In researching labiaplasty online I am reading a lot about a procedure called DLV laser reduction. I don't know anything about lasers but I wonder how precise they are in targeting such a small area and whether the result is better, worse or the same as having a surgical excision done. Any and all information on this topic would be helpful. Additionally, is this something that should be only performed by a plastic surgeon or would a gynecologic surgeon be similarly qualified? Thank you, kd
What is the Most Effective Method for Labiaplasty. DLV Laser Reduction or Surgical Excision?
Doctor Answers 7
Labiaplasty techniques to reduce labia minora
Labiaplasty techniques vary depending on the type of excision pattern used to remove excess labia minora skin. In my practice, I use a modified wedge labiaplasty to contour the inner labia and improve aesthetic and medical outcome. I have seen longterm success with this procedure.
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Laser versus surgical excision
A laser is only a cutting tool like a scalpel. It does not make a difference in the result. The result depends on the choice of procedure (central wedge invented by me versus a trimming technique which is a form of DLV), the skill of the surgeon, and the choice of suture. Any trimming technique including the laser labiaplasty will result in a scar along the entire labial edge and some irregularity as opposed to the wedge technique.
Dr. Gary Alter
Laser versus surgical excision for labiaplasty
The use of lasers for labiaplasty is a marketing tool and nothing more. Lasers are essentially hot light. They cut and coagulate. They are only as precise as the person using them and the true art of the labiaplasty is not in which instruments to use, but in what to cut and how to suture the wounds closed. A surgeon with a scalpel and needle tip electrocautery can just as easily cut and coagulate the tissue. Make sure that whoever you choose to perform the surgery has performed many of them and has all the surgical techniques at his command, including wedge excision and flap advancement. The use of many fine sutures rather than larger, thicker sutures for the closure also helps with the final result. I hope this helps.
Daniel A. Medalie, MD
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As stated above, a labiaplasty is plastic surgery done on the the labia minora and NOT ehe vagina. The procedure is done to change the apperance of the labia. Board Certified Plastic Surgeons are the best trained for safely and effectively treating the skin.
In my practice, I use CO2 laser to make the inicison in the skin of the labia. In my opinion, this makes for a less bloody procedure and a nicer scar. To be clear, the laser is ONLY used to make the incision and NOT to treat the vagina. A labiaplasty is a skin procedure and not a vaginal rejuvenation procedure.
Women who are healthy so VERY WELL with this procedure.
Best of luck and I hope this helps.
Sean Doherty, MD
Labiaplasty and Laser Vaginal Rejuvenation are two totally different procedures done for completely different reasons on different pieces of anatomy.
Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is "symmetry". Symmetry is the most important aspect to the final aesthetic result. Also, it's not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function. To achieve these two most important elements, it is extremely important to consult with a board certified plastic surgeon that specializes in this operation (does at least 1 - 2 per week). It may cost you a bit more but it this type of result you will want to live with for the rest of your life. Typical (all inclusive) fee at my office/surgery center is $4500.
Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly. Most patients are sore for 4-5 days before things start to get a lot better from there. Some patients can resume work before this time depending upon their occupation. No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks. My patients are given an oral pain medication such as Vicodin but icing the area for the first 48 hours and applying some custom made take-home topical local anesthetic cream seems to work the best.
On the other hand, Laser Vaginal Rejuvenation is performed to reconstruct (more or less tighten) the vaginal vault most typically following vaginal deliver child birth. Again, there really is nothing special about the laser but rather the experience of the surgeon is the most important element to achieving a good result...Glad to help...RAS
Best method for labiaplasty: surgery vs. laser; plastic surgeon vs. other surgeon
I have been performing labiaplasty for 20 years. What I can confidently tell you is that the most important factor for achieving a good result is the choice of your surgeon.
Lasers are somewhat gimmicky and don't offer any significant advantage over old fashion surgical techniques. For the best results there are a variety of surgical procedures available, from simple trimming to more complex flap construction. Since each woman is different each procedure must be individualized.
Choose a surgeon with a lot of experience, and be adamant that you want to see a complete portfolio of pre- and post-op pictures. Showing one or two photos is inadequate.