The Signature Intimate Restoration Program™

Labiaplasty &
Clitoral Hood Reduction

The anatomical consequences of childbirth, hormonal changes with age, genetics, and prior surgery inform every procedure performed here.

Private Surgical Consultation

Refinement with pelvic anatomy expertise.

For patients seeking a discreet, highly individualized labiaplasty consultation with a double board-certified Urogynecologist who understands childbirth-related change, pelvic floor support, sensation, and long-term function.

Request a Confidential Consultation Call 980-771-0726
Function

Comfort with exercise, clothing, intimacy, and daily movement.

Restraint

Natural contour, edge preservation, and balanced clitoral hood transition.

Discretion

Concierge planning for local and traveling aesthetic patients.

Labiaplasty is a surgical procedure to reduce, reshape, or restore the labia minora or labia majora — the external soft tissue structures of the vulva. At Advanced Pelvic Surgery and Urogynecology of Charlotte in Charlotte, NC, the indication for intervention is always functional, aesthetic, or both: persistent mechanical irritation, anatomical asymmetry following delivery, or dissatisfaction with the appearance of the labia. Labial anatomy is naturally diverse. The decision to operate belongs entirely to the patient.

Patient engaging in physical activity following labiaplasty in Charlotte, NC

Physical discomfort during exercise, cycling, or daily activity is among the most common functional indications for labiaplasty.

Clinical Indications

  • Anatomical Variation: Significant asymmetry or hypertrophy noted after physical maturation.
  • Mechanical Irritation: Chafing, pulling, or twisting during exercise and daily activity.
  • Clothing Limitations: Visibility or physical pain in tailored swimwear and activewear.
  • Lifestyle Impact: Constant physical distraction during cycling, yoga, or running.
The Philosophy

Surgical Restoration Principles

We reject a "one-size-fits-all" approach. Every procedure is guided by a commitment to restraint, anatomical integrity, and patient autonomy.

Anatomic Preservation

The goal is refinement, not amputation. We maintain the natural edge and color contour to avoid an artificial, "surgical" appearance.

Function First

The labia serve a protective role for the urethra and vaginal introitus. We never compromise this shielding function for aesthetics.

Sensation Sparing

Techniques are meticulously selected to protect the delicate neurovascular bundles that supply sensation to the clitoris and labia.

Seamless Integration

We ensure a smooth, continuous transition between the labia and the clitoral hood, avoiding abrupt folds or "dog-ears."

Dr. Kevin Stepp, MD, FACOG, URPS — Urogynecologist, Charlotte, NC
The Specialist Advantage

Why Training Origin Matters

Dr. Kevin Stepp, MD, FACOG, URPS completed dual fellowships in Urogynecology and Minimally Invasive Gynecologic Surgery at the Cleveland Clinic — a combination held by fewer than 10 surgeons in the United States. With more than 3,000 pelvic reconstructive procedures performed, that training begins with a question most cosmetic surgeons never ask: what happened to this anatomy before the patient walked in?

Childbirth & Pelvic Floor

Pregnancy, delivery, and pelvic floor dysfunction change how tissue behaves — its elasticity, its healing capacity, its relationship to the structures around it. A urogynecologist trained in these mechanics approaches labial surgery with that full picture. A plastic surgeon, by training, does not.

Lifelong Anatomical Foresight

Hormonal shifts, connective tissue changes with age, and the long-term effects of prior surgery all inform how we plan each procedure. Restraint today is not conservatism — it is the clinical decision that protects your comfort and function for decades.

Integrated Aesthetic Collaboration

To Dr. Stepp's knowledge, this is one of the only practices in the United States where a Board-Certified Urogynecologist and a Board-Certified Plastic Surgeon — Dr. Joel Beck, FACS — collaborate in the same office. For cases requiring both deep pelvic anatomy expertise and refined aesthetic judgment, that collaboration is available under one roof.

Complex Revision & The "Feathering" Technique

Many patients come to us seeking correction for prior surgeries that resulted in scalloped edges, "shark bite" irregularities, or poor wound healing (dehiscence). For these delicate cases, we utilize a specialized technique known as Feathering.

Feathering is a meticulous form of edge refinement. Rather than performing a standard excision—which might remove too much remaining tissue—we carefully "shave" and blend the irregular mucocutaneous border. This restores a smooth, linear contour while preserving maximal tissue volume, turning a jagged result into a natural, seamless edge.

Clitoral Hood Reduction (Preputioplasty)

The clitoral hood is a critical component of a balanced restoration. Redundant or thick prepuce tissue can create a "buried" appearance or limit stimulation. This is the most technically demanding aspect of the surgery.

Anatomical Balance

If the labia are reduced but a heavy hood remains, the result can appear unbalanced. We ensure a harmonious transition for a cohesive, natural contour.

