What are the risks for Majoraplasty reduction? Could that affect pudendal nerves? How is the recovery?

Labia majora reduction is a very safe and effective procedure in experienced hands. With skill, the scars can be laid down in natural skin creases making them almost invisible. The pudendal nerves are nowhere near the surgical incisions used in these operations. They are much deeper than you might think.

Based upon your photos you would benefit from this in terms of reducing the laxity of your outer lips.  There is some sagging and if this is the issue bothering you then its a worthwhile procedure.  In terms of risks and whatnot, you should not suffer nerve injury or loss of sensation.  Risks include all the same for any surgery including bleeding and infection and the additional risk of cosmetic surgery - dissatisfaction with results.  But in terms of difficulty of surgery, this repair is easier than the inner lips and vaginoplasty.  Find an experienced doctor.  Good luck

Thank you for sharing your question and photographs. I do think you can achieve an improved contour with a reduction of your Labia Majora and in the right hands there is little risk of pudendal nerve injury. The best treatment is with a skin only excision of the tissues that does not involve the fat pad in the region so as to limit bruising and bleeding risks.  Fine suture repair will help achieve the best appearing scar, and best hidden, scars.  Be sure to see a specialist in consultation. 

If done by a reputable labiaplasty specialist, the risk of pudendal nerve injury is about as close to zero as you can imagine. These nerves are much deeper than the labiaplasty surgical dissection should go. When performed properly, a natural sulcus (“cleft”) should remain between the minora and majora. Also, when executed well, the end result should reduce the “camel toe” appearance, although not always completely. Finally, an in-person consultation with physical exam will be very beneficial to determine if a labiaplasty of the minora +/- hoodectomy are also indicated to achieve the desired outcome. Glad to help. 

i have performed countless labia majora reductions and have never had a permanent nerve issue. you can avoid complications by choosing the right surgeon. Be sure to choose a Board Certified Plastic Surgeon who specializes in this procedure and recognized for it. 

Hello,Majoraplasty is a bit more complicated than "minora" reduction. The scars are more noticeable (on both sides of the vagina-thigh crease) and there is a higher risk of bleeding and sensory loss.Best Regards,

If performed properly, designing the incision lines well, taking skin only, preserving the sub-cutaneous fat pad, not going too deep, and using the proper suture materials (personally, I use 4-0 Monocryl for the fascial closure, using either 5-0 Monocryl for a sub-cuticular "buried" skin closure, or 5-0 nylon ("Dermalon") surface mattress sutures (removed 7-10 days later), there is littlke risk, very subtle incision lines, and excellent aesthetic results.

There is no risk of pudendal nerve injury, unless the incision line is 'way too deep. There is risk of hematoma if the fat is invaded and hemostasis is not meticulous. There is risk of scarring and thickened incision line if improper suture or closure is chosen. There is risk of "bulges" if incision line(s) are not properly drawn. There is risk of tension it too much skin is removed. Make sure that the surgeon you choose is experienced and can show you "before and after" photos of several examples of his or her work. You may have to "travel" to find the right specialist.
Best wishes,

Michael P Goodman, MD

Every surgery has its risks. The labia majora are innervated by the pudendal nerves and therefore, there is always a risk of nerve-related injury and pain. There is also a risk that you don't like the end-result, get an infection, or have discomfort with sexual relations. However, if the appearance is not satisfactory to you, you may decide that the benefits from the cosmesis outweigh the small risks of adverse events. There are certain techniques that we vaginal surgeons employ to avoid certain types of complications and injuries. We do our best to hide scars in the natural skin creases or by creating tissue flaps. Talk to your doctor about these and ask about risks. 

Reducing the excess folds and skin of the labia majora is called a vulvoplasty. You would definitely benefit from this, but get it done by a cosmetic gynecologist, not just a regular one. It does take some expertise to do this, otherwise you end up with bad scars. See more on the link below. Good luck.

Hi,

Your desired result can be achieved but not by major reduction.It's a mistake practiced by many surgeons.

What you need is a procedure called fat grafting that you can see on my website

 Entire look of the area can be improved by a procedure called total rejuvenation, which is more expensive.There is not risk of pudendal nerve trauma as well.

before and after.Link Below and also on the realself page of mine.

Here in Dubai, it costs around 5000 USD