Are There Any Non-surgical Alternatives to Labiaplasty?

Are there are any health related reasons not to have a labiaplasty?

Doctor Answers 8

Non-surgical Alternatives to Labiaplasty

With the availability of recent technology, there are few nonsurgical vaginal rejuvenation options available for our patients. CO2 fractionated lasers include the #FemiLift, #MonaLisa Touch and #IntimaLase. The #ThermiVa as radiofrequency energy that can also treat the outer Labia to reduce and tighten this area. It can increase blood flow, sensitivity , and orgasm.
However, surgery is the most common treatment. I perform a variety of treatments and surgeries to enhance, restore and rejuvenate the female genital region. This includes the labia minora, labia majora, the clitoral region and the vestibule of the vagina. When necessary and capable, a vaginoplasty may be combined with a #Labiaplasty. Or, if the outer labia or labia majora may also be excessively large, uneven, or may be too small, the size may be increased with fat injections.
There is no one right solution for all patients, but there is a solution for every woman. The outcome of a Labiaplasty is a more youthful appearance, ability to wear all types of clothing without discomfort and/or embarrassment, and a more confident sex life.
The best procedure approach will be discussed in greater detail during your one-on-one consultation.It is very important to find a surgeon who is #Board Certified for your #labiaplasty.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Non surgical Labiabplasty

The short answer is yes, but it also depends on the reason for requesting non surgical labiaplasty or vaginal rejuvenation. Until the recent introduction of ThermiVA, there were no other alternative to surgical labiaplasty. ThermiVA may be an alternative to surgical labiaplasty or vaginal tightening for some patients. ThermiVa uses controlled heat energy generated from the Radiofrequency (RF) device to slowly and safely heat the labia and vaginal area. The heat is delivered via a small wand with a sensor tip, which is connected to a computer. The computer ensures and monitor the heat energy delivered. The temperature is controlled to stimulate labial and vaginal tightening. The energy creates immediate skin tightening, stimulation of new and tighter collagen, and tighter and younger looking skin of the labia and vagina. During the treatment, patients are awake and comfortable. ThermiVA uses the same technology as ThermiTight. RF technology has been used in medicine for many years and it works!

We offer other labial & vaginal tightening procedure such as laser and surgical. For those looking for labia tightening procedures, its better to be evaluated by a board certified plastic surgeon and offered the correct treatment for the problem. ThermiVA is one of the tools we offer.  "if all you have is a hammer..... everything looks like a nail" Do your homework to make sure your plastic surgeon offers other options for your problem. Goodluck

Stanley Okoro, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 160 reviews

Non-surgical alternatives to labiaplasty

Thank you for your two questions.

It is not possible to achieve the type of results that can be achieved with a surgical labiaplasty using any type of injectable or filler.

When considering non-surgical alternatives to labiaplasty it's necessary to know what the reason you are considering labiaplasty is. If you are considering labiaplasty because you experience discomfort when wearing tight clothing or riding a bike then there are certainly alternatives - after all, men have much greater reason to experience genital discomfort from tight clothing or riding a bike, and they don't seek genital reduction surgery. Choosing to alter your clothing is an alternative that carries few risks.

If you are considering labiaplasty because someone has made a negative comment about your genital appearance then you may find it useful to examine the wide range of normal appearances of female genitalia. Put the term the "Great Wall of Vagina" into your preferred search engine and look at the 10 montages that English artist Jamie McCartney has created from the genitals of hundreds of women. You may be surprised and reassured to discover that your labia are quite normal. 

Are there any health related reasons not to have a labiabplasty? There are few common medical conditions that are a contraindication to having a labiaplasty. People with body dysmorphic disorder and other psychological illnesses would do well to see a psychologist or psychiatrist before proceeding to surgery. If you have uncontrolled diabetes this will put you at increased risk of infection; achieving tight diabetic control is advised before undertaking the surgery. I would also recommend against surgery if you have severe cardiac or respiratory problems, or if you are on medications that significantly impact upon your immune system, such as after an organ transplant. Due to the risk of bleeding and bruising I do not recommend this surgery for women who need to take anticoagulant medications such as warfarin/coumadin. I do not advise women who have a history of vulval carcinoma-in-situ or vulval carcinoma to undergo cosmetic labiaplasty. Women who have recurrent genital sores (eg herpes simplex) may experience an exacerbation of problems after labiaplasty; women should not undergo labiaplasty while they have thrush or an outbreak of genital herpes. Pregnant women should not undergo labiaplasty.

I hope this helps. Good luck!

Jill Tomlinson, MBBS, FRACS
Melbourne Plastic Surgeon

Non surgical labiaplasty

It is difficult to provide any alternatives to surgery for a labiaplasty without a physical exam. However, if the primary concern is excess labial tissue, then surgery is your best option. 

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews


There are no non-surgical methods to reduce the size of the labia. The risk of pain from scarring is potential risk and the only reason i can think of not to have it performed

Michael Hueneke, MD
Nashville Plastic Surgeon
4.9 out of 5 stars 63 reviews

Non-surgical alternatives to Labiaplasty

Unfortunately, there are no non-surgical alternatives to labiaplasty or labia reduction surgery.  As with any surgical procedure, one should be in good overall health, not  smoke and avoid medications such as aspirin, which could cause bleeding, before considering a labiaplasty procedure.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.8 out of 5 stars 56 reviews


Depending on the concerns there are options for labiaplasty.  If there is atrophy or thinning of the labia majora or minor fat grafting or other fillers to restore volume may be an option.  

Craig Mezrow, MS, MD, FACS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 17 reviews

Labia Reduction

Thank you for the question.

No, there are no nonsurgical alternatives to labia minora reduction  surgery.   It tends to be one of the most patient pleasing operations we perform from the physical discomfort as well as the aesthetic  standpoints.

There may be “health related reasons” not to have labiaplasty ( for any other type of elective plastic surgery)  such as  cardiac disease,  uncontrolled hypertension,  poorly controlled diabetes etc.

I hope this helps.


Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 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.