Meet Dr. Michael Safir

Specialized Labiaplasty, Vaginal Rejuvenation & Genital Reconstructive Surgery in California

When considering surgery involving intimate anatomy, understanding a physician’s training, experience, and approach to preserving function is an important part of making an informed decision.

Dr. Michael Safir is a board-certified urologist and fellowship-trained reconstructive surgeon providing cosmetic and functional genital surgery in Santa Monica and San Francisco, California.

Unlike physicians whose practices focus on a broad range of cosmetic procedures, Dr. Safir concentrates on genital reconstruction and specialized surgery involving the urinary and reproductive systems.

His services include labiaplasty, labial augmentation and reduction, clitoral hood reduction, vaginal rejuvenation, perineoplasty, hymenoplasty, and complex reconstructive procedures.

His background includes advanced training in both male and female genital reconstruction, as well as specialized cosmetic gynecology education with Dr. Red Alinsod.

Medical Training at Northwestern University

Dr. Safir began his medical education through Northwestern University’s Honors Program in Medical Education, an accelerated pathway combining undergraduate studies with medical training.

He earned both his undergraduate and medical degrees at Northwestern University before completing his residency in Urology at the same institution.

During residency, he received the Dr. Susan Perlman Award in recognition of academic achievement, professional leadership, and compassionate patient care.

His medical education provided a foundation in urologic surgery, genital anatomy, and the treatment of conditions involving the urinary and reproductive systems.

Advanced Training in Male & Female Genital Reconstruction

One of the distinguishing aspects of Dr. Safir’s background is his completion of two separate year-long reconstructive surgery fellowships.

University of California, San Francisco (UCSF)

At UCSF, Dr. Safir trained under Dr. Jack McAninch, specializing in male genitourinary reconstruction.

His training included complex urethral reconstruction, genital trauma, and techniques used to repair delicate anatomical structures.

University of California, Los Angeles (UCLA)

At UCLA, Dr. Safir completed a fellowship in Female Pelvic Medicine and Reconstructive Surgery under Dr. Shlomo Raz.

This experience expanded his training in female pelvic anatomy, vaginal reconstruction, pelvic floor disorders, and procedures intended to restore anatomical function.

Together, these fellowships provided specialized experience involving both male and female genital anatomy.

Cosmetic Gynecology Training With Dr. Red Alinsod

Dr. Safir also received specialized aesthetic gynecology training at the Alinsod Institute for Aesthetic Vulvovaginal Surgery, founded by Dr. Red Alinsod.

His training included labiaplasty, clitoral hood reduction, vaginal rejuvenation, and surgical approaches involving sensitive vulvovaginal tissues.

This additional education complements his reconstructive background by incorporating aesthetic considerations into genital surgery.

His approach emphasizes anatomical precision, careful tissue handling, and individualized treatment planning.

Understanding Your Cosmetic Genital Surgery Options

Patients consider genital surgery for different reasons. Some experience irritation or discomfort, while others are concerned about changes following childbirth, aging, or previous surgery.

Dr. Safir evaluates each patient’s anatomy, medical history, and treatment goals before discussing available procedures.

Labiaplasty

Labiaplasty changes the size or shape of the labia minora, the inner folds of tissue surrounding the vaginal opening.

Patients may seek treatment because of excess tissue, asymmetry, irritation during exercise or intercourse, or personal aesthetic preferences.

Dr. Safir discusses appropriate surgical techniques, potential complications, recovery expectations, and realistic outcomes.

Labia Minora Augmentation

In addition to labial reduction, Dr. Safir offers procedures intended to enhance or modify the contour of the labia minora.

Because labial anatomy varies naturally and includes sensitive tissues, treatment planning requires individualized evaluation and careful consideration of function.

Labia Majora Reduction

The labia majora are the outer folds of tissue surrounding the vaginal opening.

Some patients experience changes in tissue fullness or contour due to aging, pregnancy, weight fluctuations, or natural anatomy.

