For many symptomatic female patients, an enlarged labia minora can cause chronic discomfort during sexual intercourse, when performing daily activities, and when wearing tight fitting clothing. The Labiaplasty procedure involves the removal of the extra or uneven labia minora tissue (inner vaginal lips). The size, colour, and shape of labia vary significantly, and may change overtime. Labiaplasty may help to correct congenital defects and abnormalities, as well as the tearing and stretching of the labia minora caused by childbirth, accident, and age. According to a 2011 review, also in the Journal of Sexual Medicine, overall patient satisfaction from labiaplasty is in the 90–95 percent range.
In most instances, patients with enlarged labia minora also have enlarged clitoral hoods. The clitoral hood, or prepuce, is the skin that drapes over the body, glans, and erectile tissue of the clitoris. Enlarged clitoral hoods can result in difficulty accessing the clitoris during stimulation. Treatment for these patients often times includes a clitoral hood reduction. In some patients, the hypertrophic or enlarged labia extends to the posterior fourchette which is the bottom opening of the vagina. We recommend posterior fourchette reduction to these patients.
Labiaplasty may be performed for symptomatic patients, as well as for cosmetic reasons. Labiaplasty specialist, Dr. Shashoua has performed over 200 labiaplasties.
Labiaplasties can be performed in the comfort of our in-office accredited Operating Room. The procedure takes anywhere from 30 minutes to one hour depending on the particular patient’s vulvar anatomy and desired results. Hall Plastic Surgery & Rejuvenation Center provides discreet, professional, and skillful care to our patients. Dr. Shashoua and Hall Plastic Surgery are dedicated to patient care and quality outcomes.
Common reasons for having a Labiaplasty procedure
- The size of your labia makes it uncomfortable to wear tight ﬁtting clothes.
- The labia tissue becomes irritated during exercise.
- Sexual intercourse is painful or uncomfortable.
- Embarrassment about the size or appearance of your labia, leading to self-consciousness and making it difficult to be intimate with sexual partners.
- Asymmetry that causes embarrassment, loss of sexual function, or other problems.
Post-operative pain is minimal. Usually, no vaginal packing is required, although a sanitary pad can be used for comfort. The reduced labia are often very swollen during the early post-operative period, but will resolve with time. Most patients can resume physically unstrenuous work three to four days after surgery. To allow the wounds to heal, patients are encouraged not to use tampons or tight clothes (e.g. thong underwear), and to abstain from sexual intercourse for four weeks after surgery.
About George Shashoua, MD
Dr. George Shashoua
Dr. Shashoua is board certified in Female Pelvic Medicine and Reconstructive surgery and specializes in female pelvic floor disorders. He has a complete understanding of the external female anatomy that we feel is essential when performing labial or clitoral reductions.
Dr. Shashoua has performed over 200 labiaplasties. Major complications are extremely rare – less than 1%. The most frequent major complications are bleeding and infection. The most frequent minor complication is a superficial opeining of part of the incision. This is managed with topical care.