Labiaplasty or Labioplasty is a plastic surgery procedure of the female external genitalia folds – the Labia Minora and/or the Labia Majora. Labiaplasty reduces the size and reshapes the inner lips of the outside of the vagina or the Labia Minora, or the outer lips, called Labia Majora.

Candidates for Labiaplasty

Many women are born with too large, irregular, or asymmetrical Labia Minora. Others develop stretching and elongation of the labia as a result of childbirth or with aging. This presents not only an aesthetic predicament but more importantly a functional hindrance. Women with large and irregular labia are often embarrassed during sexual interactions, and feel uncomfortable with wearing bathing suits, tight clothes, or jogging shorts. Others experience pain or irritation during intercourse or feel that they cannot reach optimal sexual pleasure because of the hindrance of their bulky Labia Minora.

Meanwhile, there are some women that develop very full and large Labia Majora (outer lips) as a result of weight gain. This becomes a noticeable nuisance when wearing tight pants, shorts, or bathing suits. It also traps moisture and causes skin irritation, rash, or even promotes yeast infection.

Prepare for Labiaplasty in Thailand

It is a good idea to stop smoking and consuming alcohol for at least a week before surgery. Talk to your surgeon about ways to quit smoking for good.

Your plastic surgeon will likely suggest that you stop taking certain medications, including aspirin, non-steroidal anti-inflammatory drugs (NSAIDs) and blood thinners, all of which can increase bleeding risk.

Certain herbal remedies may also increase bleeding risk. Just because a product or preparation is “all-natural” does not mean it is safe. For example, vitamin E, omega-3 fatty acids, green tea and gingko biloba all may increase bleeding risk during and after surgery.

Make sure you tell your surgeon about everything that you are taking. Never stop taking any medication abruptly without first speaking to your doctor.

Do not have sexual intercourse the night before the surgery.

Labiaplasty Overview

Traditionally, most gynecologists or plastic surgeons utilize the direct excision and reduction method of Labiaplasty. With this method a long strip of the Labia Minora is excised, leaving a surgical incision at the edge of the Labia. Alternatively, other labiaplasty surgeons use a wedge excision technique which removes a V-shaped area of Labia Minora, eliminating the excess and avoiding the incision along the labial edge. Continue reading about labioplasty techniques.

Reduction of the Labia Majora involves liposculpture and liposuction to reduce the unsightly protuberance of the Labia Majora. At times it is combined with the reduction and tightening of the Mons Pubis, otherwise called Monsplasty.

Anesthesia

Labioplasty is performed under local anesthesia with some sedation in order to reduce anxiety. This procedure is rather short, and can take about 30 minutes. At times Labiaplasty is performed in conjunction with Vaginoplasty (Vaginal Rejuvenation), tummy tuck, liposuction, breast augmentation, or other cosmetic procedures.

Labiaplasty Results

Labiaplasty almost always brings satisfactory results to the patient. Of course, much depends on the experiences of the labiaplasty surgeon so that he/she is able to avoid possible complications. It also depends very much on the cooperation and discipline of the patient so that she can fulfill all the recommendations following the surgery.

Women who have had the surgery mention mostly improved sensations during sexual intercourse. Also by having the surgery, any psychological problems with their genitalia appearance is removed. This contributes to a more relaxed and improved sex life.

Recovery After Labia Reduction

Most patients experience mild discomfort, swelling, and bruising after Labioplasty which lasts two to seven days. During this time, women can experience some spotting, and/or urinary hesitance. They should wear pads, and apply Neosporin ointment to the surgical sites for comfort. They can take a shower or wash within six hours of surgery. Although you can return to sedate activities and work within two days, you should refrain from jogging, biking, horseback riding, running, heavy lifting, and sexual intercourse for about 4-6 weeks.

Labiaplasty Post-op Care

Please review the instructions below to assist in your recovery from your surgery – general guidelines

  • Apply bacitracin or a topical triple antibiotic ointment to the suture lines for 10 days.
  • Place a piece of gauze between your labia.
  • Wear cotton undergarments and avoid any undergarment that is tight or irritating.
  • Relax and rest for one to two days following your procedure. Avoid excessive walking, sitting for prolonged periods of time, and unnecessary exertion. You will recover quicker and easier if you take it easy for these days immediately post-op.
  • Avoid exercise (no running, heavy lifting, straining, etc.) for two weeks. Avoid straddle activities like cycling, horseback riding for at least four weeks.
  • Refrain from sexual activity for four weeks.
  • Take the antibiotic as prescribed to help prevent infection.
  • You may take the narcotic medication as prescribed for discomfort or you may take over-the-counter motrin or advil as directed. Do not take any aspirin products for two weeks following the procedure.
  • You may shower tomorrow– pat your labia dry, do not rub. Do not take a bath or go swimming for two weeks.
  • The incisions were closed with absorbable suture. This suture dissolves on its own and does not need to be removed.

Labiaplasty Risks

Labiaplasty is considered a minor surgical procedure, and thus is relatively safe. The most common potential complications are bleeding, minor infection, incision breakdown, scarring, and/or irritation and pain.

Risks include:

  • Infection
  • Bleeding
  • Temporary numbness
  • Asymmetry between the inner and outer labia lips
  • Pigmentation changes
  • Decreased feeling in that area
  • Pain
  • Excess scar tissue buildup (appearing as lumps on the treated area)
  • Hematoma (break in blood vessel, causing localized blood-filled area or blood clot)
  • Puckering or creases of the skin
  • Sexual dysfunction

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