All About Labiaplasty: A Primer for Patients. Part 3: Labia Majoraplasty


Cosmetic surgery of the labia majora is done either to add volume to labia that have become deflated through aging or weight loss, or to treat laxity, or looseness), which can give this area a sagging appearance. The labia majora are intimately associated with the mons pubis and with perineum as well. Sometimes a total cosmetic solution for the entire vulva region will incorporate mons pubis procedures (monsplasty, mons lift, mons lipo) and/or perineum procedures (vaginoplasty, perineoplasty, colpoperineoplasty).


Also known as reduction labia majoraplasty, this treatment involves the removal of an ellipse of excess tissue not unlike the effect of a tummy tuck. The incision is usually hidden strategically along natural skin folds. It is an excellent treatment for excess loose skin and subcutaneous tissue of the labia majora which sometimes accompanies massive weight loss or excess labial stretching from other causes. Recovery is quick a relatively painless process since the procedure only involves the skin and superficial fat layers. It is frequently integrated with other lifting procedures of the body (tummy tuck, body lift, thigh lift) since it does not require a long operating time.


Sometimes referred to as augmentation labia majoraplasty. The procedure involves subcutaneous fat injections into the labia majora to add volume when the area appears deflated. The fat injection techniques used in the labia majora are the same as those used on the face, the breasts, and the buttocks. Lipo techniques are use to harvest a small amount of fat from any convenient site on your body. Some patients take advantage of this opportunity to undergo liposculpture or lipo body contouring at the same time to avoid having to take off additional time from their busy schedules. Just like fat injections anywhere else, the filling process can be repeat in the future for those who wish additional fullness.

About the Labia Majora

The labia majora extend from the mons pubis anteriorly to the perineum posteriorly where they fuse in the midline. The skin of the labia majora is usually darker than the adjacent skin of the upper medial thigh.
The skin of the labia majora is rich in hair follicles, sweat glands, sebaceous glands and apocrine glands. The apocrine glands, also know as scent glands, are identical to those of the axilla. These structures are all demonstrated on the microscopic image. The blood and nerve supply to the labia majora comes from the pudendal region.

Article by
Jersey City OB/GYN