Labiaplasty

Reshaping the labia minora to improve comfort and restore natural balance

Changes in the size or shape of the labia minora can affect comfort in ways that are sometimes difficult to talk about. You may notice irritation with certain clothing, discomfort during exercise, or sensitivity during activities such as cycling or intimacy.

In other situations, the concern may be related to asymmetry or elongation of the labia that makes you feel self-conscious about the appearance of the area.

These concerns are more common than many women realize, and discussing them with an experienced surgeon can help you better understand the options available.

Labiaplasty is a surgical procedure that reshapes or reduces the labia minora when excess tissue causes discomfort or personal concern. The procedure can help improve daily comfort and restore a more balanced appearance while maintaining the natural anatomy of the area.

At PIPS (Partners in Plastic Surgery of West Michigan), labiaplasty is performed using precise surgical techniques that preserve sensation and maintain a natural contour.

When labiaplasty may be considered

You may begin exploring labiaplasty if the labia cause irritation with certain clothing, discomfort during physical activity, or sensitivity during intimacy. Enlarged or elongated labia can also create rubbing or irritation during activities such as cycling, running, or exercise.

In other situations, the concern may relate more to asymmetry or the overall appearance of the area. If the shape or size of the labia affects your comfort or confidence, a consultation can help you understand whether surgery may be appropriate.

During your visit, your surgeon will listen carefully to your concerns, evaluate your anatomy, and explain the options that may help address the issues you are experiencing.

Planning your procedure

Your consultation includes a careful evaluation of the anatomy and a discussion about the changes you would like to see. This helps determine the most appropriate surgical approach while maintaining natural proportions.

During this evaluation, your surgeon may assess the size and shape of the labia, the natural contour and pigmentation of the tissue, and the overall balance of the genital area. If excess tissue around the clitoral hood contributes to imbalance or discomfort, this area may also be discussed.

Each surgical plan is individualized so the procedure respects natural anatomy and preserves sensation.

Surgical techniques

Several surgical techniques may be considered depending on your anatomy and the type of change you would like to achieve.

The trim technique removes excess tissue along the outer edge of the labia to create a smoother contour. This method may be helpful when the labial edge is irregular or when excess tissue extends along the margin.

The wedge technique removes a small section of tissue from the central portion of the labia while preserving the natural border. This approach allows the natural edge of the labia to remain intact while reducing excess tissue.

If excess tissue around the clitoral hood contributes to imbalance in the area, a clitoral hood reduction may also be discussed. When this adjustment is performed, the approach is conservative and focused on preserving natural sensitivity.

The procedure typically takes about one to two hours.

Recovery and healing

After surgery, swelling is expected and usually reaches its highest point during the first few days. As healing progresses, swelling gradually improves and the tissues begin to settle into their new shape.

You may feel comfortable returning to work within several days, depending on the type of activity involved. Strenuous exercise and sexual activity should be avoided for about six weeks to allow the area to heal properly.

Incisions are carefully placed within natural folds of the tissue so that scars typically become very difficult to see over time.

As healing continues, the labia appear more balanced and daily activities often become more comfortable.

Safety and surgical care

Labiaplasty requires careful attention to anatomy, tissue handling, and symmetry. Modern surgical techniques focus on preserving sensation, minimizing visible scarring, and maintaining natural contour.

During your consultation, your surgeon will review the procedure in detail, discuss possible risks, and answer your questions so you can make a fully informed decision.

Insurance information

Labiaplasty is generally considered an elective procedure and is not covered by insurance.

If you are considering surgery, the cost of the procedure and related care will be your responsibility. During your consultation, you will have the opportunity to discuss pricing in detail and ask any questions you may have before making a decision.

Taking time to fully understand the procedure, recovery, and financial aspects of surgery is an important part of the process, and our team will help guide you through each step.

Labiaplasty at PIPS

Labiaplasty at PIPS is performed by Dr. Paige Goote, a fellowship-trained plastic surgeon experienced in delicate reconstructive and aesthetic procedures.

The procedure takes place in the PIPS surgical facility in Grand Rapids, serving individuals throughout West Michigan.

Considering labiaplasty?

If you have been thinking about labiaplasty or simply want to understand whether it may be right for you, a private consultation can be a helpful first step.