Labia majora reduction involves removing or reshaping selected tissues to address these concerns.

Labia Majora Augmentation

For patients interested in increasing labia majora fullness, Dr. Safir offers augmentation procedures.

Depending on individual anatomy and goals, treatment options may include fat transfer or injectable fillers.

Consultations include discussion of expected results, treatment longevity, possible complications, and alternatives.

Clitoral Hood Reduction

Clitoral hood reduction reshapes excess tissue surrounding the clitoral hood.

Some patients consider the procedure because of tissue prominence, discomfort, or aesthetic preferences.

It may be performed alone or alongside labiaplasty when appropriate.

Because the clitoral region contains delicate nerves and sensitive structures, careful surgical planning is essential to reduce the risk of functional or sensory changes.

Surgical Vaginal Rejuvenation

Changes following childbirth, previous surgery, or aging may lead some patients to seek evaluation of vaginal anatomy or perceived laxity.

Dr. Safir offers selected surgical procedures involving vaginal tissues, which may include vaginal reconstruction, tightening, or combination treatment with perineoplasty.

These operations carry risks, including scarring, discomfort, altered sensation, and painful intercourse. Individualized evaluation is important before considering surgery.

Perineoplasty

The perineum is the area between the vaginal opening and anus.

Childbirth, previous surgical repairs, or tissue injury may change the anatomy of this region.

Perineoplasty involves reconstructing or reshaping these tissues, with the surgical approach determined by individual symptoms and anatomical findings.

Hymenoplasty

Hymenoplasty involves surgical reconstruction of hymenal tissue.

Patients may consider this procedure for personal or cultural reasons.

Consultations should address recovery, potential complications, and procedural limitations. Hymenal appearance cannot reliably determine whether someone has previously engaged in sexual intercourse.

Experience Beyond Cosmetic Surgery

Dr. Safir’s experience also includes complex reconstructive urology and genital surgery.

His background encompasses urethral stricture reconstruction, fistula repair, genital trauma, and challenging anatomical conditions.

He has also worked in gender-affirming genital surgery, including vaginoplasty, phalloplasty, metoidioplasty, and related procedures.

This experience provides a foundation for evaluating patients with previous surgeries, complex anatomy, or functional concerns.

Professional Recognition & Leadership

Dr. Safir is certified by the American Board of Urology and holds subspecialty credentials in Female Pelvic Medicine and Reconstructive Surgery.

His previous professional roles include Section Chief of Reconstructive Urology at New York Medical College and clinical instructor appointments at UCLA and UCSF.

He has served two terms as President of the Los Angeles Urological Society.

During his work in San Francisco, he received a Surgeon of Excellence designation in gender-affirming surgery from the Surgical Review Corporation.

These appointments and recognitions reflect his involvement in reconstructive surgical practice, education, and professional leadership.

A Personalized Approach to Genital Surgery

Every patient’s anatomy, concerns, and reasons for considering surgery are different.

Some seek changes in appearance, while others experience discomfort, anatomical changes, or complications from previous procedures.

Dr. Safir emphasizes comprehensive consultation, including review of medical history, anatomical evaluation, and discussion of individual goals.

His reconstructive background supports an approach that considers aesthetic preferences alongside tissue preservation, sensation, urinary function, and overall anatomical health.

Patients receive information about treatment options, potential complications, recovery expectations, and alternatives before making decisions.

Visit Dr. Michael Safir in Santa Monica or San Francisco

Dr. Safir provides cosmetic and reconstructive genital surgery through practice locations in Santa Monica and San Francisco, California.

His Santa Monica location serves patients throughout Los Angeles, including Beverly Hills, Brentwood, West Los Angeles, and nearby communities.

His San Francisco office serves patients throughout the Bay Area and Northern California.

Patients interested in labiaplasty, labial enhancement, clitoral hood reduction, surgical vaginal rejuvenation, perineoplasty, hymenoplasty, or reconstructive genital surgery can contact his practice to arrange a confidential consultation.