My vagina lips hang down and I really want to know if that is normal? If its not, what can I use?
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Doctor Answers 8
You would benefit from an evaluation to ensure your anatomy falls within the normal range.
Normal labial anatomy varies in women much like other areas of the face and body.
Some women have very short labia minora and others longer and thicker tissues, all of which are
If the longer and thicker tissues cause discomfort or are aesthetically unpleasant to you, you may
consider labiaplasty surgery to "tuck" the tissues.
It is important to consult an experienced, board certified Plastic Surgeon who has the expertise to
provide you with the best options and treatments, as this is a relatively new area.
Vaginal rejuvenation includes not only labiaplasty, but also labia majora tuck, fat grafting to the deflated
labia and other internal procedures.
Dr. Pedy Ganchi
Village Plastic Surgery
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Reduction of the labia minor and clitoral prepuce
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.
Is it normal for may vaginal lips to hang down and what can I do about it?
Thank you for writing in about your concerns. When girls go through puberty, estrogen stimulates the breasts and the labia to develop. They can enlarge, become uneven and change color. The labia can become rubbed and uncomfortable during activities, exercise, sexual activity and with wearing certain clothing. They can cause problems with hygiene and placing tampons. Many women feel embarrassed and/or self-conscious because of the extra tissue. If they don't bother you, then there is nothing more you need to do.
There are two categories of labia reduction procedures...those that trim the edges (the traditional method) and the edge-preserving procedures (the various wedges--central, inferior being the most common two). In the hands of a highly trained cosmetic gynecologist or plastic surgeon, either method will provide you with excellent results if you desire a labia reduction. There is no magic cream or potion to shrink the inner lips.
Having done over 700 labiaplasty procedures, I recommend you have a consultation with an exam, review lots of before and after pictures and discuss the risks and complications of both types of procedures to help you make the best decision for yourself. Your anatomy and what you desire are what determines which procedure to choose.
To read more about labiaplasty, please visit the link below.
I hope this information is helpful.
Dr. Troy Hailparn