In the recent years it has become more acceptable for women to discuss and address their concerns of aging privates. Dr. Rian A. Maercks, a top Miami plastic surgeon, offers many unique treatments and procedures tailored to these concerns. The most common procedure addressing the exterior female genitalia is a labiaminora reduction, commonly referred to loosely as labiaplasty. Once a procedure sought out by only adult movie stars, this procedure has become common place in females from the mid 20s to 50s. All kinds of practitioners have started offering this procedure. It is a way for a family practitioner or gynecologist to generate more revenue. The problem is, according to Maercks, that the term labiaplasty describes a widely varied array of procedures some safe and effective and some dangerous. After seeing the consequences of some common techniques, Maercks has developed a labiaplasty technique that some of his enthusiastic patients have now dubbed the “pretty in pink” labiaplasty.

Labiaplasty is not a complex procedure according to Maercks, “it just takes good judgement and surgical skills.” Common techniques include “trimming” the free edge and closing and central wedge excision. Dr. Maercks feels that both of these techniques can be problematic. “Trimming the free edge is a technique that should never be used. At best it is unaesthetic and at worst it creates a tremendous reconstructive challenge.” “Central wedge excisions are much better but can result in notching and visible scarring. I don’t believe in removing full thickness tissue from the labia minora.” Dr. Maercks performs a labiaplasty that preserves all soft tissue and does not disturb the vascularity of the labia. Using a process of meticulous de-epithelialization(removing the outer lining) and a clever transposition technique that Maercks developed, he creates beautifully rejuvenated labia minora that are actually pink. The color improvement is unique Dr. Maercks’ labiaplasty technique and has led to his delighted patients playfully naming it the “pretty in pink labiaplasty.” Conventional techniques either leave a scarred appearance to the free edge or brown pigmented color to the new labia.

The “pretty in pink labiaplasty” was developed by Dr. Maercks when he repeatedly heard from patients the desire to change the dark appearance of their labia. “It is thought by most plastic surgeons that the most important part of labiaplasty is preserving the natural free edge, but this just isn’t what patients want. The normal labia minora edge is ruggated , rough and textured with dark pigment but patients want the youthful appearance that is more smooth and pink in color.” While Dr. Maercks isn’t quite sure how appropriate the name is for his technique, one thing is for sure, his patients love it just as much as the excellent care and results they receive.

Read more about Dr. Maercks MACIE Labiaplasty here:

This month, Modern Luxury honored a selected group of practitioners to feature as "Miami's leading health and beauty experts" in a special section of the publication MIAMI Magazine. Dr. Rian A. Maercks is in this short list of Miami professionals. This is exciting news for Maercks and the self-named The Maercks Institute. Until recent times, the majority of Maercks' notoriety and patient base has been international, in New York and the West coast (
The feature highlights Dr. Maercks' radical, 'outside the box' practices, but this may be litotes. Dr. Maercks' concepts and procedures are so different, it has taken his hometown Miami years to accept. While Maercks' practice has had loyal and appreciative local patients since the opening of his first office, they have been and remain the minority in his practice. The MIAMI Magazine feature calls The Maercks Institute "the international buzz phrase for elite, tailored aesthetic interventions." A day of consults has Maercks treating New York, South and Central Americas, Western Europe, Caribbean Isles and the Far East. His international following has grown so quickly in his early years that Dr. Maercks is by far the youngest plastic surgeon to have a boutique practice of such caliber (
The bizarre disconnect between the world and Miami is difficult to understand, but Miami appears to finally be catching up. The Maercks Institute reports a huge growth in local referrals from other medical doctors as well as a growing Palm Beach and central Miami following. When asked why Miami was slow to embrace his signature style, Dr. Maercks responds, "I am not everyone's plastic surgeon. There is a certain comfort in knowing that the surgery you are going to receive is the same as the majority of the population. I'm commonly asked why other people don't do things the way I do. For these patients, another more conservative surgeon is probably a better choice. The patients that are right for my practice are almost always direct word of mouth referrals, people that are familiar with my results and seek me out from far and near."
This month's well-deserved title as Miami's leading health and beauty experts is certainly a sign of Miami embracing The Maercks Institute. The biggest challenge Dr. Maercks faces with the world's growing demand for his services is keeping The Maercks Institute the meticulous slow paced boutique practice his patients have fallen in love with.