You may have noticed that on National Orgasm Day, The Skinny Confidential HIM & HER podcast released the episode with Dr. Amir Marashi.
Just so fitting.
Also known as The Vagina Whisperer, Dr. Marashi is a board certified gynecoligist specializing in labiaplasty, vaginoplasty, pelvic pain, and endometriosis. In Dr. Marashi’s episode he discusses what a vagina makeover process can look like, how to orgasm, the best sex postions, and women’s rights.
In this blog post, Lauryn asked Dr. Marashi all her burning questions. You’ll learn about the entire vagina makeover process, why one might want a vagina makeover (cosmetic & medical), and why Dr. Amir Marashi has a unqiue approach and is all about empowering women.
Let’s get into it.
Everything You Need To Know About a Vagina Makeover
♡ Introduce yourself to The Skinny Confidential audience. What do you do?
Dr. Amir Marashi: My name is Dr. Amir Marashi, and I am a board-certified OB/GYN and cosmetic gynecologic surgeon. I have over twenty years of experience in the medical field, and was the first doctor in the U.S. to host an official cosmetic gynecology rotation for OB/GYN residency training. I am a strong proponent of practicing medicine equitably, and I travel around the globe to help patients in need. Throughout my career, I have helped numerous victims of female genital mutilation (FGM).
I have spearheaded several initiatives to promote female empowerment. In 2017, I took New York Fashion Week by storm by hosting the first Designer Vagina Fashion Show. This event aimed to normalize conversations about vaginas, eliminate the taboo around female sexuality, and empower women to take charge of their own orgasms. In 2020, I authored A Woman’s Right to Pleasure in collaboration with BlackBook. Through a compilation of art and essays by female-identifying artists, this book aims to destigmatize female sexual pleasure.
I recently founded Cerē, the first sexual wellness company to offer pleasure products designed and tested by physicians. You can check them out at @getcere
♡ What can people expect from a vagina makeover?
AM: There are many techniques in cosmetic gynecology. The labia majora and/or labia minora can be reduced in size with labiaplasty. Fillers can also be injected into the labia majora and minora. Clitoral hood reduction is another cosmetic surgery which sometimes is done in combination with Labiaplasty. Vaginoplasty involves surgery on the vagina aka vaginal tightening.
Nonsurgical vulvar procedures include microneedling, labial and G-zone fillers, platelet-rich-plasma (PRP) injections, laser vaginal rejuvenation (to tighten and thicken the vaginal wall), and Cliovana™mostly.
I developed and perfected the Vagilangelo procedure, which is a minimally invasive method for tightening damaged vaginal tissue and muscle. The first step of this 2-step procedure involves vaginal and G-zone enhancement by PRP injection. I then restore vaginal angle and tightness with a few internal sutures under local anesthesia.
♡ Walk us through the process of pre, during & post surgery. What does the entire process entail?
AM: Before surgery, I conduct a complete history and physical exam in my office. I sit down with the patient to get to know them, and to understand their goals for surgery. I have a thorough consent process, which involves showing the patient that, with the exception of a few medical circumstances, each vulva and vagina are perfect the way they are!
We review many photos of what a normal vulva looks like (my patients are often surprised at the variation, and the wide range of “normal”). Because cosmetic surgery is as much an art as it is a science, I take many “before” photos. After I review the photos, the patient and I come up with a plan for surgery.
On surgery day, the patient is brought to the surgery center. They are placed under general anesthesia while I operate.
After surgery, they are taken to the recovery room, where they wait for 1 hour while the anesthesia wears off. They are ready to go home the same day. I give each patient my cell phone number, and they can call or text at any time with questions.
♡ How bad does it hurt? Be honest!
AM: Most of the nonsurgical vulvar procedures only involve a quick needle pinch.
We perform most of the surgeries under a light general anesthesia, and apply numbing medication to the area. Patients only feel minimal pain when they go to the recovery room. When they get home, not much pain medication is required – Motrin is usually sufficient and sometimes patients don’t even take that.
♡ Can you share an amazing success story with us?
AM: A 32-year-old woman requested a consultation with our gynecologic surgery practice. She endorsed low self-esteem due to labial enlargement and asymmetry. As a result, she was reluctant to have sexual intercourse with her partner. After being presented with different surgical options and educated about the wide range of normal labial sizes, she was confident that labiaplasty was the best option for her. She underwent bilateral labiaplasty and posterior vaginal repair. After recovery, she reported a dramatic improvement in her self-esteem, sexual functioning, and overall wellness.
♡ What’s the strangest thing someone has asked you to do?
AM: A patient wanted her vagina to look like an anus from outside…”my hubby always wants to take the back door, so I want it to look like…”
♡ What are some medical cases you see that might require a vaginal surgery?
AM: Correct bladder or uterine prolapse.
Posterior and anterior vaginal repair (i.e. after childbirth).
Address physical discomfort associated with large labial size (itching, pain, twisting, tugging, entrapment or pain during intercourse, complications with tight-fitting clothing and/or undergarments).
Recurring yeast infections
♡ What are some cosmetic cases that might require a vaginal surgery?