This conversation gives you the space to talk openly about any discomfort or concerns you may be experiencing and to learn more about the procedure in a calm, respectful setting.

You will also have the opportunity to ask questions about recovery, results, and what to expect throughout the process.

If you would like to learn more, you are welcome to schedule a consultation with our team at PIPS (Partners in Plastic Surgery of West Michigan) in Grand Rapids.

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Anna Gelder, RMA

Anna Gelder, RMA

Registered Medical Assistant

With more than 15 years of experience in the medical field, Anna brings a diverse and well-rounded clinical background to her role. She began her career as a dental assistant before advancing into medical assisting, where she was selected to participate in the first-ever Medical Assistant Apprenticeship Program through Grand Rapids Community College. This experience helped shape her strong foundation in clinical excellence and patient-centered care.

For the past eight years, Anna has specialized in plastic surgery, where she is dedicated to guiding patients through every stage of their journey with professionalism, compassion, and meticulous attention to detail. She takes pride in creating a supportive, reassuring environment and contributing to a positive patient experience from consultation through recovery.

Ashley Marcinowski, RMA

Ashley Marcinowski, RMA

Registered Medical Assistant

Ashley is deeply passionate about her work and committed to delivering an exceptional level of care to every patient she serves. She believes that truly outstanding patient experiences are built on trust, communication, and genuine connection. By taking the time to listen, understand each patient’s goals, and provide thoughtful, personalized guidance, Ashley strives to create a supportive and elevated experience from start to finish. Her priority is ensuring that every patient feels comfortable, confident, and genuinely cared for throughout their journey.

She takes great pride not only in the quality of care she provides, but also in the meaningful relationships she builds along the way. Ashley is dedicated to fostering a welcoming and positive environment where patients feel valued, understood, and at ease. Helping patients feel empowered and confident in themselves is one of the most rewarding aspects of her work.

Katy Otte

Katy Otte

CRNA Anesthesia Director

Kathryn Otte, CRNA is a Certified Registered Nurse Anesthesiologist at Partners in Plastic Surgery of West Michigan, where she specializes in anesthesia care for cosmetic surgical procedures. She earned her Bachelor of Science in Nursing from University of Detroit Mercy and her Master of Science in Nursing, with a focus in anesthesia, from Oakland University.

With over a decade of experience, Katy brings a thoughtful, patient-centered approach to every case. She is deeply committed to safety, precision, and creating a calm, reassuring environment where patients feel fully supported throughout their surgical experience. Known for her attention to detail and intuitive care, she prioritizes both clinical excellence and patient comfort.

Katy serves as our Anesthesia Director, where she is dedicated to upholding the highest standards of care.

Katelyn Richards, BSN, RN

Katelyn Richards, BSN, RN

Aesthetic Nurse Injector

Katelyn is an experienced Aesthetic Nurse Injector with 14 years of nursing experience, the majority of which has been spent in the pediatric emergency department. Her extensive clinical background has shaped her meticulous attention to detail, patient safety, and ability to deliver calm, compassionate care in high-pressure environments.

For the past three years, Katelyn has specialized in aesthetic medicine and is certified in both neurotoxins and dermal fillers. She is known for her refined technique and artistic eye, focusing on subtle, natural-looking results that enhance each patient’s unique features. Katelyn is passionate about helping patients feel confident and empowered in their own skin, combining clinical precision with a personalized approach to care.

She is currently pursuing her Nurse Practitioner degree at Wayne State University, further expanding her knowledge and commitment to excellence in patient care.

Tonya Snyder

Tonya Snyder

Practice Manager

Tonya Snyder (formerly Tonya Neve) serves as Practice Manager at Partners in Plastic Surgery of West Michigan in Grand Rapids, where she leads the operational, financial, and strategic direction of a multi-provider plastic surgery and aesthetic practice. With more than 25 years of healthcare experience, she oversees budgeting and financial performance, revenue cycle management, human resources, compliance, vendor negotiations, marketing initiatives, and technology integration.

Tonya works closely with physicians and staff to refine workflows, strengthen internal policies, and implement systems that support both efficiency and long-term sustainability.

Her leadership style is hands-on, data-driven, and solutions-focused, with a focus on strengthening systems, communication, and team effectiveness. She is deeply engaged in process improvement and operational strategy, ensuring that the practice delivers a seamless and elevated patient experience.

