Labiaplasty Before and After Case Study

Individual results may vary.

Case ID: 4030

Front: Labiaplasty before and after pictures-central wedge technique


This 33 year old mother of 1 came to see Dr. Medalie at his Beachwood office. Her chief complaint was labial hypertrophy with extreme irritation in tight clothes and during physical activity. On exam she had a great deal of excess and thick  labial tissue. Dr. Medalie performed a labiaplasty under local anesthesia with mild oral sedation in his clinic. The wedge techniques was used and the post appearance is shown at three months. It can be seen that the labia minora are now no longer protruding beyond the labia majora and run in a straight line as opposed to being quite redundant. The clitoral hood was not operated on  but has become more streamlined because of the pull of the labiaplasty. Her overall appearance is much improved and she has much less irritation during all activities. She was extremely pleased with her result.

Below is my Labiaplasty FAQ

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.