Labiaplasty has become one of the most common procedures that I perform in my office. Most women who request labiaplasty not only want to look rejuvenated but they’re coming in because they complain of discomfort from exercising and wearing tight jeans, bathing suites, and yoga pants.
Labiaplasty can be performed under general anesthesia or local anesthesia with sedation. The genital tissues are trimmed, usually with a central wedge excision, and sewn with dissolving sutures so no stitches need to be removed.
Patients have some discomfort for about a week and mild soreness for about 4-6 weeks. After surgery, patiens are usually swollen for a week or two. Most patients take 3 to 4 days off work; more time if they have an intense job. No Exercise for 2 weeks after surgery; no intercourse or tampons for 6 weeks.
Labiaplasty is often combined with other genital procedures such as clitoral hood-pexy, labia majora reduction and vaginal tightening. I have also combined it with lipoplasty (liposuction), abdominoplasty, and facial surgery. I don’t combine it with breast augmentation due to the risk of infection.
Labiaplasty often serves the two goals of reducing genital discomfort and improving aesthetic appearance. The central wedge excision technique is the most common procedure that I can perform but other techniques may be employed, if necessary.