Dimitrios Giannoulias, MD - Account Suspended

Dr. Giannoulas and his staff were very caring and attentive on both pre and post surgery. I appreciated the time taken to address all my concerns and I greatly appreciated the convenience of being able to text discreetly and receive responses right away. I can assure you I was very well informed, I was very well taken care of and I was very grateful. THANK YOU. The customer friendly attitude and caring services offered is definitely an asset, especially in this industry. Dr. Giannoulas made me feel safe, no question was unaddressed and he was very professional - along with the surgical staff - my vaginoplasty went very smooth.

Hello everyone, I'm scheduled to have my vaginoplasty in 9 days and wanted to share my story with the hope of helping anyone thinking about doing the procedure. My backstory is that I am a 34 y/o mother of 4. I had all vaginal births. The birth weight of each child from oldest to youngest was 7lbs11oz, 8lbs10oz, 9lbs05oz, 7lbs,00oz. With my first birth, I had an episiotomy. The doctor stitched me so tight that most of my stitches tore during a bowel movement even though I was on stool softener. I went to the ER and the doctor said it was better to let it heal open rather than re-stitching it because of all the damage. To this day I'm not sure if this was the right decision. I honestly didn't experience any vaginal symptoms other than extreme tightness for 6 months because the stitches closer to my vaginal opening stayed intact. My problems truly started in 2015 with my 3rd child, who was 9lbs5oz. His head came down really quickly and I felt something 'snap' inside me. However, when I was checked after I had no tearing. I lost all feeling inside my vagina for about a year and also much felt looser. I regained full feeling around 2018-2019 but I constantly felt like my partner was going to slip out. After my last child in 2019, who was the smallest, the slipping out feeling got worse plus I started to feel pressure in my rectum when having sex. I also had a hemorrhoid during my pregnancy that was the size of a large grape and left hanging skin after it disappeared. I really felt discouraged at this point and decided to look into getting things fixed. At my consultation with Dr. G, he pointed out to me that my vaginal laxity was at least 3 fingers wide (I can fit 4 of mine) and I have a lot of scar tissue on my perineum from my births. He also noted the it's likely I had a muscle tear as my rectum is pushing up into my vagina. This most likely explains the ripping sensation I felt plus the pressure in my rectum during sex. The plan is to reduce my vaginal width to about 2 fingers, repair my perineal muscles and cut out the scar tissue. I'm really looking forward to getting my life back because this with other body issues has weigh heavy on my self esteem and affected my sex life. My partner says he can't tell the difference but I definitely can. Updated on 17 Dec 2020: I can't believe I am only 5 days out from surgery! I did my covid testing on Tuesday and received all my preop instructions. Here are so some pictures of the supplies I've purchased. It may seem like a lot but I'm also getting some other things done as well. I'm so excited and nervous at the same time! Updated on 24 Dec 2020: Hi everyone. So I had my surgery and wanted to give you a day by day of my experience and recovery. I'm feeling kind of drowsy so please forgive me if my thoughts are some what scattered. The day of my surgery I arrived at the clinic around 1230. I was scheduled to have surgery at 130 but it got pushed back to 3. I had a mommy makeover so my other surgeries were scheduled first and Dr. G was scheduled to do my vaginoplasty after. I met with him virtually to go over the plan and he answered my remaining questions. All the staff were amazing and kind. I went into the OR and I was given a spinal first. After that, I was put to sleep and don't remember much after that. I woke up in recovery around 9 pm and my nurse really took good care of me. I just remember my throat feeling really dry because I was intubated. I stayed there for about 3 hours and she got me up to walk and try to urinate. I got really dizzy and sick when standing, I usually have a low blood pressure so that probably has a lot to do with it. It took me about 20 minutes to get any urine out because I also had a tummy tuck and couldn't use those muscles well. The pain was bearable at this point because I was given a lot of medications. When I was discharged to my husband, my nurse told me to just take Tylenol (and not the Oxy I was prescribed) because she was afraid I'd get nauseous. She also told me to sleep on my back propped up. She meant well but this was really bad advice for me and things really took a horrible turn. Firstly, when my pain meds started to wear off, I realized quickly that this was the worse pain I had ever been in in my life. It was to the point I thought being dead would have been better. Out of all the procedures I had done, the vaginoplasty was by far the most painful thing I've ever experienced. I thought that by having 4 kids that I was prepared for anything but this