A labiaplasty is a surgical procedure that reduces the length of the labia minora in patients who are unhappy with the size or shape of their labia. A labiaplasty is the most commonly sought-after rejuvenation procedure, and can relieve symptoms that patients may experience from the twisting and tugging of the labia during daily activities such as intercourse or riding a bike. Additionally, some women seek labiaplasty as their lengthened labia cause them to be self- conscious, among other physical symptoms such as itching and irritation.
A labiaplasty reduces the labia minora so they do not hang below the outer labia majora. The procedure may be performed to reduce asymmetry if one is longer than the other, but is most commonly executed to reduce the length of both labia so they no longer tug, twist or fall out of a bathing suit. For massive weight loss patients reduction of the labia majora may also be indicated. Over the past few years, this delicate and personal surgery has become less invasive, and advances in surgical technique have made it possible to achieve much more satisfactory results.
Depending on the patient, a labiaplasty is typically performed under local anesthesia with oral/iv sedation, or under general anesthesia. There are two popular techniques commonly used in this surgery—the trim procedure and the wedge procedure.
During the trim procedure, Dr. Rednam removes the extra low-hanging tissue and sews the incision directly along the border of the labia with absorbable sutures. During the wedge procedure, she can maintain a more natural tissue border, by only removing a pie-shaped piece of tissue. This technique also allows for the removal of extra clitoral hood tissue. Dr. Rednam then closes the incision with absorbable sutures. While the wedge procedure can offer a natural-looking result, the rate of recovery problems (such as chronic dryness, scarring, pain with intercourse) post-procedure are higher. Every patients’ needs and desires are different, which is why it is important to consult with Dr. Rednam about which procedure is right for you.
This procedure can comfortably be combined with the Viveve treatment for internal vaginal rejuvenation adding no additional discomfort or down time during recovery.
The procedure often results in labia that are shorter and no longer hang below the labia majora. Patients who struggled with symptoms from the tugging or twisting of their labia minora pre- procedure typically feel relief after their labiaplasty.
Most patients recovering from the procedure take a week off from work, which helps them facilitate their recovery process. They can reduce pain and swelling with ice, and lying with their hips and bottom elevated.
Patients who received the procedure can resume wearing tampons and participating in intercourse four to six weeks post-surgery. The exact recovery time depends on the type of procedure a patient received, as trim labiaplasty often allows for shorter recovery time. Most swelling is reduced or gone by six weeks, though residual swelling make take six months to fully disappear.