Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding the human vulva.
Labiaplasty is a one to two hour surgical procedure designed to sculpt the external vaginal structures by reducing and/or reshaping long or uneven labia. Childbirth, the aging process and the effects of gravity may all erode the beauty of the female genitalia including the labia minora, labia majora, clitoral hood and perineum.
There are two main categories of women seeking cosmetic genital surgery: those with congenital conditions such as intersex, and those with no underlying condition who experience physical discomfort or wish to alter the appearance of their genitals because they believe they do not fall within a normal range. Clients usually have these signs and symptoms:
Labiaplasty surgeries can have substantial psychological benefits for patients who are self-conscious about the appearance of their genitalia. Patients with severe cases frequently report decreased pain or discomfort with daily activity and sexual intercourse after the procedure.
The procedure can be done under local anesthesia.
DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.
The procedure usually takes 1-2 hours and you can go back home on the same of your surgery.
Trim Method: The trim method, also sometimes referred to as the strip method, is the most commonly used method for reducing the length of the labia. It basically takes excess labial skin away along the length (edge) of the labia minora. This method is less likely to cause complications and produces the best results for patients looking to remove the darker, longer edges of the labia.
Central wedge resection Method: Labial reduction by means of a central wedge-resection involves cutting and removing a partial-thickness wedge of tissue from the thickest portion of the labium minus. Unlike the edge-resection technique, the resection pattern of the central wedge technique preserves the natural rugosity (“wrinkled” edge) of the labia minora. If performed as a full-thickness resection, there exists the potential risk of damaging the pertinent labial nerves, which can result in painful neuromas, and numbness. A partial thickness removal of mucosa and skin, leaving the submucosa intact, decreases the risk of this complication
De-epithelialization Method: Labial reduction by means of the de-epithelialization of the tissues involves cutting the epithelium of a central area on the medial and lateral aspects of each labium minus (small lip), either with a scalpel or with a medical laser. This labiaplasty technique reduces the vertical excess tissue, whilst preserving the natural rugosity (corrugated free-edge) of the labia minora, and thus preserves the sensory and erectile characteristics of the labia. Yet, the technical disadvantage of de-epithelialization is that the width of the individual labium might increase if a large area of labial tissue must be de-epithelialized to achieve the labial reduction.
It is normal to expect some discomfort, swelling, bruising and discharge/ooze after the procedure. Oral pain medication (supplied or ‘over the counter) should be adequate. For more severe pain contact the office. You may need something to avoid constipation as the healing time is not the time to suffer from this – lots of water, fruit and vegetables, fibre or whatever works for you.
Wear loose underwear and clothes to prevent rubbing. No vaginal packing is used for Labiaplasty. Some patients find it useful to use sanitary pads in the first week. Icepacks can be used on the area on and off for the first 48 hours.
Keep the area clean and free from infection.
Sexual intercourse is prohibited atleast 3 weeks following surgery. While you can resume your normal activities after 4 weeks.