Dr Paraskevi Dimitriadi

Throughout my career in gynaecology, I encountered many women who had concerns about the appearance or function of their intimate areas but felt hesitant to seek help. There is often a stigma around discussing these issues, which means many women suffer in silence. I wanted to be part of the solution by offering safe, effective treatments that empower women to feel more comfortable and confident in their bodies.

Cosmetic gynaecology is a unique field because it combines both functional and aesthetic improvements. Many women seek treatment not only for cosmetic reasons but also to address discomfort, irritation, or reduced confidence in intimate relationships. I find it incredibly rewarding to help patients achieve results that enhance their overall well-being.

Labiaplasty involves reshaping or reducing the labia minora, and there are several reasons why women choose to undergo this procedure. Some patients experience discomfort due to enlarged or asymmetrical labia, which can cause irritation during exercise, intimacy, or even while wearing certain clothing. Others seek treatment for aesthetic reasons, wanting to feel more confident in their appearance.

A common misconception is that labiaplasty is purely cosmetic, but for many women, it provides significant functional benefits. Chronic discomfort, chafing, and self-consciousness can all be alleviated with a carefully performed procedure. My goal is always to achieve a natural-looking result that enhances both comfort and confidence.

A hoodectomy, also known as clitoral hood reduction, is often performed alongside labiaplasty for patients who have excess tissue around the clitoral hood. This additional tissue can sometimes contribute to discomfort or reduce sensitivity. By carefully removing the excess skin, the procedure enhances comfort and can improve stimulation during intimacy.

Not all patients who undergo labiaplasty require a hoodectomy, but for those who do, it ensures a balanced and proportionate outcome. The key is a tailored approach—every patient’s anatomy is unique, and I always take the time to assess their individual needs before recommending any procedure.

Vaginoplasty is a procedure designed to tighten the vaginal canal, often sought by women who have experienced vaginal laxity due to childbirth, ageing, or genetic factors. When the vaginal muscles become stretched or weakened, it can lead to reduced sensation during intimacy, a loss of vaginal tone, or even discomfort in everyday activities.

The procedure involves tightening the vaginal muscles and removing any excess tissue to restore firmness. This not only improves sensation but can also enhance a woman’s confidence in intimate settings. Many patients report a significant improvement in their quality of life after undergoing vaginoplasty.

Perineoplasty focuses on repairing and tightening the perineal area, which is the tissue between the vaginal opening and the anus. This area can become stretched or weakened due to childbirth, previous surgical procedures, or natural ageing. Many women experience discomfort, reduced sensation, or even changes in the appearance of the perineum, which can affect both function and confidence.

This procedure is often combined with vaginoplasty for a more comprehensive restoration of the vaginal and perineal structures. The goal is to create a smoother, more toned appearance while also improving comfort and function. Women who feel discomfort during intimacy or have experienced perineal trauma after childbirth often find significant relief after perineoplasty.

It’s completely normal to feel apprehensive about discussing intimate concerns, but my advice is to remember that these procedures are designed to improve quality of life. Whether a woman is experiencing discomfort, a loss of confidence, or physical changes that affect intimacy, cosmetic gynaecology offers solutions that can make a meaningful difference.

The first step is to have an open and honest consultation with a qualified specialist. I always take the time to listen to my patients, understand their concerns, and provide realistic expectations about what can be achieved. There is no ‘one-size-fits-all’ approach—each treatment is tailored to the individual to ensure the best possible outcome.

Women should also know that these procedures are more common than they might think. More and more patients are choosing to take control of their intimate health and well-being, and there is no shame in wanting to feel comfortable in your own body.

Achieving a natural result is always my top priority. The key is precision and an understanding of female anatomy. Cosmetic gynaecology is not just about making an area smaller or tighter—it’s about creating balance and ensuring that everything looks and feels natural.

I use advanced surgical techniques that focus on preserving sensation and minimising scarring. My approach is always conservative, ensuring that I only remove the necessary amount of tissue while maintaining the natural contours of the area. Patient safety and satisfaction are at the heart of every procedure I perform.

Cosmetic gynaecology is evolving rapidly, and I believe the future will bring even more minimally invasive options for women. We are already seeing advancements in laser and radiofrequency treatments that can improve vaginal tightness and tissue quality without surgery. These options are particularly beneficial for women who want subtle improvements with minimal downtime.

There is also a growing focus on combining functional and aesthetic procedures. Many women want a holistic approach that not only improves appearance but also enhances sensation, comfort, and overall intimate health. As the field continues to develop, I expect more innovative techniques that provide even better results with quicker recovery times.

The most important thing I want women to know is that they are not alone. Many women experience the same concerns, whether it’s discomfort, self-consciousness, or changes after childbirth. These issues are real, and there are safe, effective solutions available.

If you are considering a procedure, take your time to do your research and choose a specialist who prioritises your well-being. At Centre for Surgery, we are committed to patient safety, natural results, and providing a supportive, judgement-free environment where women can openly discuss their concerns and explore their options.

Your comfort, confidence, and happiness matter, and I am here to help you achieve the best version of yourself.