FAQs

  • Cosmetic gynecology includes surgical and non-surgical procedures that address both the appearance and function of the female genital area.

Labiaplasty

  • Labiaplasty may be performed for functional reasons, cosmetic concerns, or both. Many patients experience improved comfort as well as increased confidence.

  • When performed by an experienced, board-certified OB-GYN, labiaplasty is designed to preserve sensation and function.

  • Yes, labiaplasty can be combined with a vaginoplasty. Please know that these procedures address different anatomy and are evaluated separately.

  • Every patient is different but usually 6 weeks.

Vaginoplasty

  • Vaginoplasty is often functional, addressing vaginal support and tone, though many patients also experience improved confidence and satisfaction.

  • No. These procedures treat different anatomy and are not interchangeable.

  • In some cases, yes. Non-surgical vaginal rejuvenation options may be discussed during consultation.

Perinoplasty

  • Perineoplasty is often functional, addressing perineal support and comfort, though aesthetic improvements may also occur.

  • No. These procedures treat different anatomical areas and serve different purposes.

  • In some cases, yes — but only after careful evaluation and when medically appropriate.

Clitoral Hood Reduction

  • When performed by an experienced, board-certified OB-GYN, the procedure is designed to preserve clitoral sensation and function.

  • It may be performed for functional, comfort-related, or anatomical reasons, and sometimes includes aesthetic benefits.

  • In some cases, yes — but only after careful evaluation and when medically appropriate.

Anal Skin Tag Removal

  • Anal skin tags are typically benign, but medical evaluation is important to confirm diagnosis.

  • Most patients experience minimal discomfort, and healing is typically well tolerated.

  • Anal skin tag removal may be performed for medical, hygiene, comfort, or quality-of-life reasons.

Hymenoplasty

  • Hymenoplasty is a minor surgical procedure that repairs or reconstructs the hymenal tissue. It is performed using existing tissue and fine suturing techniques to restore the hymen’s appearance. The procedure is approached with discretion, respect, and individualized care.

  • Women seek hymenoplasty for a variety of personal, cultural, emotional, or restorative reasons. The decision is highly individual, and there is no single reason that applies to everyone. A private consultation helps determine if the procedure is appropriate.

  • When performed by a licensed physician in a clinical setting, hymenoplasty is generally considered safe. As with any surgical procedure, risks and benefits are discussed in detail during the consultation.

  • Hymenoplasty involves only the hymenal tissue and does not alter vaginal anatomy, sensation, or function beyond that area.

  • The procedure is typically performed under local anesthesia. We also use Pronox inhaled anesthesia to keep you very comfortable. Most patients experience minimal discomfort during the procedure and mild soreness during the early healing period.

  • Hymenoplasty is usually completed within a short 1-2 hour outpatient visit. Exact timing varies based on individual anatomy and surgical technique.

  • Most patients are able to return to normal daily activities within a few days. Temporary swelling or mild discomfort may occur. Detailed post-procedure instructions and follow-up care are provided.

  • The procedure is designed to be discreet. There are no visible external signs once healing is complete, and all care is provided with strict confidentiality.

  • Consultations for hymenoplasty are completely private in a medical setting. Patient confidentiality, respectful communication, and discretion are top priorities throughout the entire process.

  • A consultation with Dr. Evans is required to determine whether hymenoplasty is appropriate based on your medical history, anatomy, and personal goals.

  • To schedule a confidential consultation, contact our office directly. We serve patients in Sugar Land, Houston, and beyond. We have a discrete VIP Concierge service contact for out of town visitors.

Non-Surgical Vaginal Rejuvenation

  • Most non-surgical treatments are well tolerated with minimal discomfort.

  • Not always. Some patients benefit from non-surgical options, while others may require surgical correction.

  • A private consultation allows for individualized evaluation and recommendations.

  • Feminine Rejuvenation Memberships are Available! One low cost for ongoing care to strengthen, beautify and maintain our feminine health and function.