pain is much different and hard to describe. We had to call the clinic in the middle of the night and they said that I should not have been told to just take Tylenol, and that I need to be taking the Oxy every 4 hours on the dot. I had packing (gauze) inside my vagina that made it feel like a baby's head was stuck there and not coming out. Laying on my back was also impossible because the pressure from my bum intensified the pain in my vagina and rectum. Once, I took my pain meds I felt much better and was able to sleep on my side but any pressures on my butt could be felt through the pain meds. I was told to come into the clinic the next day for an appointment where the would take out the packing and my other doctor would check my other incisions. After the surgery, I was only able to stomach a piece of toast with some fruit. Because I have a binder on for my tummy tuck, this made me have to pee often and again my husband had to help my out of bed. I was also drinking a lot from being dehydrated. I was wearing a Depends underwear although there wasn't much bleeding. I would say the amount of blood on the underwear was similar to a light period. At this point I would say, you definitely need help especially if your combining procedures. Not being able to use my ab muscles has made the experience a lot more difficult but by far the pain from the vaginoplasty and the packing inside was the hardest to deal with. My husband has to help me with everything from walking to even moving. His been managing my medications for me because I've been to drowsy and I'm honestly so grateful for him. Updated on 24 Dec 2020: Like I mentioned in my other post, I had a really rough night. There was a point where the pain was so bad I begged my husband to take the packing out but he stood strong and comforted me until my medication kicked in. After taking my pain meds twice according the schedule I was able to get some sleep. That morning, I was scheduled to go into the clinic to do my post op appointment with my other doctor. By the time I got there, I was in a lot pain because I had to sit right on my incision during the drive. I think some sort of donut cushion would have been beneficial for me to take the pressure off but I didn't prepare for that. The clinic was running behind schedule, so by the time I got into the clinic my pain meds were not working and I had to be given an instant release medication. I've had 4 natural births with no medication so this amount of pain was very surprising to me. Dr. G was not there, I was told my follow up with him was in 2 weeks. However, my other doctor checked my other incisions and a nurse was there to take the packing out my vagina. The nurse warned me that it would be uncomfortable but I would feel a lot of relief after. His warning was accurate, it didn't hurt much as it came out and I felt a lot of pressure relief. The incision still burned a lot but I was glad to have that part over with. As part of my recovery, I'm supposed to do a sitz bath with Epsom salt 2x a day, and the apply Flagyl cream to the opening of my vagina and Fucidin cream to my perineum and anus. My husband set up the sitz bath for me over the toilet. It was uncomfortable, mostly from being in a sitting position but it was tolerable. It was nice to have warm water in that area. My husband attempted to apply the creams for my but the whole area is swollen and he did his best :) I would say the post op day 1 was much better than my experience after surgery. Removing the packing helped as well as taking my meds regularly and resting in between. I was able to get up to use the washroom a few times by myself but I still need my hubby for most things. I will post some pics but some of them aren't very good because of the swelling down there. Updated on 25 Dec 2020: Today was a much better day pain wise. My first sitz bath of the day was quite painful but as the day went by, my perineum hurt less and less. I've been able to sit now without pain and I also can finally sleep on my back without pain or pressure in my vagina or rectum. I've been nervous about having my 1st bowel movement. I have not had one since the day before my surgery. I've been taking stool softener 2x a day since 2 days before surgery and took 1 Ducolax laxative today but it did nothing. I've been having a lot of gas but nothing else so I'm planning on doubling my laxative dose tomorrow. I was able to take less narcotics today which is great and I've also been able to get up and walk around without help a bit more than the previous day. Updated on 25 Dec 2020: Hey everyone. So, today was a really rough day. The day started out pretty uneventful. I still find it difficult to urinate and have to stand up to get it going, otherwise it takes about 20 minutes to get anything out. All day I was having excruciating pain and pressure in my rectum and vagina. I've been getting this sensation of something sliding past my stitches. I figured it was probably stool moving into my rectum but nothing would come out. By 2pm, I decided to retake my laxative. I continued to have this pain on and off throughout the day. Eventually I felt the urge to have my first bowel