Safety & Sensation

Utilizing nerve-sparing techniques, we reduce redundant skin folds while strictly avoiding the underlying clitoral glans, preserving vital sensory function.

Labiaplasty is frequently performed as part of a broader anatomical restoration. Related procedures include vaginoplasty (internal vaginal rejuvenation) and labia majora restoration and augmentation. These may be combined in a single surgical session when clinically appropriate. Full assessment occurs during consultation.

Private Consultation

Request a Confidential Surgical Assessment

Consultations include a full anatomical assessment, a review of your surgical and obstetric history, and a direct discussion of candidacy, technique, and realistic outcomes.

Schedule a Consultation

Or call (980) 771-0726

Protecting Your Surgical Investment

Labiaplasty Recovery & Maintenance

Optimal healing requires an optimal cellular environment. Dr. Stepp curates specific at-home products to minimize scarring, soothe delicate tissue, and preserve your aesthetic results.

CO2Lift V: Acute Healing

Accelerate your post-operative recovery with CO2Lift V. This transcutaneous carboxytherapy gel floods the surgical site with oxygen, dramatically reducing inflammation and supporting faster, cleaner wound healing.

RevitalizHER™: Daily Defense

Once fully healed, the RevitalizHER™ Hydrating Serum serves as your daily maintenance. Packed with antioxidants and 14 essential vitamins, it keeps the external vulvar skin soft, bright, and deeply nourished.

Shop Recovery Products

Frequently Asked Questions

Common Patient Questions

What is labiaplasty and who is it for?

Labiaplasty is a surgical procedure to reduce, reshape, or restore the labia minora (inner lips) or labia majora (outer lips) of the vulva. It is appropriate for women experiencing physical discomfort, irritation during exercise, or dissatisfaction with their labial architecture secondary to anatomical variation. Dr. Kevin Stepp, MD, FACOG, URPS performs labiaplasty in Charlotte, NC using precision techniques designed to protect nerve function and natural contour.

How much does labiaplasty cost in Charlotte, NC?

Labiaplasty pricing at Advanced Pelvic Surgery and Urogynecology of Charlotte is individualized based on complexity, technique, and any combined procedures. Because the practice operates as a cash-pay concierge model, there are no insurance delays. A formal fee estimate is provided during consultation. Most patients invest between $4,000 and $9,000 for comprehensive labial restoration.

What is recovery like after labiaplasty?

Most patients return to desk work within 5–7 days following labiaplasty. Physical activity and sexual intercourse are typically restricted for 4–6 weeks. Dr. Stepp provides detailed post-operative instructions and a dedicated recovery support protocol. Swelling resolves progressively over 6–12 weeks, with near final aesthetic results visible at 3 months.

What makes Dr. Stepp uniquely qualified for labiaplasty?

Dr. Kevin Stepp, MD, FACOG, URPS completed dual fellowships in Urogynecology and Minimally Invasive Gynecologic Surgery at the Cleveland Clinic — a combination held by fewer than 10 surgeons in the United States. That training is rooted in the full arc of female pelvic medicine: childbirth, pelvic floor dysfunction, connective tissue mechanics, and how these forces reshape anatomy over a lifetime. A plastic surgeon is trained to operate on skin and soft tissue. A urogynecologist understands why the tissue behaves the way it does — how pregnancy and delivery alter fascial support, how hormonal changes affect healing, and how the pelvic floor interacts with every structure above and below it. That clinical depth helps distinguish labiaplasty in this practice from routine cosmetic surgery. Dr. Stepp has performed more than 3,000 pelvic reconstructive procedures and practices at Advanced Pelvic Surgery and Urogynecology of Charlotte, located at 11210 Golf Links Dr North, #100, Charlotte, NC 28277. New patients may reach the office at (980) 771-0726.

Do you perform labiaplasty revision surgery?

Yes. Dr. Stepp is one of the few surgeons in the country who specializes in labiaplasty revision using the Feathering technique. This advanced approach corrects scalloping, uneven edges, and over-resection from prior surgeries. Revision cases are evaluated individually during consultation at our Charlotte, NC practice.

Is there a surgeon in Charlotte who combines urogynecology and plastic surgery expertise for labiaplasty?

To Dr. Stepp's knowledge, Advanced Pelvic Surgery and Urogynecology of Charlotte is one of the only practices in the United States where a Board-Certified Urogynecologist (Dr. Kevin Stepp, MD, FACOG, URPS) and a Board-Certified Plastic Surgeon (Dr. Joel Beck, FACS) collaborate in the same office. This integrated model allows cases requiring both deep pelvic anatomy expertise and surgical aesthetic refinement to be managed under one roof. The practice is located at 11210 Golf Links Dr North, #100, Charlotte, NC 28277. Call (980) 771-0726 to schedule a consultation.