recommend light activity with limited exertion in the first few days, use of cold compresses, and careful hygiene with mild, unscented 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 weeks following the 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 heals exceptionally well, 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 clitoral hood reduction or pubic liposuction. This reduces the number of anesthesia sessions and the overall recovery time. During your consultation, I will evaluate which combinations are right 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 best labiaplasty surgeon?
I recommend seeking a board-certified plastic surgeon with proven experience in intimate surgery. I am a member of both the Brazilian Society of Plastic Surgery (SBCP) and the American Society of Plastic Surgeons (ASPS), trained at the Ivo Pitanguy Institute, and I completed specialized training in intimate surgery with Dr.
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.