Labiaplasty and Vulva (Vulvo-Vaginal)
Vulvo-vaginal is a term indicating the combined structures of the vulva and vagina. The vulva is the external female genitalia, and is complex anatomically. Delicate inner and larger soft outer skin folds (labia) unite in front on the mons pubis and in back at the perineum. Between these folds in the mid-line from front to back are the clitoris, the external opening of the urethra from the bladder, and the introitus (opening to the vagina). The vagina is a moist canal extending inside to the cervix of the uterus.
Self-confidence and comfort with ones own body is important. Adjusting size and shape of vulvar skin folds are routine plastic surgery problems. No woman should suffer difficulty or embarrassment from an issue that is so easily corrected. Male circumcision is universally practiced, and involves skin of the same quality and character as labial skin.
Changes in dimension, proportion, and appearance of the labia and other vulvar features are desired for individual situations. Disproportionately large labia and other genital skin folds interfere with function and hygiene. Cosmetic appearance within normal range is important. Athletic women, dancers, swimmers, and others who compete prefer a trim contour to fit performance gear better. Hygiene may be simplified by reduction of long, thick, or redundant hanging labii. Hair removal and small intimate wear expose more vulvar anatomy. Reducing larger structures keeps them within bounds of clothing and balanced with a diminished covering of hair. Countenance in genital appearance improves the sexual experience for both men and women. Thick skin over the clitoris in women who achieve clitoral based orgasm may delay or diminish the response. Some just want to eliminate self awareness of hanging labia, or a visible “camel toe” in form fitting swimwear or body suits.
Enlarged or bulky labia minora (nymphae) are usually variations of normal anatomy, so procedures to change the labia are considered cosmetic.
Labiaplasty describes the procedure for changing shape and/or size of the labia. Although standard techniques are described, Dr. Laverson individualizes his approach depending on your presentation and your desired result. Most often, some variation of the “modified wedge” labiaplasty is chosen, but an individually designed sculpted trim sometimes works well also. Because each woman presents differently and has a particular idea of what she wants, labiaplasty must be custom designed. Dr. Laverson skillfully re-arranges tissue, matches skin folds, and preserves the softness of labia minora while removing excess bulk. Dr. Laverson discusses with each woman her desired appearance and uses a surgical marker to demonstrate to you the solution to resolve issues with each area. Sensation and function are ALWAYS preserved, and appearance is ALWAYS improved. Unlike many surgeons, Dr. Laverson performs these procedures with optical magnification to achieve precision in every aspect of the result. The modified wedge procedure we favor offers a trim feminine appearance with no visible scar and matches darker outer skin pigment with inner pink mucosal pigment border. NEVER will Dr. Laverson remove too much of these critical, specialized structures. If removal of more labia in a secondary procedure is necessary, this is always a much lesser and easier procedure for both doctor and patient than the initial labiaplasty, and is far preferable to over-reducing.
The final shape, more petite and aligned with the labia majora, is natural. Visible scars, nodularity, irregularity, hypersensitivity, and deformity are avoided. Pigment transition from darker outer skin to pink inner labial and vaginal surfaces are aligned imperceptibly.
Labiaplasty is often combined with clitoral hood reduction. Other requested vulvar aesthetic procedures include labia majora augmentation to create a pout, laser hair removal, labial de-pigmenting, and liposuction of enlarged mons pubis or labia majora.
Women are pleased with the results of labiaplasty procedures performed in our office. Occasionally, an additional minor revision procedure at no extra charge is required to achieve the most perfect result. We provide topical anesthesia for you to apply at home. Labial procedures are performed under local anesthesia in the office. You will be awake, and will be medicated for relaxation. Besides improving appearance and comfort, Dr. Laverson accomplishes a durable repair, facilitating healing and early return to your active San Diego lifestyle. Apply a pad daily until there is no longer spotting (usually one week). We provide topical anesthetic gel to use as needed for pain and antibiotic ointment to apply daily after gentle bathing. Trauma to the perineum (bike riding, horse riding, sex) should be avoided until pain and tenderness resolve, usually four to six weeks.
