Labiaplasty and keloids?

Keloids don't form on the labia minora. They will, however, form on the labia majora. Most techniques of labia minora reduction labiaplasty don't extend to the labia majora. If you want to be as safe as possible, make sure to see an expert in these procedures and insist that they don't extend the work to the labia majora.

Thank you for your question, and it’s a very valid concern.

While keloid formation is possible anywhere on the body, the labia minora are actually one of the least likely areas to develop keloid scars. This is because the tissue in the genital region is very soft, flexible, and has excellent blood supply, which typically supports smoother healing and less aggressive scar formation compared to areas like the chest, shoulders, or back.

That said, since you have a personal history of keloids, we will take extra precautions. We’ll carefully assess your risk during a consultation, and if you decide to proceed, we can:

Use a meticulous, layered closure technique with the least tension possible

Recommend post-operative scar management, such as silicone gel or steroid-based treatments

Closely monitor your healing and intervene early if any abnormal scar activity begins

While the risk is low in this area, your history is important to consider—and we’ll partner closely with you every step of the way to ensure the safest and most aesthetic outcome.

In my experience, labiaplasty on the labia minora has not been associated with keloid formation. However, keloids may develop on the labia majora. It is important to consult a cosmetic gynecologist that has experience in labiaplasty of both labia minora and majora.