My labia are enlarged and saggy. I am young. Is there an exercise to decrease it? How old you have to be to have the surgery?

Doctor Answers 14

Top treatments for labiaplasty

I would recommend our combination Hidef Labiaplasty Technique which includes labial contouring, skin tightening, laser vaginoplasty, and clitoral hood reduction. 

Dr. Karamanoukian
#Realself100 Surgeon

Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews



Thank you for your question. The labia can grow/change in appearance/colour throughout puberty and with hormone changes and childbirth later on.
It is not uncommon for women to have concerns over their Labia appearance or discomfort.

There is no non-surgical way to reduce their size unfortunately. If you wish to discuss surgical options, I recommend that you book a consultation with a board certified Plastic Surgeon in your area. They will examine you and discuss your aesthetic goals to help you plan.

For patients under age 18, parental consent may be requested and your Plastic Surgeon would want to ensure that you understand fully the risks/concerns for surgery as well as ensure that you have a safe, practical plan for healing.

All the best

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Labiaplasty for our patients?

Thank you for sharing your question with us.   unfortunately, there is no exercise to reduce the size of your labia's. However there are some minimally invasive procedures that may be performed in order to decrease the size and look of your labia's.By definition there is no age criteria for a labiaplasty, however any patient below the age of 18 years old should be thoroughly evaluated and parental consent obtained. I usually highly recommend parental involvement in making a decision to perform a labiaplasty.

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

Large Labia Not Improved with Exercise

Unfortunately there are no exercises to tighten up your labia.  There are no age limits on labiaplasty.  If you are concerned, see a plastic surgeon with labiaplasty experience for their opinion.  If it is necessary, it is an easy out patient procedure.

William H. Huffaker, MD
Saint Louis Plastic Surgeon
4.9 out of 5 stars 49 reviews

I am young with enlarged and saggy labia. How old do you have to be to have labia minora reduction surgery?

Dear Oliviagrace20,

Thank you for writing in with your concerns.  It takes courage to speak up about things that bother you when it's hard to talk with those around you. Unfortunately, there are no exercises to reduce the size of the inner labia minora or the outer labia majora.  If there were, lots of ladies would be doing them!

If you are under 18 and desire surgery, parental consent will be needed, plus, it's a good idea to have them (at least mom) involved with finding the right physician to take care of you.  There are very few surgeons (plastic or gynecologic) who are willing to operate on teenagers because their bodies are still developing, and after labia reduction surgery, sometimes a small edge can grow back, needing a second procedure.  Make sure you find someone with extensive experience with labiaplasty and the different techniques available (there are edge-reducing and edge-preserving techniques).  Depending on your anatomy and desires, one technique may be better for you than another.

The labia and the breasts start to develop during puberty due to estrogen and can continue to grow until the age of 21. They can extend beyond the outer hair-covered labia majora and cause hygiene issues, problems placing tampons or with wearing certain clothes, or can pull, pinch and be uncomfortable with walking, exercise and activities. Pregnancy and delivery, and peri-menopause can also impact labial size and color with delivery increasing length especially if there was swelling or trauma, and darkening of the edges.  Sometimes, women with larger labia may also have extra folds of skin around the clitoral hood called the prepuce. This may need to be reduced as well in order to provide a satisfactory aesthetic appearance, and there is usually a separate fee for that (but often discounted when done with a labiaplasty).  Some women have access or hygiene concerns related to the extra skin.

There is no formal age limit on when to perform a labiaplasty on a young woman.  From my experience of having  performed over 700 labiaplasties, the main determining factor is quality of life.  If this is strictly an appearance concern, I recommend you wait until your body has finished developing (by 21) unless your social life has been severely impacted because of how you feel about your body.  Then I would also recommend talking with a counselor to make sure there aren't any more serious body concerns going on.  If you are uncomfortable in your own skin every day because of comfort and function issues, I recommend getting evaluated for labia reduction surgery sooner.  If you can get a referral from your pediatrician or gyn to someone who focuses on these surgeries, you may be able to have part of it reimbursed by insurance (especially if you are a teenager).  Please get at least two consultations before moving ahead with any surgery.

To learn more about the labia and labiaplasty procedures, please visit the link below.  I hope you find this information helpful.


Dr. Troy Hailparn 

Troy Hailparn, MD
San Antonio OB/GYN
5.0 out of 5 stars 33 reviews

There isn't an age limit for labiaplasty

Labial hypertrophy can be a very bothersome problem at any age and thus can be surgically corrected at any age as well. I have performed labia reduction on preteen girls, but these were unique circumstances with parental involvement and consent.
Typically, women will notice their large labia at puberty and can ask their physician pediatrician or gynecologist, without parental consent. They'll explain to you what it is and what the options are without a breech in confidentiality. This is helpful to know since many women may not have a relationship with their parents that enables them to disclose these intimate and personal things with them. If this is your situation then I encourage you to speak with your doctor for support and guidance. Before the age of 18 you would need parental consent for surgery, however.
There isn't anything you can do to decrease their size and shape, other than surgery. Likewise, there isn't anything that you have done that caused this situation.
Please see link below for more information about cosmetic gynecology.
Best of luck,

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

Enlarged labia will not get better with exercise

Enlarged labia minora or majora will not tighten up with exercise. If you lose weight, the minora will remain the same and the majora may become more lax and sag further. "The" surgery is actually a choice of several surgical and nonsurgical options tailored to your needs and not a one-size-fits-all solution.

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

Any exercises to reduce labia?

Unfortunately there are no exercises to reduce enlarged labia. Pelvic floor exercises can have an impact on the muscles within/around the vagina, but not on the labia themselves. If you have cosmetic concerns about the appearance, a labiaplasty may be a good option to help achieve those goals. I would consider a formal consultation with a board-certified plastic surgeon so your specific concerns can be gone over in detail, a physical exam be performed, and individualized recommendations be made. Good luck!

Bryan Correa, MD
Houston Plastic Surgeon
5.0 out of 5 stars 15 reviews

My labia are enlarged and saggy. I am young. Is there an exercise to decrease it? How old you have to be to have the surgery?

First, I want to start by saying that there is a very wide range of "normal" when it comes to the vagina. No two vaginas are the exact same. For many different reasons the labia can grow in size and appear enlarged and saggy. This can be caused by hormones, sexual intercourse and pregnancy/vaginal delivery etc. It is also very normal for them to be enlarged before childbirth. As teenagers especially women, we tend to be very hard on ourselves. We find fault in many different aspects of our body. As you get older, you will find that things that we thought were the "end of the world" or "devastating" were actual nothing. It is for this reason that doing a labiaplasty on a minor can be a difficult situation. It is important that you find a PS in your area that you feel comfortable with. You must take a parent since you a minor. A long discussion with an exam will help to guide you on what the right decision is for you at this time.

Erika Sato, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 90 reviews

Treatment for enlarged labia

If you are a minor:
Labiaplasty is one of the more rare plastic cosmetic surgeries that i perform on minors - several dozen or so in my 15 years of private practice. However, perental consent is definitely required to proceed with surgery. Thus the first and foremost important step is to enlist the understanding and consideration from a parent. After this, a consultation with a board certified plastic surgeon (or gynecologist) that specializes in labiaplasty is the next step.

If you are an adult:

Your story and concerns are in good company with almost ever other patient that undergoes labiaplasty and/or clitoral hood reduction (aka hoodectomy) 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 117 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.