Labiaplasty Surgeon in Santa Monica


Cosmetic rejuvenation of the vagina and labia minora are increasingly common cosmetic procedures done to enhance femininity in women of childbearing age. There are many reasons for women to undergo a vaginal rejuvenation procedure, including discomfort during intimacy and cosmetic improvement of the female genitals.
At Kare Plastic Surgery + Skin health Center in Santa Monica, we specialize in surgical and non-surgical vaginal rejuvenation treatments that can improve your quality of life. Dr. Raffy Karmanoukian is a subspecialist plastic surgeon who performs labia reduction surgery as well as vaginoplasty in women.
Labia minora reduction is one of the most popular treatments performed at Kare Plastic Surgery + Skin health Center. During this procedure, the excess skin is removed from the labia minora so that it is more properly tucked within the labia majora folds. Most commonly, labiaplasty is performed as a surgical procedure, but the advent of the ThermiVA system allows for the non-surgical tightening of the labia skin without downtime or recovery.

Clitoral Hood Reduction

Clitoral hood reduction is a surgical procedure that redefines the excess skin above the clitoris in order to improve sensitivity during intimacy. Our Board certified plastic surgeon Dr. Raffy Karamanoukian in Santa Monica meticulously removes excess clitoral hood skin in order to maximize sensation above the clitoral tissue.


The hymen represents a thin piece of mucosal soft tissue that separates the external vagina from the vaginal canal. Women may have over-developed or under-developed hymenal tissue which may both represent normal patterns of growth. A hymen restoration procedure re-establishes the hymen in women.
Cultural and religious traditions may warrant a hymenal reconstruction procedure in adolescents and women of childbearing age. The procedure is performed by board-certified plastic surgeon Dr. Raffy Karamanoukian in an outpatient surgical center.
Hymen reconstruction can be performed under twilight sedation or general anesthesia. Once performed, the mucosal hymen will require a period of healing to re-establish a healthy blood supply. 


The pubic mound may become noticeable in clothes and a bikini if there is excessive fat within the hair bearing area and labia majora. Women who complain of an excessively large pubic mound may opt for a surgical procedure to resculpt the fat using liposuction. In some cases, a pubic mound reduction may be combined with a C-section scar revision, mini-tummy tuck, tummy tuck, or body lift procedure. Our expert plastic surgeon, Dr. Raffy Karamanoukian can help you decide which surgical option is right for you. 

ThermiVA Vaginal Tightening

ThermiVA is one of our most common non-invasive treatments to tighten loose skin around the labia minora and labia majora and to tighten the vaginal canal. The treatment takes less than one hour to perform and requires absolutely no anesthesia or numbing medications. Patients report a slight warmth as the ThermiVA treatment tightens the collagen matrix within the skin and mucosa of the vagina and outer lips. 

As a mommy makeover procedure after childbirth, ThermiVA can restore tightness to the inner and outer vagina. Some women will opt for ThermiVA before having children in order to tighten loose labial skin and tighten the vagina. 

Our ThermiVA patients at Kare Plastic Surgery + Skin Health Center in Santa Monica have a very high satisfaction index with the treatment, reporting improvements in labial tightening, vaginal tightening, vaginal moisture, and bladder control. If you have experienced some bladder leakage with heavy exercise, ThermiVA may be an appropriate initial step to strengthening the upper vaginal vault prior to any surgical intervention. 


ThermiVA Before + After Photos

Before and After of Labiaplasty and ThermiVA in Santa Monica at Kare Plastic Surgery


A vaginaplasty is usually performed after childbirth in order to tighten the vaginal canal and vulva. Episiotomy surgery or prolonged labor can lead to a loosening of the inner vaginal mucosa and vaginal vault. During a vaginoplasty, the mucosa and inner mucosal lining of the vagina are tightened in order to narrow the vaginal canal and improve sensation during intimacy for both parties.
For those patients who do not wish to undergo a surgical procedure for vaginal rejuvenation, our office specializes in the ThermiVA procedure which uses noninvasive RF to tighten the vaginal canal, external vaginal tissue, labia minora, and labia majora.
In Santa Monica and Beverly Hills, Kare Plastic Surgery + Skin health Center specializes in surgical and non-surgical vaginal rejuvenation. Our board-certified surgeon is an expert in the management and treatment of cosmetic and medical disorders relating to the vaginal canal and labia minora. If you feel that you have excessive skin tissue in the labia minora and labia majora, our office offers both surgical and non-surgical treatments. Please call our office plastic surgery patient care coordinators to schedule a consultation with Dr. Raffy Karamanoukian.
ThermiVA Before and After Gallery
ThermiVA Before and After Gallery with Kare Plastic Surgery in Santa Monica