Are there different kinds of labiaplasty surgery?
Labiaplasty Procedure Options
Doctor Answers (34)
Basic Concepts in Labiaplasty
The labia minora compose the two external lips of the external female genitalia. In most cases, there is redundancy of the tissue that can occur normally in young females, or as a result of aging, pregnancy, or a gradual descent or protrusion of the skin.
A labiaplasty procedure is performed to reduce the external protrusion of the labia minora. However, care should be taken to preserve the protective elements of the labia minora. An experienced plastic surgeon should be sought for this procedure.
There are two main techniques (rim excision vs wedge removal) for reducing the size of the labia minora.
Many websites write about the advantages and disadvantages of these two techniques in the reduction of labia minora. Both techniques, if done correctly and for the correct anatomic indications heal extremely well. I perform many labioplasties and use different techniques based on the needs of the patient. Sometimes fat grafting of the labia majora is necessary to enhance the rejuvenation of the area.
Labiaplasty is effective
Labiaplasty is a surgical procedure designed to reduce the size of the labia minora, or the inner lips of the vaginal entry.
In some women, the labia can become enlarged and elongated, causing discomfort when wearing certain clothing, occasional hygiene issues, as well as being aesthetically displeasing.
Labiaplasty permanently corrects this problem, and is a fairly simple procedure that can usually be done under a local anesthesia on an outpatient basis.
Occasionally the labia majora, or outer lips of the vagina may be enlarged, usually due to excess fat, and this can be corrected as well.
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Types of labiaplasty
Labiaplasty is not a procedure that is standard. Different doctors do it differently and some include different areas in the operation. I limit my surgery to the external structures as this leads to the best result with the best function and appearance.
The most common operation is the reduction and refinement of the outer vaginal lips or Labia minora. It is debated as to which type of procedure is best. I think most experienced surgeons do various versions of a wedge reduction here. There are other procedures to deal with the outer Labia and clitoral hood if these require changes.
Labiaplasty typically involves reduction of the labia minora but can also involve the labia majora and the clitoral hood. Doctors use several techniques to safely improve the labial shape, size and contour. It can be done under local anesthesia or under general anesthesia.
Care should be taken in choosing the right doctor. Complications can include persistent post-op pain or deformity.
Always seek a board certified plastic surgeon.
I hope this helps!
A variety of popularized techniques are grouped under the procedure “labiaplasty”. These are also known as labia(l) rejuvenation, beautification, remodeling, reduction, contouring, augmentation as well as pubic lift, liposuction, lipoinjection, vulvectomy, etc. I have described some of these below. It is unlikely that you will need all of these. Therefore a clinical exam is necessary in order to assess your particular anatomy and to determine the most appropriate procedure to achieve your goals.
LABIA MINORA REDUCTION
This procedure is requested by women who state that their labia minora (inner lips) are excessively large. This may affect one or both sides. Women report that they are uncomfortable or sore while exercising or competing in sports such as bicycle riding. Others are embarrassed and refrain or are hesitant to undress with a potential sexual partner. Another frequent complaint is discomfort in tight garments. Many individuals report being embarrassed by the appearance of their labia in well-fitting clothing such as bathing suits or lingerie. Large labia minora may interfere with sexual preventing sexual stimulation of the clitoris during sex. Excessively large labia which are repeatedly subject to trauma may become irritated, painful, and ulcerated. Some women report an increased incidence of urinary infections due to difficult hygiene considerations. Enlarged labia may be congenital (present at birth) or made worse by repeated pregnancies or prolonged or particularly traumatic labor and delivery. A labia reduction (labiaplasty) procedure can be performed to reduce the labia minora.
Various techniques are available for treating prominent labia minora. The standard approach utilized by many gynecologists and plastic surgeons is a simple removal of leading edge of the labia, thereby shortening and reducing it. The edge is then repaired. This is the least complicated technique and is easily ccompletedin the office. Another method recently popularized by Dr. Alter called the "Alter labia contouring" procedure "the new labiaplasty". In this surgery, the excess labia is reduced by removing a wedge (pie shaped piece) of labia and closing the remaining tissue resulting in a smaller labia. This produces a scar across the labia rather than running the length of the leading edge. This is a great procedure for women in whom the central one third of the labia minora is largest.
