What labia reduction procedure would you recommend? (photos)

Thank you for your questionFirst understand what you are looking at. There are two pair of inner labia: A lower pair that inserts into the clitoris and an upper pair called prepuce, that forms the hood (the skin directly above the clitoris) that can insert into and even overwhelm the lower pair. In your photo there is both excess prepuce(upper pair) as well as asymmetric lower pair. For optimum aesthetic results, this excess prepuce needs to be removed so as to free up the lower pair for reduction. We look to get a "bridge of the nose " appearance on this upper section. There are several ways published for reduction of the lower pair which give different appearances and each surgeon has their own preferences. What is important is what you prefer. Most of my patients request the natural edge technique. You need to do your homework and make sure your surgeon is well accomplished first in how to reduce the prepuce and second on how to reduce the lower pair. You need to look at their reviews and their before and after photos.See the video below to become more informed

Hello Nancy,
Thank you for your post. I understand your concerns as I have operated on hundreds of women with very similar anatomy and discomfort. You need more than a labiaplasty since you also have a very large and ptotic prepuce (droopy hood) which MUST be reduced and lifted prior to reducing the shape of your labia minora. This will result in a natural and youthful look improving your self-confidence and resolving your physical discomfort. This is a procedure performed under local anesthesia in an office setting with minimal postop discomfort.
Your camel toe appearnce may be improved since you'll no longer need to tuck yourself, but this condition may be more a factor of your large pubic mons and labia majora. My recommendation is for you to address the hood and labia initially, since you will likely be thrilled with the result and realize that further work is not necessary. This is true the majority of the time, but if the camel toe concerns persist then I would recommend liposculpture of the mons with labia majora reduction.
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,

Hi Nancy 292565, Based on your history and the attached photo it does appear that you would benefit from a labiaplasty procedure, specifically reduction of labia minora. There is a chance you may also benefit from reduction of labia majora, however this would be an important discussion with your surgeon. I recommend consulting with a surgeon who performs labiaplasty procedures frequently and can help you decide what is best for you and what is most likely to improve your quality of life. Hope this is helpful and good luck!