PATIENT STORIES J.B. Cambridge, England (LVR, Labiaplasty) I feel like my vagina has relaxed and it is much larger than it use to be. I can not have an orgasm through intercourse at all. In the past I was able to have one, however there is much less friction--it's like there is almost nothing during intercourse. This began about 25 years ago after my first child. I noticed a difference and over the last few years I have really notice a huge difference. My spouse never admitted it until I told him I knew our sex life wasn't like it use to be and he finally agreed that he noticed the same. I had a consultation with Dr. Miklos and I knew my life was in good hands. Sure enough, after my surgery everything is great!! A little sore for a bit, but I feel like a woman again. You have given my life back to me Dr. Miklos!! MG Santa Cruz, CA (Labia Minora Reduction & Redundant Prepuce Removal) All of my life I have been bothered with my vaginal area. I was too embarrassed to ask or show anyone. I felt like I was a deformed person. I was very uncomfortable wearing jeans, bathing suits, etc.. I went to my regular gynecologist about this and he told me that he did not recommend me having any type of surgery that it could possibly deaden my vaginal nerves. So for a long time I had no hope getting help. However, I saw an ad about Dr. Moore and got excited about possibly getting some help. I researched the internet and found out where Dr. Moore was located (I didn’t care where he was located, I was going to see him) and I called and set up a consultation. At my consultation Dr. Moore answered all of my questions and made me feel at ease with everything I was going through and had gone through. He is such an “Angel”. I had my surgery a couple of days later and it went great! The following day I was able to handle a three hour drive. I had some pain, but very little. I feel so fortunate to have found such an outstanding surgeon. Thanks Dr. Moore I feel like a real woman now with normal vagina. You have really changed my life!! M.H. Alpharetta, GA (Labia Minora & Redundant Prepuce Reduction with Posterior Repair) For years I have been uncomfortable with an enlarged labia minora and prepuce. It would dry out and itch, I would constantly be adjusting my clothing and I felt it was very unattractive. I was referred to Dr. Miklos by a fellow RN who showed me a pamphlet displaying his credentials and an explanation for one of his latest procedures, Aesthetic Labiaplasty. I googled John Miklos looking for any information that was not in the pamphlet and read several patient testimonials. After doing so I felt I needed to explore my options and speak with Dr. Miklos in person.During my initial appointment, which lasted 2 hours, he asked a plethora of questions and had me describe exactly where and why this was a problem for me. He showed me before and after pictures, tested my urinary functions and gave me a complete physical examination. During this he found a class 3 rectocele which was in need of repair. I felt he truly listened and understood why I was distressed over the change in my anatomy. I had a Posterior Repair with a Labiaplasty within 2 weeks of my first visit. My surgery was uneventful with a minimal amount of discomfort immediately postop and for the remainder of my recovery. The staff has been a delight preoperatively and postoperatively with no question going unanswered.The result is better than I ever hoped for. I am now comfortable in my clothing and I personally feel beautiful again for my husband. I would highly recommend Dr. Miklos for your surgeon if you are plagued with the same personal discomfort I had. I know you would not be disappointed or made to feel embarrassed. I must emphasize how considerate the entire staff treated my privacy at all times. I now know why he is considered the "best" in his field! (click here to see Before & After). L.S. Tampa, FL ( Labia Minora Reduction, Labia Majora Reduction, Redundant Prepuce, and a Perineoplasty) I’m writing this letter to thank-you for changing the way I look and feel about myself. After having multiple children (3), my body was just not the same. I started experiencing urinary leakage and bowel problems (cystocele/rectocele) a few years after delivering my last child. Sex was often painful and uncomfortable and my self-confidence as a woman was very low. My menstrual cycle continued to become very heavy and painful and the pressure in my abdomen made daily activities uncomfortable. My uterus was prolapsed a pushing down into the vaginal canal. After discussing all these concerns with my regular OB/GYN, these problems were dismissed and I was given birth control pills to “lighten my menstrual flow” in an attempt to decrease the pain I experienced every month. This however was not going to fix the urinary and bowel problems or the sexual discomfort caused by the vaginal prolapse. After many months and many trips back to the doctor, I decided to seek help for myself via another avenue. I found your website and found hope for myself once again. Thank-you for reaching out to other people who are out of state. After my initial consult, I was already a new person. You recommended a partial hysterectomy with vaginal vault suspension to correct the prolapse, and