movement. Let me tell you, childbirth, my first night without meds and this experience were the most painful experiences I've ever had in life. I literally felt like I gave birth and it was to the point the I was nauseous and the room went dark. I had to apply counterpressure to my anal area to pass it. I think because my last bm was the day before surgery, all the stool softeners and laxatives didn't help with that first part but after that everything passed ok. I bled a little bit but all my sutures stayed intact. I know this is tmi but honestly, it's important to know what to expect. Because of all the pain I experienced today, I had to go back up to my regular dose of narcotics. With my husband's help I was able to take my first shower which was great. This helped with the burning at my incision. Honestly, I never thought that having a bm could be such a stressful event lol. Now that everything is moving, I hope to have less pain going forward. Updated on 26 Dec 2020: I can gladly say that today was a much better day. Today was my 1st day going all day without narcotics. I was able to manage on just extra strength tylenol and an nsaid prescribed to me. I mostly have mild soreness and some light bleeding. Otherwise, I had a much better day today. Updated on 7 Jan 2021: Hello my lovely ladies, I meant to post my update a few days ago but things have been kind of hectic with my kids going back to school from winter break. So overall I would say I'm doing much better. My stitches along my perineum are still very sore, however I don't really have any other pain and I am no longer taking otc or prescription pain meds. Around day 5 I noticed some blue stitches in my labia area. For a while I was feeling a lot of pulling and burning in that area and had quite a bit of swelling in my left labia. I found that icing helped A LOT and at this point, it's no more tender than the rest of my perineum. Around day 5, the repair close to my anus came open a little bit. I think this is because of all my bowel issues. Since surgery I've had issues ranging from going too often to constipation. As a result I had some sharp stitches hanging down from my anus that were causing me some irritation. My biggest issue right now as been itching around my vaginal opening and along the perineum. I was told before surgery that this typically happens and I read that that it's a normal part of the healing process. I was told to apply canestan which didn't help because it isn't yeast related for me. I realized that wearing pads and pantyliners to catch any blood or creams was causing the issue and I've decided to just go without them or underwear whenever I can and most itching stops when doing this. At my 2 week follow up, I was able to address all these issues with Dr. G. He said the stitches in my labia are fine and will dissolve soon. The wound in my anal area will heal on it's own. He also cut out the anal stitches for me which provided relief. He also gave me a mirror to show me the repairs he did and discuss what work he did. I've been doing epsom salt sitz baths for 2 weeks. He advised me to switch to baking soda sitz bath for 1 week and to keep apply my antibacterial creams. 3 weeks from now he will provide me with a cream to smooth out the bumpiness along my perineum. Overall, I'm happy with my experience and results thus far. I can feel the difference in my pelvic floor muscles, I can now properly engage them when doing Kegels. My vaginal opening is MUCH smaller and my perineum has been totally reconstructed and is much longer. The large anal tag also was completely removed. Dr. G and his staff have been very knowledgeable and helpful. His bedside manner could use some work but he's been pleasant and professional thus far. Updated on 20 Jan 2021: Hi Ladies, I have officially made it to 4 weeks! My healing process has been going well. The area that opened up a little near my anus is pretty much healed. I now only have mild soreness if I stretch my labia a little too much when wiping down there but other than that nothing. My main "issues" I guess over the past 1 1/2 weeks or so have been those stitches I had in my labia, the itchiness and increased vaginal discharge. So I had mentioned before that those little blue stitches in my labia were a source of distress for me because the burned, itched and pulled. About a 1.5 weeks ago, my stitches started dissolving and this started to cause the stitches to tear into my labia. It hurt quite a bit and was causing me a lot of frustration and frankly I felt was causing me unnecessary mental distress that was impeding my recovery. On January 11th, I had an appointment where I spoke to the head nurse about it, and I was given permission to cut thread that was causing me the most problem with a set of surgical scissors they gave me (I have some nursing experience, so I was comfortable doing this). I was really happy about that and did it as soon as I got home. Since then, I've noticed threads here and there as they dissolve and have been snipping small parts if they become visible. I also had quite a bit of itching and white discharge up until about 3-4 days ago. I've learned recently that this experience can be normal for some who's body is reacting to dissolving the stitches as it's an immune response. I've felt much better since cutting the stitch and the area has become softer and less rigid. Other than that, there hasn't been much else. I have an appointment next week where I'll see Dr. G and receive the cream to smooth out my perineum. I won't be posting much pictures until I feel comfortable waxing again and this discharge subsides. I should mention also I took medications for yeast just in case I had an infection but it did nothing. I'll post more updates in the coming weeks. Updated on 9 Feb 2021: Hey ladies! So I am 7 weeks post op. I had my final appointment yesterday, which was 2 weeks delayed due to work and my period. Dr. G checked everything out and told me I healed "beautifully" lol. As of now I am going to start the treatment for the scarring on my perineum. So, first of all, I have gone from being able to fit 3 1/2 fingers inside my vagina to only 1!!!! I honestly could not believe it but I am way tighter. All the stitches from inside my vagina fell out around six weeks, and since then the excessive discharge and itching has stopped completely. I am pretty much healed but the opening of my vagina does feel overly firm and tender still and I have some over scarring from the stitches that were in my labia. I hoping that with time that will settle down. My hubby and have had sex 3x now. My first tried around 6 weeks. The 1st time was very painful, definitely like losing my virginity. We had to go extremely slow and use a lot of lube. The most painful part I am finding is actually the perineum because once he's all the way in, it doesn't hurt anymore. My perineum is so sore and I feel like I have microtears after. At this point, it's hard to say if it's more pleasurable for me because I've been so preoccupied with the pain but I can definetly say there is no more slipping out, no pressure in my rectum and no feeling like I have to squeeze to feel him. For the first time in years, I can be totally relaxed and feel all of him lol. For him, there is also a significant difference. He has said that he feels like he's "all the way in" when only the tip is because the opening is much tighter. He also said that I'm much tighter on the inside. So far, I'm extremely happy with the changes and am hopeful that over the next few months the tender areas will get better. I've noticed some unexpected changes with my period as well. Firstly, I was able to wear a tampon without any leaks. Before I used to have leaking even if the tampon/menstrual cup wasn't full but I never attributed it to this issue. The only thing that bothers me is that now with wearing pads, blood will collect in my vagina while lying down and make a mess when standing. Also, I have to wear my pads more forward because it only collects on the front of the pad which is a problem with pads that have wings. I hoping that this too will get better as my perineum softens but it may not. That's all I have for now, if you guys have any questions let me know! Updated on 11 Feb 2021: My experience with Dr. Giannoulias was great from start to finish. He was very kind and knowledgeable. He took his time to ensure I was properly followed-up on and always answered my questions and concerns. The staff at Clinic 360 have been great and I am very happy with the results of my vaginoplasty. Dr. G repaired all the damage from my 4 births and I couldn't be happier! Thank you! Updated on 8 Jun 2021: Hi Ladies! I've been meaning to post an update for you guys, I can't believe it's been almost 6 months already! Everything with my surgery has been good, zero complaints here. I would say the longest issue I had was pain with sex which caught me off guard because I thought after having sex a few times the pain would get better. I had pain in my perineum until about 4.5 months. The truth is I really didn't use the estrogen cream that was provided because my pharmacist kind of scared me with the risks of using estrogen for prolonged periods. I got to a point though that I decided I had enough of the pain and committed to doing perineal massages every night with the cream. It was really painful and tender to do but after only 1 week of doing it consistently and with firm pressure, the pain in my perineum was gone and sex no longer hurts! If any one is having pain after sex, that plus having sex regularly is what helped me the most. My results are still really tight and it does still take a little time to fully get it in but it's not painful at all. That's all!

I was number of times under Dr.G care for different reasons . He is extremely carrying and knowledgeable . He has an exceptional ability to listen to his patients , in order to determine the right diagnostics and treatment plan. Highly recommended

I just had my surgery done this morning, but i can actually tell that Dr. Giannoulias made a great job. Very kind and gets to the point. I asked to remove the more he could, and so did he :) I'm more than happy !! I will do an other post to comment on my surgeries since I had a breast augmentation with Dr Bendago at the same time (who's also an amazing doctor).

