Labiaplasty is a surgical procedure that involves the reshaping or reduction of the labia minora, the inner “lips” of the vulva. The procedure is usually done for cosmetic reasons, to reduce the size or shape of the labia, but it can also be performed to address pain or discomfort caused by enlarged or asymmetric labia. Centre for Surgery in London is a specialist clinic for labiaplasty surgery and is home to some of the best plastic surgeons and gynaecologists in the UK. Here, we answer your most commonly asked questions about labia reduction.
LABIAPLASTY OVERVIEW
What is feminine rejuvenation?
Female rejuvenation procedures are suitable for women who would like to improve the appearance of the female genitalia. Procedures are designed to reshape, reduce or tighten the labia or vagina to achieve a youthful appearance with improved function.
Is labiaplasty surgery common?
Labiaplasty is a surgical procedure that reshapes or reduces the labia minora, the inner “lips” of the vulva. It is considered a safe procedure by a qualified and experienced surgeon. The procedure is usually done for cosmetic reasons, such as to reduce the size or shape of the labia, but it can also be performed to address pain or discomfort caused by enlarged or asymmetric labia.
The number of labiaplasty procedures performed in the United Kingdom has been increasing in recent years. However, it’s still considered a relatively rare procedure. According to data from the British Association of Aesthetic Plastic Surgeons (BAAPS), the number of labiaplasty procedures performed in the UK has increased by around 50% since 2015.
What is a “normal labia”?
Labia come in a wide range of different sizes and shapes. Labia can be large, small, smooth, lumpy, short or long. If there are no medical concerns from your labia, they can be considered normal.
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What type of surgeon performs labiaplasty surgery?
Labiaplasty surgery is performed by both gynaecologists and plastic surgeons. We would recommend avoiding having surgery by doctors who do not fall into the above categories, including cosmetic surgeons.
What conditions can labiaplasty target?
Labiaplasty can surgically reduce the size of the labia minora so that they appear in better balance with the labia majora.
Does the perfect-looking labia exist?
There is no such thing as a perfect-looking labia. For women who experience medical symptoms, labiaplasty surgery can help to relieve pain and discomfort.
Why is labiaplasty a sensitive procedure?
Labiaplasty surgery is designed to alter the size and shape of the labia. Surgery on the female genitalia for cosmetic reasons may be considered controversial in certain parts of the world. However, we believe women should be empowered to make their own choices, and if they wish to enhance the appearance of the labia, they should be able to do so without judgment from others.
Why do women get labiaplasty?
Women commonly request labiaplasty surgery for several reasons, including recurrent infections, painful sexual intercourse, or simply being unhappy with the appearance of the labia. Labiaplasty surgery can be used to address any of these conditions.
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Will I need a labiaplasty?
If you experience significant pain and discomfort from your labia rubbing on tight clothing, appearing prominent through swimwear or feeling excessively self-conscious during sexual activity, then labiaplasty could be ideal for you.
What is unilateral labiaplasty?
Surgery on one side of the labia only is also known as unilateral labiaplasty.
What is a bilateral labiaplasty?
Bilateral labiaplasty involves surgically enhancing both sides of the labia minora or majora.
How should I proceed once I have decided to get a labiaplasty?
You should first schedule a consultation with a specialist surgeon in your local area. At the consultation, you will be clinically assessed to determine your suitability. If you are suitable and you have realistic expectations, you will be invited to book a suitable date for surgery.
SUITABLE CANDIDATES FOR LABIAPLASTY SURGERY
Is it normal to have large labia?
Having large labia is considered a variant of normal, and women have labia in a wide range of different appearances.
How can I tell if I need a labiaplasty?
Labiaplasty surgery is appropriate if you are unhappy with the appearance of the vulva or you experience pain and discomfort during sexual intercourse.
What can cause the labia to grow?
Puberty, Pregnancy, childbirth, and menopause can cause the labia to enlarge in size, and this is also known as labial hypertrophy.
What is labial hypertrophy?
Labial hypertrophy is a condition in which the labia minora (the inner “lips” of the vulva) become enlarged. This can be a congenital condition, present at birth, or it can occur later in life due to hormonal changes, childbirth or other factors. Labial hypertrophy can cause discomfort, pain or self-consciousness, and in some cases, it can interfere with physical activities or sexual intercourse. In such cases, a labiaplasty can be done to reduce the size of the labia.
Why do women get labiaplasty surgery?
