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.
How Do I Know if I Need Labiaplasty?
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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 ,
- while sitting,
- during certain physical activities, or
- during sex
Then labiaplasty may be an option for you.
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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
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 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.
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.