What is Labiaplasty?
Labiaplasty is a surgical procedure to make large labia smaller to a normal size. Labiaplasty also resculpts or reshapes the labia to a normal cosmetic appearance. The labia minora (or inner lips) is the skin that covers the clitoris and vaginal opening on each side. Women with large or uneven labia are often embarrassed about the size and may feel unattractive. Often, this relatively simple surgical procedure can restore the size and shape to a more normal look and proportions. Large labia can cause physical discomfort and irritation in everyday activities, sports and wearing clothes. Labiaplastysurgery restores the normal look and can enhance your confidence, self-esteem and quality of life.
Am I a Good Patient for Labiaplasty or Labial Reduction Surgery?
If you have embarrassment, pain, or sexual problems because of large, asymmetric or disproportionate labia minora, then you are candidate for the surgery. If you don't like your large labia or the shape of your labia, then you also qualify for the surgery.
Why do I have enlarged or large labia?
Congenital- Most women have always had enlarged or large labia- in other words, they were “born with it” or it developed over the pubertal/teenage years.
Acquired- other common causes of enlarged labia may be pregnancy or just with age. Stretching with time and constant irritation may also cause large labia. Rarely, enlarged labia may be the result of hormones-especially androgens that stimulate growth of the labia.
Am I a good candidate for Labiaplasty or Labial Reduction Surgery?
You are a good candidate for labiaplasty with you have one or more of the following:
Large Labia- Abnormally large labia may happen with age or pregnancy or you may always have had large labia. Women who find they feel embarrassed with the appearance and this may have experience profound effects on self-esteem, emotional happiness and sexual intimacy. Large labia may also cause problems and symptoms such as pain or discomfort with clothes fitting, exercise and day-to-day activities. With enlarged labia, women may have problems with hygiene, tampon placement, urine stream, urinary tract infections, sexual intercourse and other issues. Bilateral reduction labiaplasty is the recommended procedure.
Uneven or Asymmetric Labia- Often one labia may be larger than the other, and this may be of concern. This may be the result of previous surgeries, trauma or one may have always had different sized labia. Unilateral Labiaplasty to reduce the larger labia will restore the symmetry and “normal” appearance.
Abnormal appearance or cosmetic concerns- Often women do not like the way the labia looks, or perhaps feel it does not look “normal.” Many women feel that their labia have darkened with time or become hyperpigmented and feel very unhappy about the appearance and causing them to feel embarrassed. The normal color of the labia is pinkish or the women’s normal skin color. Dr. Lo will discuss with you your concerns, and how labiaplasty can correct hyperpigmentation and other concerns that you may have and help you achieve the look that you desire.
Most women who have labiaplasty surgery do so for both cosmetic and functional concerns. In other words, women wish their labia to look better and more normal and to help with whatever symptoms they may be having.
Dr. Adrian Lo uses different surgical techniques for labiaplasty depending on your individual situation. He evaluates your labial anatomy and will discuss how he can make you feel more comfortable with the cosmetic appearance of your labia and improve the discomfort you may be having. In any labiaplasty surgery, the labia should be at the level of the labia majora or slightly below but there can be personal preferences. Based on Dr. Lo’s experience, he will perform the proper labial reduction surgery that will give you the best result.
Labiaplasty surgery takes about 1 hour. The surgery is performed in our hospital or hospital surgicenter under twilight anesthesia or general anesthesia, depending on what is needed and also your wishes. It is outpatient surgery and you go home the same day. After surgery there will be some swelling and bruising. You will receive a prescription for pain relief medication and antibiotics. You may use an ice pack and a feminine pad for any drainage. You will clean the area as instructed. The stitches all dissolve by themselves, the cuts or surgical incisions will heal in 1-2 weeks. Usually, the scars heal well and you can't see them. You should be back to work in 3-5 days. Sexual intercourse may be resumed in 3-4 weeks.
Results of Labiaplasty Surgery
Most women (90%) are pleased with the outcome of their labiaplasty surgery. Most women report being pleased with the cosmetic appearance of their labia, increased self-esteem and enhanced sex life. The majority of patients also had complete improvement of their functional symptoms. Although there are no guarantees of successful outcomes with surgery, most women are happy with their labiaplasty surgery.
When can I go back to work after Labiaplasty surgery?
Most women go back to work in 2-4 days after the surgery, depending on how comfortable they feel. Most women do not have a lot of pain after this surgery but of course the amount of pain varies from woman to woman.
When can I resume exercise after Labiaplasty surgery?
Strenuous exercise such as aerobics, treadmill, spinning and weight lifting may be started at 4 weeks post surgery. Light exercise may be started at 2 weeks.
