LABIAPLASTY & VAGINOPLASTY
As a female gynecologist, you can comfortably discuss your most intimate concerns and desires regarding feminine cosmetic enhancements with me. Trust me, as a GYN I hear it all and you are not alone!
A labiaplasty procedure is performed to reduce the size and contour the shape of the vaginal labia majora and minora. While there is a large spectrum of vaginal anatomy, some women have discomfort or embarrassment from labial asymmetry or protuberance. This may lead to avoiding certain activities or clothing. Some women also report feeling irritation or being self-conscious with intimate partners.
Why do women choose labiaplasty?
More than ever women are seeking out vaginal aesthetic treatments. The highest number of labiaplasties performed ever was in 2016 according to the American Society for Aesthetic Plastic Surgery (over 12 thousand!).
Most commonly women choose to undergo labiaplasty for either aesthetic or functional reasons.
A labiaplasty procedure is for aesthetic purposes if you want to change the contour and the size of the vaginal labia (aka vaginal lips). This is not meant to “fix” how your vagina looks as there is a huge range of “normal”. However, some women report extreme self-consciousness regarding the appearance of the vagina in fitted clothing or with intimate partners. You may prefer to reduce the larger labia, even out both sides or keep the labia minora from protruding beyond the outer vagina majora (outer vaginal lips).
You may have a functional reason for labiaplasty such as discomfort at the vaginal labia from contact or friction. Labiaplasty may help you if you are avoiding certain activities or clothing you love most such as spin classes or yoga pants.
How is a labiaplasty done?
There are several different techniques to labiaplasty and I tailor the approach to your individual anatomy. The most common techniques are the V – wedge resection and linear resection which refer to the portion of skin removed. The labial skin is then closed in multiple layers with very thin suture that dissolves over a few weeks. You may also benefit from reduction of excess skin around the clitoris called a clitoral hood reduction. When performed properly for the right patient, these techniques are generally safe with good cosmetic outcomes and improvement in irritation associated with prominent labia.
I perform surgery at the certified and fully credentialed outpatient surgery center under general or local anesthesia as appropriate for you. The procedure takes about 1 hour.
What is the recovery like from a labiaplasty?
We perform our surgeries at ambulatory outpatient centers under anesthesia. You can expect to go home the same day. Antibiotics and lubricants may be used for a short period of time postoperatively. Sexual intercourse and exercise are restricted for up to 6 weeks.
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Why is vaginoplasty done?
Vaginoplasty is sometimes needed in combination with labiaplasty. While the labiaplasty is a procedure on the external vaginal labia, the vaginoplasty refers to tightening the vaginal canal and opening with reinforcement of the vaginal muscular support.
This can help eliminate irritation and diminished sexual sensation in cases of vaginal laxity, most commonly from childbirth.
How is a vaginoplasty done?
Vaginal tightening can be considered the combination of vaginoplasty (tightening of inner vaginal canal), perineoplasty (tightening of outer vaginal opening) and posterior repair (bringing together loose vaginal muscles). The final procedures used are based on your anatomy and desired results. Any scar tissue can be removed, and a three layer closure is performed to reduce any bulging and strengthen the vaginal floor.
Will the recovery be difficult after my vaginoplasty?
We will perform your surgery at the credentialed outpatient surgery center adjoining our office and you can expect to go home the same day. General or local anesthesia with sedation is used as appropriate.
Antibiotics and lubricants may be used for a short period of time postoperatively. You will notice some initial bruising and soreness which significantly improve over the first 2 weeks. Sexual intercourse and exercise are restricted for up to 6 weeks.