Labia Reduction

Overview of the surgery 

Labia Reduction also known as  Labiaplasty or labioplasty – a surgical procedure to correct labial asymmetry or labial hypertrophy and to change the appearance of the vulva.  

The labia minora are located  between the labia majora and have an overall triangular shape. The inner side of the labia minora is covered with pink, shiny mucosa; the outer side is covered with dark skin. 

 The normal width of the labia minora is generally 1.5 to 2cm.  

Labial minora hypertrophy can be congenital or acquired. Acquired hypertrophy cause by male hormones testosterone, chronic inflammation, excessive masturbation, stretching from sexual intercourse, early onset sexual intercourse, multiple pregnancy and some other causes.  

During surgery, larger or uneven inner vaginal lips are cut and shortened using specialized scissors, a scalpel or a laser. In addition, the labia majora, on the outside of the body, can be reduced with either surgery or liposuction if needed. A hoodectomy, which exposes the clitoris in an attempt to increase sexual stimulation, may be performed at the same time. 

The appropriate incision location depends on many individual factors, including the configuration, texture and size of the labia. The surgeon will then suture the incision closed with absorbable sutures 

Preparation before surgery 

  • Assessment of the medical history (any allergies, serious medical condition and all medications taken both prescribed and non-prescribed), physical examination, and laboratory tests will be performed during consultation. 
  • Smoking must be avoided for about 3-4 weeks prior to surgery, as nicotine interferes with circulation and will greatly affect healing process. 
  • You will likely to be asked to stop drinking alcohol, a week before the surgery and throughout your recovery period. 
  • Avoid taking any medications such as hormones, anticoagulants, anabolic steroids and supplements at least 4-6 weeks to prevent complicating medical factors prior to surgery. Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding. 
  • Do not have sexual intercourse the night before the surgery. 

Duration of the operation: 

Labiaplasty usually takes no longer than 2 hours or in some cases is no more than 1 hour. 

Post-Operative Care 

Clean the incision site with hydrogen peroxide and put antibiotic cream/ointment on a daily basis. Your stitches should dissolve within 2-2 ½ weeks. Swelling and tenderness should gradually disappear within 6 weeks. Oral medications can reduce pain. Oral antibiotics may be prescribed to reduce the risk of infection. 

Recovery period: 

After surgery, you can’t have intercourse for about 4 weeks, and your genitals will be tender and swollen for several weeks. You will be asked to stop any heavy, strenuous exercise for three or more weeks after surgery. Also you cannot use tampons and douches for 3 to 6 weeks following surgery. While recovering, you will need to wear a pad for one week or less, due to the bleeding that results. Most women resume normal activities, like work, within four days. 

Possible Risk and Complication 

With any surgical procedure there are certain risks. The most common can include bleeding, infection, asymmetry, and scarring. Although these events are usually infrequent, they sometimes can occur. These will be discussed with you during the consultation for your procedure. 

Anesthesia use: 

General or local anesthesia  

Hospital admission: 

Labiaplasty can be performed on an out patient basis or in the hospital under local or general anesthesia. You and your surgeon will discuss preferences.