Labiaplasty

Individual results may vary.

Case ID: 2335
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Front: Labiaplasty before and after pictures-central wedge technique

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This 35 year old woman from Columbus, Ohio came to Dr. Medalie’s office in Cleveland, Ohio desiring labia minora reduction (labiaplasty). She had been unhappy with the size of her labia since adolescence but had not know that there was surgery available to correct them until very recently. She underwent a short local procedure at Dr. Medalie’s Cleveland West side office and is shown 6 months after the surgery. She is very happy with the labia reduction.

What Is A Labiaplasty?

The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia.

Reasons Patients Want A Labiaplasty

Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness.

What Does A Labiaplasty Do?

The goal of the procedure is to reduce the labia minora so that they don’t hang below the hair-bearing labia majora. A labiaplasty may be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit.

Anesthesia For A Labiapasty

Labiaplasty is a procedure that can be done under either local anesthesia with oral sedation or under general anesthesia.

Labiaplasty Procedure

The most common type of labiaplasty performed by Dr. Medalie is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been removed. Extra folds of the clitoral hood can also be reduced at the same time. Closure is usually done with absorbable sutures.

What Are The Risks Of A Labiaplasty?

The risks associated with labiaplasty include those of most surgical procedures, including bleeding, hematoma and infection. Sometimes a stitch may break resulting in a small hole or notch that can be revised electively. Over-resection can be a complication of the trim procedure so that is why Dr. Medalie prefers the wedge method.

Recovering From A Labiaplasty

Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.

Patients can resume wearing tampons or having intercourse after four to six weeks.

While the most distorting swelling is gone by 6 weeks, residual swelling may take 4-6 months to disappear.

What Are The Results Of A Labiaplasty?

Labiaplasty typically results in shorter labia that no longer hang down below the level of the hair-bearing labia majora. Most patients who experienced symptoms from twisting and tugging of their labia generally find relief after surgery. According to multiple studies, labiaplasty surgery is associated with a high satisfaction rate of over 90 percent.