19, white, 5'6, 141lbs, is the risk of sensation loss higher if I go for the barbie look?

Thank you for your questionAlthough there are some surgeons that tout the barbie look, I am not one. There is a reason that labia exist. ie. to protect the opening decrease infection etc. but moreover, the complication. Just look at all the question and answer pagas on RealSelf and see the complaints of botches, pain etc. with women who have had this technique. They may not say "barbie" but instead say that too much was removed. There are other beautiful techniques that can avoid these problems and preserve sensation. See the video below to learn more.

You shouldn't lose any feeling if a typical labiaplasty is done correctly. For a labiaplasty, it is crucial that you consult a skilled cosmetic gynecologist. When done correctly, you shouldn't have any loss of feeling and it will still be a labia that is barely visible.
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Most regular gynecologists know little to nothing about labiaplasty and their opinions should be viewed in that context. A low-profile or "barbie" effect is possible in most women with no risk of decreased sensation provided the surgeon knows the anatomy of the nerves and has the skill, education and experience to reshape your labia to deliver a beautiful result. I recommend that you schedule a virtual consultation with an expert and travel if you must. The raphe can certainly be treated at the same time.

You can have the outcome you want with a standard labiaplasty and hood reduction. There is no need to “remove everything” to have hidden inner labia when standing. All that is needed is that the inner labia are shorter than the outer labia. A hood reduction is required in nearly all cases. These can be performed without changes in sensation. Period.

Hello Anna,
You should seek out the expertise of an experienced aesthetic vulvar surgeon to achieve your dream results. When performed properly you should mot loose any sensation.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation 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.
Best of luck,

You should not lose sensation with Labiaplasty if done by a cosmetic gynecologist with expertise in this kind of surgery. You can do a perineoplasty at the same time to fix the perineal raphe.

As a general guide it is possible to achieve however the outcome must be “your look”, not a Barbie look, because I suspect the other surrounding skin and structures are not Barbie-like; therefore your expectation needs some realistic considerations. Yes, likewise the amount of tissue / labia excised May relate to sensation concerns- but not necessarily so - you can however gauge that from the amount or degrees of sensation you have now. Now two vulva are the same in nerve distribution. At 19, you also want to consider your age and your why.