LABIAPLASTY AT POWER PLASTIC SURGERY
Patients may have concerns regarding size or symmetry of their labia. As a female plastic surgeon, Dr. Power appreciates the sensitive nature of these complaints and strives to make patients comfortable throughout their care, from initial consultation through surgery and post-operative management.
Labiaplasty (labial reduction) may be performed for either overall size reduction, or limited to one side in order to improve symmetry depending on each patient’s specific concerns and presentation. Incisions are placed along natural labial contours, and scars are fairly inconspicuous once fully healed.
"One woman described feeling more confident even walking down the sidewalk after labiaplasty. More comfortable and confident, even when fully clothed. Her little secret."
- DR. STEPHANIE POWER
Labiaplasty is performed as an out-patient procedure under local anesthetic in a minor procedure room. This ensures maximum patient privacy and comfort. Resorbable sutures are used and patients are generally able to return to work within one week. Dr. Power will discuss further activity restrictions following surgery.
Here are a few common questions regarding Labiaplasty:
What are common concerns of patients considering labiaplasty?
- There is typically a wide age range of patients who consider undergoing labiaplasty.
- Younger patients (late adolescence and beyond) often express concerns about how their labia minora (inner labia) have developed following puberty.
- They are often self-conscious about their development and may experience discomfort when wearing tight-fitting clothing or during sexual activity
- Prominent labia minora may also lead to irritation when performing certain exercises, e.g. bicycling or spinning classes.
- Following pregnancy or during the normal aging process, the labia minora may appear elongated as tissue elasticity decreases and laxity develops.
Who is a suitable candidate for labiaplasty?
- Patients with well-defined concerns about their anatomy with reasonable goals are often good candidates for labiaplasty.
- A complete medical history and examination will be performed during consultation to ensure that there are no contraindications to surgery or any conditions that may need optimization before elective surgery is performed.
- Smoking cessation at least 4 weeks pre- and post-operatively has been shown to lower risk of complications, particularly relating to infection and delayed wound healing.
- It is also important for patients to understand and comply with post-operative wound care instructions and recommended activity modifications until well-healed to lower risk of complications.
How is a labiaplasty typically performed?
- The two most common types of labiaplasty are the trim vs. wedge techniques.
- Both techniques are effective in reducing labia minora projection.
- The technique of labiaplasty recommended for you will be based on your specific concerns and clinical presentation and will be discussed in detail during consultation.
What are the different types of labiaplasty?
- During a trim labiaplasty, excess length of the labia minora which projects beyond the labia majora (outer labia) is resected.
- This technique also removes any darkened tissue which is of concern to some patients and may be present at the leading edge.
- Trim labiaplasty results in decreased projection of the labia minora and restoration of pink healthy tissue at the leading edge margin.
- This technique places a scar along the length of the labia minora, which is often subtle in appearance once healed and scar maturation has been completed.
During this technique, a V-shaped wedge of labia minora is resected to reduce its size. The wedge labiaplasty technique does not resect the darkened margin of tissue, but the scar may be even less apparent once healed.
What are the risks with labiaplasty?
There is also risk of sensitive scar formation or altered sensation. As with any cosmetic procedure performed bilaterally (on both sides of the body), there is risk of asymmetry post-operatively. In fact, the labia minora are often asymmetric pre-operatively, which will be assessed during your initial consultation. Additional aesthetic complications include overcorrection, undercorrection, dissatisfaction with cosmetic result, and potential need for revision surgery.
Labiaplasty is generally a well-tolerated procedure. The majority of patients report improved self-image post-operatively, which may lead to enhanced sexual experience and self-confidence.
Dr. Power has an all female team in her office. This may be important to some patients considering labiaplasty. We strive to make patients comfortable during every stage, from initial consultation through operative procedure and follow up visits.