Labiaplasty Risks

What are the labiaplasty risks and labiaplasty complications?

Doctor Answers 25

A labioplalsty is an extremely safe procedure.

But as in any surgical procedure patients need to seek experts in the field.  Minor complications following this procedure include the  possibility of bleeding, infection and slight asymmetry.  To avoid complications and fast recovery it is very important for patients to follow the postoperative instructions.

Labiaplasty Risks

Labiaplasty is an extremely safe and effective procedure when performed properly with experience and care.  Healing in this region is very favorable due to its vascularity and scars are very well hidden.   

Any surgery poses a small risk of infection, bleeding and wound healing issues. Patients who smoke, have immune suppressive disorders, and who consume blood thinners are generally more at risk for these problems. 

Overall risks for labiaplasty are very low when performed meticulously by an experienced surgeon and there continues to be a very high patient satisfaction with the procedure.

 

Dr. Pedy Ganchi

Pedy Ganchi, MD
Ridgewood Plastic Surgeon
5.0 out of 5 stars 45 reviews

Labiaplasty is safe

Because the practice of medicine, cosmetic or otherwise, is based on clinical evidence, the lack of data from prospective, randomized, controlled trials is a serious mark against labiaplasty in the eyes of many doctors. However, from my clinical experience and own (as of yet unpublished) outcome study, the results of the procedure outweigh the potential risks. In my study, conducted from 2006 to 2007, I surveyed 77 patients about their labiaplasty experience and found that about 95% of them were overwhelmingly satisfied with the results.

My results compliment many other published outcome studies. One of these studies was conducted in a Chilean clinic and surveyed 55 labiaplasty patients. Two months following surgery, 91% of the patients said they were “very satisfied” with the results and none said they were dissatisfied.4 Another study of 163 patients in France found that 89% were satisfied with the aesthetic results of the procedure and 93% were happy with the functional outcomes.

Although more studies of this sort need to be completed, I am convinced that excellent outcomes are possible with labiaplasty when you have an experienced plastic surgeon using good surgical techniques in a safe manner.

Usha Rajagopal, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 25 reviews

Risks really relate to technique

Hello,

The most common and well-studied labiaplasty is the reduction of the Labia minora (the vaginal "lips"). This operation has several base methods and the results vary with those methods. The simple cut off the excess "trim" is associated with far more pain and downtime than the wedge methods. My practice of labiaplasty has gravitated toward a modified wedge as this has provided the reductions with greatly decreased pain.

The "trims" tend to experience more hypersensitivity at the cut edge. The "wedges" don't. The "trims" lose more sensation and the "wedges" really don't. I can think of few patients upon whom at this time in my practice I would offer a "trim." Infection is a risk. It is better to do the surgery when you are off your period if you can although this is only a theoretical risk.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 24 reviews

Risks of labiaplasty

INTRODUCTION The operation of labiaplasty (labia minora reduction) is a surgical procedure to remove excess tissue from the labia minora or smaller lips. Very occasionally women seek an opinion regarding surgery of the outer lips. Very occasionally labiaplasty can be requested for enlargement (typically with lipoinjection or grafting) of small or uneven labia. Rarely labiaplasty can also involve release of tethered scars with rearrangement of local tissues. The surgery is elective in nature and therefore one has to carefully consider the surgery and balance it against the risks. Labiaplasty is not necessarily a surgical treatment for pain. Patients who have pain in scars after delivery may gain some relieve when the scars are released. However in patients who have deep neuromas, or scar tissue around nerve endings, the pain may persist after surgery. Individuals who intend to have this procedure should have a thorough gynecological exam and otherwise be in good health without any other uro-gynecologic or gastrointestinal conditions. There are a variety of different techniques used by plastic surgeons for labiaplasty. Labiaplasty can be combined with other forms of body-contouring surgery, including suction-assisted lipectomy, or performed at the same time with other elective surgeries. ALTERNATIVE TREATMENTS Alternative forms of management consist of not treating the areas of loose tissue. If persistent yeast infections are a problem, these can be treated with a combination of medications and topical agents as well as improved hygiene. Extreme discomfort caused by tight clothing may be relieved by wearing loose clothing or avoiding undergarments. Risks and potential complications are associated with alternative forms of treatment that involve surgery. RISKS of LABIAPLASTY SURGERY Every surgical procedure involves a certain amount of risk and it is important that you understand the risks involved with labiaplasty. An individuals choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience the following complications, you should discuss each of them with your surgeon to make sure you understand all possible consequences of labiaplasty. Bleeding- It is possible, though unusual; it may require emergency treatment. Do not take any aspirin or anti-inflammatory medications; this may increase the risk of bleeding.

Infection - Infection is unusual after this type of surgery. Antibiotics or additional surgery may be necessary.

Change in skin sensation- Diminished (or loss of) skin sensation in the labia may not totally resolve after labiaplasty.

