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Your Trusted Plastic Surgery Expert in Beverly Hills
At our practice, we are dedicated to advancing the field of plastic and reconstructive surgery with a focus on genital and gender-affirming procedures. With over 25 years of experience, we have pioneered innovative techniques such as the central wedge labiaplasty and developed groundbreaking methods for scrotal reduction and buried penis correction. Our dual board certification in plastic surgery and urology uniquely positions us to address complex anatomical challenges with precision and care.

We have authored numerous medical publications, contributed to leading textbooks, and trained professionals globally, establishing ourselves as a trusted authority in this specialized domain. Our commitment to individualized care ensures each patient receives tailored solutions that align with their unique goals and needs.
Services
Labiaplasty Clitoral Hood Reduction Labia Majora Remodeling Male Genital Reconstruction Gender Confirmation Surgery Penile Enlargement Scrotum Reduction Breast Augmentation Liposuction Tummy Tuck
Highlights and features
  • Over 25 years of experience in plastic & reconstructive surgery
  • Inventor of central wedge labiaplasty and other pioneering techniques
  • Double board-certified in plastic surgery & urology
  • Performed over 10,000 genital surgeries with published outcomes
  • Active member of prestigious medical associations including ISAPS and AUA
Associations and certifications
  • American Board of Plastic Surgery
  • American Board of Urology
What people say
Genius surgeon Restored confidence Best in the world Outstanding care Changed my life
Services
Labiaplasty
Labiaplasty reduces the size of the labia minora for aesthetic or functional improvement. This procedure addresses discomfort from enlarged labia, enhances hygiene, and boosts confidence. Patients often report improved comfort during physical activity and sexual satisfaction.
Gender Confirmation Surgery
Gender confirmation surgery creates anatomically natural genitalia aligned with a patient's gender identity. The procedure prioritizes functionality, sensation, and aesthetics. Comprehensive care includes pre- and post-operative support for a seamless transition.
Penile Reconstruction
Penile reconstruction corrects congenital defects, trauma, or post-surgical complications. Techniques restore form and function while minimizing scarring. The goal is to achieve natural appearance and sexual functionality.
Clitoral Hood Reduction
Clitoral hood reduction removes excess tissue for aesthetic balance and comfort. The procedure can enhance clitoral exposure, potentially improving sexual stimulation. Recovery is typically swift with minimal downtime.
Breast Augmentation
Breast augmentation uses implants or fat transfer to enhance size and shape. Customized approaches ensure natural results aligned with body proportions. The procedure addresses asymmetry or volume loss for improved self-image.
People
Gary J. Alter
Board-Certified Plastic Surgeon & Urologist
Dr. Alter is a pioneer in genital and gender-affirming surgery with 25+ years of experience. He invented the central wedge labiaplasty and authored key medical texts. His dual board certification and global lectures establish him as a leading authority in reconstructive and cosmetic genital procedures.
Questions
What is labiaplasty revision?
Labiaplasty revision corrects unsatisfactory results from prior surgery. Dr. Alter specializes in restoring natural anatomy and function with meticulous techniques.
Does labiaplasty improve sexual satisfaction?
Many patients report enhanced comfort and confidence, which can indirectly improve sexual experiences. The procedure addresses physical discomfort but does not alter internal vaginal structures.
What is buried penis surgery?
Buried penis surgery corrects congenital or acquired conditions where the penis appears hidden. The procedure releases tissue to expose the shaft, improving appearance and function.
How much does gender confirmation surgery cost?
Cost varies based on procedure complexity. Consultation provides detailed pricing tailored to individual needs and surgical plans.
What is the recovery time for penile reconstruction?
Recovery typically takes 4-6 weeks, with full results visible after swelling subsides. Follow-up care ensures optimal healing and outcomes.
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Reviews (4)
T. K.
May 13, 2022 Report
Very kind, efficient, and knowledgeable! Loved my experience with Dr. Alter and his staff. They made everything very easy and stress free from start to finish. Highly recommend!
Adam Farmer
Apr 17, 2022 Report
I had a procedure done with Dr. Alter 4 months ago and it has healed nicely. I am very glad I found him and took the 5 hour flight to see him it was well worth the trip. He made the entire experience stress-free with his personable, friendly demeanor. Also shout out to his nurse Norma! She was incredible and super kind. By far the best patient-care I have ever received. They were both a pleasure to work with and I am thankful I met them.
Laura A.
Jan 27, 2021 Report
I had surgery done with Dr. Alter and I am very pleased with my results. I don't think any other doctor would've been able to achieve the results that Dr. Alter was able to. I felt very comfortable and safe being in his care. I truly believe he is the best at what he does. Dr. Alter and his staff are wonderful and I would highly recommend him.
H. A.
Dec 29, 2020 Report
I discovered Dr Alter because he kept popping up online when I was researching labiaplasty. That should have been a big red flag. Who needs to advertise themselves that much? My results are awful The aftercare was a joke. He continued to answer people's questions on realself instead of responding to post op questions! The only good thing I have to say is the nurse that I hired to look after me on the day of my surgery was lovely. But she doesn't even work for the practice so I can't even give them credit for that.