How many millimetres thick is labia majora skin? How deep does the scalpel or laser go into the skin?

The thickness of the labia majora skin varies from person to person. It also gets thinner in the menopause. It's not a fixed number. Nonetheless, a labia majora skin reduction removes and ellipse of the entire skin layer and exposes the superficial fat. This fat is sometimes removed if volume reduction is desired. Watch the video to see how a typical procedure is done.

Hello and thank you for your question.
Labiaplasty procedure is typically performed in order to reduce the length and the width of the inner lips (labia minora). It is typically performed by using the scalpel to remove the excess tissues, followed by stitching the tissues together to promote wound healing.
I suggest that you seek an in person consultation with a Board-Certified plastic surgeon specializing in Labiaplasty to further discuss your options, specific techniques, concerns and expectations.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

The thickness of the skin covering the labia majora is about 4 millimeters and the incision is done just beneath the dermis. Above the subcutaneous fat of the labia majora.

The depth of the incision is just below the dermis. This varies between 3-5 mm. The subcutaneous fat is left in place. The goal is to excise the redundant and lax skin but maintain some fullness so as to create a youthful appearance.
Go to the link below to see hundreds of B/A photos with this procedure. You will likely find some examples that are quite similar to you. From that link you may schedule a virtual consult 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 under local anesthesia.
Best of luck,

Thank you for sharing your question. In most cases the incision is taking to below the dermal skin level at the border with the subcutaneous layer of tissue.

skin thickness is up to 2 mm. In the whitening and rejuvenation process, the laser has an effect of one mm.
If you are going to use the laser for an incision, it may have a deeper effect.
You can go as deep as you want in the scalpel.

The thickness of the skin varies from patient to patient. Age and ethnicity play a role in the thickness. I guess the answer is full thickness. If you are getting a labia majora reduction, the full thickness of the excess skin is cut out and removed.

There are 3 methods for labia majoraplasty. First is RF shrinkage, which requires 3 treatments, no scalpel, shrinks ~ 50% costs ~ $3000 and must be repeated (series of 3) every 8-10 months. The second is a "double hockey stick" procedure, performed by Dr. Dawid Serafin in Poland, and myself here in the U.S. which requires 2 "double chevron" shaped incisions in the mid-lower labia majora, and does not so much remove a lot of skin, as it "lifts" saggy, older-appearing labia majora. The third, what you ask about and most utilized, is the vertical "half-moon" or "teardrop-shaped majoraplasty which removes the epidermis (superficial skin) and deeper dermis (lower, generating layer) and superficial fascial layer, and- as others have said- removes ~ 2-4 mm thickness. The important thing is to not disturb the underlying fat pad and its thin fascial covering, along with a careful monofilament subcutaneous or removal nylon mattress closure, so as to produce only a very thin scar. RealSelf's web reference below contains several majoraplasties. Best wishes, Michael P Goodman, MD, FACOG, IF, AAACS. Davis, Northern CA, USA