Revision of the labia / vulvar area is performed for patients that do not like the sensation or look of their anatomy. The vulvar area could cause pain and discomfort for some patients during exercise, intercourse or with tight clothing.
After consultation with patients, we can assess if labiaplasty can be of benefit to their specific problem.
What is the normal size of the labia minora?
There is no so called "normal size". Like a nose, every labia of every size is considered normal. No person can dictate what normal sized labia should be. However, there have been some unscientific surveys that state most women would prefer their labia minora not protrude past the length of the labia majora. Most patients prefer the labia minora to be at the level of the labia majora or lower.
What type of symptoms do patients have with enlarged labia?
Many patients complain of pain, discomfort or irritation during physical activity, sexual intercourse, or wearing certain types of clothing.
Should I have labia reduction surgery?
No physician, sexual partner or spouse should tell you to have labia reduction surgery. Only the individual considering surgery can make that decision. She must remember that this is an irreversible procedure. So once performed the labia can never be replaced. Only you can make the decision to go to surgery after the physician discusses with you the risks, benefits and alternatives to the procedure. This surgery is a quality of life issue and is not life threatening and is not considered a medical condition.
What technique do you use and why?
We use a variety of contouring techniques which allows us to shape the labia like one is shaping a vase from a block of clay. The reduction is usually done in what is called a curvilinear fashion, a gradual curve from the clitoral hood towards the perineal area near the anus. We usually reduce the labia to or just below the level of edge of the labia majora. This technique does NOT leave a noticeable scar despite what a few surgeons might say. It gives the labia an easy relaxed reduction without an abrupt flat look from someone who just amputates. This contouring affect also allows me to remove the darkened edges of the labia. For larger refinement, sometimes a v- or z- style incision is utilized.
How much time is required to actually do the surgery?
The labia reduction surgery usually takes about 1 to 2 hours. This may seem like a long time for a small area but this is a result of slow meticulous work in order to make our patients as happy with their surgical outcome.
Which tools are used to do your contouring?
Since 2016, Dr. Beck has offered in-office labiaplasty using a precise RF energy system that was previously only available for patients willing to travel to large metropolitan areas such as Dallas, Miami, or Beverly Hills. Her expertise with this technology allows for excellent cosmetic outcomes, minimal post operative swelling, and a more comfortable recovery. However, our providers have been trained on a variety of instruments including an electronic cutting device, plastic surgery scissors, laser, and scalpels. We use whatever instruments we believe will give me the best results.
How long do the sutures last?
The sutures are made of a delayed absorbable material. These sutures usually dissolve in 6 weeks, however we have seen them last anywhere from 3-12 weeks, at which point they dissolve and the ends of the sutures fall off.
How much pain is involved with the surgery?
Though there are no generalized statements about the pain you will feel, most patients don't have much discomfort after the first day. Most patients say they have more of soreness, but not much pain. Many of our patients do not even use narcotics and will only use anti-inflammatory such as Motrin/Ibuprofen. Patients will have swelling up to 6-8 weeks postoperatively, but by using cold compresses during the first 48 hours most of the swelling is gone by 3 days.
Where is surgery performed?
Surgery is performed in the setting that is most comfortable and safe for each patient and is decided after individualized counseling. Many patients will be excellent candidates for in-office labiaplasty and prefer the convenience and economic advantage of not having general anesthesia.
For patients who require extensive revision, who are coupling this with another procedure such as an endometrial ablation, or who just prefer to have the procedure done under general anesthesia, we perform the surgery at the outpatient surgery facility with overnight stay options available.
Will the labia enlarge again if I have another baby?
Though it is possible that a patient might have some minor enlargement of the labia after having a reduction, it is highly unlikely that the extent of enlargement will be bothersome. Remember the bulk of the enlarging tissue has been removed with the reduction procedure.
How will labia reduction affect my sex life?
This is as individual as the patient getting the surgery. Most patients are affected in a positive way; sex is more spontaneous because the patient feels greater self-esteem. There is less pain with intercourse if the patient previously had pain due to the labia.
Does labia reduction surgery deaden nerves and sexual arousal?
No. The labia minora is not an area of stimulation for sexual arousal. Most patients stimulate the clitoris or the G spot for sexual arousal. The labia minora is not considered an erogenous zone.
Can labia reduction surgery be reversed?
No. The labia reduction surgery cannot be completely reversed and one cannot replace what has been removed.
With the aging process or after childbirth, the female body changes. Some of these changes also include the vaginal area. Vaginal stretching and relaxation can cause pain and discomfort in daily and routine activities, as well as pain with intercourse. In some women the relaxation in the vagina can cause a diminished sexual response in them and their partner.
Our physicians counsel women about this aspect of their health and have been helping women achieve a more satisfactory anatomical health in their female genitalia. These procedures have been offered to our patients discretely at their office visits.
With the trend of advertising for the plastic surgery for the female genital tract, our practice feels that women should be informed about who is the most capable person to handle these specific treatment options. Our physicians perform vaginal reconstruction surgeries to achieve the optimal anatomical size and performance that is unique to each and every individual.
Our goal is to enable our patients to feel comfortable in inquiring about these procedures without the need to enter practices that only want to set "trends".
We take care of the whole woman and are more than happy to discuss these procedures with you. Please note if you have any of the following symptoms, and if the answer is yes, you may be a candidate for either vaginal reconstructive surgery or newer minimally invasive therapies such as ThermiVa or MonaLisa Touch:
Contact our office for a consult 501-221-9700