Should I ask my gynecologist about options for labiaplasty?
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Doctor Answers 13
Candidate for a labiaplasty
Ask your mom to accompany you to your gynecologist
Should I speak to my gynecologist about my concern about my enlarged labia?
Its a good idea to talk to your doctor and mom about your concerns about your labia. Its fine if you want to start with your doctor to help you broach the subject with your mom. Enlarged labia can cause physical discomfort. Many women are emotionally self conscious in bathing suits or in the locker room or with sexual partners.If you plan to speak with your doctor I recommend you write down what is troubling you. This makes is more certain the doctor will hear you loud and clear. Mention you want help opening up the conversation with your mom. (Once you write your thoughts down you may just want to show your mom what you are going to talk to the doctor about - you may need to take some selfies.)I would not recommend you have your gynecologist perform the surgery as it is unlikely a general gynecologist has the surgical expertise. Labiaplasties are best performed by gynecologists or plastic surgeons that specifically specialize in cosmetic gynecology.
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You can ask your gynecologist
Should I ask my gynecologist about labiaplasty surgery?
Thank you for writing in with your question and concerns. When we go through puberty, the hormone estrogen causes the breasts and the labial tissue to grow. They can become larger, uneven and change in color. They can cause comfort, functional and appearance concerns for many teenagers and adults, so know you are not alone. There are over 20 reasons female patients seek labiaplasty surgery.
As a board-certified Ob/Gyn who has performed over 750 labiaplasties, I can speak from experience and tell you that approaching your gynecologist may be good for an initial discussion, but most do not have much experience with addressing labial issues since we are not exposed to this in residency, and many do not know the issues and techniques available. I highly recommend you research cosmetic gynecologists, uro-gynecologists and plastic surgeons who focus their practices on female sexual heath and who offer more than one type of labiaplasty procedure. There are two main types of procedures: those that reduce the edges (the traditional edge-reducing technique) and the edge-preserving procedures (that cut a piece out of the labia but maintain the color, texture and contour of the edge, called the various "wedge" procedures). The wedges have a slightly higher risk of having edges separate, but in experienced hands this is minimal.
Many times, when women have extra labial tissue, there can be extra tissue around the clitoral hood as well which may need to be addressed for the best cosmetic result, but can also cause hygiene and access issues.
I am sure if you tell your mom you are unhappy with how your body is working for you as well as the appearance, she will be sympathetic. There is actually a genetic component to large labia and she may have some extra labial skin as well that she has never talked with you about. All of our bodies are different, but it is most important to be comfortable in your own skin.
Troy Robbin Hailparn, MD, FACOG
Cosmetic Surgeon For Labial And Any Other Genital Procedures
cosmetic surgeon will be able to discuss the options after a thorough
examination and provide the options to satisfy your specific goals.I wish you the best. Jeffrey S. Palmer, MD, FACS, FAAP (Cosmetic Urologist)
Look for a labiaplasty expert to provide labiaplasty, not a regular gynecologist or plastic surgeon
DON'T ASK YOUR GYNECOLOGIST about labiaplasty surgery; the odds for mutilation are too great!
I understand your predicament; I have operated on many young women who come in by themselves or usually with their moms. It can be real hard to broach the subject with a parent but I've found, after the initial jitteriness and mom's incredulous reaction, that moms usually "get it" and are supportive.
WHO TO SEE??! See either an experienced cosmetic gynecologist or experienced plastic surgeon. See only someone (NOT your usual Gyn..!) who has a website and can PROVE via at least 20 or more "before or after" photos that they are VERY EXPERIENCED. Unfortunately, gynecologists ARE NOT Trained in the fine points of either plastic surgery or labiaplasty in their training and, unless they have either performed many, or can show you the certificate of a training program, the odds of them BOTCHING the surgery, amputating your labia, and leaving your enlarged hood just "...hanging there..." are too great to chance. Go for experience! You may navigate the website accessed by the weblink-- lots of info in the blogs and elsewhere. I have attached an article I was asked to write for a Sexual Medicine journal; you can also see lots of "B&A" photos. Hope this helps...
Michael P Goodman, MDDavis, CA, USA
Thank you for your question. Speaking to your gynecologist might be a great start and may make you and your mom more comfortable. I would be honest and explain the emotional as well as the physical reasons why you want to pursue a labiaplasty. Your gynecologist will hopefully be receptive and can really help break the ice for your mom.Best of luck.
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.