Labiaplasty is a surgical procedure to reshape the external female genitalia, aimed at restoring a natural appearance and size to the labia minora and/or labia majora.
When the labia minora are excessively large or have an irregular shape, a reduction procedure can be performed. This reductive labiaplasty is often combined with procedures that increase volume in the labia majora, using hyaluronic acid fillers or fat grafting (lipofilling).
It is typically a same-day outpatient procedure, meaning the patient can go home the same day and does not require hospitalization. The surgery usually lasts 60 to 90 minutes.
Why Is It Performed?
The most common reasons for undergoing labia reduction surgery include:
- Enlarged or elongated labia, which cause discomfort when wearing certain clothing
- Discomfort during activities such as cycling, walking, or sexual intercourse
- Changes in the shape or size of the labia after childbirth that cause physical or emotional discomfort
What Does the Procedure Involve?
The surgery involves the removal of excess tissue using the technique recommended by the surgeon (rim excision or wedge excision). The incisions are closed using absorbable stitches.
Labiaplasty can be performed under local or general anesthesia.
It is normal to experience mild discomfort and swelling for a few days after surgery. These symptoms usually improve after 3–4 weeks and can be managed with pain relief medication.
An ice pack can also help relieve discomfort and reduce swelling—but it should never touch the skin directly. The ice should be wrapped in a soft towel to protect the skin.
Recovery Timeline
- Return to work is usually possible after one week.
- Normal daily activities can be resumed after 2–3 weeks.
- Sexual activity, cycling, and horseback riding should be avoided for 4–6 weeks after surgery.
- Internal tampons should not be used during the first 6 weeks post-surgery.
Scars in this anatomical area typically heal quickly and are usually barely noticeable.
How to Prepare for Labiaplasty
- It is recommended to stop smoking at least 4 weeks before the surgery.
- Full hair removal of the genital area is necessary prior to the procedure.
Postoperative Care
In the days following the surgery, it is important to follow these guidelines:
- Wear comfortable, natural-fiber underwear, preferably undyed. Avoid thongs or G-strings for at least 6 weeks post-surgery.
- Do not drive for 1 week after the procedure; arrange for someone to escort you home on the day of surgery.
- Gently wash the area daily in the shower (do not use a direct water jet on the surgical area). Pat dry gently with a clean, soft towel.
- Rest for at least 24–48 hours post-op. Returning to work may vary per individual, but light daily activities can typically resume by the first week.