After years of discomfort with my longer labia and large clitoral hood I decided to do something about it. It's important to me that I share a lot about my experience to helps others make an informed decision. This is long, but I've put different aspects in paragraphs so you don't have to read the whole thing depending on what you're interested in. My decision to go through with the procedure was a difficult one. I have experienced physical pain (chaffing, discomfort during sex, pee spraying everywhere, etc) and emotional discomfort since it started to "grow" at 14. After much research I learned that having a longer labia/clitoral hood was totally normal. I learned about surgery but felt I was being dramatic and giving into "societies beauty standards" by considering surgery. At 20 years old After much thought I decided the physical and emotional discomfort was not worth my pride and ego and this surgery would improve the quality of my life. I researched the doctors in my area ruthlessly and eventually came to Dr.Giannoulias. His reviews were limited, but all fantastic and made it clear he was well educated and experienced. His staff was phenomenal and put me at ease from the second I walked in, through my initial consult, my pre-op, and my surgery. When meeting Dr.Giannoulias I found he didn't talk much, but he answers all your questions straight to the point and his confidence is contagious. In addition he took my concerns about specific narcotics very seriously and prescribed me the appropriate medications which was very important to me. I felt comfortable at the clinic and after explaining my issues and what I'd like done, I got a quote for my surgery, A total of $7006 (CDN) A hefty price, but nothing in comparison to the long term discomfort of not having this procedure. I had my surgery in the early morning of October 28th, 2017 and I am already thrilled with my results. It will take time for swelling to go down and have things look more aesthetically pleasing, for the first two weeks of healing it's going to look somewhere between burnt lasagna and an infected baboons ass. In addition the physical discomfort from my longer labia is gone and I can tell!! I was able to pee without my stream going everywhere and that made me incredibly happy. I was in pain earlier today, but the pain killers are helping and I feel I am healing well. I will continue to update every few days on the recovery process. At this point I don't have many criticisms, the only is I wasn't able to give feedback as to which style of procedure I wanted done (the Barbie vs rim). Regardless I have faith the results will look fantastic because Dr.Giannoulias knows what he's doing. Updated on 5 Nov 2017: This last week has consisted of a lot of pain medication, irregular sleeping, and feeling sorry for myself. Luckily everyday the swelling had decreased a little bit more and the pain has lessened. Unfortunately I've got a yeast infection caused by applying Fucidin cream (topical antibiotic). But that's totally normal and canesten cream had been a miracle worker. It's been pretty gnarly looking over the last week and at times down right disturbing! I had both sutures and dermabond (skin glue) on my labia and dermabond for the smaller areas around my clitoral hood so that's what the weird white stuff is. As well as some canesten cream. I'm more swollen on my right side and my dissolvable sutures are starting to pop out. Thought I'd post these so their women know it's totally okay to have it not looking super pretty a week later. I am already noticing the lack of chaffing. Even while swollen and angry I'm feeling the difference with my labia. I am unhappy that I can't workout yet, but this is very worth it. Updated on 8 Nov 2017: I am about a week and a half into healing and have notice an area on my clitoral hood that was closed with dermabond has seemed to split open. I talked to the doctor and was able to send him a picture. He says it will close. I'm still totally freaked out and not entirely convinced, but I will trust the doctor that this will close. I thought I'd share this update so that I don't make this sounds all hunky dory and a perfect recovery. It's concerning at times. If anyone has similar experiences it would mean the world for someone to share them with me in a comment or a private message. Updated on 12 Nov 2017: I am now just over 2 weeks post op and I'm able to get back to work tomorrow. I saw Dr.G for my scheduled post op. He said everything looks to be healing well! I finally was able to shave today. The photos I've posted made me look a little bit gnarly still, but there's a lot of swelling and my labia majors had like no fat so it makes my labia minora look larger than it is. I have a few petty aesthetic worries, but I have to let those anxieties wait until I'm fully healed. I already feel a huge difference when I sit down and use the rest room. I was very worried that I could be left not functional if a procedure was botched and I am completely confident that my labia is as functional as ever! No more chaffing and have to adjust myself. It's been a really intense two weeks with ups and downs, but I'm glad to start getting back into normal life. Not sure how people go back to work 2-3 days after. It's taken two weeks for me to be able to get up and move. Updated on 17 Nov 2017: It's a day early, but I thought I'd share my next update. I'm healing well and the area on my hood is starting to close up and heal. One side looks perfect (super swollen still) and exactly what I wanted. The other side has an area that's still sensitive and has an indent along the labia. I was assured I'm healing well and it's hard to tell final results before