Skin contour irregularities- This may cause alteration in the appearance of the edge of the labia. Visible and palpable wrinkling of skin can occur.

Pigment irregularities- Visible discoloration of the leading edge of the labia majora/minora can occur.

Scarring - Scars may be unattractive and of different color than surrounding skin. Additional treatments including surgery may be necessary to treat abnormal scarring.

Surgical anesthesia- . There is the possibility of complications, injury, and even death from all forms of surgical anesthesia or sedation.

Asymmetry- Labia are normally uneven. Symmetry may not result from labiaplasty. Many other anatomical features may contribute to normal asymmetry in body features.

Delayed healing- Wound disruption or delayed wound healing is possible. This may require frequent dressing changes or further surgery to remove the non-healed tissue.

Smokers have a greater risk of skin loss and wound healing complications.

Allergic reactions- Allergic reactions may require additional treatment.

Swelling- Malposition, scarring, unacceptable appearance or loss of the labia may occur..

Long term effects- Subsequent alterations in body contour may occur as the result of aging, weight loss or gain, pregnancy, or other circumstances not related to labiaplasty.

Pain- Chronic pain may occur very infrequently from nerves becoming trapped in scar tissue after labiaplasty. Pain due to other associated conditions may not be relieved by labiaplasty.

Other- You may be disappointed with the results of surgery. Infrequently, it is necessary to perform additional surgery to improve your results.

ADDITIONAL SURGERY NECESSARY

Should complications occur, additional surgery or other treatments may be necessary. Even though risks and complications occur infrequently, the risks cited are particularly associated with labiaplasty. Other complications and risks can occur but are even more uncommon. The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee or warranty expressed or implied, on the results that may be obtained.

HEALTH INSURANCE

Most health insurance companies exclude coverage for cosmetic surgical operations such as labiaplasty or any complications that might occur from surgery. Please carefully review your health insurance subscriber-information pamphlet.

FINANCIAL RESPONSIBILITIES

Additional costs may occur should complications develop from the surgery. Secondary surgery or hospital day-surgery charges involved with revisionary surgery would also be your responsibility.

These risks should not be considered all inclusive in defining other methods of care and risks encountered. Your surgeon may provide you with additional or different information which is based on all the facts in your particular case and the state of medical knowledge.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 55 reviews

Labiaplasty Risks

Thank you for your question.  As it is a surgical procedure, there are inherent risks with labia minora surgery. These risks include: infection, bleeding, wound healing issues, poor cosmesis, asymmetry, loss of sensation, and under/over correction. It is important to have an open discussion with a board certified plastic surgeon regarding your expectations for surgery, as they can thoroughly discuss outcomes and risks with you. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 7 reviews

Labiaplasty Risks

There are certain risks and complications that can occur after a labiaplasty procedure, as with any surgery. Although extremely uncommon in my practice, certain complications can arise. Though infrequent, complications may include: minimal results, asymmetric labia, tender scars, delayed healing, and incomplete correction. For the best results, consult with a board-certified plastic surgeon that has experience with various labiaplasty procedures.

Brian Coan, MD, FACS
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 22 reviews

Labiaplasty risks

The most common risk of labiaplasty is asymmetry which can be best avoided by doing the procedure under general anesthesia and only injecting local anesthesia at the end of the procedure.  Poor scarring is uncommon if antibiotics and antifungals are given around the time of surgery.  Bleeding in uncommon unless the surgeon uses epinephrine in the local or if the patient does not stop supplements and medications that can cause bleeding after and during surgery.  Infection is uncommon.  There is an occasional spitting deep suture that is easily removed.  Change in sensation is very unusual unless you have another complication that predisposes to this due to tissue damage.

Susan Kolb, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 11 reviews

Risks and Complications with Labiosplasty Surgery....

Risks and complications with labiaplasty are unlikely when performed by qualified and experienced surgeons. As this procedure has received much attention over the last several years, and has become more mainstream popular, there have been a number of "not so qualified" surgeons performing what they think is an easy surgery. This has resulted in many, less than desirable results.Choose your surgeon wisely. Look at many before and after photos and understand the difference between the different procedures. Make sure you feel comfortable with the surgeons preferred method and results. Also, be confident that your expectations are understood by the surgeon and he feels confident that he can produce those results.
Risks and Complications are similar to many cosmetic procedures. They include, but are not limited to, anesthesia risks, medication allergies, bleeding, infection, poor healing, poor scarring, asymmetry, poor cosmetic results, under or over correction...or removing to little or too much of the labia, changes in sensation, chronic pain or discomfort (rare), need for additional or revisional surgery.


Labiaplasty Risks and Complications

The rare risks of labiaplasty:

infection
blood clot
loss of sensation
undesirable aesthetic results
hematoma

The side effects of labiaplasty:
bruising
swelling
discomfort

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.