I have been wanting to have a Labiaplasty done for years and want it to look clean and beautiful. What should I do? (photos)

Doctor Answers 14

Labiaplasty

Your labia minora and clitoral hood are enlarged but not massively enlarged. 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. 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.  Since 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.

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


Beverly Hills Plastic Surgeon
4.9 out of 5 stars 19 reviews

Labiaplasty

You are definitely a candidate for a labiaplasty. Most women want the most aesthetically beautiful genital area they can have, thus I created my technique of doing labiaplasty called the True Labiaplasty. I recently presented my technique at the American Society of Cosmetic Physicians.

There are many types of labiaplasty procedures. I personally prefer my method of doing labiaplasty procedures using a modified posterior wedge technique. It can give you very good symmetry of the labia and it excises excess tissue around the clitoris (i.e. prepuce and clitoral hood) when needed.

It looks the best aesthetically, and postoperatively patients experience less pain, in my experience. In addition, many patients have more satisfying sex since the sensitive thin delicate labial edges are left intact. You can learn more on the link below.  Details are on my website on the link below. Your concerns are exactly the reason why I developed my technique. Good luck.

Robert L. True, MD
Grapevine OB/GYN
4.9 out of 5 stars 7 reviews

Labiaplasty

a Labiaplasty is a very common procedure. I a have attached a video that explains it.


Dr Scott Ennis

Miami Fl

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Labiaplasty - "clean and beautiful"

Your story and concerns are in good company with almost ever other patient that undergoes labiaplasty and/or clitoral hood reduction (aka hoodectomy).  Based upon your photos, your anatomy is very typical of someone who seriously considers having these procedures and experiences a major boost in (sexual) self-confidence and pleasure thereafter. 

Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips) but not infrequently trimming or tucking of the labia majora (outer/thicker 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 of the dry part of the labia.  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.

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 96 reviews

I have been wanting to have a labiaplasty done for years and want it to look clean and beautiful. What should I do?

Thank you for sharing your question and photographs.  WIth women presenting with your genital appearance most elect to pursue a labiaplasty and clitoral hood reduction.  This will allow tightening of your labia minora length, while reducing its projection, and providing a reduction in the width of the clitoral hood.  Additional maneuvers such as a perineoplasty and fat grafting to the labia majora can also be performed but are personal decisions.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 35 reviews

Laser Reduction Labiaplasty of the Labia Minora with Reduction of Excess Prepuce

Designer Laser Vaginoplasty is a group of cosmetic laser procedures which repairs, enhances, and beautifies the genitalia. The most common DLV procedures are the Laser Reduction Labioplasty (reduction of labia minora).

Laser reduction labioplasty is a very safe outpatient procedure. The procedure is painless. You can have your choice of anesthesia (local, local with IV sedation, regional-epidural for spinal, twilight, and general). Our special techniques will provide pain relief for the first 18 to 24 hours. After this the pain medications will take care of any discomfort.

I recommend a consultation in order to receive detailed information.

Labiaplasty

Hello,

Labiaplasty and clitoral hood reduction can give you good results. It doesn't really matter so much which exact technique is chosen, as long as your surgeon is properly qualified. This can be done under local anaesthetic and has generally good outcomes according to the literature.Serious complications are fortunately uncommon and most cosmetic issues after surgery can easily be corrected after a few months.

All the best

Hagen Schumacher, MD, PhD, FRCS(Plast)
London Plastic Surgeon
5.0 out of 5 stars 3 reviews

Labiaplasty

the decision to have labiaplasty is totally yours. Consultation with cosmetic vaginal surgeon (gynecologist or plastic surgeon) will help you to look into the goals that you want to achieve.

Armen Kirakosyan, MD, FACOG, FACS
East Aurora Urogynecologist
5.0 out of 5 stars 1 review

Obtaining Natural Smooth and beautiful results with labiaplasty

You are very wise to be cautious in moving forward with labiaplasty.  There are many different techniques that are used and unfortunately many result in less than ideal outcomes.  Edge trims and deep wedge excursions can result in rough and unappealing scarring.  I developed what I call the MACIE labiaplasty with a few goals in mind- to create a smooth and pink edge to the labia minors, a plump youthful look to the labia majors and a closed or "kissing" appearance to the external genitalia.  You can imaging if you had your labia minors treated alone you would still be left with an open appearance where the entrance to the vaginal canal is visible.  I like to close this using a fat grafting technique.  Internal treatments such as g-spot enhancement and tightening can be performed at the same time.  I hope this helps!


All the best,


Rian A. Maercks M.D.

Labiaplasty

Thank you for your question and photo's.   You are a great candidate for a labia reduction,  I recommend you see a Board Certified Plastic Surgeon for a consult.  He or she will discuss your options after examination.  Most Plastic Surgeon's will perform the procedure under IV sedation or local anesthesia with oral sedation.  

Chad Robbins, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 33 reviews

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.