Labiaplasty before and after

Individual results may vary.

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Front: Labia Minora Reduction Before and AFter

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This pleasant 26 year old patient contacted Dr. Medalie to discuss labia minor reduction. She had asymmetric labia and was most concerned about her right side which was much more protruding than her left side. After careful consideration she decided to procede with labiaplasty surgery as an outpatient under local anesthesia with mild oral sedation in Dr. Medalie’s Beachwood office. The surgery took 1.5 hours and she is shown three months after the labiaplasty with excellent results. She was very happy with her outcome and reported no problems with the recovery. Plastic Surgery results can vary. Below is information form the American Society of Plastic Surgery about Labiaplasty. For more information and pictures please visit Dr. Medalie’s photo gallery!

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 is the trim procedure, in which the extra tissue is removed and sewn up directly. Next in popularity is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been removed. This is the procedure that I prefer as it gives a tighter and more aesthetic result. Extra folds of the clitoral hood can also be reduced at the same time. Closure is 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. The most common complication is over-resection. While some women desire an aggressive reduction, this can result in chronic dryness, scarring at or near the vaginal opening and pain with intercourse. Healing problems are more likely to occur with a wedge procedure, particularly if the patient is exposed to substances that cause blood vessels to shrink.

Recovering from a labiaplasty

Most patients take several days to 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 six 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.