Do you NEED a labiaplasty
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.
Most patients who come to me regarding a labioplasty are self conscious because of the length of their labia minora.
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.
WHO IS A LABIAPLASTY CANDIDATE?
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:
with certain clothing ,
during certain physical activities, or
Then labiaplasty may be an option for you.
You don't need labiaplasty if you have no complaints
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.
Do I need labiaplasty?
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.
Reasons to get Labiaplasty
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).
Martin Jugenburg, MD
It is a matter of opinion.
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.
Do I need a labiaplasty?
Many women who undergo labiaplasty do not "need" the procedure. Most women who seek labiaplasty are looking to improve the appearance of their vulva by reducing the excess labia minora (inner lips) which prodrudes from their labia majora (outer lips) while standing. Some women note that the excess labia minora is visible in their bathing suit or work out clothing. Others find it difficult with hygiene to the area giving the excess skin or discomfort with exercise, riding a bicycle or with sexual intercourse.
Need a labiaplasty?
Excess labia minora tissue can cause discomfort in tight clothing and present hygiene issues. Some women feel embarrassed by the appearance of the vaginal area. This can cause a certain degree of sexual dysfunction. The labia majora can also appear deflated over time. There are non-surgical and surgical procedures to address this issue.
Do I need a labiaplasty?
The strongest reasons to "need" a labiaplasty are the presence of functional issues. These include, hygiene problems, rashes, chafing, bleeding, and difficulty wearing clothing. Problems with intercourse and dyspareunia (pain with intercourse) is also a primary reason to pursue labiaplasty. Labial tears during childbirth are another strong indication for a labiaplasty.
Otherwise, and in the majority of cases, a labiaplasty procedure (with or without a clitoral hoodectomy) is performed for cosmetic reasons. There is a wide range of "normal" appearing vulvar anatomy. More recently, with the increased incidence of nudity online, more and more women desire a "neat" appearance to the vulva. This is most commonly expressed as the inability to see the inner labia and clitoris while standing, with full outer labia (or labia majora). All of these aesthetic goals can be achieved with a thoughtful labiaplasty.
Find a plastic surgeon whom you feel comfortable with. I have turned many women down from labiaplasty surgery after providing reassurance and education on the range of "normal" but a consultation may help you to feel better about your appearance and address your concerns.