Vaginismus Treatment

  • Botox® may help some women experiencing vaginismus by relaxing overactive pelvic floor muscles that contribute to involuntary muscle contraction, pelvic tension, and painful penetration. At Texas Cosmetic Gynecology, treatment plans are personalized and may include Botox®, pelvic wellness therapies, Emsella®, regenerative medicine, and physician-guided pelvic floor support depending on the patient’s symptoms and goals. Women searching for Botox vaginismus treatment in Houston often seek care for pelvic pain, painful intimacy, pelvic floor tension, and muscle spasm disorders.

  • Vaginismus may develop from a combination of physical, emotional, hormonal, pelvic floor, or psychological factors. Common contributors may include pelvic floor muscle dysfunction, anxiety surrounding penetration, prior pain experiences, childbirth changes, hormonal shifts, menopause, pelvic trauma, surgery, infections, or chronic pelvic tension. Because every woman’s situation is different, a comprehensive evaluation is important when seeking vaginismus treatment in Houston or Sugar Land.

  • Yes. Vaginismus is commonly associated with pelvic floor dysfunction and involuntary tightening of the pelvic floor muscles. Women may experience pelvic pain, vaginal tightness, painful intercourse, muscle spasms, bladder symptoms, or discomfort during exams or tampon insertion. At Texas Cosmetic Gynecology, we take a whole-body pelvic wellness approach that may include pelvic floor therapy support, Emsella®, Botox®, regenerative therapies, and physician-guided treatment plans designed to improve pelvic wellness and quality of life.

  • Results from Botox® for vaginismus may vary depending on the patient, severity of muscle tension, pelvic floor involvement, and individualized treatment plan. Many women notice improvement over several weeks, and the relaxing effects of Botox® may last several months. Some patients benefit from combining Botox® with pelvic floor rehabilitation, pelvic wellness therapies, Emsella®, hormonal support, or regenerative treatments for more comprehensive results. A consultation with a qualified Houston pelvic wellness physician is recommended to determine candidacy.

  • Most vaginismus treatment plans are designed with patient comfort in mind. Treatment experiences vary depending on the therapies being used, the severity of pelvic floor tension, and individual sensitivity levels. Our goal at Texas Cosmetic Gynecology is to create a supportive, compassionate, and physician-led environment focused on comfort, education, and personalized care. Women seeking painful intercourse treatment in Houston often appreciate a gradual and individualized treatment approach.

  • Women seeking vaginismus treatment in Houston often benefit from evaluation by a board-certified OB/GYN or pelvic wellness specialist experienced in female pelvic anatomy, pelvic floor dysfunction, intimate wellness, and women’s health conditions. At Texas Cosmetic Gynecology, Dr. Kimberly Evans provides physician-led evaluation and personalized treatment options for women experiencing pelvic pain, vaginismus, pelvic floor tension, and painful intimacy.

  • Emsella® is a non-invasive pelvic floor wellness treatment designed to stimulate and strengthen pelvic floor muscles using high-intensity electromagnetic technology. Women searching for pelvic floor dysfunction treatment in Houston may seek Emsella® for bladder support, pelvic weakness, postpartum pelvic wellness, and overall pelvic floor strengthening. Depending on the patient’s symptoms, Emsella® may be incorporated into a comprehensive vaginismus or pelvic wellness treatment plan alongside physician-guided therapies and regenerative wellness options.

  • PRP (Platelet-Rich Plasma) therapy may help support tissue health, regenerative healing, pelvic wellness, and intimate wellness as part of a comprehensive vaginismus treatment plan. At Texas Cosmetic Gynecology, PRP-based regenerative therapies may be combined with Botox®, Emsella®, pelvic floor wellness treatments, hormonal support, and physician-guided care depending on the patient’s symptoms and goals.

    Women searching for vaginismus treatment in Houston or pelvic wellness therapies often seek PRP treatment for concerns related to tissue sensitivity, vaginal wellness, painful intimacy, postpartum changes, menopause-related discomfort, pelvic floor tension, and feminine rejuvenation. Because vaginismus and pelvic discomfort can involve both muscular and tissue-related factors, regenerative therapies may play an important role in supporting overall pelvic wellness and quality of life.

    Every patient receives a personalized evaluation to determine the most appropriate treatment approach for pelvic pain, pelvic floor dysfunction, and intimate wellness concerns.