Women request labiaplasty for several reasons, including improving the appearance of the labia, relief of pain and discomfort from sexual intercourse or reducing the protrusion of labia through tight-fitting clothing such as swimwear.
Can labiaplasty reduce sensation?
Once fully healed, Labiaplasty is not associated with reduced sensation. In most cases, labiaplasty is often associated with enhanced sensation.
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What is the minimum age to get a Labiaplasty?
Patients will need to be a minimum of 18 years of age to have a consultation or procedure at Centre for Surgery.
Does labiaplasty improve vaginal tightness?
Labiaplasty does not improve vaginal tightness and has no effect on a loose vagina.
Can I have a Labiaplasty if I am pregnant?
We would advise against having a Labiaplasty whilst you’re pregnant. We would recommend having a Labiaplasty surgery six months after the completion of breastfeeding.
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LABIAPLASTY PROCEDURE
Can I choose to be awake during labiaplasty?
Labiaplasty is very well tolerated under local anaesthetic, and women often prefer to be awake during surgery. In some cases, your surgeon may recommend a general anaesthetic for your comfort or if the procedure is anticipated to be complex.
Can labiaplasty be undertaken with local anaesthesia?
Labiaplasty is very commonly performed with a local anaesthetic with or without oral sedation.
Does labiaplasty require general anaesthesia?
Although labiaplasty is most commonly performed with local anaesthesia, many women prefer to have a general anaesthetic to help eliminate anxiety about being awake during labiaplasty.
How is a labiaplasty performed?
The specific technique used will depend on the individual case, but some of the most common methods include the following:
- Wedge resection: A triangular piece of tissue is removed from the middle of the labia, and the edges are then sewn together.
- Edge resection: The edges of the labia are trimmed and then sewn together.
- Z-plasty: The labia are reshaped by making a series of small incisions and then repositioning the skin.
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After the procedure, patients may experience some pain, swelling, and discomfort, and the recovery time can vary depending on the technique used and the individual’s healing process. The sutures typically dissolve on their own, but patients may need to avoid certain activities, such as sexual intercourse, for a period of time to allow for proper healing.
What is the difference between a trim technique and wedge technique for labiaplasty?
The trim technique involves removing a section of the labia minora, and then suturing the remaining edges together to reduce the size and shape of the labia. This technique removes a linear strip of tissue along the edge of the labia.
The wedge technique, also called the “V” or “V-wedge” technique, involves removing a triangular-shaped section of tissue from the labia minora and then suturing the remaining edges together. This technique removes a wedge-shaped section of tissue from the labia, preserving its natural contours.
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Both techniques can be used to reduce the size or shape of the labia minora and to address pain or discomfort caused by enlarged or asymmetric labia. The choice of technique will depend on the individual case, the surgeon’s expertise and the patient’s preference.
What is the deepithelialisation technique of labiaplasty?
The deepithelialisation technique is a surgical technique for labiaplasty that involves removing a thin layer of skin from the labia minora while preserving the underlying tissue. This technique is also known as the “skin resection” technique.
The deepithelialisation technique is typically used to reduce the size or shape of the labia minora and to address pain or discomfort caused by enlarged or asymmetric labia. The procedure involves removing a thin layer of skin from the labia minora, while preserving the underlying tissue, which helps to maintain the natural contours and sensitivity of the labia.
The deepithelialisation technique is considered to be a less invasive option compared to other techniques, such as the trim or wedge technique. The recovery time is shorter, and complications are less likely to occur.
Can I combine a labiaplasty with fat transfer?
Yes, Fat transfer can be added to a labiaplasty procedure. Fat transfer, also known as fat grafting or fat injection, is a technique where fat is removed from one area of the body, usually the abdomen, hips, or thighs, via liposuction and then injected into the labia minora to enhance its size or shape. This procedure is done in addition to the labiaplasty, which is done to reduce the size of the labia minora, and the fat transfer is done to add volume to the labia minora. This combination can result in a more aesthetically pleasing shape of the labia while also addressing any concerns of asymmetry or volume loss. It should be noted that the longevity of the fat transfer results can vary, as the body may reabsorb the grafted fat over time.
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RECOVERY AFTER LABIAPLASTY
How long does it take to recover after a Labiaplasty?
The recovery time after a labiaplasty can vary depending on the individual case and the specific technique used. In general, patients can expect to experience some pain, swelling, and discomfort for the first few days after the procedure.
