Feminine rejuvenation has received a lot of publicity in the past couple of years, and as a result our patients at Eterna Cosmetic Surgery frequently ask if Dr. Hernandez can help improve the appearance of their external genitalia. The answer is a resounding yes!

As a result of genetics, vaginal births, aging or weight changes women can develop sagging and wrinkly skin in the labia. So, ladies of San Antonio, does this sound familiar?

  • Many patients tell us these changes make them feel embarrassed or less confident.
  • A very redundant labia minora – a condition in which one or both labia minora protrude beyond the labia majora -- can cause irritation or get in the way, causing pain during sexual intercourse.
  • Some patients avoid certain activities, like spinning classes or horseback riding, because of the discomfort they experience.
  • Some patients describe avoiding wearing thongs and yoga pants because they notice a bulge.
  • And some patients report having issues with personal hygiene because of the excess skin.

Labiaplasty can help correct these issues by removing excess skin and restoring a more compact and youthful appearance to your external genitalia. 

What is Labiaplasty?

Labiaplasty is a now-common surgical procedure that reduces excess labial skin -- typically up to 60-70% of the redundant tissue that forms the labia minora. Labiaplasty does not affect a woman's ability to delivery vaginally. The surgery also does not affect the g-spot, and Dr. Hernandez does not operate on the clitoris or its nerves directly so there is no risk of diminished sexual sensation. 

The Non-surgical option

But many women don’t want surgery. For them, Non-surgical Labiaplasty is an appealing alternative that offers transformative results -- up to 40-50% reduction in excess skin and fat -- without having to undergo invasive surgery. To perform this procedure, Dr. Hernandez uses minimally-invasive AccuTite, an innovative radiofrequency technology, to perform this in-office procedure.

In fact, the skin on the labia majora typically responds so well to radiofrequency tightening, it is now very rare that reduction of the labia majora requires surgery. However, in some cases a combination procedure is best, in which surgical Labiaplasty is performed on the labia minora and non-surgical Labiaplasty is used to firm the skin on the labia majora and the mons pubis.

Who is a good candidate?

If you’re a woman in her 20's to 50's and you recognized any (or all) of the vaginal challenges we noted above, you could be a great candidate for Non-Surgical Labiaplasty. The more extensive surgical procedure can be particularly beneficial for women who have very large labia minora and for someone who has lost a massive amount of weight and now has severe excess loose skin.

It’s always best if you’re in good health overall, relatively close to your ideal weight, a non-smoker, and have realistic expectations of what can be achieved with the surgical or minimally-invasive procedure you choose.

What happens during Labiaplasty?

This is an outpatient procedure performed under local anesthesia. Because injecting the local anesthetic is uncomfortable (it stings as it takes effect), Dr. Hernandez also gives patients a combination of a pain medication, a medication to calm their nerves and an antibiotic. In addition, she offers the option of using Pro-Nox, a patient-controlled gas that can be administered briefly during the few minutes it takes for her to inject the local anesthetic and for the stinging sensation to subside. Pro-Nox is similar to a gas often offered to dental patients.

For the surgical procedure, Dr. Hernandez first marks the redundant tissue on the labia minora. She then injects the local anesthetic, as noted above, to numb the labia minora. She surgically removes the excess tissue and stitches the remaining skin back together using dissolvable sutures.

How is Non-Surgical Labiaplasty different?

For this procedure, Dr. Hernandez injects the local anesthetic in several strategic areas, then makes several tiny punctures in the skin using a needle. She inserts a filler cannula (like the cannula used for facial dermal fillers) to inject local anesthetic under the skin. This numbs the labia minora, labia majora and the mons pubis.

Using those same entry points, she then inserts the AccuTite cannula to perform radiofrequency-based tightening and fat reduction. The AccuTite wand is very small, allowing her to work both carefully and precisely. Following AccuTite, she then performs a Morpheus8 treatment on all three areas (labia minora, labia majora, and mons pubis). Finally, she applies a soothing recovery cream on the external genitalia.

As performed by Dr. Hernandez, non-surgical Labiaplasty takes about 45 minutes. 

What happens after Labiaplasty?

You should budget 2 to 3 days off work and your normal routine for recovery, for either type of procedure. You will want to rest at home for these days, and you will have to avoid strenuous exercise.

If you had a surgical labiaplasty, you will need to avoid sexual intercourse for 6 week, and you’ll need to wear loose clothing for the first 3 weeks. Most patients manage post-surgical discomfort with over-the-counter pain medication. Your stitches will go away on their own within 4-6 weeks and you will have mostly healed at that point, but it will take 4-6 months to see the final results of your surgery.

If you had a minimally-invasive non-surgical labiaplasty procedure you will have to avoid sex for 1 week afterward. You will wear compression underwear for 3 weeks. After 3 months, you will notice a significant improvement in the firmness of your skin, and you’ll see full results after 6 months.

Talk to Dr. Hernandez, woman to woman

Even women who have no qualms talking to their male doctor about most health issues can feel embarrassed and reluctant to ask about feminine rejuvenation. No worries here at Eterna Cosmetic Surgery! You can feel entirely comfortable with Dr. Hernandez because she is not only a skilled and experienced cosmetic surgeon, she is a woman, too. She gets it.  

Why wait? If you schedule a private consultation now, you are taking the first step toward something you deserve – more youthful and compact looking external genitalia and greater comfort going about your daily activities.