Earlier in her career, Tonya spent over two decades at Lacks Cancer Center supporting breast oncology care—an experience that continues to shape her patient-centered perspective and commitment to compassionate service.

Lisa Perdue

Lisa Perdue

Medical Esthetician

With over 25 years of experience in the skincare industry, Lisa is a highly experienced Medical Aesthetician known for her clinical precision and advanced treatment expertise. She is certified by InMode in Morpheus8 radio frequency micro-needling, Fusion Light Hair Removal and Lumecca IPL, and has completed extensive continuing education with leading chemists, researchers, and pioneers in medical aesthetics nationwide.

Recognized for her depth of knowledge in device-based and corrective treatments, Lisa develops comprehensive, evidence-based treatment plans tailored to each patient’s skin physiology and long-term goals. She excels at translating complex scientific concepts into clear, actionable guidance, empowering patients to make informed decisions about their care.

Committed to innovation and clinical excellence, Lisa remains at the forefront of aesthetic technology and procedural advancements. Her focus on safety, outcomes, and individualized treatment ensures consistently natural, confidence-enhancing results built on trust and long-term relationships.

Marie Smith

Marie Smith

Administrative Assistant

With 28 years of dedicated service, Marie Smith has been an exceptional administrative leader and trusted right hand to Dr. Dennis Hammond. Throughout her tenure, she has played an integral role in supporting both the clinical and academic success of the practice.

Marie oversees the credentialing of fellows, coordinates implant research studies, manages travel logistics, and serves as Dr. Hammond’s scheduler for academic engagements and professional activities. Her precision, organization, and deep understanding of the practice’s operations make her an invaluable part of the team.

Beyond her impressive expertise, Marie is known for her kindness and welcoming spirit. She brings warmth to every interaction and is always recognized for her genuine, bright smile. Her dedication, positivity, and heart for service make her truly one of a kind.

Melody Watkins

Melody Watkins

Patient Service Representative

Melody is a valued member of our front office team, serving as a Patient Service Representative (PSR). With more than 19 years of experience in the medical field, she brings a wealth of knowledge and a well-rounded background, having worked in Cardiac and Vascular care, Dermatology, and now Plastic Surgery. Her diverse experience allows her to provide patients with attentive, knowledgeable support from the moment they walk through our doors.

Melody is passionate about creating a warm, welcoming environment and takes pride in helping patients feel comfortable, confident, and cared for throughout their experience with our practice. She truly enjoys building connections with people and ensuring each patient feels at ease.

Rebekah Ross, RN

Rebekah Ross, RN

Registered Nurse - Surgical Center

Rebekah Ross has been a Registered Nurse for 15 years. Her first 3 years of nursing were spent at Mercy Health Saint Mary’s taking care of elderly, cardiovascular, and kidney transplant patients. In 2014, she made the move to work in outpatient surgery at the same hospital. The main focus of that outpatient surgery center was breast cancer and reconstructive surgery.

Rebekah worked with these patients in all areas of surgery including pre-op, operating room, and post-op. She took a break for a couple years for her family, and then started working at Partners in Plastic Surgery. You can find her in the operating room following her patients through the entire surgery process from start to finish.

She truly loves this because she can really focus on her patient and give them her full attention. Having the same nurse throughout their surgery day makes them feel more comfortable and at ease.

Tracie Marcus

Tracie Marcus

Surgery Scheduler

Tracie has worked as a Surgery Scheduler at Partners in Plastic Surgery for over 15 years coordinating surgical procedures with accuracy, efficiency, and care. She works closely with physicians, clinical staff, and patients to ensure every step of the scheduling process is smooth, organized, and clearly communicated.

From coordinating operating room availability and managing provider calendars to confirming pre-operative requirements, she carefully oversees every detail to help procedures stay on track.

Understanding that preparing for surgery can feel overwhelming, Tracie strives to make the experience as straightforward and reassuring as possible. Known for her calm professionalism, attention to detail, and commitment to patient-centered service, her thoughtful approach helps ensure that patients feel confident and well supported throughout the surgery scheduling process.

