Labiaplasty

The Procedure

A labia reduction, also known as a labiaplasty or labial correction, is a surgical procedure in which the inner labia (labia minora) are reduced or reshaped. Some women experience physical discomfort such as rubbing, irritation, or interference during cycling, sports, or sexual activity. Others choose the procedure for cosmetic or psychological reasons.

During the operation, the excess tissue is removed and the labia are reshaped while preserving their function and sensitivity. The procedure is usually performed on an outpatient basis.

 

Type of Anesthesia

A labiaplasty is most often performed under local anesthesia, allowing you to remain awake but pain-free during the procedure. In some cases—such as when there is increased sensitivity or anxiety—sedation or general anesthesia may be used.

 

Duration of the Procedure

The surgery typically takes about 45 minutes. As it is a relatively minor procedure, you can usually go home the same day.

 

Before the Surgery

Proper preparation promotes a smooth recovery:

• Stop smoking: Smoking delays wound healing and increases the risk of complications.
• Avoid blood thinners: In consultation with your doctor, you should temporarily stop these medications.
• Hygiene: On the day of the procedure, ensure that the area is clean and free of creams or perfumes.
• Preoperative consultation: During your consultation, you will discuss your symptoms, expectations, and the desired outcome.

Aftercare and Follow-up Appointment

In the first few days after the procedure, you may experience swelling, tenderness, or bruising. Proper aftercare is important:

• Hygiene: Rinse the wound several times a day with lukewarm water to prevent infection.
• Rest: Take one week of rest and avoid cycling, sports, or sexual activity for 4 to 6 weeks.
• Underwear: Wear loose-fitting cotton underwear and use sanitary pads.
• Follow-up: During the follow-up appointment, the doctor will assess the healing process.

Scarring

Scars are located along the inner edge of the labia and are usually barely visible. Because this area has excellent blood circulation, the wounds typically heal quickly and neatly.

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Possible Complications

Although a labiaplasty is a relatively safe procedure, complications can occur:

• Wound dehiscence (wound separation): This is relatively common after labiaplasty. It is usually not serious, but healing may take longer—sometimes several weeks. It is very important to rinse the wound thoroughly with water several times a day. In nearly all cases, the wound heals naturally without additional surgery.
• Bleeding: This may cause swelling and, in rare cases, require a secondary procedure.
• Infection: Keep the wound clean to prevent infection. If you notice redness, pus, or fever, contact the clinic immediately. Antibiotics may be required.
• Asymmetry or irregular contour: Minor differences between both sides may occur.
• Numbness in the treated area: Temporary or permanent changes in skin sensation may occur.
• Thrombosis: While rest is important after surgery, gentle movement several times a day helps prevent blood clots.

Discuss all risks and expectations with your plastic surgeon beforehand to ensure you are well informed.

 

Costs and Insurance Coverage

A labiaplasty is generally considered a cosmetic procedure and is not covered by health insurance. In rare cases involving severe physical discomfort, coverage may be considered if the request is medically justified.