Why is my vagina lips wrinkly? (Photo)

My lips are wrinkly and are really stretchy? What's wrong with them? Do I have too much extra skin ?

Doctor Answers 11

Labial majora laxity

You seem to have some laxity and loss of volume from the outer labia. This can be improved via non-surgical techniques like ThermiVa or RF devices. Surgical options include labial surgery as well as adding some volume to the area, most commonly fat. Depending on your expectations, an experienced doctor can discuss all these options to you and see what makes most sense for you. 

Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews


It seem like you lack volume.  You can do either fat injections to plump up your labia majora OR a non invasive tightening method called ThermiVA.  Its quite successful in tightening the skin. Whatever you choose please be sure to choose a board certified plastic surgeon that specializes in Labiaplasty procedure

John G. Hunter, MD
New York Plastic Surgeon
4.3 out of 5 stars 4 reviews


Thank you for your question. Before we can answer your question we need to get more history, including your age, if you've been pregnant and had children, medical history and we would need to complete a physical exam. If your vaginal lips are too long, you would be a candidate of labiaplasty. If you feel uncomfortable having large protruberant vaginal lips labiaplasty may be an option for you. Labiaplasty is a procedure that reduces the size of your vaginal lips. Hooding of the clitoris can also be reduced at the same time. My patients tell me that pain is negligible after surgery. They are more confident wearing bikinis, shorts and tight pants. I hope you find this information useful.

Joshua Halpern, MD, PA
Tampa Plastic Surgeon
4.8 out of 5 stars 63 reviews

Candidates for Labiaplasty

Women have a wide range of normal color, texture, size and asymmetries of their genitilia. This is true of the Vulva and all of its parts, the same as other parts of the body. Candidates for #labiaplasty and #vaginal surgery include women concerned about the appearance of their genitals, or those who experience discomfort, pain or difficulty with sexual relations.  Moisture can create problems such as yeast infections. More specific problems may exist at birth or with growth and development. They can occur with childbirth or other trauma to the region. All of these issues can cause a woman great emotional distress that is often difficult to talk about with their partner, friends and even their doctor. The best thing to do is seek out a local board certified plastic surgeon for consultation in regards to your desired results. Good luck!

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Why is my vagina lips wrinkly?

Thank you for your question. A change in the appearance of the external genitalia including labia majora and menorah does occur with aging. This is often due to a combination of factors including hormonal changes, normal aging process, gravity and loss of volume. the good news, there are many things that one can do to improve the appearance and minimize the effects of aging on wrinkly and sometimes saggy skin.

David Ghozland, MD
Santa Monica OB/GYN
5.0 out of 5 stars 27 reviews

Wrinkly Labia Majora

The changes you've noticed with your labia majora are very common, especially as women age. Just as with the rest of your body, the vulvar skin also goes through the aging process which includes loss of skin elasticity and loss of volume. Another culprit is pregnancy where some women's vulvas become very swollen and thus stay stretched throughout their pregnancy.  As a result, after delivery their labia majora look deflated, wrinkly, and older than they did prior to pregnancy.  In your case you appear to have a combination of loss of volume and lax skin. Your least invasive option is Radio Frequency treatments of the labia majora using Pelleve or Thermi. The changes are not permanent though and you'll require ongoing treatments. If this doesn't give you the look you want you could have a Labial Puff procedure where PRP or Fat is injected into this area to "plump" it up. Alternatively, you could have the extra skin removed in the form of a labia majora reduction.  You should consult with an experienced cosmetic vaginal surgeon who can then examine you in person and go over the best options for you since this depends on your age, skin quality, expectations, etc.  Best of luck,

Oscar A. Aguirre, MD
Denver Urogynecologist
5.0 out of 5 stars 34 reviews

Labia majora skin wrinkles when subcutaneous fat is lost

The fullness of the labia majora is the result of subcutaneous fat. If you lose fat in labia majora, they flatten and wrinkle. Fat injections are the most common solution to this appearance if it bothers you.

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.7 out of 5 stars 26 reviews

Vagina lips wrinkled

You show a photo that is primarily focused on your outer lips.  You appear to have extra skin which can be reduced or filled with fat. Often, stretched out labia majora can be improved by excising some of the extra skin to make it more youthful.  Reducing the skin and adding some fat can be done so that the best of both procedures can be done.  I have published extensively on labia majora skin excision as I have done hundreds of these procedures.  Gary J. Alter, M.D.Beverly Hills, CA - Manhattan, NY

Gary J. Alter, MD
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 21 reviews


Thanks for reaching out.  There is a wide spectrum of appearance of a woman's external genitalia.  There does not appear to be anything wrong with the photo you have posted.  Some woman do have excess skin that can cause discomfort during exercise of intercourse.  Labiaplasty is a technique to reduce the excess skin.  If you are concerned it is best to see a board certified plastic surgeon to discuss your options.
I hope this helps.

John Paul Tutela, MD
Livingston Plastic Surgeon
5.0 out of 5 stars 47 reviews

Why are my vagina lips wrinkly?

Thank you for your question and for sharing your photograph.  There is a wide spectrum in the appearance of a woman's genital anatomy and your vagina is well within normal.  Whether due to fluctuations in weight, age, or hormones the tissues can change subtly over time, including the development of wrinkly or loose skin.  If your current appearance causes you concern, seek out a board certified plastic surgeon in consultation to discuss your treatment options.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 69 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.