Can I use my FSA spending account for labiaplasty? (Photo)

Question

Hi I'm really hoping I can find an OB surgeon or specialist who can help me with labiaplasty. I have $3K in my FSA spending account from my employer that I'm hoping I can use for this procedure. I'm 29 going on 30 and in recent years due to genetics (I assume) my labia has grown to the point where it's painful to have sex, wear jeans/other types of clothing, and perform certain exercises. I would really appreciate any advice. Thank you.

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Labiaplasty is not covered by FSA. If you have discomfort, it's not covered. If it's genetic, it's not covered. If it's not genetic, it's not covered...you get the idea. If you tried to use your FSA funds for labiaplasty, you would be hit with both taxes and a hefty fine. However, most labiaplasty specialist offer payment plans and financing options to make these procedures affordable.

Gary J. Alter, MD · Answer

Your labia minora are enlarged. Of most importance, they cause you discomfort. In that case, a labiaplasty is a good idea, but it must be performed by a surgeon with experience. One of the two most common techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labioplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. This can lead to scallops and irregularities. In contrast, the central wedge removes triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. If you have extra tissue on your clitoral hood, it can be reduced it 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. About 40% of the female genital cases I perform are revisions of labiaplasties and clitoral hoods botched by other doctors.

Gary J. Alter, M.D.
Beverly Hills, CA - Manhattan, NY- Dubai, UAE

Gary J. Alter, M.D.
Beverly Hills, CA - Manhattan, NY- Dubai, UAE

Sue Kafali, MD · Answer

You should be able to apply FSA funds for a medical or labiaplasty procedure. Check with your FSA plan details. Best of luck to you!

Cynthia Diehl, MD · Answer

You can use FSA towards the cost of a labiaplasty if you have a letter of medical necessity from your doctor or if your plan specifically allows it.

Michelle Jones Singer, MD · Answer

This a question to research in your insurance information provided on their website.  See what the FSA monies are able to be applied to.  If you need to ask a specific person, I suggest telling them that you are having an elective procedure and you would like to know if you are able to apply the monies you have accumulated towards the procedure. You do not have to tell them specifically what you are having done. I hope this helps.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and it appears you would be an excellent candidate for a reduction.  As for your FSA you would need to talk to your HR department to see what exactly your coverage permits.

Burcak Tok, MD · Answer

Hello, according to what I see from the picture, labiaplasty would be very suitable for you. I recommend that a genital aesthetic specialist do it. You say that you have functional difficulties, especially outside of aesthetics. In my opinion, you will have a much more comfortable sex and life with labiplasty and outer lip filling done at the same time. Message me on my private account and we can talk pricing and more in detail.

Oscar A. Aguirre, MD, FPMRS · Answer

Hello pmoney61,
The funds in your FSA account are yours to use for any healthcare expense you wish. You should consult with a specialist in aesthetic vulvar surgery to achieve the best results. Your anatomy is complex and you will require a clitoral hood reduction at the time of your labiaplasty.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

Ram Kalus, MD, FACS · Answer

Ask your human resource person about the terms of your FSA. An examination in person would be required to properly evaluate you, but from your symptoms and photos you indeed appear to be a good candidate for a labiaplasty. Insurance companies rarely approve this procedure and most plastic surgeons who perform labiaplasty will require prepayment as for any cosmetic procedure. If your FSA covers it you may end up getting reimbursed once you show receipts. Best of luck to you.

Ozgur Kartal, MD · Answer

You can have labiaplasty and hudoplasty surgeries. your budget is sufficient for these surgeries. You will be happy after the surgery.

Can I use my FSA spending account for labiaplasty? (Photo)

Answers (11)

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