Labiaplasty: Understanding the Procedure, Benefits, and Recovery
Let’s Talk Labia
The labia minora are the two inner folds of skin that surround the opening of the vagina—and, in my opinion, they’ve been getting a bit of a bad rap lately! Here’s the key takeaway: there is a wide range of what’s “normal” when it comes to the labia minora. For a celebration of this diversity, check out @the.vulva.gallery. Labia vary in appearance, size, shape, and color—some are symmetrical, some asymmetrical; some are tucked inside the labia majora (outer lips), while others protrude. This is why some prefer to use terms like “inner” and “outer” labia instead of “minora” and “majora,” as not everyone’s “majora” are actually major and not all “minora” are minor. In fact, about 50% of women have “outies.”
Another thing to keep in mind: most partners really don’t care what labia look like! To quote one of my favorite influencers, Tinx: “Real men like Arby’s, not barbies.”
When Might Labia Minora Cause Issues?
For those who opt for labiaplasty, it’s usually performed on the inner labia (labia minora), though occasionally it can address the outer labia (labia majora) as well.
For some individuals, the labia can cause functional challenges that go beyond appearance. When the inner labia protrude, it can lead to discomfort or pain in everyday situations. For example, some women find it difficult to wear leggings or tighter clothing because the labia can be noticeable or even painful. Common issues include discomfort during sexual activity, tampon insertion, and activities like cycling or running. If you’re experiencing some of these challenges, labiaplasty might be a helpful option to explore.
Labiaplasty Techniques: Wedge vs. Trim
There are two main techniques for labiaplasty: the wedge technique and the trim technique.
Trim Technique: The inferior edge of the excess labia minora (inner lips) is removed, making it more even with the labia majora (outer lips).
Wedge Procedure: A wedge-shaped or V-shaped piece of tissue is removed from the labia minora (inner lips) to shorten the labial tissue.
I most commonly perform the trim technique because it heals faster and has less risk of complications with healing. It also removes the thickened, darker edges of the inner labia and is a good technique for correcting asymmetry.
Labiaplasty Under Local Anesthesia
For some patients, labiaplasty can be done under local anesthesia, though this depends on individual anatomy. Most labiaplasties in my practice are performed under general anesthesia, but I’m happy to discuss options that might be best suited for you.
FAQs About Labiaplasty: Common Questions Answered
“How much does Labiaplasty cost?”
The cost of labiaplasty typically ranges from $5,000 to $7,000, including surgeon, anesthesia, and OR fees.“What is the labiaplasty recovery like?”
Labiaplasty recovery is surprisingly easy and quick! For the first several days after surgery, you will experience mild swelling and discomfort which is managed with ice packs and Tylenol and ibuprofen. Some patients experience itching as the area is healing; over-the-counter anti-itch spray can be very helpful with this. All sutures are absorbable, so you won’t need to have any removed. I have my patients refrain from sex, wearing tight jeans or pants, and activities including running and bike riding for 6 weeks.
“Are there any labiaplasty surgery side effects?”
Labia minora (inner labia) have an important function: they help to protect the vaginal and urethral openings, and also contribute to lubrication of the area. Therefore, it is important to remove the appropriate amount (not too much, not too little!) of tissue when labiaplasty is performed. There are no long-term side effects of labiaplasty.
“Do you do clitoral hood reduction?”
A small number of patients have excess skin in the clitoral hood, or the fold of skin that protects the clitoris. For these patients, a clitoral hood reduction can be added to the labiaplasty. I have an in-depth discussion about this procedure with each patient—it can be beneficial for those experiencing irritation from rubbing of the clitoral hood or difficulty with orgasms due to the extra tissue. However, great care must be taken to avoid disrupting the nerves of the underlying clitoris.
To learn more about personalized options for your aesthetic goals, book your consultation with Dr. Meredith Kugar, today.
