Reconstructive Pelvic Surgery
Cosmetic Vaginal Surgery


Dr. Stepp specializes in repairing and returning the vagina and pelvic anatomy to its natural condition. Whether due to childbirth trauma, episiotomy, or previous surgery complications, he helps restore the normal appearance and function of the pelvic support and vaginal structures. Dr. Stepp takes a comprehensive approach, addressing both the deep supportive ligaments and outer structures for optimal support and function.

Dr. Stepp offers procedures for labiaplasty/labial reduction, perineorrhaphy, or vaginoplasty/tightening among others. There are several different techniques for labial surgery and vaginoplasty. Since each patient's anatomy is different, it is important to speak with a surgeon experienced in all techniques. Although some patients may desire surgery for cosmetic reasons, in many cases, a patient's symptoms may be related to an underlying condition such as pelvic organ prolapse or labial hypertrophy. Therefore, he believes each patient should have a thorough evaluation of their pelvic support as well.

Similar to cosmetic surgery techniques, there are several ways to surgically treat prolapse. In general, the options that will be offered to a woman will depend on the training and experience of the surgeon. There isn't a one-size-fits-all solution. We suggest a consultation with a board-certified urogynecologist to determine which option is best for each patient.

Labiaplasty/Labia Minora Reduction/Labia Majora Reduction

A labiaplasty is a procedure that reduces the length of the labia minora, addressing issues like pain, itching, and self-consciousness caused by twisting and tugging. Women choose this surgery for various reasons, such as discomfort during activities like biking or intercourse.

The procedure aims to shorten the labia minora, preventing them from hanging below the labia majora. It can correct asymmetry or reduce the length of both labia to eliminate discomfort.

Labiaplasty can be performed via several different techniques. Dr. Stepp will review your specific anatomy and goals to determine which technique is best for you. Studies report high satisfaction rates exceeding 90 percent for many patients.

Vaginoplasty and Perineoplasty/ Vaginal Rejuvenation

A vaginoplasty is a procedure that tightens the vagina. Perineoplasty reconstruction the perineum. Noninvasive methods like radiofrequency or laser treatments may benefit some women. However, some patients may prefer a surgical option. Patients should also be evaluated for pelvic organ prolapse for better results. (This is why many patients will prefer to have vaginal reconstruction by a board-certified urogynecologist who specializes in both prolapse and cosmetics.)

Although there are several techniques depending on specific patient needs, generally, the procedures involve bringing separated muscles together, removing excess mucosa skin from the back of the vagina, and /or addressing external skin for aesthetic purposes. The results of a vaginoplasty commonly include a tighter vaginal canal, potentially improving sexual satisfaction.

Clitoral Hood Reduction

The clitoris is a highly sensitive and sexually arousing organ located at the top of the vulva. It is densely packed with nerve endings, making it highly sensitive to touch and sexual stimulation. The size and shape of the clitoris can vary significantly among individuals. While the visible portion (the clitoral glans) is typically around the size of a pea, the entire clitoris extends internally and can be much larger. The glans is covered by a fold of skin called the clitoral hood. The clitoral hood contains glands that produce lubrication, aiding in sexual arousal and reducing friction during sexual activity. The clitoral hood protects the clitoris from direct contact and potential hyperstimulation - like friction from clothing rubbing against it.

The clitoral hood can sometimes be too large or lengthy, or not retract during intimacy. Clitoral hood reduction surgery is a cosmetic surgical procedure aimed at reducing the size or prominence of the clitoral hood. This procedure is typically performed for aesthetic reasons or to address functional concerns such as discomfort during sexual activity. As with any surgical procedure, there are potential risks and complications, including infection, scarring, altered sensation, and dissatisfaction with the results, so careful consideration and consultation with a qualified surgeon are essential.