Patients may be able to return to work or other normal activities within a week or two after the procedure, but strenuous activities and sexual intercourse should be avoided for a period of time to allow for proper healing, usually 4 to 6 weeks. The time of complete recovery can be different for everyone and depends on the healing process of each individual and the surgical technique used. Our surgeons will provide specific guidelines and instructions for the recovery period and can answer any questions or concerns.
Is labiaplasty recovery painful?
Pain and discomfort after a labiaplasty are usually minimal and can be well controlled with over-the-counter painkillers.
How long does labiaplasty swelling take to disappear?
Swelling is a normal part of the recovery process after a labiaplasty. The amount of swelling and the length of time it takes for the swelling to disappear can vary depending on the individual case and the surgical technique used.
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In general, patients can expect to experience some swelling and discomfort for the first few days after the procedure. The swelling will gradually decrease over time, but it may take several weeks for it to fully disappear.
Can I drive myself home after labiaplasty surgery?
You should not drive yourself home after a Labiaplasty even if you had the procedure with a local anaesthetic. You will need a responsible adult to take you home via car or taxi. Public transport is not recommended.
When do labiaplasty stitches need to be removed?
In the vast majority of cases, your surgeon will use dissolvable stitches, which will be absorbed by the body after four weeks.
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When can I have sex after a Labiaplasty?
Sexual intercourse should be avoided for a minimum of eight weeks following surgery.
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When can I exercise after a Labiaplasty?
Regarding exercise, it is important to avoid any strenuous activities for the first few weeks after surgery. This includes activities such as running, cycling, weightlifting, and other high-impact exercises. It’s also recommended to avoid any activities that involve heavy lifting or straining of the abdominal muscles, such as sit-ups or crunches.
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You can start with light activities such as walking and gentle stretching exercises, as advised by the surgeon. As the healing progresses, you can gradually return to more strenuous activities, but always listen to your body and do not overdo it.
When can I wear tight-fitting jeans after a Labiaplasty?
It is best to avoid tight-fitting clothing, including jeans, for some time after a labiaplasty to allow for proper healing and to minimise discomfort. The specific time frame will depend on the individual case and the surgical technique used, but most surgeons recommend avoiding tight clothing for at least 4 to 6 weeks after the procedure.
During the recovery period, patients should wear loose, comfortable clothing and use a sanitary pad to absorb any drainage or bleeding. It is best to check with the surgeon for specific instructions and guidelines on when you can return to normal activities, including wearing tight-fitting clothing, as they will know the best based on your specific case and progress.
When do labiaplasty stitches fall out?
The labiaplasty stitches will typically fall out on their own in the weeks following the procedure. The specific time frame will depend on the surgical technique used and the individual’s healing process. Most techniques use dissolvable sutures that will be absorbed by the body over time and don’t need to be removed. Others use non-dissolvable sutures that will need to be removed by the surgeon during a follow-up visit.
You should also avoid sexual intercourse and strenuous activities until your surgeon clears you. It is best to follow the post-operative instructions provided by the surgeon, including any follow-up visits, to ensure proper healing and minimise complications.
What are the top tips to speed up Labiaplasty recovery?
Here are some tips to help speed up recovery after a labiaplasty:
- Follow all post-operative instructions provided by the surgeon, including instructions for wound care and medications, to promote healing and minimise complications.
- Keep the surgical area clean and dry, and avoid any activities that might cause irritation or trauma to the area.
- Use a sanitary pad to absorb any drainage or bleeding, and change it regularly.
- Take all medications as prescribed, and follow any additional pain management techniques recommended by the surgeon.
- Keep the legs elevated to reduce swelling, and avoid sitting for long periods of time.
- Avoid sexual intercourse and strenuous activities until your surgeon clears you to do so.
- Wear loose, comfortable clothing during the recovery period to avoid any pressure on the surgical area.
- Keep the follow-up appointments with your surgeon to ensure proper healing and address any concerns or complications.
RISKS AND COMPLICATIONS OF LABIAPLASTY
Can labiaplasty cause nerve damage?
Labiaplasty is considered a safe procedure when performed by a qualified and experienced surgeon; however, like any surgical procedure, there is a risk of complications. One of the possible complications of labiaplasty is nerve damage. Nerve damage can occur during the procedure and can cause numbness, tingling, or a loss of sensation in the labia or the surrounding area.
Nerve damage is considered a rare complication. However, if it occurs, it may be temporary or permanent. In some cases, the nerve damage can be repaired during follow-up surgery.
Will I lose feeling after a Labiaplasty?
Labiaplasty is not generally associated with a loss of feeling after surgery.
Can a labiaplasty affect my sensitivity?
