I would like to have labiaplasty because my excess labia are very uncomfortable. (photos)
Doctor Answers 11
Labiaplasty after mommy makeover
Your labia minora may be reshaped with labiaplasty, which will improve your comfort. I perform a modified technique that respects the delicate tissues in the area and keeps the sutures hidden for a better aesthetic result.
Extended Wedge Labiaplasty with Hood Reduction
Don't go with a trim.
The other thing you'd benefit from is a perineoplasty, or vaginal tightening surgery. Not many plastic surgeons are doing this, but it is basically a posterior repair and would provide both functional (sexual) and aesthetic benefits. If this isn't a concern for you, then absolutely ignore the suggestion. Never feel pressured to do any surgery you're not fully comfortable with. Find Dr. Hamori.
Candidate for labiaplasty
The rubbing and hanging are common complaints that patients have when seeking labiaplasty. I personally perform the trim technique where the edge is re-shaped and sutured. I think most women don't like the appearance of the edge which is often wrinkled and hyperpigmented. Please feel free to look at my before and afters to see what I mean.
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Your labia majora have stretched which resulted in excess skin. In addition, they probably have lost some fullness. You might consider reducing the excess skin . The technique I use leaves a scar on the inside of the majora in the fold between the majora and the minor and clitoral hood.
You should also consider a perineoplasty and possible vaginal tightening which can be performed at the same time.
No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.
"Would like to have labiaplasty"
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. Most commonly it is done under light sedation (aka twighlight sleep) with local anesthesia, in which case the patient should feel no pain during the operation. 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. Most women, just like yourself, prefer to have as much of the darker pigmented edges removed as possible. 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 - typically ~10 mm or so. To achieve these three most important elements, I have found that the "Trim Method" satisfies best. 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 is 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.
Although there is no guarantee, women frequently do seek clitoral hood reduction (Hoodectomy) to improve exposure of the clitoris and hence better stimulation during sexual activity. By removing some of the excess &/or redundant skin concealing the clitoris, it becomes more readily exposed to sexual stimulation and hence a heightened sexual experience/orgasm is possible. Sometimes I recommend adding hoodectomy to labiaplasty to better harmonize the aesthetic outcome. Again, the key is seek consultation with a board certified plastic surgeon or gynecologist who performs this procedure regularly (>2-3 x/month) so that just the right amount of tissue is removed and just the right amount remains such that the clitoris is not constantly exposed and rubbing on clothing, etc... Typical fee for a hoodectomy is ~$3000 but reduced to about half that price if done along with a labiaplasty.
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 or Percocet 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. Glad to help.
Type of labiaplasty
The colored skin can be trimmed back with an incision along the margin but you would also be a candidate for a wedge type of excision.
Have you lost some fullness of the labia majora as well? That may contribute to the prominence of the labia minora.
Likely your labiaplasty could be done in the privacy of the office with local anesthesia and oral sedation.
Labiaplasty for Circumferential Hypertrophy
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.