Labiaplasty is a procedure to reduce the extra tissue, primarily of the labia minora (inner or smaller lips), but sometimes also of the labia majora (outer or larger lips). Women seek labiaplasty for a wide range of reasons.
For some patients, the labia are large enough to become caught under clothing, and can be quite uncomfortable. This is often especially noticeable when exercising. There have been many women who especially notice that problem when biking or spinning
Also, with modern shaving / hair removal in the pubic area, the labia are more visible than they used to be. As a result, they can protrude, and that can be visible. In fact, modern clothing can be tight enough that the protruding labia minora produce a bulge that is visible through clothing.
For other women, the enlarged labia can get caught during sexual relations, which can be uncomfortable and unpleasant.
For all of these reasons, Dr. Nachbar has been doing labiaplasty for over fifteen years, and has a great deal of experience with labiaplasty. Modern techniques allow a much more precise result, reducing and tightening the central portion of the labia minora (often the part most affected), but also tightening the excess tissue over the clitoris, called the "clitoral hood".
As you are considering labiaplasty, be sure to consider what your goals are. If the only problem is that the labia minora protrude and get caught, and appearance is not a concern, a simple "trimming" (or "amputation") procedure, as performed by many gynecologists, may be adequate. However, I have seen women come to my office who have had that procedure, and as a result had loss of most or all of the central labia, while there is still excess tissue in front and in back. While this can be evened out somewhat, it is largely uncorrectable.
Occasionally I may use the "trimming" procedure under rare circumstances, but almost always I use a "wedge" procedure, which allows preservation of the delicate edge of the labia minora (which is sacrificed in the amputation technique), tightening of the remainder of the labia, and reduction of the extra tissue at the clitoral hood. Most women are more concerned with the appearance from the front while they are standing, and of course, it is the tissue over the clitoris which is primarily visible from the front. Thus, if the clitoral hood is not reduced and tightened, there will still be some excess tissue visible from the front
In addition to labiaplasty, which primarily improves the labia minora, the ThermiVa procedure allows improvement of the labia majora, as well as inside the vagina. Women have been reporting that ThermiVa results in tightening of loose tissues of the vagina, improvement in moisture, improvement in sensitivity, and improvement in mild cases of stress urinary incontinence. Thus, labiaplasty and ThermiVa are complementary, each adding to the result.
Most women who desire labiaplasty are interested in leaving some labia minora tissue, but others want a more complete removal of almost all of the labial tissue, sometimes called a "Barbie Labiaplasty". For the right patient, that can be an excellent procedure.
Schedule a consultation with Dr. Nachbar in Scottsdale, AZ to learn more about the benefits of labiaplasty and find out if you are a candidate.
A labiaplasty at Scottsdale Plastic Surgery by Dr. Nachbar may be helpful for women who are concerned about the shape or size of their labia, which may be enlarged due to genetics, childbirth, or trauma.
Abnormally enlarged labia may cause pain, discomfort, itching, or irritation during physical activities like exercise and sex. A labiaplasty may also help if you don't wear tight clothes (such as leggings, swimsuits, or tight pants) because of the visibility of this area.
"Labiaplasty - I thought he was fantastic. First impression I was blown away to say the least. Office is beautiful, clean and polished. He was very knowledgable and answered every question and concern of mine. I know he is going to be the perfect surgeon. Truly cannot wait to have my procedure and see my results!"- Anonymous / RealPatientRatings / Aug 10, 2017
"I went to Dr. Nachbar for a labioplasty. I immediately felt at ease after my first visit. Every question and concern was answered. I scheduled the surgery without hesitation. The surgery went extremely well and I couldn't be happier with the results. I am truly 100% satisfied. I am so happy I chose to have this surgery performed, and also with my choice to go with Dr. Nachbar. Every step of the process made me feel comfortable and I can't think of one complaint. I thought it was wonderful that you never had to wait for an appointment, appointments are readily available and the staff and doctor were there hand and foot for anything you may need. I would definitely recommend Dr. Nachbar."- Google User / Google / Oct 18, 2011
"Labiaplasty, scar revision, fat transfer to breasts - Scottsdale, AZ - Over the last few years I have been reading about labiaplasty partially for cosmetic reasons but mostly for comfort and a more positive sexual experience. The tugging of the excess skin was the biggest issue for me. I was considering a few different doctors, but after meeting Dr. Nachbar last year I felt that I did not need to continue looking for a doctor. It's not the most enjoyable..."- 4. / RealSelf / Jun 24, 2017
"Labiaplasty (33, 2 Kids) - Scottsdale, AZ - Amazing! Gave me back my self esteem. Looks perfect!"- L. / RealSelf / Sep 12, 2016
"Labiaplasty - Friendly, informative, caring, specialized."- Anonymous / RealPatientRatings / Apr 08, 2015
Labiaplasty is a very delicate procedure performed on a very delicate area. While it may be possible to do a simple "trimming" labiaplasty under local anesthetic, most patients will get a better result with a more complete "wedge" labiaplasty. Because the wedge labiaplasty passes within a few millimeters from the clitoris, Dr. Nachbar uses a real operating room, general anesthetic, and surgical telescopes to perform the procedure. This is definitely a procedure you want to get right the first time.
The Wedge Labiaplasty involves removing the central, most enlarged portion of the labia minora, bringing the tissue from the back up to the front. The wedge extends a short distance into the vaginal opening, and for patients with an enlarged clitoral hood area, it extends alongside the clitoral hood to tighten the clitoral hood without making an incision directly over the clitoris.
Every plastic surgery is customized for each patient. Some patients want a more complete, or "Barbie," labiaplasty, removing a larger portion of the labia minora for a very "clean" look. Others have noticed enlargement of the outer lips, or "labia majora," and reduction of the labia majora can also be incorporated into labiaplasty.
What to Expect
There is not usually very much pain after labiaplasty, but there can be some swelling, and the use of ice to reduce the swelling after surgery may be helpful. If ice is used, it is important not to leave it in place for more than 15 minutes, and leave it off for 15 minutes between cooling sessions, in order to reduce the risk of frostbite from the ice.
Some bleeding from the incision is to be expected for several days after the procedure, so women generally use a pad to collect any bleeding. You should avoid putting a tampon into the vagina during this early post-operative period, and of course, a tampon will not catch bleeding from the labia.
After surgery, you should avoid direct pressure on the labial area, as while spinning or riding a bicycle, until the area is well healed. However sitting is not usually affected.
We recommend that you avoid sex for eight weeks after surgery, as we know that it takes that long to get maximal strength of healing after any surgery.
Plan Your Procedure
Comfortable and Confident
If you do not feel comfortable or confident because of the size and shape of your labia, learn more about labiaplasty. We have lots of photos of labiaplasties on our website. These include photos both standing and also direct photos, as women have requested that I post them. I thank the patients who have agreed to let us show their photos, and patients have thanked me for having posted them.
Then, talk to plastic surgeon Dr. James Nachbar about your concerns and goals so he can create your custom treatment plan for your specific needs. Schedule a consultation with Dr. Nachbar at Scottsdale Plastic Surgery in Scottsdale, AZ to learn more about vaginal rejuvenation with labiaplasty.