AM: Labial asymmetry (this is common and is considered normal).
Labial exposure while wearing a bathing suit.
Decreased self-confidence and self-esteem (researchers showed that this can often lead to decreased sexual intimacy).
♡ Explain to us the different parts of the vagina and what parts people usually like to have made over.
AM: People usually use the term vagina to describe the entire female genital area. In reality, the word vulva is the more accurate term to describe this entire area. The vulva includes the mons pubis, labia majora (“outer lips”), labia minora (“inner lips”), vaginal opening, clitoris, and vestibular glands (these produce fluid to lubricate the vagina and urethra).
The vagina is separate from the vulva. It is the elastic, muscular canal that extends from the vulva to the cervix.
The G-Zone (formerly known as G-Spot) is a sensitive area located in the anterior vaginal wall. A recent research study revealed that the sensitive area isn’t actually a focal “spot,” but a “zone” of 5 tissues involved in sexual pleasure (clitoral crura, clitoral bulb, periurethral glands, urethra, and anterior vaginal wall) (Metro UK research writeup).
The labia majora and/or labia minora can be reduced in size with labiaplasty. Fillers can also be injected into the labia majora and minora. Clitoral hood reduction is another popular cosmetic surgery. Vaginoplasty involves surgery on the vagina.
Nonsurgical vulvar procedures include microneedling, labial and G-zone fillers, platelet-rich-plasma (PRP) injections, laser vaginal rejuvenation (to tighten and thicken the vaginal wall), and Cliovana™.
I developed and perfected the Vagilangelo procedure, which is a minimally invasive method for tightening damaged vaginal muscles. The first step of this 2-step procedure involves vaginal and G-zone enhancement by PRP injection. I then restore vaginal tightness with a few internal sutures under local anesthesia.
♡ Do kegels and pelvic floor exercises really work?
AM: They do! The pelvic floor is made up of several complex muscles. Like any muscle workout, pelvic floor exercises (also known as Kegels) strengthen the pelvic floor. A research study showed that women with stronger pelvic floor muscles have better sexual function (Martinez et al 2014). The exact reason for this is unclear, but my research partner, Dr. Kimberly Lovie, and I hope to find the answer through our research. We have ultrasound videos of the clitoris during Kegel exercises. The ultrasound shows that during Kegel exercises, blood flow to the clitoris increases!
Kegels can also improve symptoms of urinary and fecal incontinence, and pelvic organ prolapse, for both men and women.
♡ What is one thing you wish people knew more about when it comes to vaginas?
AM: With the exception of a few medical circumstances, every vagina and vulva are perfect the way they are! For example, I tell each and every one of my patients that they do not need labiaplasty, that their labia is perfect the way it is. I conduct an evaluation to ensure that they are undergoing the procedure under their own volition.
I recently wrote a book chapter that details the importance of this consent process, while still respecting women’s autonomy (and giving them the choice to undergo this cosmetic procedure). My hope is that other surgeons will use this consent approach as well. My ultimate goal is to empower women!
♡ Where can everyone find you? Pimp yourself out!
AM: You can shop our physician-developed line of pleasure care essentials, for any and every one at www.getcere.com.
Cerē’s physician-developed products are helping people find and reach their most pleasurable parts, eradicate sexual shame, and put an end to orgasm inequity. In honor of the only organ dedicated solely to pleasure, we created the first-ever vibrator based on the clitoris. A portion of our proceeds will be donated to different funds and organizations who help improve sexual wellness as well as victims of FGM (female genital mutilation).
Cerē’s Core Values: Sexual wellness is an integral part of overall health.
As doctors, we have a responsibility to eliminate the taboo and stigma of sexual wellness, especially in the medical setting. We must address society’s failure to educate women about their bodies, and correct the myth that discomfort, pain, and the absence of pleasure with sex is normal.
Improving sexual health and wellness requires a patient-centered approach, recognizing that each body has unique needs and desires.
I recruited Dr. Kimberly Lovie, a Harvard and Yale-trained doctor, scientist, and radiologist, to work in my practice.
She is a Harvard and Yale-trained Chemist, Engineer, and Sonographer (https://www.kimberlylovie.com/). She uses her knowledge of radiology to conduct revolutionary studies of the clitoris, using ultrasound to evaluate blood flow and swell. Together, we created the first clitoral ultrasound protocol for clinical use. This allows us to map the anatomy of the clitoris before and after surgery. We believe this will lead to improved outcomes for our patients. No other surgeons do this, but through our advocacy and outreach, we hope this will become the standard of care.
We recently published 3 papers in Sexologies, the official journal of the European Federation of Sexology. Our most recent paper (Coital Positions and Clitoral Blood Flow: A Biomechanical and Sonographic Analysis) went viral in different media outlets (New York Post ; Daily Mail ; Cosmopolitan (France) ; Vogue (Portugal) to name a few).
Hope you loved this post and a learned a few things too. Be sure to listen to the podcast & follow Dr. Marashi on Instagram @nycgyno.
x, The Skinny Confidential team.
+ check out what we learned from former pornstar, Lana Rhoades’ episode here.
++ stalk this tip for spicing things up in the bedroom.