When can I resume sexual relations after Labiaplasty surgery?
Usually when all the incision are healed and all the discomfort from the surgery is gone, then sexual relations may be resumed at 4-6 weeks post surgery.
After labiaplasty surgery, will I lose sensation?
Labiaplasty surgery should not affect your sensation or pleasurable feelings during sexual intimacy. Most women report more pleasure during sexual intimacy because there is no longer irritation and discomfort from the large labia and because of better self-esteem.
After my labiaplasty surgery, will my sexual partner notice a difference?
Usually, your partner will notice that sexual relations are improved after labiaplasty, with the labia looking more pleasing, proportioned and no longer causing possible irritation during intercourse.
Can I still have labiaplasty surgery if I don’t have children yet?
Yes, having labiaplasty surgery will not affect your ability to have children in the future.
Risks of Labiaplasty Surgery With any surgery, there are risks. This surgery is relatively simple but there are risks such as bleeding, infection, healing problems, asymmetry, bad scars and chronic pain. The risks don't happen often but sometimes happen. Dr. Lo will discuss these risks with you.
Other Female Genital Surgery
Clitoral Hood Reduction- This may also be performed at the same time as labiaplasty if there is too much skin covering the clitoris. The excess skin often makes a woman feel embarrassed or causes problems with sexual stimulation.
Mons Pubis Surgery-
The mons pubis is an important area for aesthetics and may be unattractive for many reasons.
Fatty Mons pubis - If you are overweight, or have gained weight, the fat may accumulate in the mons pubis area. Often, this area will still stay fatty or “puffy” even if you lose weight. The recommended treatment is advanced liposuction to remove the fat and to shape and contour the mons pubis.
With age, the skin of the mons pubis may relax and sag. There can be weight gain with age causing fat to accumulate in the mons pubis. This may result in a “puffy” and saggy mons pubis area that can show in jeans and clothing. Sometimes, it can even be tender or painful. The recommended treatment is a mons pubis lift with advanced liposuction for sculpting and contouring.
With weight loss, a mons pubis that was fatty, now is smoother and flatter but the skin is loose and likely to hang. The recommended surgical treatment to correct this is a mons pubis lift.
With tummy tuck surgery, Dr. Lo always evaluates the mons pubis area. When Dr. Lo evaluates a patient for a tummy tuck, he always evaluates the mons pubis area. A patient may need mons pubis surgery in combination with a tummy tuck to improve the overall cosmetic look. In many situations, Dr. Lo will perform advanced liposuction to shape and contour the mons pubis as part of the tummy tuck surgery. In more severe situations, a mini mons pubis lift may be recommended.
With severe weight loss, such as patients who have had gastric bypass, lap banding or similar procedures, the mons pubis often is very saggy and puffy at the same time. It can be extremely unattractive and these are some of the most severe cases that Dr. Lo has seen and treated. The recommended treatment is a combination of an extended mons pubis lift, direct fat excision and advanced liposuction to give the best result possible.
Recovery from Mons Pubis Surgery
The surgery is performed in an accredited surgicenter or outpatient facility of Pennsylvania Hospital. Usually a twilight sedation or general anesthesia is administered to ensure your comfort and avoid pain and discomfort. A board certified doctor anesthesiologist is in charge of your care and Dr. Lo and his team of nurses are ensuring the best outcome possible. Before the surgery, the mons pubis area is prepped with antiseptic solution but shaving is not required.
The surgery takes about 1 hour and you go home the same day. You will have a light dressing on the area and compression underwear such as Spanx. The purpose of the compression underwear is to support the mons pubis area and to control swelling and bruising. You are allowed to change the dressing the next day and to shower and wash the mons pubis. You will be given pain relief medication and antibiotics. The surgery is not usually that painful but most patients take pain medication for 1-2 days. You are allowed to walk around and do normal day to day activities but nothing strenuous. Most patients take about 3-5 days off work. Driving is allowed whenever you feel comfortable in 3- 5 days. Exercise is allowed in 2 weeks. You will follow up with Dr. Lo in 1 week for a checkup. All the stitches dissolve by themselves. You will see the final result in 1-3 months.
Costs of Labiaplasty and Mons Pubis Surgery:
The cost of labiaplasty surgery ranges from $3500 to $5500 depending on which labiaplasty procedure is recommended. The average cost for a standard labiaplasty surgery is $4500 including hospital and anesthesia charges.
The cost of mons pubis surgery ranges from $3500 to $5500 depending on whether mons pubis liposuction, mini mons pubis lift or an extended mons pubis lift is recommended. This includes hospital and anesthesia costs.
We accept cash, certified check, money orders, and credit cards. Financing is available.
*Results may vary.
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