Home of the Pretty V
Pretty V Perfection: Tighter, Wetter, Better
Loose vagina need a snatch? Need a vajacial or anal lightening? Labia need a facelift?
We've got you!
At Innovative Surgical Arts — Home of “The Pretty V”, double board-certified cosmetic surgeon Dr. Melinda Miller-Thrasher specializes in vaginal beautification and rejuvenation that’s as precise as it is empowering. Whether you're looking to restore, refine, or simply feel more confident, Dr. Miller-Thrasher offers advanced, personalized procedures that honor both form and function. Because confidence isn’t just a feeling — it’s a vibe, and it starts at the Pretty V.

PrettiExt V
Platinum V Plasty
Help guide us to what you want your external lips to look like and customize your V look and size. Essentially an all-inclusive procedure of the vagina, vulva (lips), perineum, and hymen down to the tush.
Note: This is an inside and outside powerful combo procedure and comes with a complimentary post procedure vaginal tone maintenance package.
Vaginal En-V
Mini Vaginal Tuck/Tightening
Cleans up and trims minor excess tissue and asymmetries of the outer lips.
Extreme V
Lunchtime Vaginal Rejuvenation
V-tone or Thermiva allows you to rejuvenate your vagina with absolutely zero downtime with a series of 30 min painless procedures.
Tighter. Wetter. Better.
Morpheus 8 V & O-shot combo.
Sexual Healing
Package of V-tone (6) for extra tightening; (1) O-shot; and libido enhancer.
Scar Revision of Previous Episiotomy/Laceration
Repair or beautify your scar that might linger from childbirth.
Pop the Cherry
Recreate the look & feel of the first time via closure of hymen.
Perineoplasty - All Things in Between
Reversal of Female Circumcision
Clitoral Hood Reduction
Clitoral Orgasm Enhancers
Say My Name
Add-Ons
- Vaginal Regenerative PRP: $500
- O-Shot: $1,500
- Sex Enhancing Hormone Shot: $450
- Tush Touch-Up (Anal Skin Tag Removal): $1,500
- Anal Lightening: $500
- Liposuction of Mons: $2,000
- Hymenctomy (Hymenal Skin Tag Removal)
- Vagacial
- Folliculitis Treatment
The V Zone
Vaginoplasty
Vaginoplasty is a surgical procedure that involves reconstructing or tightening the vaginal canal, often performed to enhance vaginal tone and sexual pleasure after childbirth or to address conditions like vaginal laxity due to childbirth, aging, weight changes, menopause, faulty episiotomy repair or poorly repaired lacerations It can be done surgically or by non-invasive means( Morpheus 8V, ThermiVa, Forma V, V tone). Dr Miller- Thrasher’s expertise both as a cosmetic surgeon and as a gynecologic surgeon makes her uniquely qualified to provide the ultimate experience and outcomes. Allow us to customize a treatment plan that will fit both your needs and your budget.
- Average Cost: $4,500
- Approximate Downtime: 1-6 weeks (depends on procedure chosen)
Labiaplasty
Labiaplasty is a surgical procedure that involves reshaping the inner lips( labia minora). or outer lips( labia majora) for aesthetic or functional reasons. Many individuals choose this procedure to alleviate discomfort, correct asymmetry or to achieve a desired appearance which enhances confidence.
- Average Cost: $4,500
- Approximate Downtime: 1-6 weeks (depends on procedure chosen)
Majoraplasty
Majoraplasty is a procedure that involves customizing and reshaping the outer lips, which lose volume with aging, weight loss, and menopause. A variety of substances can be used to revolumize the labia majora (fat, filler, PRP) to provide a more youthful and alluring labia majora. Additionally the skin of the labia majora may need additional tightening using Morpheus 8V.
- Average Cost: $6,000 (includes cost of microneedling procedure to correct texture, tone, and tightness of the skin as well as your filler of choice)
Vaginal Rejuvenation
Vaginal Rejuvenation refers to medical procedures aimed at improving the appearance and /or function of the vagina, often addressing issues like vaginal laxity, dryness or discomfort. These procedures can involve surgical or non-surgical methods such as radiofrequency, laser treatments, etc.
- Average Cost: $1,800 - $3,600
- Approximate Downtime: 48-72 hours
Note: Downtime as it relates to vaginal procedures in this category mean nothing in the vagina, no submersion in water, and no intercourse. You may, however, resume normal activities of daily living, walking, shoppping, and going to work after the 3-7 day period. It is advisable to avoid excessive exercises such as spin, biking, getting in and out of high step vehicles, horseback riding, etc as these will definitely interfere with the healing process. Avoid for 6 weeks.
Note: All costs noted in the vaginal V zone area include surgical fees, local anesthetic, preop, post op visits, and facility fees.