Genetics, weight loss, childbirth, aging and other changes in the body can affect how the vulva looks and functions. The vulva comprises the labia majora (outer lips), the labia minora (inner lips), the clitoris, the vagina, and the urethra. You may notice enlarged labia with extra labial tissue, laxity, or a loss of volume or tightness. These factors can impact how you look naked, how sex feels, how easy it is to care for the area, and may even be problematic with certain exercises like biking or horseback riding. This can result in lowered self-esteem and a fear of being naked. It is often difficult to talk about this very personal and private issue.
Our highly trained, experienced female plastic surgeons make it a priority to ensure you feel at ease discussing your concerns and needs and work with you to create the perfect treatment plan specifically tailored to your unique needs. 1
You are not alone—according to the Aesthetic Society, there has been a 30% increase in labiaplasty procedures performed since 2015. Cosmetic procedures for this region may be partly attributed to the continuing trend for minimal pubic hair, with popular styles showing more skin, which make the genitalia more visible.
Dr. Elise Min
Labiaplasty is an outpatient cosmetic surgery performed under sedation that can reduce the size of the labia and reshape its overall appearance. While a labiaplasty is most often performed to reduce the size of the vaginal lips, specifically the size of the labia minora, patients who have concerns with an enlarged clitoral hood may require a clitoral hood reduction labiaplasty. Labiaplasty can also be performed to correct issues concerning asymmetry in the inner or outer labia.
Labiaplasty can be done using a wedge resection or an edge resection.2 Many surgeons use the edge resection, also known as a trim labiaplasty, and simply trim off the excess tissue leaving a scar along the labial edge which can lead to sensation changes, a visible scar, and even uncomfortable tightening along the vaginal opening. The board certified plastic surgeons at our practice use a wedge resection where incisions and sutures are strategically placed in deeper natural creases so there is no visible scarring along the actual labial edge. According to the American Society of Plastic Surgeons, the wedge labiaplasty achieves a more natural border.3 This hidden incision also optimizes sensation and avoids any kind of surgical appearance, even under close examination. We pay attention to detail and make sure the procedure is performed with the most minimally invasive technique possible.
Create a box with this info: Inner labia vary greatly in size and shape. In fact, Labia minora length varies from 2/10 of an inch to 3.9 inches, width varies from 1/25 of an inch to 2.4 inches, per a BJOG study. So there really is no “normal”!4
As with any plastic surgery, a consultation appointment with one of our experienced surgeons is the first step. Your labiaplasty consultation is your opportunity to ask any questions you have and learn about your surgical options. If you decide that labiaplasty is right for you, we will create a customized surgical plan to meet your unique needs and goals.
The procedure takes place in the operating room and usually takes about 90 minutes. Many women prefer to undergo the operation under general anesthesia , but it can also be done under local anesthesia. The procedure is relatively bloodless and has a low risk of complications.5
In order to optimize postoperative healing, we ask our patients to take it slow the first few days after labiaplasty surgery, which would involve bedrest with some easy ambulation. Pain is usually minimal, with some soreness expected within the first 48 hours. We see all of our patients approximately one week after surgery for a postoperative follow-up to ensure optimal healing.
Generally, you can return to work in 5-7 days. In 3-4 weeks, you can return to the gym but we recommend avoiding strenuous physical activities, such as running, for 6 weeks from the day of the operation. You will also need to refrain from sexual intercourse or tampon use for 6 weeks after labiaplasty surgery.
Yes, we also offer nonsurgical vaginal rejuvenation for women who want to address vaginal laxity and dryness.
Our team of female plastic surgeons treats each person's body surgery with dignity and discretion, and we work especially hard to ensure that women feel comfortable and confident in their decision for vaginal rejuvenation surgery.
Come in for a consultation and we are excited to share all the options!
Even though every woman's vulva, regardless of appearance, is "normal," there are many reasons one may want to explore Labiaplasty. Our team of plastic surgeons understands the personal and sensitive nature of this procedure. They display empathy, patience, and unparalleled expertise while guiding patients through the vaginal rejuvenation process.
1Aesthetic Plastic Surgery National Data Bank Statistics 2019. The Aesthetic Society. https://www.surgery.org/sites/default/files/Aesthetic-Society_Stats2019Book_FINAL.pdf
2ASPS. What's the difference a trim labiaplasty and a wedge labiaplasty? Available: https://www.plasticsurgery.org/news/blog/whats-the-difference-a-trim-labiaplasty-and-a-wedge-labiaplasty. Accessed August 31, 2021.
3. ASPS. What is a labiaplasty? Available: https://www.plasticsurgery.org/cosmetic-procedures/aesthetic-genital-plastic-surgery/labiaplasty. Accessed August 31, 2021.
4Kreklau A, Vâz I, Oehme F, Strub F, Brechbühl R, Christmann C, Günthert A. Measurements of a 'normal vulva' in women aged 15-84: a cross-sectional prospective single-centre study. BJOG. 2018 Dec;125(13):1656-1661. doi: 10.1111/1471-0528.15387. Epub 2018 Aug 1. PMID: 29940085.
5Willis RN, Wong CS, Pai A, et al. Labiaplasty Minora Reduction. [Updated 2021 Feb 25]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448086/
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