Epidural versus GA?

I'm not sure I understand your question, but I'll give it a try.
Are you concerend about the risk of an epidural after coming off of anticoagulants? Once you are off the anticoagulants there isn't an increased risk of bleeding more than normal for any procedure.
Both, epidural and general anesthesia seem excessive for a strightforward labiaplasty. These procedures could be done under IV sedation in a surgical center, or under local anesthesia an an office setting.
I've been performing labiaplasty in the office for over 15 years.
Go to the link below to see hundreds of B/A photos of these procedures. 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,

Hello, although it is important what kind of anesthesia your previous surgery was performed with, I recommend you to choose epidural anesthesia. It will be safer.

Hello and thank you for your question.
Labiaplasty procedure is typically performed under local anesthesia or general anesthesia.
I suggest that you discuss your questions and concerns with a Board-Certified Plastic Surgeon specializing in Labiaplasty, especially in the setting of another surgery and being on blood thinners.
I hope this helps.
Best regards,
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon