What is Labiaplasty?
The size and shape of the labia can be a cause for concern for many women unhappy with the appearance of enlarged or misshapen labia. There are two types of labia, the labia minora and labia majora. The labia minora are the inner folds that sit on either side of the vagina opening, and the labia majora are the outer folds surrounding the inner labia minora. Large labia, also known as labial hypertrophy, may develop due to genetics, after childbirth or as part of the ageing process. Labiaplasty, also known as labia reduction, is a highly effective and safe procedure for a permanent reduction in the size of the labia with an improvement in overall shape and definition.
Labiaplasty surgery or labia minora reduction can reduce the size of enlarged labia minora, which are the inner folds of soft tissue located on either side of the vagina. The best technique involves surgical removal of excess tissue using a scalpel before using fine absorbable stitches to restore the labial edges neatly. Labiaplasty is most commonly performed with a local anaesthetic and sedation, although a general anaesthetic may be chosen if you prefer.
RELATED: What is labiaplasty?
Labiaplasty is also commonly requested to reduce the size of prominent labia majora which are the outer folds of tissue adjacent to the labia minora. Labia majora reduction is less commonly performed compared with labia minora reduction and requires an experienced surgeon to carry it out successfully. Labiaplasty is commonly confused with vaginoplasty. Labiaplasty is not designed to tighten the vagina. Vaginoplasty, also known as vaginal tightening surgery is the best technique to treat a loose vagina after childbirth by tightening the vagina. Women may choose to undergo labia surgery to improve the appearance of the labia, or they may have functional symptoms from having large labia, which include pain and discomfort whilst carrying out physical exercise or during sexual intercourse.
RELATED: What is labia reduction?
Labia reduction surgery at Centre for Surgery takes approximately one to 2 hours to carry out. Labiaplasty is most commonly carried out as a day case procedure which means you will be discharged later the same day and allowed recover in the comfort of your own home, and this will maximise the chances of a smooth labiaplasty recovery.
For many adult women, enlargement of the labia minora and/or labia majora can cause aesthetic, functional or psychological issues. Women with enlargement of one or both sides of the labia minora may report increased irritation, inflammatory changes, reduced personal hygiene during menses, and painful intercourse. Many women with labia minora enlargement or asymmetry also report increased anxiety or self-consciousness, embarrassment or feelings of being insecure in sexual relationships or when wearing tight clothing. This has resulted in more requests for aesthetic surgery of the labia minora and/or labia majora. Dr Paraskevi Dimitriadi at Centre for Surgery performs labia reduction surgery to improve the labial appearance and also address functional aspects and alleviate psychological concerns. Labiaplasty can also be used to address the outer labia, also known as the labia majora.
Dr Dimitriadi carries out between 150 to 200 labia reduction procedures each year, which makes her one of the most experienced labiaplasty surgeons in London and the UK. Dr Dimitriadi is dedicated to treating all labiaplasty patients with dignity to ensure they feel both safe and comfortable with the highly delicate and private nature of this surgery.
There are three main types of labiaplasty procedures:
- Labia minora reduction
- Labia majora reduction
- Clitoral hoodectomy
|Procedure time ⏳||1-2 hours|
|Anaesthetic type 💉||Local anaesthetic or general anaesthetic|
|Length of stay 🛏||Day case|
|Up and mobile 🚶🏻♂️||1 day|
|Washing 🛁||1 week|
|Travel ✈️||4 weeks|
|Sexual activity ❤️||6 weeks|
|Driving 🚗||1 - 2 weeks|
|Postoperative garment 👕||3 days|
|Sleeping 😴||On back for 3 days|
|Exercise 🏃🏽♀️||6 weeks|
|Full recovery 🕺🏻||6 weeks|
|Final results 😃||6 months|
Labiaplasty before and after photos
Browse our labiaplasty photo gallery to see results achieved by our surgeons at Centre for Surgery. The before and afters below offer a sampling of the patient photos we have on file. When you come in to see us for a free consultation, a wide variety will be made available to you. At Centre for Surgery, we only show photos of our patients that have given written consent allowing the use of their images on our website. At your consultation, you will also be able to view an extensive range of patient before and after photos.
RELATED: Labiaplasty before and after photos
Labia reduction surgery can enhance the appearance of your labia, lead to an improvement in self-confidence and make you feel more comfortable about yourself. We advise all patients who are considering having labia surgery to think about their expectations for what they wish to achieve and to discuss this with your labiaplasty surgeon. The results of labia reduction surgery are both permanent and significant. Patients with realistic expectations will have a higher likelihood of being very pleased with their new appearance.
Choosing the Best Labiaplasty Surgeon - Dr Paraskevi Dimitriadi
Dr Paraskevi Dimitriadi is a specialist cosmetic gynaecologist and has trained at some of the world’s leading hospitals in all aspects of gynaecology. Dr Dimitriadi continues to practice in a major London teaching hospital. She takes an active interest in research into cosmetic gynaecology surgery and lectures both nationally and internationally on a range of topics in aesthetic gynaecology. She is a full member of the European Society of Aesthetic Gynaecology (ESAG).
Dr Dimitriadi’s high level of experience that she has achieved in labiaplasty surgery sets her apart from other doctors in the field. Not only is she recognised across the UK as a renowned expert in this procedure, but she also continues to contribute to the growing international body of knowledge in the most advanced techniques of performing labia reduction surgery.
As a female surgeon, Dr Dimitriadi understands her patient’s most delicate needs and preferences, which allows her to create a personalised and bespoke labiaplasty treatment plan to meet the patient’s goals. She is regarded as one of the top labiaplasty surgeons in London by her peers and brings years of experience to each and every procedure she performs. Dr Dimitriadi brings together her expertise across both surgical and non-surgical gynaecological treatments – unrivalled in London and exclusive to Centre for Surgery.
Dr Dimitriadi is known for her caring, patient-centred approach, supporting all her patients, and she always strives to optimise patient outcomes at stages of the patient journey.
RealSelf Top Doctors for labiaplasty
RealSelf’s top doctor status is awarded to less than 10% of the RealSelf doctor community. This status is earned by achieving consistently high patient satisfaction (from RealSelf reviews), getting excellent feedback on expert answers to patient questions, and investing significant time in Q&A and other doctor activities.
How to choose the best labiaplasty surgeon
When considering having labiaplasty surgery, it is vital to seek a highly qualified and experienced surgeon with many years of experience. The ideal surgeon should be fully trained in all techniques of labia surgery, including the trim method, the wedge method and the deepithelialisation method. They should be able to match the correct technique to your presenting condition. They should also be highly skilled in managing all the potential risks and complications of labiaplasty surgery.
The face-to-face consultation serves as an ideal opportunity to explain what happens both before, during and after the procedure. Many patients are concerned about possible pain in the recovery period. Your surgeon will be able to explain all the pain management strategies which can be used to optimise your recovery.
Many patients ask us who is the best type of specialist for labiaplasty surgery. The two types of doctors who carry out labiaplasty surgery are gynaecologists and plastic surgeons. We believe that gynaecologists are inherently better trained to carry out labiaplasty surgery as they are specialists in the female genitalia and do not perform any other type of cosmetic surgery such as rhinoplasty, breast augmentation or liposuction.
Surgeons who carry out labia reduction surgery should have an extensive collection of labia reduction before and after photos for you to view, which can enable you to form an accurate impression of how you could look after surgery. You should also view patient testimonials on accredited review websites such as Trustpilot.
Patient selection is a fundamental component of achieving excellent outcomes following surgery. The skilled surgeon will take a holistic view of your overall mental and physical health when deciding on your suitability for labiaplasty surgery. Patients who have chronic uncontrolled medical conditions may not be ideal candidates for labiaplasty, and your surgeon should be able to identify this and advise you against surgery.
Specialist doctors who carry out labiaplasty surgery should be on the GMC specialist register, which you can check on the GMC website. Surgeons should also belong to a specialist organisation such as the European Academy of Aesthetic Gynaecology or the British Association of Plastic Surgeons.
What conditions can labiaplasty surgery correct?
Labiaplasty is a surgical procedure that can correct several conditions related to the labia minora, which are the inner folds of skin surrounding the vaginal opening. Some of the most common conditions that labiaplasty can correct are:
- Enlarged labia minora: The labia minora can become elongated or enlarged for a variety of reasons, including genetics, ageing, childbirth, or hormonal changes. This can cause discomfort, pain, or embarrassment, especially during physical activities such as exercise or sexual intercourse. Labiaplasty can reduce the size of the labia minora to improve comfort and appearance.
- Irregular labia shape: The labia minora can also have an irregular shape, with one side longer or wider than the other. This can cause discomfort, irritation, or embarrassment. Labiaplasty can reshape the labia minora to achieve a more symmetrical appearance.
- Chafing or rubbing: Enlarged or irregular labia can cause chafing or rubbing, especially during physical activity. This can lead to discomfort, pain, or infection. Labiaplasty can reduce the size of the labia minora to reduce the risk of chafing or rubbing.
- Discomfort or pain during sexual intercourse: In some cases, enlarged or irregular labia can cause discomfort or pain during sexual intercourse. Labiaplasty can reduce the size or reshape the labia minora to improve sexual comfort and pleasure.
- Embarrassment or self-consciousness: Women with enlarged or irregular labia may feel self-conscious or embarrassed about the appearance of their labia. This can impact their self-esteem and sexual confidence. Labiaplasty can improve the appearance of the labia minora to increase self-confidence and self-esteem.
It’s important to note that labiaplasty is not only carried out for cosmetic reasons. If you are experiencing discomfort or pain related to the size or shape of your labia minora, labiaplasty can help to relieve symptoms. The best way to determine if labiaplasty is right for you is to have a consultation with a qualified cosmetic gynaecologist who specialises in genital surgery. The surgeon will be able to examine your labia, discuss your concerns and goals, and determine if the procedure is appropriate for you.
What causes a labia to become oversized?
The labia minora, which are the inner folds of skin surrounding the vaginal opening, can become enlarged for a variety of reasons, including:
- Genetics: Some women are born with labia that are naturally larger than average.
- Hormonal changes: Hormonal changes during puberty, pregnancy, or menopause can cause the labia to enlarge.
- Childbirth: Childbirth can stretch and enlarge the labia.
- Ageing: As women age, the labia may become more elongated and enlarged.
- Obesity: Being overweight or obese can cause the labia to enlarge.
- Sexual activity: Sexual activity, especially rough or frequent sex, can cause the labia to enlarge.
- Trauma or injury: Trauma or injury to the labia can cause them to enlarge.
It’s important to note that labia size and shape can vary widely, and there is no one “normal” size or shape. However, if your labia are causing discomfort, pain, or embarrassment, it may be worth considering labiaplasty to improve the appearance and comfort of your labia.
Am I suitable for labia surgery?
Labiaplasty is a surgical procedure that reduces the size or shape of the labia minora (the inner folds of skin surrounding the vaginal opening). Women who are considering labiaplasty may have concerns about discomfort or embarrassment caused by the size of their labia or may have experienced pain or irritation during physical activity.
The best way to determine if you are suitable for labiaplasty is to have a consultation with a qualified plastic surgeon who specializes in genital surgery. During the consultation, you can discuss your concerns, and the surgeon can examine your labia to determine if the procedure is appropriate for you.
There are a few factors that can affect your suitability for labiaplasty, including:
- Medical history: If you have certain medical conditions, such as uncontrolled diabetes, you may not be a suitable candidate for labiaplasty.
- Age: Most women who undergo labiaplasty are adults, but there is no age limit for the procedure.
- Pregnancy and childbirth: Pregnancy and childbirth can change the size and shape of the labia, and labiaplasty may not be recommended if you are pregnant or planning to become pregnant in the near future.
- Expectations: It’s important to have realistic expectations about the outcome of labiaplasty. The procedure can improve the appearance and reduce discomfort, but it won’t change your sexual function or sensation.
Overall, labiaplasty is a personal decision that should be based on your individual needs and goals. It is important to find a qualified plastic surgeon who can help you determine if you are a suitable candidate for the procedure.
Labiaplasty Expected Results
- Surgical removal of redundant labial tissue on one or both sides to create a more balanced and aesthetically pleasing look to the labia minora and labia majora
- Reduction in discomfort when wearing tight-fitting clothing or when undertaking sporting activities
- Labiaplasty may improve sexual function by alleviating discomfort during sexual intercourse – a commonly reported reason for having labiaplasty at Centre for Surgery.
Preparing for Labia Reduction
At Centre for Surgery, we understand that discussing the issue of enlarged labia can be both delicate and awkward. From your first phone call to one of our experienced patient care coordinators to your consultation with Dr Dimitriadi, our team will take your concerns seriously and will treat you with kindness, consideration and dignity as we do with all of our labiaplasty patients.
Patients who smoke will be advised to stop for at least 2 weeks before the date of their labiaplasty procedure. Smoking has detrimental effects on microcirculation and is known to slow the wound healing process. All medications, prescribed and over-the-counter, will be reviewed. Aspirin and aspirin-containing medicines should be stopped both before and after surgery. Aspirin and NSAIDs impair the body’s natural clotting process and may cause bleeding complications after surgery. If you require pain relief after surgery, paracetamol is advised.
Whether your procedure is performed under a local or general anaesthetic, it is mandatory to have a responsible adult escort take you home in a car or taxi. You must not travel home on public transport after labiaplasty surgery.
Labiaplasty is a highly specialised surgery and requires tremendous attention to detail. If you choose to have the procedure under a local anaesthetic, you will also have the option of oral sedation, which may make you feel sleepy and hence feel more relaxed before the injection of local anaesthetic by Dr Dimitriadi. For some cases, Dr Dimitriadi may recommend a general anaesthetic, and you will then be asleep throughout the procedure under the expert supervision of an anaesthetist. With any technique, you should not feel any pain or discomfort during the procedure as the area is injected with local anaesthetic before the procedure starting. The decision to have local or general anaesthesia is always your choice, although Dr Dimitriadi may recommend a general anaesthetic in complex or revision cases.
How long does labiaplasty take?
Labiaplasty is typically performed as an outpatient procedure and takes between one and two hours to complete. The exact length of the procedure will depend on several factors, including the extent of the labia reduction, the patient’s anatomy, and the surgeon’s technique.
RELATED: Is labiaplasty painful?
Dr Dimitriadi will discuss with you the desired length of the labia minora to be removed, and the area will then be marked with your assistance using a hand mirror prior to the procedure. Additionally, it is important to discuss whether clitoral hood reduction is required. When deciding on the degree of tissue to be excised, the area is marked conservatively to prevent over-reduction. Dr Dimitriadi believes it is always better to slightly under-correct to avoid the risk of overcorrection, which is very difficult to successfully treat.
The labiaplasty procedure involves reshaping the labia minora using precise dissection techniques. Any unwanted tissue is accurately removed. There are several surgical methods available for labiaplasty surgery. Your surgeon will discuss with you the most appropriate technique applicable to you.
Wedge labiaplasty is a surgical technique used to reduce the size of the labia minora (the inner vaginal lips). This procedure is designed to improve the appearance of the genital area and to relieve discomfort or pain caused by enlarged or irregularly shaped labia.
The wedge labiaplasty technique involves making a V-shaped incision in the labia minora, removing a wedge of tissue, and closing the incision with sutures. This technique is typically performed under local anaesthesia or intravenous sedation and takes approximately 30 to 60 minutes to complete.
The advantages of wedge labiaplasty include a shorter recovery time, minimal scarring, and improved sensation in the genital area. However, as with any surgical procedure, there are potential risks and complications, including infection, bleeding, and changes in sensation.
Trim labiaplasty is a surgical technique used to reduce the size of the labia minora (the inner vaginal lips). This procedure is designed to improve the appearance of the genital area and to relieve discomfort or pain caused by enlarged or irregularly shaped labia.
The trim labiaplasty technique involves making a straight incision along the edge of the labia minora, removing a strip of tissue, and closing the incision with sutures. This technique is typically performed under local anaesthesia or intravenous sedation and takes approximately 30 to 60 minutes to complete.
Deepithelialisation labiaplasty technique
For mild to moderate labial tissue resection, the de-epithelialisation technique may be an appropriate option. The technique reduces the length of the labia whilst also preserving the labial border. This can create a more aesthetically pleasing appearance in addition to correcting the functional symptoms that many women experience. The downside is that it is only applicable for very small degrees of labia minora enlargement.
Whichever technique is used, once the desired level of correction has been achieved to achieve a youthful appearance, Dr Dimitriadi uses absorbable sutures to ensure correct healing. With her extensive experience as a gynaecologist in a London teaching hospital, Dr Dimitriadi is familiar with the diverse range of labia minora, and labia majora appearances and no one technique can be used in a blanket fashion for every patient. The key is a thorough evaluation in a private consultation to develop a customised treatment plan based on a patient’s main concerns. Dr Dimitriadi prefers the labial trim method as it carries the least amount of potential risks and complications and consistently has excellent outcomes.
What is the best labiaplasty technique?
Dr Dimitriadi will discuss with you the most appropriate labiaplasty technique based on her extensive experience in labiaplasty surgery.
What does labiaplasty recovery involve?
After the procedure, you may experience some pain and discomfort in the genital area. Bruising and swelling are common side effects. This may last for several weeks. You can use ice packs to reduce swelling or take pain medication to help alleviate discomfort.
RELATED: How to reduce labiaplasty swelling
You will be advised that you should wear a pad – not tampons – for one week or until any bleeding stops. It is also recommended to wear loose cotton underwear during this time. You may find that during recovery after surgery, passing water may be slightly uncomfortable, although this is temporary in nature. The sutures used for labiaplasty surgery are fully dissolvable and will be naturally absorbed by the body. The vast majority of patients tell us that the procedure was much less painful and was much easier than they thought it might be.
RELATED: What is labiaplasty recovery like?
You may need to take about 3-5 days off work, and you will have to avoid any heavy exercise for 10 days. You will be able to resume your normal sexual activity about six weeks later. It is important to keep the genital area clean during the recovery period in order to reduce the risk of infection occurring. You should wash the area with soap and water on a regular basis and light sanitary pads for the first seven days. All of our labia reduction patients receive a prescription for pain relief medication although many patients remark that they did not require any pain relief as there is very little pain associated with labia reduction. An antibiotic ointment should be applied to the area twice daily after your procedure.
Is labiaplasty recovery painful?
Labiaplasty is a surgical procedure that can cause some discomfort and pain during the recovery period. However, the extent of the pain and discomfort will depend on several factors, including the patient’s overall health, the extent of the labia reduction, and the surgeon’s technique.
Immediately after the procedure, the patient may experience some pain, swelling, and bruising in the area. The surgeon will usually prescribe pain medication to manage this discomfort. Most women find that over-the-counter pain medication is sufficient, but more severe pain can be managed with prescription pain medication.
The swelling and bruising will typically peak within the first few days after the procedure and then begin to subside. Ice packs or a cooling device can be used to reduce swelling and discomfort during this time.
In the first week after the procedure, the patient may experience some itching, burning, and discomfort in the area. This is normal and can be managed with over-the-counter pain medication or prescription pain medication.
As the swelling and discomfort begin to subside, the patient may begin to feel more comfortable. Most women are able to return to work and other normal activities within a few days, although they should avoid strenuous activity and sexual intercourse for several weeks after the procedure.
It’s important to follow the surgeon’s postoperative instructions carefully to ensure a smooth recovery and optimal results. This may include avoiding certain medications, taking antibiotics to prevent infection, and wearing a special dressing or support garment to protect the area.
Overall, the pain and discomfort associated with labiaplasty recovery are manageable and should not interfere with the patient’s normal activities. If you are considering labiaplasty, it’s important to discuss your concerns and goals with a qualified plastic surgeon who specializes in genital surgery. The surgeon will be able to provide more detailed information about the procedure and recovery process.
What the risks and potential complications of labiaplasty?
Dr Dimitriadi has many years of experience performing cosmetic gynaecology procedures, including labiaplasty and labia reduction. She regularly attends conferences overseas to learn about the best and safest ways of performing cosmetic gynaecology procedures. The labiaplasty surgery performed today is very different to that performed even 20 years ago, which is why it is so important for Dr Dimitriadi to keep abreast of changes in the field. Despite everything being done to make sure procedures run smoothly, there is always a small chance of complications occurring.
Patients should always start by making sure they choose a skilled surgeon such as Dr Dimitriadi to get the results that fit with their treatment goals. It is also very important to comply with all the postoperative aftercare instructions and restrictions on activity, which are vital to ensure speedy healing. During your consultation with Dr Dimitriadi, the potential risks and complications that can occur with labiaplasty will be discussed. The following are some but not all potential risks associated with labia reduction surgery. Most patients who have labiaplasty surgery never experience these risks as they are quite rare.
Some of the common risks and complications associated with labiaplasty include:
- Infection: Infection is a rare but possible complication of labiaplasty. Symptoms of infection include redness, swelling, and discharge from the incision site. Antibiotics may be required to treat the infection.
- Scarring: Scarring is a common side effect of labiaplasty, and the scars may be visible or palpable in the labia. The scars may be red, raised, or uncomfortable for several months after the procedure, but they will typically fade over time.
- Bleeding: Bleeding is a rare but possible complication of labiaplasty. The patient may require additional surgical intervention to control the bleeding.
- Pain: Pain is a common side effect of labiaplasty, and the patient may experience some discomfort and pain during the recovery period. Pain medication may be required to manage the pain.
- Numbness: Numbness is a rare but possible complication of labiaplasty. The patient may experience some numbness in the area due to nerve damage, but this typically improves over time.
- Unsatisfactory results: In some cases, the results of labiaplasty may not meet the patient’s expectations, and additional surgical intervention may be required to correct the problem.
- Changes in sexual function: Labiaplasty can affect sexual function, and the patient may experience changes in sensation or sensitivity in the area.
- Revision surgery: Revision surgery may be required if the patient is not satisfied with the results of labiaplasty.
It’s important to note that these risks and complications are rare and can be minimized by selecting a qualified plastic surgeon who specializes in genital surgery and by following the surgeon’s postoperative instructions carefully.
RELATED: What is a revision labiaplasty?
Amazing! I recently had a labiaplasty and could not fault the practice on anything. The results themselves and the experience I had with the team have been incredible.
How much does labiaplasty cost in the UK?
There are several factors that will determine the overall cost of your labiaplasty procedure, and the final quotation will be given after your face-to-face consultation with Dr Dimitriadi. Dr Dimitriadi can advise you on what the procedure involves and what can be achieved. Many women who have successfully undergone Labiaplasty surgery with us have often remarked that they thought this procedure would be well out of their price range. Still, thanks to the financing options we offer, the procedure has become both achievable and affordable.
RELATED: How much does a labiaplasty cost?
Many women choose to have labial surgery combined with a vaginal tightening procedure for comprehensive vaginal rejuvenation. The cost would be higher for a combined labiaplasty and vaginoplasty procedure.
- Labia minora reduction alone or combined labia minora reduction + labia majora reduction
- Anaesthesia cost – local anaesthetic or general anaesthetic
- Any previous surgery to the area
What is included in my labiaplasty treatment package?
- As many preoperative consultations with your surgeon as you like to make sure the labia reduction procedure is right for you
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
- Enhanced same-day discharge with the added benefits of recovering in your own home
- 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team
- Your very own dedicated patient coordinator
- In-depth preoperative medical assessment to make sure you are fully fit for your procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face-to-face checks.
Finance options for labiaplasty, including 0%
Centre for Surgery is fully approved to offer finance for labiaplasty via our specialist finance partner, Chrysalis Finance. You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for it. Don’t wait until you have enough money for your treatment. Apply today and (subject to status) pay for your procedure easily in monthly instalments using one of their payment options. Chrysalis Finance is the only ethical provider that focuses solely on the provision of specialist financing for medical procedures. Speak to one of our patient coordinators today to learn about labiaplasty finance.
Labiaplasty Surgery at Centre for Surgery
Centre for Surgery is considered the leading specialist plastic surgery clinic in London and is home to some of the best medical experts in the UK. Our cosmetic gynaecologists carry out hundreds of labiaplasty procedures each year at our state-of-the-art Baker Street clinic in Marylebone.
Dr Dimitriadi is a highly specialised expert in her field of aesthetic gynaecology and women’s health. She has dedicated her practice to several procedures that she frequently performs, including labia surgery. Being trained as a gynaecologist and with her extensive background in women’s health allows her to assess you in a holistic manner as she regularly performs gynaecological procedures for conditions such as endometriosis, menorrhagia and other common conditions affecting women of childbearing age. We do not subscribe to the ‘Jack of all trades’ model of medicine. All specialists at the Centre for Surgery perform procedures within a very focused remit for optimal outcomes.
If a patient wishes to be considered for liposuction, abdominoplasty or breast surgery, Dr Dimitriadi often works very closely with her plastic surgeon colleagues, also based at Centre for Surgery. It is quite common for procedures to be combined, and our plastic surgeons can perform procedures such as liposuction in the same procedure alongside Dr Dimitriadi.
- All-female team for your consultation, procedure and aftercare – Dr Dimitriadi has hand-picked a highly skilled team of specialist female nurses.
- Significant experience in all types of labiaplasty – wedge resection, trim method and de-epithelialisation
- Choice of local anaesthetic or general anaesthetic
- We own and manage our own surgical facilities. Properly performed labiaplasty takes time and should not be rushed.
Schedule a labiaplasty consultation at Centre for Surgery
If you would like to schedule a labiaplasty consultation, call us today on 020 7993 4849, or complete the contact form below. One of our friendly and knowledgeable Patient coordinators will act as your personal point of contact throughout your journey with us at Centre for Surgery.
What is a labiaplasty?Labiaplasty also known as labioplasty is a surgical procedure designed to reduce or reshape the size of the labia minora which are the smaller inner lips of the vulval area or the labia majora which are the larger outer lips of the vulval area. A labiaplasty differs from a vaginoplasty which is a surgical procedure designed to tighten the vagina. Labiaplasty is performed on the external genitalia only.
What are labia?The labia are the soft tissue structures that sit on either side of the vaginal opening. The labia form part of the vulva which is the term used to describe the external genital structures. There are two types of labia, the labia minora which are the inner lips and the labia majora which are the outer lips. The labia have a wide range of appearances across women and can differ significantly both in size and shape. The procedure of labiaplasty is able to address the labia minora and labia majora to change their size and level of symmetry. The most common procedure is labia minora reduction.
Labial reduction surgery is commonly performed for the reduction of large labia minora where their appearance can be a common cause of distress for many women.
The large labia can be effectively reshaped to give a smaller size whether through a trim or wedge technique as part of a labial reduction procedure.
What problems can large labia cause?Women who have excessively large labia out of proportion to the rest of the vaginal area can cause psychological issues with embarrassment and even depression in some cases.
Many women will have functional impairment from overly large labia. Enlarged labia minora can catch on items of clothing and swimwear in particular. Enlarged labia minora may even be obvious when wearing tight-fitting clothing. Pain with sexual intercourse and exercise can also be caused by enlarged labia minora.
Labia reduction surgery can effectively address any pain or discomfort which results in a significant and permanent improvement in quality of life for women affected by excessively large labia.
Am I suitable for a labiaplasty?Your surgeon will conduct a detailed clinical assessment to determine your suitability for labiaplasty surgery.
The most common reasons to seek labiaplasty include women who are unhappy with the size, shape or the symmetry of the labia. Other women may have functional symptoms including pain and discomfort which affects their ability to carry out physical exercise or sexual intercourse.
Your surgeon will determine suitability for labia reduction surgery by taking a medical history and physical examination. You should have realistic expectations of what can be achieved with labia surgery.
How to choose the best labiaplasty surgeonWe would always recommend spending time to research all aspects of the labiaplasty procedure and making sure to choose a qualified surgeon who has many years of experience in carrying out labiaplasty surgery.
The ideal surgeon will have experience in all aspects of the procedure and explain the potential risks and complications of labia reduction surgery. The surgeon should have experience in all the main labiaplasty techniques including the trim method, the wedge method and the epithelialisation techniques. They should be able to assess your expectations for treatment and advise you on the best treatment option for you.
The consultation forms the foundation of effective treatment planning, and it is important for the surgeon to outline what the recovery process involves including the importance of complying with all preoperative and post-operative care instructions.
Labiaplasty surgery is specialist surgery and should be undertaken by a surgeon appropriately skilled in such surgery. You should ask to view before and after photos of patients who may be similar to yourself to give you an idea of how you could look following labia reduction surgery. It is also wise to view patient reviews found on reputable review platforms such as Feedback Company and Trustpilot.
An ethical labiaplasty surgeon will always have the patients physical and mental well-being in mind when deciding on suitability for this treatment. For patients who are not suitable, the experienced surgeon will advise this at the end of your consultation and may recommend a number of suitable alternative treatment options including the option of doing nothing.
In the UK, only doctors who are registered with the GMC with a license to practice can carry out cosmetic surgery. You can check if your doctor is registered with the GMC by checking online at the GMC website.
At Centre for Surgery, all labiaplasty procedures are undertaken by our specialist aesthetic gynaecologist, Dr Dimitriadi. Dr Dimitriadi is a full member of the European Academy of aesthetic gynaecology.
What are the benefits of a trim labiaplasty?The advantages of trim labiaplasty include a straightforward and well-established surgical technique, minimal scarring, and improved sensation in the genital area. However, as with any surgical procedure, there are potential risks and complications, including infection, bleeding, and changes in sensation.
The trim technique is a suitable method for those with larger labia or with significant degrees of asymmetry. The technique creates a straighter appearance along the labial edge and removes the existing labial border. Dr Dimitriadi prefers the trim method as problems that can occur following wedge excision techniques, including wound breakdown leading to possible fistula formation, do not occur following the trim excision technique. Dr Dimitriadi takes great care to perform a conservative excision as over-reduction is a difficult problem to correct.
Should I get a labiaplasty?There are several candidates who are appropriate for a labiaplasty. Some women have an enlarged labia minora, which can cause painful inflammation, chaffing, and pain during intercourse or while inserting tampons. Women may often have one labia that is larger than the other, with surgery being a good option in this instance.
Having your labiaplasty in London gives you access to specialist female surgeons like Dr Dimitriadi who perform this surgery on a regular basis and are therefore experienced to manage all aspects of your care.
Who shouldn’t get a labiaplasty?At Centre for Surgery, no surgery is offered to anyone below the age of 18. At this age, your labia will still be growing and developing and will continue to do so until early adulthood. It is recommended to be over the age of 18 before considering a labiaplasty procedure.
Our surgeons can perform surgery on those with associated functional symptoms such as pain, or excessive chaffing in addition to aesthetic considerations.
Can I have a labiaplasty if I haven't had children yet?It is possible to have a labiaplasty before having children. You may have a large labia which you dislike the aesthetic appearance of. The large labia may also cause physical or psychological pain.
If you have not had children and are below 18 years old you will be unsuitable for surgery.
Can a labiaplasty be performed under a local anaesthetic?A labiaplasty can very comfortably be performed with a local anaesthetic alone. The option of oral sedation is available for those who may feel anxious during the procedure.
How do I prepare for labia reduction surgery?At your consultation with the surgeon, if you are a smoker you will be advised to stop smoking to optimise wound healing and if you are taking aspirin or any medicines containing aspirin you will be advised to stop these to reduce the risk of post-operative bleeding.
Our clinical support team will provide comprehensive preoperative instructions in advance of your procedure to ensure you are in the very best prepared state for surgery.
Should I remove pubic hair before labiaplasty surgery?Patients should typically shave or wax their pubic hair before labiaplasty surgery. This is done to reduce the risk of infection and to make it easier for the surgeon to access the area being operated on. However, you should follow your surgeon's instructions, as they may have specific recommendations.
What does a labiaplasty procedure involve?Labiaplasty surgery can be performed under either a local anaesthetic or a general anaesthetic. The labiaplasty procedure involves changing the shape or reducing the size of the labia minora or labia majora using a number of different surgical methods. The most commonly used and effective method is the trim technique. Less commonly used methods include the wedge resection method and the deepithelialisation method. The appropriate technique will be discussed at your consultation with your surgeon. Stitches used in labiaplasty are dissolvable so you will not need to have them removed at your follow-up appointment. The labiaplasty takes about 1-2 hours to perform and patients can be discharged home later the same day once they have recovered from the procedure.
What are the risks involved with labia reduction?As labiaplasty is a surgical procedure, possible risks include bleeding, infection, scarring and reduced sensitivity.
It is important patients understand the procedure and the outcomes they will receive prior to the surgery. Some patients desire a large labia reduction, which can very rarely have side effects such as chronic dryness, discomfort and pain during intercourse. You can discuss with your surgeon the best ways to avoid any complications occurring at your face to face preoperative consultation.
How long does a labiaplasty take?While a labiaplasty is a fairly complex surgery, it usually takes 1-2 hours depending on the amount of tissue to be removed. Actual time frames vary for each patient and depending on what needs to be done, but the procedure is a day surgery, with a few hours required afterwards for recovery. Patients will be able to return home the same day.
Can I go home the same day as my labia reduction surgery?Yes.
Labiaplasty is considered a minimally invasive surgical procedure that does not have a significant impact on your body. Our surgeons carry out labiaplasty under both local anaesthetic and general anaesthetic as a day surgery procedure. This means you will be admitted and discharged on the same day. Any minor discomfort is easily controlled with over-the-counter painkillers.
We would recommend that you take it easy for the first few days, avoid any strenuous exercise for four weeks and avoid sexual activity for a full six weeks.
Will there be much bleeding after labiaplasty?Bleeding is a possible complication of labiaplasty, but it is usually minimal. Most patients experience some minor spotting or discharge in the days following the procedure, but significant bleeding is rare.
If bleeding does occur, it is usually managed with local pressure or sutures. In rare cases, additional surgical intervention may be required to control the bleeding.
It's important to follow the surgeon's postoperative instructions carefully to minimize the risk of bleeding and other complications after labiaplasty. This may include avoiding certain medications, taking antibiotics to prevent infection, and avoiding strenuous activity and sexual intercourse for several weeks after the procedure.
How do I wash my labia area after surgery?After labiaplasty surgery, it's important to follow the surgeon's postoperative instructions carefully to ensure a smooth recovery and optimal results. The specific instructions for washing the labia area will depend on the surgeon's technique, but the following guidelines are commonly recommended:
Avoid soaking in water: For the first few days after surgery, avoid soaking in water, including baths, showers, and pools. This can increase the risk of infection and affect the healing process.
Use a gentle cleanser: When washing the labia area, use a gentle, unscented cleanser and avoid using soap. Rinse the area thoroughly with warm water and pat dry with a clean towel.
Avoid rubbing or scrubbing: Avoid rubbing or scrubbing the labia area, as this can cause irritation and affect the healing process.
Wear clean, breathable clothing: After washing, wear clean, breathable clothing, such as cotton underwear and pants, to avoid irritation and promote healing.
Avoid using tampons: Avoid using tampons during the recovery period, as this can increase the risk of infection and affect the healing process.
It's important to follow the surgeon's postoperative instructions carefully and to contact the surgeon if there are any concerns or questions during the recovery period. The surgeon will be able to provide more detailed information about the specific postoperative care instructions for labiaplasty.
How soon can I see results after labia reduction?The time taken for full healing to take place varies between patients but generally, most patients can expect to see the results from the labiaplasty procedure after 2 to 3 weeks. Final results can be expected to be visible by the three-month stage.
Is labiaplasty permanent?Labiaplasty gives results that are permanent in nature. Women who go on to become pregnant and give birth will not develop any changes in the size of the labia.
Labiaplasty has no impact on pregnancy or one's chances of becoming pregnant. The procedure does not impair satisfaction from sexual intercourse.
How long do the results of labiaplasty last?The results of labiaplasty are typically long-lasting, but they can be affected by various factors such as ageing, pregnancy, and hormonal changes. In general, the results of labiaplasty can last for several years, but the exact duration will depend on the patient's individual circumstances.
It's essential to keep in mind that labiaplasty does not prevent the effects of ageing or hormonal changes, and the labia may continue to change over time. However, most patients are satisfied with labiaplasty results and do not require additional surgery.
If you are considering labiaplasty, it's important to discuss your goals and expectations with a qualified plastic surgeon who specializes in genital surgery. The surgeon can provide more detailed information about the procedure and the results and help you make an informed decision about whether labiaplasty is right for you.
Will I need to have stitches removed after labiaplasty?Fortunately, all stitches used during labiaplasty surgery are absorbable in nature, which means that they are absorbed by the body by four weeks post-surgery. Permanent stitches are not used, and therefore, you will not need to have these removed at a separate post-operative visit. Our surgeons are highly skilled in positioning scars in natural skin folds to ensure scars are well concealed and blend nicely with the surrounding labia minora and labia majora.
After a period of four weeks, the area of surgery may feel firm to the touch, this is due to localised scar tissue which is a normal consequence of surgery and will soften over the course of 3 to 4 months. For optimal management of scars, it is vital to follow all preoperative and post-operative instructions given to you by the surgeon.
Does labiaplasty affect sensation?Labiaplasty can affect sensation in the genital area, but the extent and duration of these effects depend on several factors, such as the surgical technique used, the size and location of the labia, and the patient's individual anatomy.
In some cases, labiaplasty can cause temporary or permanent changes in sensation in the genital area, including decreased or increased sensitivity, numbness, or tingling. However, these effects are typically mild and resolve over time.
In other cases, labiaplasty can enhance sensitivity in the genital area by reducing discomfort or pain during sexual activity or other physical activities.
Can I combine a labiaplasty with other procedures?It is common for a labiaplasty to be combined with other surgical procedures. You may wish to have a labiaplasty as part of a mummy makeover or have it with a vaginoplasty, liposuction or a tummy tuck.
During your consultation, your surgeon will be able to assess you and consider whether or not you are able to combine surgeries and if you are an eligible candidate for the other procedures.
Is labiaplasty painful?Whether carried out under local anaesthetic or general anaesthetic, labiaplasty is a very well-tolerated procedure with very little in the way of discomfort during or after the procedure. Your surgeon, in all cases, will first inject the labia with local anaesthetic with very fine needles to minimise any stinging. Once the local anaesthetic takes effect after a few minutes, the procedure is painless. After the procedure, your doctor will prescribe painkiller medications which in many cases are rarely required. It may be uncomfortable when using the toilet in the first couple of days following labia reduction surgery, but this rapidly settles down. Any discomfort experienced is usually due to labia swelling, which will rapidly resolve after the first few days. It is entirely normal to have a mild degree of bruising, swelling, or localised soreness in the area of the labia in the first two weeks following surgery.
