Women are more in tune with their sexual health and well-being than ever before and more excited than ever to know there are multiple options available to rejuvenate their most intimate area. Surgical labiaplasty is one option that can restore a more youthful appearance to external genitalia and eliminate discomfort, permanently.

What is Surgical Labiaplasty?

Pregnancy and childbirth, aging, genetics, and significant weight loss can all cause unwanted changes to external genitalia. Women whose labia minora have become very redundant -- so stretched and saggy that they protrude beyond the labia majora – report discomfort or even pain during intercourse or certain kinds of sports activities. The labia can protrude from swimsuits and underwear and appear visible under tight yoga pants.

Although surgical labiaplasty can produce significant cosmetic improvement, most women seek the procedure to relieve the practical, functional problems associated with their elongated labia minora.

Labiaplasty is a simple surgery that reduces the labia minora by removing as much as 60-70% of excess skin. The result is more compact, younger looking external genitalia, with the labia minora tucked back inside the labia majora where they will no longer cause physical or self-confidence issues. Having surgery does not negatively affect a woman’s G-spot sensation or restrict her ability to give birth vaginally.

For patients with less severe symptoms, Dr. Hernandez often recommends nonsurgical labiaplasty instead. This minimally-invasive procedure uses Aviva FemTite radiofrequency technology to tighten labial skin rather than physically removing the excess. Women who do have very redundant labia minora may also choose a combination procedure, undergoing surgical labiaplasty of the labia minora and then Aviva FemTite of the labia majora. 

Dr. Hernandez also frequently combines O-Shot therapy with labiaplasty. In evaluating each patient during their labiaplasty consultation, she usually discusses sexual wellness and urinary bladder control because women often experience these challenges as well. Given the option, many women (typically those over 30) choose to have the O-Shot along with their surgical restoration.

Who Is a Good Candidate?

Surgical Labiaplasty is usually recommended for women who:

  • Have very large labia minora.
  • Have excess, saggy skin due to significant weight loss.
  • Don't like the dark pigmentation that has developed along the edges of the labia minora, which can occur due to hormones, pregnancy, chronic irritation, and/or aging. If the labia minora are long, Dr. Hernandez can trim the dark edges away so that when everything heals the edges look pink, refreshed, and youthful.

As with any type of surgical procedure, the best candidates are those who are in good overall health, close to ideal weight, do not smoke, and have realistic expectations about the results they can achieve.

What Happens During Surgical Labiaplasty?

The surgery is performed as an outpatient procedure in our Eterna Cosmetic Surgery clinic, using local anesthesia and, if patients prefer, Pro-Nox. This is a self-regulated calming gas similar to what dentists use. The procedure takes only about an hour. Dr. Hernandez numbs the labial skin withlocal anesthetic. She then trims away excess tissue as needed and closes using absorbable sutures.

What Happens After Surgical Labiaplasty?

Most patients take about a week off work and other activities while they recover. Dr. Hernandez may prescribe initial pain medication and recommend periodic icing to help reduce swelling or bruising, although it may take several weeks for swelling to resolve entirely. Patients are advised not to use tampons or have intercourse for 4-6 weeks.

Learn More

Women don’t have to suffer in silence any more when pregnancy, age or other factors cause distended labia and the discomfort or self-consciousness that comes with that. Schedule a private consultation with Dr. Hernandez today, and learn how surgical (or nonsurgical) labiaplasty might rejuvenate your labia and lift your spirits.