Eva Mathieu

Eva Mathieu

Ciao Cosmetic Tattoo | Permanent Makeup Artist | Areola Tattoo Artist

Eva Mathieu is a 7x Certified Cosmetic and Paramedical Tattoo Artist and Licensed Esthetician with over five years of dedicated experience in advanced skincare and pigmentation. Based in West Michigan, Eva brings a sophisticated, detail-oriented approach to her roles at Partners in Plastic Surgery and her private storefront in Portage, Michigan.

Throughout her career, Eva has trained and practiced across the United States, refining a technique that blends clinical precision with artistic intuition. She specializes in creating bespoke tattoos for individuals with high standards who prioritize quality and long-term results. Whether performing restorative paramedical work or enhancing natural features through cosmetic tattooing, her mission is to help clients show up for themselves with confidence in an effortless way. Her reputation for excellence has made her a destination artist, with clients—including Miss USA—traveling from across the country to seek her expertise.

By bridging the gap between medical aesthetics and permanent artistry, Eva provides a seamless, high-end experience helping clients feel at home in their own skin without compromising on excellence

Erin Rutter

Erin Rutter

Surgery Scheduler

Erin has been an integral part of the team at Partners in Plastic Surgery since 2011, beginning at the front desk and now functioning as one of our surgery schedulers.

She is dedicated to providing a welcoming experience for every patient and strives to support both our surgeons and our patients with efficiency, professionalism and a positive attitude.

Dawn R Borreson, RN, MSN

Dawn R Borreson, RN, MSN

Aesthetic Nurse Injector

Dawn Borreson is a Registered Nurse with over four decades of experience, with 12 of those years being in aesthetics. She completed, with honors, her Bachelors and Masters Degrees in nursing through University of Detroit Mercy and has achieved numerous nursing certifications and awards.

Dawn’s professionalism and attention to detail contribute to her patients' goals of looking their best. Dawn has extensive training in dermal fillers, neurotoxins (Botox/Dysport), lasers and advanced training in biostimulators.

Dawn excels at listening to her patients concerns to customize
a treatment plan that achieves realistic and natural looking results, all accomplished in a conversational, ‘no pressure’ environment.

Dawn is a life long learner, attending conferences and advanced trainings to stay current in the ever-changing aesthetic field. Dawn enjoys being with her husband Dan, exercising, gardening, playing pickle ball and especially being with her family and grandchildren.

Ashley Wagner

Ashley Wagner

Patient Coordinator

Ashley is a Patient Coordinator with over 10 years of experience in the plastic surgery field and more than 14 years as a Registered Medical Assistant (RMA).

She is passionate about guiding patients through the consultation process and helping them feel informed, comfortable, and confident in their decisions. Ashley enjoys building relationships with patients and supporting them throughout their aesthetic journey.

Amy Rabideau

Amy Rabideau

Medical Aesthetician

Amy is a highly experienced skincare professional with over 20 years at Partners in Plastic Surgery, where she has helped clients achieve clear, healthy, and radiant skin through personalized, results-driven care. Working within a plastic surgery setting, she has developed extensive expertise in advanced treatments including dermaplaning, microneedling, customized facials, chemical peels, acne-focused therapies, and laser services targeting aging, sun damage, and hair removal.

Amy is passionate about creating tailored treatment plans that align with each patient’s unique skin concerns and goals. She also provides expert guidance on medical-grade skincare products to help patients maintain and enhance their results at home.

Known for her thoughtful and attentive approach, Amy takes the time to truly understand her patients, ensuring every treatment plan feels comfortable, effective, and sustainable. Her top priority is helping each patient feel cared for, confident, and genuinely happy with their results.

Abbie Thill

Abbie Thill

Skincare & Marketing Manager

With more than twenty-five years of experience in business management and client relations, Abbie serves as the Skincare and Marketing Manager at Partners in Plastic Surgery. She brings a results-driven yet compassionate approach to her work, blending strategic expertise with a genuine commitment to patient care and experience.

Her background in retail management, team development, marketing initiatives, and revenue growth allows her to support both the operational and patient-centered sides of the practice. In addition to overseeing skincare services and marketing strategy, she manages customer service and coordinates special events, ensuring every interaction reflects the practice’s high standards of professionalism and warmth.

Known for her exceptional communication skills, attention to detail, and collaborative leadership style, she thrives in fast-paced environments while consistently exceeding expectations. She is passionate about creating meaningful relationships and helping patients feel confident, supported, and valued throughout their journey.