LABIA MAJORA REMODELING
The outer hair bearing lips (labia majora) of the genitalia can be affected by redundant skin or bulky tissue. Women describe being embarrassed by a visible bulge in snug clothing such as active wear or bathing suits. Labia majora hypertrophy (overgrowth) may be due to a congenital condition, aggravated by pregnancy, or generalized aging. Early or less severe degrees of labia majora hypertrophy without skin laxity can be managed with liposuction if the primary problem is fatty or “puffy” labia. More advanced hypertrophy can be treated with labia majora reduction which is accomplished by excising a concealed elliptically (football) shaped section from each labia majora. Rarely, and usually in cases of major weight loss, labia majora skin removal is carried out in combination with a mons pubis excision and lift
These procedures are most frequently completed under local anesthesia using oral sedation and are performed in a fully accredited surgical center. General anesthesia is available if requested but is not necessary. In individuals concerned about postoperative discomfort, a pain pump can be inserted. Complication rate are possible but unlikely. You can resume light duty work in 5 days. Sexual intercourse is restricted for about 4-6 weeks.
LABIA MAJORA AUGMENTATION
Atrophic (sunken, empty, deflated) appearing labia majora may be a consequence of genetic factors, weight loss, or aging. This results in a loss of the youthful fullness of the labia majora. Augmentation of the Labia Majora can be achieved by lipoinjection (fat grafting from the abdomen or thighs). This is collected using liposuction techniques. This surgery is typically is scheduled for 1 hour and performed under monitored anesthesia. It is commonly combined with other female genitalia cosmetic surgery procedures. If performed as an isolated procedure, you should be able to resume sexual activities in about two weeks.
To see a labia minor and clitoral hood reduction procedure, click on the video above.
Labiaplasty is a procedure to modify the labia or vaginal lips
Labiaplasty can be performed on either the labia majora (outer lips) or the labia minora (inner lips). This can help give a woman a more pleasing appearance and correct excess, redundant labia that can occur congenitally or worsen after childbirth.
Several different techniques exist. I prefer to use a wedge technique on the labia minora (inner lips) as it gives a much more pleasing result than the amputation techniques.
Labiaplasty is cosmetic surgery for the structures surrounding your vagina opening.
Labiaplasty refers to surgery to improve the appearance of the labia minora (inside lips) and/or labia majora (outside lips) of the vagina. This serves a few purposes. First it will improve the look of the vagina correcting hanging labia, uneven labia, or excess tissue around the clitoris. This surgery can also improve sexual satisfaction. Additional procedures include tightening the opening to the vagina, as well as G-spot injections to improve sexual stimulation.
In my practice, we work with a GYN surgeon to also improve problems such as stress incontinence or vaginal prolapse at the same time as your labiaplasty surgery.
What are the Different Types of Labiaplasty?
The term vaginal rejuvenation or labiaplasty are broad term that can be used to encompass several procedures with the overall goal of improving the appearance of the vaginal area.
The most common method for rejuvenation is trimming the labia minora (inner lips) this will remove the excess skin that may hang below the vagina. There are two methods for rejuvenation of the labia minora. The initial treatment was a straightforward trimming of the excess skin that many women find undesirable. The new version of this is what is called a wedge resection. The wedge resection has gained popularity as it hides the scar and keeps the natural appearance of the labial edge.
The second method is fat grafting to the labia majora (outer lips) this will add volume to the area and improve the deflated appearance that women can have after having children or after weight loss.
The two methods can be done together to give the patient the best overall aesthetic result.
The cost depends on which of these procedures is performed and whether the procedure is performed under local anesthesia or with some type of anesthesia.
I would recommend that you consult your board certified plastic surgeon so that you can be evaluated and discuss your options.
Trim Technique: removing a longitudinal section of labia. This is the most common.
The wedge technique: Minimizes scarring but only appropriate for suitable patients.
Z-plasty: like the Wedge Technique, but scars are even less apparent.
The De-Epithelialisation technique: not popular