a paravaginal/posterior repair to correct the bowel and urinary problems. In addition to this, I elected to have LVR with cosmetic work to the labia to make the operation a complete transformation. You were the first doctor in my entire life who took the time to teach me about the female anatomy and discuss each procedure recommended to fix the multiple problems I was experiencing. I felt like you really cared about what I was saying and you really wanted to “help” me. After 2 1/2 hours of educating me, I felt like I could perform the procedures!!! Your thoroughness made all the difference and I couldn’t wait to schedule the operation. When I arrived home to my husband, I was able to explain to him all that would have to be done and he couldn’t be happier for me that relief was in sight and we could move on together with a new quality of life. Well, as you know the operation was a complete success and my life as a woman has been changed. Having children was one of the most fulfilling things I have ever done but the aftermath to my body was devastating. Now, I have the insides and the outside for that matter of young women who has never had kids (and I’m 37). I really look and feel great! I am so pleased with everything you have done for me. Despite one complication during surgery it couldn’t have gone any better. I am very grateful to you how this repair was handled and that the repair was performed laparoscopic as well. Your entire team has been amazing and I will always be grateful to you. Your team of nurses and office personnel are incredible and have been responsive to all my questions and needs throughout this entire process. You two ( Dr. Miklos & Moore) are wonderful surgeons and amazing resource to the entire uro/gyno community. I’m living proof of that!! You guys will be recommended to anyone who will listen! Thank-you again for lightening my financial load by paying for our hotel stay (The Ritz was wonderful) and among other things. As I continue to heal during this phase of recovery, I know that my care continues to be a priority and that I’m not just “forgotten” after surgery like so many other doctors tend to do. Thank-you from the bottom of my heart for giving me the confidence back in my life and for fixing the pain I was experiencing. My life will forever be changed for the better. ACMalta, Europe (Labiaplasty, Uterine Suspension, Paravaginal Repair, Perineoplasty) Following childbirth I suffered from extensive vaginal relaxation. Sex was very painful and I could not hold a tampon in place. Furthermore due to the fact that my bladder had also moved downwards, I needed to urinate frequently and so I had to stop most of my physical activities in particular running. I could not even do any abdominal exercises as I felt that something was not in place and it was very uncomfortable. The worst thing was that locally, I was told that nothing was wrong, that this was a natural consequence of giving birth. I assumed that they were right after having six children however I had only delivered on child. The solution they offered me (only because I kept insisting) was to fix the bladder problem by operating vaginally. That was the only problem they could diagnose and the rest – I was making a fuss about. At 33 years old and having put up with this situation for 6 years, not feeling comfortable and most of all feeling that they did not understand my frustrations, I tried to search on the internet, even though I had no idea that I would actually find a surgeon that could identify and solve my problems. I first visited a surgeon in New York. A year later, I found out about Dr. Moore and Dr. Miklos through their website. After seeing Dr. Moore in Atlanta, I knew instantly that I was in the right place. Dr. Moore identified my condition which was then laparoscopically correct. It turned out that there were quite a few issues to address. In my country I had been told over and over again that laparoscopic procedure to correct my defects was impossible. I even told them what Dr. Moore had told me and how he would carry out the surgery and they were still against it believing it could not be done. Through laparoscopy Dr. Moore, reattached my uterus back in place using a mesh, he pulled my bladder back in position, corrected all the paravaginal defects and tightened all my muscles. The scars are minimal and barely visible. I feel as though I never gave birth. My sex life is back normal (actually better than before since I had a retroverted uterus even pre childbirth and contributed to the pain), I am back running, cycling, swimming and yoga without any sort of problems. Recovery was three months and now I am building up slowly. Dr. Moore was incredible at understanding my problems and concerns and the relief at knowing that my problems could be corrected is huge! My emails (pre and post op) were always answered immediately, even though I live on the other side of the world. The administration at the clinic were great with helping me out with appointments, hotels, etc, Nina the nurse was fantastic. I stayed in Atlanta for two weeks in total and the care I got was amazing. All sutures dissolved naturally. I did not even have to travel back for checkups. It was all perfect. I can’t thank Dr. Moore enough