Labiaplasty is not known to affect sensitivity once fully healed.
Does labiaplasty affect childbirth?
Labiaplasty involves surgery on the outer vaginal lips and is therefore not associated with effects on childbirth or a woman’s birthing experience.
Does labiaplasty affect sensation?
Labiaplasty is a surgical procedure that reshapes or reduces the labia minora, the inner “lips” of the vulva. In most cases, labiaplasty does not affect sensation. It is possible, however, that there may be temporary changes in sensation in the labia or the surrounding area immediately following the procedure. This is due to the swelling and inflammation that can occur after surgery. This sensation typically returns to normal within a few weeks to a few months after the procedure.
Does labiaplasty hurt?
Labiaplasty is a surgical procedure, and like any surgical procedure, it can cause some pain and discomfort. The level of pain can vary depending on the individual case, the surgical technique used, and the person’s own pain threshold.
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During the procedure, the patient will be under general anaesthesia or local anaesthesia with sedation, so they will not feel any pain during the surgery. After the procedure, patients may experience some pain, swelling, and discomfort for the first few days.
Your surgeon will provide you with pain management techniques and medication to manage the pain during the recovery period. The pain will gradually decrease over time, and most people are able to return to their normal activities within a week or two, although the recovery time can vary depending on the individual.
Does labiaplasty leave scars?
The incision made during the labiaplasty procedure will leave a scar. The scar will be located on the labia minora and will be hidden within the natural folds and creases of the area. The scar is typically small and well-hidden, but the visibility of the scar will depend on the surgical technique used, the healing process, and the individual case.
Most scars will fade over time, but it may take several months for them to become less noticeable. In some cases, the scar may be slightly raised or discoloured, but this will improve with time.
Will my Labiaplasty scars be visible?
The visibility of the scars from a labiaplasty will depend on the surgical technique used, the healing process, and the individual case. The incision made during the labiaplasty procedure will be located on the labia minora and will be hidden within the natural folds and creases of the area, making the scars less visible. However, in some cases, the scars may be slightly raised or discoloured, but this will improve with time. Most scars will fade over time, but it may take several months for them to become less noticeable.
Is Labiaplasty safe?
Labiaplasty is considered a safe procedure when performed by a qualified and experienced surgeon. The procedure is usually done for cosmetic reasons, to reduce the size or shape of the labia, but it can also be performed to address pain or discomfort caused by enlarged or asymmetric labia.
Like any surgical procedure, labiaplasty carries some risks and potential complications, such as bleeding, infection, anaesthesia complications, and nerve damage. However, these risks are considered rare when a qualified and experienced surgeon performs the procedure.
LABIAPLASTY COST AND FINANCING
Can I get a labiaplasty on the NHS?
Labiaplasty is considered a cosmetic procedure and is not typically covered by the National Health Service (NHS) in the United Kingdom. This means that it is not available on the NHS, and patients will need to pay for the procedure privately.
The NHS generally only covers labiaplasty in cases where there is a clear medical need, such as labial hypertrophy causing severe discomfort or pain, or other medical conditions that affect the labia. In these cases, the procedure will only be done after a thorough evaluation by a specialist and after other options have been considered.
What factors affect the cost of a Labiaplasty in London?
Labiaplasty is a surgical procedure, and the cost can vary depending on a number of factors, including the location of the surgery, the surgeon’s expertise and reputation, and the specific technique used.
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In London, the cost of a labiaplasty can vary widely but typically ranges from around £3500 to £6000. The cost of the procedure can depend on the experience of the surgeon, and the type of procedure. The cost of the procedure can be higher if the revision surgery is performed.
Is a labiaplasty worth it?
Labiaplasty is a surgical procedure that reshapes or reduces the labia minora, the inner “lips” of the vulva. It is considered a safe procedure when performed by a qualified and experienced surgeon. However, like any surgical procedure, it carries some risks and potential complications, such as bleeding, infection, anaesthesia complications, and nerve damage. Also, the procedure is considered a cosmetic procedure and is not typically covered by the National Health Service (NHS) in the United Kingdom.
Labiaplasty Surgery at Centre for Surgery
Centre for Surgery is a specialist plastic surgery clinic in London renowned for expertise in all types of cosmetic gynaecology surgery, including labiaplasty. We are one of the few centres in the UK to have female surgeons who regularly perform labiaplasty surgery. Call us today on 020 7993 4849 or complete the contact form below to schedule an in-person consultation at our state-of-the-art Baker Street clinic in Marylebone.