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Labiaplasty - Should I Wait Until I'm Done Having Kids to Get the Procedure?

I did not have natural childbirth but delivered via c-section. But I still notice that my vaginal area isn't the same as it was pre-pregnancy. I don't have pain during intercourse - just some discomfort due to enlarged or looser labia. I do plan on having another child.

Should I wait to do the labiaplasty after I am done having kids, or am I a candidate now?

Doctor Answers (16)

If you have only notice the change in your labia since pregnancy and childbirth then I would suggest waiting.

+2

Most patients who have a labioplasty procedure have not had children.  It is possible that blood engorgement in the area during pregnancy has caused the changes you are noticing and for that reason best to wait until you have your second child.


Toronto Plastic Surgeon
5.0 out of 5 stars 32 reviews

Labiaplasty Timing

+2

Great question -

You raise many issues -
The first is the concept of "VBAC" or vaginal birth after C-section. While the debate has gone back and forth most obstetricians and nurse midwives would agree that patients who have delivered by c-section previously are much more likely to have a c-section again.

The reason this should be a consideration in your planning is that you correctly surmise that some distortion, change in shape or trauma to the labia can happen during childbirth.

However, it is important to recognize that over 75% of women getting a labiaplasty have it before they are done having children.

The decision is yours and your doctor's - you need to assess your concerns and the benefit you may have by pursuing the procedure now vs. the risk that you may need additional surgery after additional children (most practioners would ascribe a small risk to that possibility.)

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 24 reviews

Labiaplasty timing

+2

There is no definitive answer to your question, but here are various thoughts/facts that may have an impact on your decsion:

  1. In a recent survey, about 2/3 of the patients undergoing labiaplasty had not yet had children.
  2. To some degree, it depends on the amount of discomfort you are experiencing and the timing of planning your next child.
  3. Labiaplasty does not ensure that your pain will be relieved but only that the labia will be reduced.
  4. Also take into consideration, that in the same survey above, we discovered that although we advised paitents to refrain from intercourse for 6 weeks after the procedure, most of our patients did not feel comfortable until 8 weeks.
  5. Traumatic vaginal deliveries may result in labial injury, and I have had occasion to repair this on several occasions. This may mean that if you deliver vaginally (VBAC) you could sustain additional injuries to the labial reduction.

From your description, I don't quite understand how the pregnancy caused problems with the vagina. There are several potential explanations, such as uterine prolapse. I would seek the advice of your gynecologist regarding the change in your sex life. In this case, I would not advise vaginoplasty until completion of child birth. On the other hand, preganancy may contribute to enlargement of the labia; if this is the cause of your discomfort, perhaps you will experience relief from labiaplasty.

I hope this helps!

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

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Timing of labiaplasty - before or after children?

+1
There is no good reason to wait until after having children.  Having children/vaginal delivery will not damage the results of your labiaplasty, there is no deleterious effect.

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+1

Although you could go ahead with the labiaplasty now, I personally encourage labiaplasty patients to wait until they do not plan to have more children. Often women will be encouraged to go through with a vaginal birth if they have already had a C-section. In this case, stretching of the labia is highly likely. I’d suggest waiting and having one procedure once you’re finished having kids..

Michael W. Niccole, MD
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+1

Labiaplasty can be performed at anytime and does not need to be timed with childbirth. Since you are having discomfort due to your enlarged labia, you should consider having the procedure soon.

Ivan Thomas, MD (retired)
Los Angeles Plastic Surgeon
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When to have a Labiaplasty

+1

When to have a labiaplasty is when you first notice that there is a problem.  The operation is very simple and consist of trimming off the elongated portion of  the labia.  The operation takes less than 15 minutes and heals in about three weeks.  Labiaplasty is performed  under local or I.V. sedation.  Cost is about $2500.

Gary H. Manchester, MD (retired)
San Diego Plastic Surgeon
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Timing in Labiaplasty

+1

Dear SSGR

Your answer regarding when to have labia reduction is the same as so many issues we treat in Plastic Surgery. The time to have your treatment is when you are aware that your displeasure is constant and persistant. There is no medical reason to wait until after childbearing years, especially when you have already had a C section.

Dr Sadove

Genitourinary Plastic Surgeon

Richard Sadove, MD
Gainesville Plastic Surgeon
4.5 out of 5 stars 8 reviews

Labiaplasty can be performed at any time if the size of the labia bother you.

+1

Labiaplasty can be used to change the shape of the labia, both inner (minora) and outer (majora).  For most women that I see in New Jersey, labiaplasty is synonymous with reducing the size/length of the inner labia or labia minora.  Some want to reduce the outer labia (labia majora) while others want to increase the fullness of the outer labia with fat injection.  For the majority who want to reduce the size of the inner labia, it can be performed at any time and I don't think that this will be adversely affected later by childbirth.  If it is bothering you now, then have the procedure.  Speak with a board certified plastic surgeon to fully define your options and potential outcomes.  Good luck!

Dr. Parham Ganchi - NJ Plastic Surgeon

Parham Ganchi, PhD, MD
Wayne Plastic Surgeon
5.0 out of 5 stars 56 reviews

Labiaplasty before or after pregnancy

+1

Labiaplasty is a procedure used to treat labial hypertrophy. This is a progressive condition that will not cease before or after pregnancy.  My advice to patients is to undergo the surgery if the condition bothers them. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
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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.