as late as 6 months. I know I have to be patient, but it totally sucks because I want to know now! I trust Dr.G and his team and will continue to update. All the dermabond is gone at this point and stitches are popping out. I feel so much less self conscious already. I love being able to sit with discomfort and not have to adjust myself constantly. So far I am very happy with results. Updated on 18 Nov 2017: The view from standing up is so much better than before. I hated the way my labia and clitoral hood protruded and looked so "meaty". I prefer how I look when I "tuck" myself in, but I'm still swollen so we will see how it looks at 6 weeks. I couldn't tuck in my labia before because it was so large. I never took a before photo standing up out of a mix of not thinking to and hating that angle of myself SO MUCH. Seeing it in the mirror while getting intimate could kill the mood because I was so self conscious. I wouldn't want to have sex or let my partner see it even after being together well over 2 years. We have been intimate many times but it's always been a challenge for me to accept myself and I think it effected the quality and definitely quantity of our intimacy. He's always been very supportive and wonderful about it. Even claimed he liked it! But he also saw how it effected me and while he never admitted it till post surgery it would make certain bedroom activities difficult as it got in the way. I'm very grateful to have a supportive partner through this experience who hasn't judged me before or after surgery. He's been very neutral so I can make the decision for myself. Never make a decision like this for other people. If it's not for you, chances are you will regret the procedure or it will not be life changing. If you fear a potential or current partners reactions, that's very normal and okay, but if that's the sole reason for your discomfort then I'd recommend dropping the partner, not part of your labia. A lot less expensive and time consuming lol. This is a decision that has to be made for you and shouldn't be made without some serious thought. It's surgery, its low risk, but still surgery. It's taxing physically, emotionally, and financially. Your happiness matters most, other people's opinions come, go, and change. If you are honest with your intentions and feel this could change your life from constant pain and insecurity to confidence then by all means find a qualified surgeon and get rid! Lol. The physical pain and emotional discomfort bothered me almost every waking hour of the day. It's bothered me even after learning everyone is different and it's all normal. So this was the right decision for me. No one can assure you 100% that this the right call. You have to trust yourself. If anyone ever had questions about my experience I would always be happy to answer them in a comment or private message. I struggled a lot with this and felt very alone for a long time. If I can help someone feel less alone it would mean the world to me. Updated on 18 Nov 2017: I didn't want to post these initially but thought I should to help others. It gets WAY worse before it gets better.... Updated on 19 Nov 2017: The swelling went down immensely today so I thought I'd take a nice photo. Getting closer to the final result everyday! Updated on 25 Nov 2017: So I'm just about four weeks post op. I can honestly say physical discomfort from my labia is entirely gone from my life. Which is amazing because that's what matters to me most. Although aesthetically I'm being increasingly displeased with the results. Not sure what has happened, but it's very likely I'll be pretty uneven. I know it's just 4 weeks so there's time for the labia to get closer to evening out, but for whatever reason, part of my left labia has split and is a pretty different shape from the other labia. I'm going to continue being patient. I would like to make it clear I don't know if this is the fault of the doctor or just a [RS bleep] happens situation. Either way I will judge my final results around 3-6 months. Updated on 25 Nov 2017: Just one more photo legs closed on my side. Updated on 25 Nov 2017: Kinda wish I could delete the second last update. The photos this morning I just realized seem worse because I was really swollen for some reason. This is the same day in the evening. Updated on 3 Dec 2017: I'm now 5 weeks post op and starting to return to regular exercise. I am going to wait another week before sex though. I really can't stress how happy I am not being in constant physical discomfort. It becomes more apparent everyday how much my larger labia effected me daily. I really didn't understand how much it effected me till it was gone. I have never felt so free. Aesthetically I'm not super phenomenal at this point. I do have more weeks for swelling to go down and for my labia to even out. I won't judge until 6 months post op. I'm overall still ecstatic about the results. I had some more before pics I was too uncomfortable to share prior and I decided to post them with my 5 weeks post op and wow I can't believe the difference. I was really a big girl lol Updated on 11 Dec 2017: This has been such a rocky road of emotions, especially anxiety. I am fully back to my normal routines and I have never felt better physically or emotionally. I feel I've been freed from a chain. My labia was such a burden to me. I keep feeling like this is a dream and I'm scared I'll wake up! The unevenness is settling and getting better daily. The physical discomfort is minimal and I know scar tissue will be better over time. I just have slightly itchiness and tenderness if I put too much pressure directly on a scar. I have a good idea now of what my labia will look like. I