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Dr. Ellen A. Mahony is highly regarded for her expertise in cosmetic procedures, including

Board Certified Plastic Surgeon
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Dr. Ellen A. Mahony is a leading plastic surgeon with over 30 years of experience. Located in Westport, Connecticut, her boutique plastic surgery practice provides patients with personalized, high-quality surgical and nonsurgical rejuvenation procedures.
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Asked By: RealSelf Admin
ANSWER
Hello and Thank You for your Question! There are so many new names for surgical techniques, that it is real tough to keep up with them. To simplify this answer, let's start by describing the two most common techniques: 1. Wedge labiaplasty in which a triangular segment of the labia minora is removed 2. Trim labiaplasty in which an outer margin of labia minora is removed** ** In general, the goal of this procedure is to reduce the overall elongation of the labia minora so that it is covered in part, or entirely, by the labia majora. The term "Trim Barbie" is in essence a marketing term describing the Trim Labiaplasty technique. What does this mean for you and your preferences? It means that you should be careful in describing to your surgeon what it is that specifically bothers you so that all options of surgery- appropriate to meet your expectations- can be discussed. Hope that helps! In good health, Ellen Mahony, MD
Asked By: mysty555
ANSWER
Hello and than you for your question! YES! I use hyaluronic acid fillers along with platelet rich plasma quite a lot. Another choice is to do a fat transfer to the labia majora. Often these are performed under local anesthesia in the office. Hope that helped! In good health, Ellen Mahony, MD
Asked By: westcoastie
ANSWER
Hello and thank you for your question! In my office we do these procedures with just local anesthetic or, in conjunction with oral sedation. The choice of the anesthetic is based on the the individual needs and technical considerations. So, yes, it's an option! Hope that helps! In good health, Ellen Mahony MD
Asked By: SaraJaymes
ANSWER
Hello and Thank you for your question! As a first step, adding volume to your labia majora is a reasonable choice. Keep in mind that like all procedures, nothing is a true "one and done." Expect to do this again. Common volume options include using your own fat and platelet rich plasma. Or, using hyaluronic acid fillers with platelet rich plasma. In my office, both can be done with local anesthesia.
Asked By: tree11
ANSWER
Hello and thank you for your question! Just so you know, you definitely are not alone- these are very common issues. I provide both volume addition to the labia majora as well as skin tightening as office based procedures. Volume addition in my office is with fat and platelet rich plasma or hyaluronic acid and platelet rich plasma. Skin tightening is by removing a wedge of skin/mucosa at the junction of the dry-wet skin. These can be done individually or together, based on priorites. Many women stage them. Hope that helps! In good health, Ellen Mahony, MD
Asked By: RealSelf Admin
ANSWER
Hello and thank you for your question! I tell every patient that you will see signficant healing at 2 weeks, 1 month and 3 months with less obvious healing out to 6-9 months. It takes every body part almost a full year to mature, remodel and heal. Hope that helps! In good health, Ellen Mahony, MD
Asked By: girlsrituals
ANSWER
Hello and thank you for your question! The associated details of elective surgery include: type of anesthesia, pain management, risk of immediate complications, ability to care of yourself and follow instructions, rides to and from office or sugery center, date of first post op visit, when showering is allowed.... to name a few. As female patients undergoing surgery on our lady parts, I think many of us would like to manage ourselves after the procedure- we all want a little privacy. However, surgery is essentially a "team sport" such that the results are a function of both the patient and the surgeon. For this reason, the answers to the short list I outlined above fall within the direction of the surgeon and his or her best judgement. Hope that provides some insight! In good health, Ellen Mahony, MD
Asked By: pgatl
ANSWER
Hello and thank you for your question! The success of every surgery, and the perceived "help," are linked to your underlying medical status, your specific goals and the surgeon's knowledge and experience with the procedure. The primary reason women seek labiaplasty in my office is related to lengthening of the labia minora and the secondary issues associated with this, including: discomfort related to excessive folding, bulging, moisture, hygiene, appearance. All of these factors can be relieved to some extent by reducing the length/bulkiness of the labia minora. Darker pigmentation is part and parcel of the labia minora and some of that is usually reduced with the procedure but not necessarily all of it. The clitoral hood is an integral part of a woman's femininity and sexual health. Not only does the area house thousands of nerve endings but it also provides lubrication and protection of the clitoris which can become de-senstized without protection. The details of what exactly you are hoping to achieve with a hood reduction should be reserved for your chosen provider. Hope that all helps! In good health, Ellen Mahony, MD
Asked By: Bc199490
ANSWER
The first question I would ask you is what is your goal? expectations? If you're looking to just reduce girth/volume/size, than liposuction alone is always an option. The only problem is that your front side will still have the pouch of loose skin over your pubic area and your abdominal wall (muscles) will still bulge forward. Your back area should do fine with just lipo. If you would like to optimize your overall shape, maximize your waistline, take away the loose skin, flatten your front side and have your front and back look great from either side, than Extended Tummy Tuck (the incision will go around to the sides) with liposuction is your best option, In my opinion, the scar is a very reasonable trade off. Presently you have a deep crease that extends from the front all the way around to the side. And the pouch. You would trade both of those for a fine iine which sits in the same place but is far less noticable and evenly unites your figure with a 360 curvy look. Best to think over what you really want short and long term and plan accordingly! Take a peek at the pics with the link below. In good health, Ellen Mahony, MD
Asked By: Lanie404
ANSWER
There is much confusion surrounding the many terms and techniques associated with liposuction and trying to decide what is best for YOU. Keep in mind that as time marches on and newer techniques are developed, the notion of what is truly "traditional" will also be unclear. At the present time, traditonal liposuction refers to: 1. introducing a "wet" solution into the fat for the purposes of pain control, reducing bleeding and wetting the fat to make it easier to extract in a uniform manner (tumescent technique) 2. the instruments (cannulaes) are connected to suction and by manually moving them throughout the fat, it is extracted by suction Power Assisted Liposuction refers to: 1. and 2. Above 3. the only difference is that the cannulae are connected to a powered hand device which causes the cannula to vibrate. Although the vibration is modest, it reduces hand fatigue of the surgeon and facilitates the movement of the instrument through the fat which is criss crossed by many fibrous bands. This modest technical change makes the procedure a little quicker and less rigorous for the surgeon- less time in the OR. The fat is not liquified or heated. So, in summary, TRADITIONAL is all manual effort. PAL includes low level vibration of the instrument. BOTH employ the tumescent technique of fat "wetting" Most surgeons use both, depending on the area of the body where the liposuction is to be performed. Both are excellent choices and are the Gold Standard to which all other liposuction technology are compared as the techniques I have listed are safe, provide excellent results in properly selected candidate and have minimal complications, bruising. Hope that helps! See link for samples. In good health, Ellen Mahony, MD
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Dr. Ellen A. Mahony is highly regarded for her expertise in cosmetic procedures, including






