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How Do I Know if I Need Labiaplasty?

Doctor Answers (37)

Do I need labiaplasty?

+3

A labiaplasty is usually done if the woman is self-conscious of the size or protrusion of the inner lips.  Most of these women also complain of discomfort of the labia minora with clothes, exercise, or sex.  Any of these reasons are sufficient to justify a labiaplasty.


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 9 reviews

Most patients who come to me regarding a labioplasty are self conscious because of the length of their labia minora.

+3

They complain of discomfort in tight clothing and being self-conscious in a bathing suite.  They sometimes have feel they have to "tuck themselves i'n to avoid irritation.  Some patients just don't like the aesthetic appearance. 

 

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 31 reviews

WHO IS A LABIAPLASTY CANDIDATE?

+2

No woman needs a Labiaplasty, unless they are very  self conscious and it is troublesome. 

If the large, long, or stretched out labia minora are being pinched or irritated:

  1. with certain clothing ,
  2. while sitting,
  3. during certain physical activities, or
  4. during sex

Then labiaplasty may be an option for you.

Carlos Cordoba, MD
Montreal Plastic Surgeon
5.0 out of 5 stars 7 reviews

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Reasons to get Labiaplasty

+2

Women get labiaplasty because they do not like the way their labia look, or if the labia causes discomfort because of its size

Labia come in all shapes and sizes, and sometimes women feel very self-conscious about the appearance of an excessively large labia.  They approach us and most often request that the labia minora (inner labia) is trimmed so that it doesn't stick out from in between the outer labia.

Sometimes the labia can cause discomfort during sex, physical activity such as bike or horseback riding, or it may be getting caught in clothes.  These patients are often very frustrated with their labia and request that we trim as much as possible and don't care how much is left behind (if any).

Sincerely,

Martin Jugenburg, MD

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 143 reviews

You don't need labiaplasty if you have no complaints

+2

If you have no complaints, then YOU DO NOT NEED THE SURGERY.

You should treat what bothers you, not have the surgery because it can be done.

Any surgery is a major decision with potential risks and complications.

Samir Shureih, MD
Baltimore Plastic Surgeon

Do you NEED a labiaplasty

+2

Thanks for your question.

As many of the other plastic surgeons have pointed out. Very rarely does anyone *need* a labiaplasty (though I have had several patients treated in my San Francisco area practice who have had significant labial tears from childbirth or other surgeries who had insurance covered labiaplasty).

More commonly labiaplasty is for cosmetic reasons though we commonly have patients describe pain during sex or sitting who have had significant improvement.

Asymmetry of the labia minora can also cause self image issues that some women may wish to seek surgery to improve.

For the vast majority of women this can be considered a cosmetic procedure. Find a board certified plastic surgeon to discuss your concerns and needs.

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 23 reviews

It is a matter of opinion.

+2

Hello,

Few women "need" a labiaplasty, but some women are bothered by the size of the vaginal lips (Labia minorae.) In some cases they rub and hurt with tight clothing, small underwear and/or sexual interactions. The "normal" variation in the size of the Labia minorae is pretty large and when women carried more hair "down there" in years gone by (ten to twenty years ago) there was little if any interest in the operation.

This is an issue of "function meets fashion." I do them as reductions for size and the patients do well. I am not a believer in internal vaginal surgery but that is a matter of opinion.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 23 reviews

Who is a Candidate for a Labiaplasty?

+1
Labiaplasty is most commonly an aesthetic procedure.  Similar to breast augmentations or other aesthetic procedures it is a personal decision.  The most common reason that women seek a labialplasty is when the labia minor (inner lips) hang below the rest of the vagina.  Women often want the labia to be smooth without any extra skin below.  

The other common procedure to enhance the vaginal area is fat grafting to the labia major (outer lips).  This is commonly done in older women that have a deflated vaginal area.  

The combination of fat grafting the labia majora and trimming the labia minora give women a more youthful and smooth appearing vaginal area.  

Good Luck!

Labiaplasty need

+1
Patients who desire labiaplasty are bothered by the excess tissue of the labia minora.  It may be painful with exercise or sexual activity, it may be visible in bathing suits, or the patient may feel that it is simply unattractive.  Some are bothered that it has grown substantially after having children.  In all of these cases the patients are typically very pleased with the improvements they get from labiaplasty.

David Stoker, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 19 reviews

It's How You Perceive Your Genital Area

+1
Most of the women who had labiaplasty stated their reasons for undergoing surgery were primarily to ease the discomfort caused by such things as clothing, sexual activity and sports, to enhance their appearance and boost their self esteem. They also wanted to feel "more normal" and increase their sexual pleasure. Your reasons for deciding to undergo labia surgery are personal and may not have been listed above. However, if you feel that the size and shape of your external genital structures are causing you discomfort, irritation, embarrassment and general unhappiness, having labiaplasty may be the right decision for you to make in order to address these troubling concerns.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 59 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.