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Labiaplasty Procedure Options

 Are there different kinds of labiaplasty surgery?

Doctor Answers (33)

Basic Concepts in Labiaplasty

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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.


Los Angeles Plastic Surgeon
5.0 out of 5 stars 47 reviews

There are two main techniques (rim excision vs wedge removal) for reducing the size of the labia minora.

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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.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 31 reviews

Labiaplasty is effective

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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.

Kevin F. Hagan, MD
Nashville Plastic Surgeon
4.5 out of 5 stars 2 reviews

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Types of labiaplasty

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Hello,

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.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 23 reviews

Labiaplasty

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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!

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 23 reviews

Labiaplasty

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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.

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

Labiaplasty is a procedure to modify the labia or vaginal lips

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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.

Sanjay Grover, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 97 reviews

Labiaplasty is cosmetic surgery for the structures surrounding your vagina opening.

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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.

Kari L. Colen, MD
New York Plastic Surgeon
5.0 out of 5 stars 3 reviews

Four techniques

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There are four basic labiaplasty techniques:

The most common form of labiaplasty, the Trim Technique, involves surgically removing the longitudinal section of excess labial tissue. The trimming procedure is the simplest form of labiaplasty, providing lessened complication risks and a straightforward recovery process. For these reasons, it's the preferred treatment course for most patients.

The wedge technique preserves the natural tissue border of the inner labia and was developed in order to minimize patient scarring. Only women with appropriately shaped labia, where the excess tissue to be removed is composed of a small portion of the inner labia, are candidates for the Wedge Technique.

Z-plasty Labiaplasty is much like the Wedge Technique, however it results in a scar that’s even less apparent.

The De-Epithelialisation technique was developed to avoid the requirement of deep, surgical incisions and to maintain the natural appearance of the labia edge. Despite its benefits, this technique has very limited applications and therefore isn't performed very often.


Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 53 reviews

Labiaplasty techniques vary

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There are four main types of labiaplasty surgical techniques, of which two are most popular: the trim and the wedge technique.  Both have cons and pros.  I decided on which technique to use based on the patients labia shape, size and their desired outcome.  They all can be done but not always are they equally good for a particular patient.  The goal is to create a shape and size that 1) the patient asks for and 2) that is appropriate for their genital anatomy

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 135 reviews

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.