for giving me my body and my life back. GR Boca Raton, FL (Redundant Prepuce Removal, Labia Minora Reduction, and Perineoplasty) Over the last 20 years, I had discussed with several physicians the possibility of having my redundant labia minora and prepuce reduced. The various opinions over that period of time were that both were “within normal limits”, I should “use more Lube,” “it’s a very bloody procedure and causes scarring,” and that “with menopause, the tissue would eventually atrophy. “ None of those answers satisfied me. I lived daily with the self-consciousness and embarrassment of my enlarged labia and prepuce both from a functional and aesthetic standpoint. Functionally, during intercourse, the labia would be pulled and pinched, sometimes inverting on themselves, making them sore. Because there was more surface area, there was more of or; particularly during strenuous activity. If I was in a hurry in the bathroom, and didn’t catch the stray droplets of urine caught in the folds they would end up in my underwear. I thought to myself, what if, horror of horrors, I became incapacitated, incontinent, and institutionalized? Would I receive proper care? I distress. Aesthetically, I felt there was nothing normal about my labia and prepuce. When I was younger, I did not want any of my sexual partners to even look at my vagina, out of fear of being judged or labeled. I would try to keep the lights off and their heads above the level of my navel. I wished my vagina would look like those in Playboy, or at the very least like the illustrations in anatomy textbooks, but I resigned myself to those opinions that I was “normal” and not much was to be done without dire consequences, or worse, wait for menopause. Until, earlier this year, I happened to be flipping through channels on cable, and stopped briefly on Dr. 90210, a reality TV show that profiles different cosmetic surgeons and their practices. The physician featured in that particular episode I have never heard of him before, but what caught my attention was the fact that he was discussing labial reduction surgery using a new surgical technique utilizing laser in combination with other surgical instruments. I was elated and filled with hope! Finally! Based on the nature of my job, I was aware of Dr. Miklos and his reputation in the physician community. He is renown and highly thought of by his colleagues. All I ever heard were good things. That was apparent when I had my initial consultation with him. He made me feel completely at ease, and I was able to have an open and frank discussion with him. I appreciated the time he spent talking with me and answering my questions. I never felt condescended to. The staff was wonderful and great at helping me navigate through the entire process from beginning to end. When I see the dramatic results on myself, the before and after pictures on the website with their corresponding testimonial, I couldn’t help thinking that, even though I have wanted to have this surgery done for the last 20 years, I had it done at exactly the right time, with the very gifted surgeon. Dr. Miklos is truly an artist!! I can’t thank you enough and would recommend LVRATLANTA to any woman & couple. Doctor Derm. Vero Beach, FL (Labioplasty) I am writing this brief response to an issue regarding the treatment of labial hypertrophy. My daughter who last year approached me with a problem was affected by this entity. It was extremely difficult emotionally and physically for my daughter on many fronts. First, she was extremely uncomfortable due to chronic irritation and chafing in the area. This required changing of her underwear quite frequently, at times resorting to pads to try to keep the areas from rubbing. It was also difficult for her to approach me regarding this issue. I too, despite being a dermatologist was uncomfortable in discussing this but I knew I could not use the easy way out and say "talk to your mom". After seeing the discomfort that my daughter was experiencing, we both decided that something needed to be done. We had no success with the recommendations provided by the area gynecologists so I took it upon myself both as a physician and father to pursue further treatment. My daughter too felt that surgical intervention was needed. We saw Dr. Moore in Atlanta for an evaluation and my daughter was very comfortable with his approach and bedside manner. I was also pleased with his caring attitude and professionalism. The surgery was scheduled and the worse time in my life was saying “I love you “to her in the O.R. just before she was anaesthetized. The waiting lasted a lifetime but she did extremely well. Post operatively, Dr Moore was always available and went above and beyond and actually visited us at the hotel we were staying at just to make sure all was going well. I cannot stress enough the need for surgical intervention in these young women who must live with the physical and psychological stigmata of labial hypertrophy. Today my daughter is attending college at a prestigious University in Nashville--we both share the same feeling about the surgery: it had to be done. We also share the greatest respect for Dr. Moore and his staff for treating us with dignity and the utmost care. Thank you Dr. Moore.. BACK TO LAST PAGE