Occasionally, labia minora hypertrophy will present in women as a congenital (since birth) condition or as a result of childbirth, weight loss, aging, or other factors. This condition is characterized by enlarged labial tissue, which can be both painful and embarrassing if the labia is visible through clothing or is prone to pinching and irritation when riding a bicycle, sitting, or engaging in other daily activities. Labial reduction surgery can be performed by a qualified plastic surgeon or gynecologist for significant improvement in the functional and aesthetic effects of enlarged labial tissue. Dr. Ram Kalus at Plastic Surgery of the Carolinas has extensive experience performing labial reduction surgery and can personalize the procedure to improve any existing medical symptoms and alleviate your unique concerns.

Who is a Candidate for Labiaplasty?

A labiaplasty procedure typically benefits women who have enlarged, asymmetrical, or elongated labia and experience aesthetic or functional discomfort as a result. Due to the extreme sensitivity of the labia minora, an array of concerns can arise when redundant tissue is present. The symptoms that can commonly be improved or resolved through surgical labia reduction include:

  • Irritation occurring from friction
  • Pain and discomfort during physical activities
  • Skin chafing
  • Embarrassment when nude or wearing form-fitting clothing

While labial hypertrophy usually does not affect one’s health, consideration of a labiaplasty may be necessary when enlarged labia minora (inner labial folds) diminish your quality of life or prevent you from fully engaging in certain activities. Depending on your unique needs, this form of vaginal rejuvenation can generally achieve the following:

  • Removal of stretched or excess labial tissue
  • Improved symmetry of labia
  • Reduced length of the labia minora

If you are unsure whether you would benefit from a labiaplasty, Dr. Kalus can determine whether the procedure is able to effectively fulfill your cosmetic goals during a consultation. Many women include a labiaplasty as part of a mommy makeover for a full restoration of their pre-pregnancy status.

How is Labiaplasty Performed?

The technique used in labiaplasty will depend on your body contouring goals and the details of your treatment plan. A common approach involves a trim procedure, in which excess tissue is removed with a straight-line incision along the edge of the labia. In other cases, a wedge excision may be used to eliminate redundant skin in the labia minora and reshape the remaining tissue. Extra folds in the clitoral hood may also be reduced, depending on your individual needs. Dr. Kalus, our plastic surgeon, will discuss the details of surgery with you in person to ensure you are well-informed about the procedure. Any incisions are usually closed with absorbable sutures. Labiaplasty is typically an outpatient procedure and may utilize general anesthesia, or local anesthesia with sedation.

What is Recovery Like for Labiaplasty?

After labial reduction surgery, patients generally experience temporary bruising and swelling in the treated areas. Dr. Kalus will administer a timed-release local anesthetic medication at the time of surgery, which should eliminate most post-operative discomfort almost entirely for 2-3 days. These symptoms should resolve as recovery progresses, but any discomfort can often be managed well with additional oral pain medication. Individuals typically return to work and daily activities within a few days, although strenuous physical activity such as exercise and sexual intercourse should be avoided for four weeks.

As the final outcome of surgery is fully realized, patients commonly report increased confidence in situations that may have previously led to anxiety, along with a significant reduction in the discomfort associated with labia minora hypertrophy.

If you are interested in labiaplasty surgery, Dr. Kalus can find the best surgical solution to meet your needs. To schedule a consultation, contact our office online or by telephone today.

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