know there's still a little swelling. I'm only going to update every two weeks from now on. Can't express how much better my life is. It may seem silly to some, but I was burdened with overwhelming emotional discomforts and physical pain and even limitations for years. To be free of it and feel feminine and not different is just amazing. Updated on 21 Dec 2017: Honestly my entire life is better. I haven't been great with the new cream, but I still apply it once or twice a week at least. My entire life has improved. My new found confidence has helped me in every aspect of my life. In addition I'm getting back into my exercise routines and I can actually ride a bike and perform all activities pain free. As well I look way better in my underwear which makes me excited for swimwear season! I just tried out sex for the first time since before surgery and I was a bit sore because it was swollen, but it was sex like I've never had before. No pulling or tugging. My partner had a way easier time and I felt so much more confident. Before I couldn't not think about it. It was always in the back of my mind and almost felt like I had mud between my legs during sex. I finally experienced oral sex with full sensitivity. Much better experience to say the least. I prefer how it looks when my legs are closed, it it doesn't look bad by any means when it's spread open. Everyday I'm happier I made this decision. The hardest part of the whole process was letting go of others opinions and feelings of "what if I'm doing this to be vain and it's unnecessary". The decision to go through with it was harder than any day during or post surgery. If it's a problem to you, it's valid and that's all that matters. When done for the right reasons plastic surgery can change lives and I feel confident saying my life has changed and would not have changed this dramatic without this surgery. I am no longer constantly plagued with the emotional and physical pain and discomfort. I feel I've won a war with myself. I can never accurately explain to someone that hasn't experienced it how much my longer labia bothered me. I feel feminine, confident, and most importantly normal. I never wanted anything more than to feel I'm just like everyone else. I feel I fit in, no longer a freak (having a long labia doesn't make you a freak but I felt like one). All my emotions are from a place of relief not euphoria. In addition writing these reviews has been so helpful for me. I've never been able to open up about this anywhere before this realself app. Only my boyfriend and mom knew, as well as two very close friends. This is a wonderful platform for getting this out. Updated on 13 Jan 2018: Just more photos of my end result. Things have become slightly more swollen recently but that's because I have been sexually active and back to my workout routine. Even when slightly swollen after masturbation I'm so so happy with the results. I didn't care to be tiny and tucked in. I just didn't want to be super large. I really am happy with my outcome. I can only slightly complain but a tiny bit of unevenness and sometimes I do well my clitoral hood was less prominent but I'm still in love with the results. I feel they are the best results I could have had done with where I started. Updated on 28 Mar 2018: Thought I'd pop back in for 4 months post op. I will around 6 and 12 months as well. Life is wonderful and I can now see how much my larger labia held me back. My life is absolutely fuller because I have the confidence to try new things and can connect with people. Previously I was psychologically or physically uncomfortable all the time because of my labia. I couldn't push myself to do anything outside of my comfort zone because any further discomfort was too much. I now don't even think about it. I feel free, feminine, and comfortable in my own skin. I'm not perfectly tiny but that's okay. I never cared to be. I just didn't want to be as large as I was. In addition the lack of fat in majora makes my minora look larger than it is. But again, I'm not in physical pain anymore so I really don't care much about how it looks. Though I am very happy about the appearance! Just enough, but not too much. Oh and my sex life is much richer. I thought my orgasms were good before, but I can now orgasm during sex. Previously I could only orgasm through masturbation because I could only stimulate my clitoris one specific way. Previously I didn't care for vibrators because there was too much hood to feel anything intensely, but straight on the clitoris was too much. Updated on 10 Jun 2018: I totally forgot to post around 6 months. Which shows a huge difference because in the first 3 months I still thought about my labia a lot. Now I barely ever think about it which is amazing. So freeing. Here's my update with how things are looking though! Still very happy with the results. Updated on 18 Jul 2018: Thought I'd just share briefly some more photos because I now actually want to take photos of my labia, but also just felt I should share something my review didn't touch on previously. While overall I have absolutely not regrets about the surgery, I still can be very critical of how my labia looks. Sometimes I still feel it's too big or that it's a uneven, or there are weird tags, bumps, discolouration etc. All totally normal and I would not consider a revision because it's not meant to be perfect. I'm just grateful I'm not in constant physical pain anymore and it doesn't hold back my confidence the way it used to. That's what matters more than anything. I've posted 4 photos with this review of some of the angles I like and some I don't. Again still very happy with procedure, we are all our own worst critic.