Will I have scars after labiaplasty?Every procedure which involves an incision will result in a scar. However, our surgeons will take care to ensure that scarring is as minimally noticeable as possible.
How long will I need to take off after labiaplasty?Patients who have had labia reduction surgery are highly recommended to take the first three days off work and in some cases may need to take seven days off work depending on the nature of the work. More physically involved occupations will require a full seven days off work. Swelling is inevitable following surgery and is often most prominent in the first few days and it can sometimes be uncomfortable during this period when patients carry out excessive movements. Having said this it is always recommended to keep reasonably mobile but to not overdo it so as to optimise the healing process.
When can I start exercising after labiaplasty surgery?You should avoid any strenuous physical activities for at least 10 days.
This includes lifting heavy objects, dancing, swimming, yoga and other gym activities.
When can I have sex after labiaplasty?You will need to avoid any sexual activity for a full six weeks.
Can a labia reduction be carried out without surgery?Whilst there are a number of non-invasive RF devices to shrink the labia, none have been shown to be effective in the long term. The best option for permanent reduction the in size of the labia is a surgical labiaplasty.
What is a 'designer vagina' and is this the same as labial reduction surgery?The term 'designer vagina' is a popular phrase used to refer to a wide range of aesthetic gynaecological procedures that include labial reduction surgery (labiaplasty), vagina tightening surgery and pelvic floor repair.
'Designer vagina' surgery can encompass some or all of these procedures and is designed to enhance the female genitalia which is also referred to as vaginal rejuvenation.
The term 'designer vagina' should ideally be avoided and the correct medical procedure terms should be used instead as this more accurately reflects the type of procedure to be undertaken which may or may not be only for aesthetic reasons but also to improve function or treat urinary incontinence or pelvic organ prolapse.
What To Expect
The labiaplasty consultation
Your patient coordinator will book an appointment for you to meet with one of our specialist surgeons for labiaplasty. Your surgeon will discuss with you all aspects of the labiaplasty procedure, and will you will be able to discuss your goals for treatment. The surgeon will be able to explain the benefits of the labiaplasty procedure as well as any procedure limitations in terms of achieving a particular result. The surgeon will undertake a full physical examination to assess the labia region in detail.
A treatment plan will be formulated after taking into the size and shape of your labia and if you were experiencing functional symptoms such as discomfort. Your surgeon will also discuss the potential risks, complications, possible side effects, and what to expect during the recovery and healing phase. Any history of previous medical conditions will be noted, including previous medical procedures, medicines you are taking and any allergies you may have. This information will be used to determine your fitness for the labiaplasty procedure.
Suppose your surgeon decides you are an appropriate candidate for the labiaplasty procedure. In that case, you can move ahead with the procedure after a nationally recommended two-week 'cool-off' period. It would be best if you used this time to explore, at your own pace, all the possible treatment options, including the option of no further treatment. We can arrange for you to see your surgeon for as many follow-up consultations as possible to make sure you can make a fully informed decision on potential labiaplasty surgery. We offer a chaperone service for all examinations involving the assessment of an intimate area. If you prefer, you may wish to bring a family member or friend to your consultation.
Before your procedure
After considering the treatment options and deciding to have a procedure, you will be thoroughly prepared for the day of your procedure. Our surgeons recommend those who smoke, the stopping of smoking at least 4 weeks prior as studies have shown a higher risk of abnormalities with wound healing, including delayed wound healing and breakdown and surgical site infection.
One week before your procedure, you should stop all aspirin-containing medicines as these interfere with blood clotting. You should also follow the preoperative fasting guidelines of no food for 6 hours prior, and water only can be comsumed up to 2 hours prior to the procedure.
The day of your labiaplasty procedure
Our clinical team request that you arrive approximately one hour before your labiaplasty procedure start time. Our nursing team will formally admit you first and perform a series of confirmatory checks. Your vital signs will be measured, including your blood pressure, and you will then meet with your anaesthetist, who will perform a final check of your fitness for labia surgery by assessing your medical notes and performing a physical examination. Finally, you will meet with your surgeon, who will perform preoperative marking of the labia areas to be treated, and you will be asked to sign your consent which your surgeon will also countersign once you are fully happy with the proposed treatment plan.
The labiaplasty procedure takes approximately 1-2 hours and is performed under TIVA general anaesthesia or local anaesthesia. The labia are first injected with a local anaesthetic before the surgeon surgically reshapes the labia to the desired end result. 2 commonly used labia reduction techniques include the trim excision technique or the wedge excision technique. The labia edges are closed with dissolvable sutures. After the labiaplasty procedure, you will recover from the effects of the TIVA anaesthetic. Our nursing team will carefully assess your fitness for discharge.
Once you are safe for discharge, you will need to have a responsible adult to accompany you home and look after you for the first 24 hours after your labiaplasty procedure.
After your procedure
Once you are safely at home, you can be assured of having access to our specialist postoperative team around the clock. You will be given a contact number to contact your surgeon in the first 24 hours after labiaplasty surgery if there is any concern. Our postoperative team will look to call every day for the first two weeks after your procedure. This is so we can monitor your levels of comfort and can alert your surgeon if there is any concern. Our proactive approach allows the detection of any potential issues early, which results in more effective treatment.
You are advised to rest for at least a few days after your labiaplasty procedure which will also help with pain control. Heavy exercise should be avoided for at least the first four weeks. Sexual intercourse should be avoided for a full six weeks. Our postoperative clinical team will assess at your 1-week post-operative appointment to ensure healing is progressing normally and the wound site is healthy. You will be booked for your surgeon's follow-up appointment six weeks after your labiaplasty procedure.