Dr. Giannoulias is the best. He was very understanding and explained the procedure from the beginning. I am on day 3 recovering from vaginal plasty and in all honesty the pain is bearable. I would recommend Dr G and the staff at clinic 360 are just wonderful. I can already feel the difference but will update once I am fully recovered

The staff at te clinic are beyond amazing and helpful! Yana and Alex are my favourite they make you feel at home and so Comfortable ! And the anesthesiologist was so funny and caring and made my nerves go away at once! Doctor G was Very helpful and made me laugh! He knows what he's doing that's for sure ! I'll post an update once I'm healed up a bit more ! Only on day 3!!

I am 22 years old and wanted to always do a breast augmentation since I could remember due to the shape of my breasts. I used to be I believe a C 36 and now I am about a D. I don't know my exact size because I haven't bought bras yet. I am a month and two weeks deep right now after surgery and love my breasts! I went 650 CC and do not regret it. I am also 5 10 and quite broad. I also had a vaginolpasty done just because I wanted to :) . I don't plan on having kids naturally so I don't have to worry about my surgery being wasted. I tried to have sex the other day and OMG it's so much tighter than before to the point where the tip just hurts. I do not regret this surgery either ! Both these surgeries were done on the same day and I got 1000$ off my surgery for doing it which is awesome! Both incisions for both areas are also almost healed and completely gone. Dr. Giannoulias did my vaginolpasty and I'd definitely go back to him again if I ever have to! Dr. Bendago did my breast augmentation and he is probably the best doctor I picked out of 5 that I was choosing from. Not only is he cheaper than other surgeons but his work is amazing ! I definitely recommend him and he won't say you can't go how big you want to. A doctor I was going to go to told me I wasn't allowed to go 650 because of it being too big. I didn't like that at all. They both are at Toronto Cosmetic Clinic in Toronto and definitely recommend both doctors! And don't want to forget to mention the nurses and front desk staff, they are all very welcoming and available to always talk to after surgery. I called my lady for my best augmentation three times late at night and she always answered ! Thanks Alina . Go for a consultation today!!

I have been contemplating getting this procedure done for so long. I was worried about literally everything- how it would look, what the recovery would be like, etc. This wasn't just a cosmetic issue for me... I am an avid runner, and the extra skin of my inner labia was providing extreme discomfort- to the point of actually being sore. I finally decided there was no reason to let this get in the way of my lifestyle so I started researching doctors that offered this surgery. I found it really hard to get a feel online because there was literally bad and good about everyone, so I just booked a couple appointments with different doctors- but I only made it to the first. First of all the environment is SO welcoming. The staff are so friendly and funny. I asked about 1000 questions before I even had my appointment and the receptionist was all smiles while I waited to see the consultant Lori, who by the way, is amazing. She was incredibly knowledgeable while still being so funny and warm. I felt comfortable right away like I had been a patient for years. I went in for my assessment with Dr. Giannoulias and he was very professional. I expressed my concerns and initially said I wanted an inner and outer labiaplasty- but instead of just saying yes to get more money, he told me that I really did not need my outer labia done and that once the inner area was done, I would be happy with those results. I am 6 months post-op now and I am so glad that I chose Dr Giannoulias and took his advice. The whole process from booking, to the consultation and assessment, to the actual surgery, was so smooth. the clinic, all the nurses and front staff were wonderful. They never made me feel rushed or as if any of my questions were silly. I assumed I’d be in good hands since the doctor is an OBGYN and has the knowledge and skillset to perform procedures "down there,” and I was so right. Not only can I run comfortably, it is definitely a bonus that it looks great too. I’m so happy! My advice, if you want something bad enough that you think about it all the time- just do it.

After two pregnancies (one c-section, one v-back), I decided I wanted to get a vaginal tightening. I did a lot of research, and figured out that the most non-invasive would be with laser. Dr. Giannoulias at Toronto Cosmetic Clinic did a great job, and both my bf and I are very very happy with the results! It was not painful at all, and healed very fast. I had my annual checkup with my regular family doctor one week after, and she told me there was no inflammation, and no signs of damage! All in all I had a great experience at the clinic, and I would recommend this procedure to anyone who has given birth. It was definitely worth it! :)