If you need labia reduced, re-shaped, trimmed, or otherwise revised for improved comfort, appearance, hygiene, or sexuality, consider labiaplasty consultation. The inner labial folds of sensitive skin protect moist delicate important central perineal parts: your clitoris, your urethral opening, and your vaginal opening (introitus). Extra labial length and bulk beyond what is needed for protection becomes a distraction, uncomfortable, or unsightly, and may be removed. Changes in dimension, proportion, and appearance of the labia and other vulvar features are desired for individual situations. Discomfort, potential visibility, difficult hygiene, and confident sexuality are commonly offered justification for reduction of disproportionately large labia and other genital skin folds. Examples of typical labiaplasty procedures and techniques are shown HERE.
Video explaining the labiaplasty procedure is HERE
“I’ve had dentist appointments worse than that” – Shannon S. after labiaplasty in office
Vulvar and perineal structures support reproductive, sexual, excretory, and other functions. Many women want an improved appearance, even though their existing situation is normal. Athletic women, dancers, swimmers, and other competitors prefer a trim contour to fit performance gear better and minimize friction. Hygiene may be simplified by reduction of long, thick, irregular, 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 the diminished amount of surrounding hair. Confidence in genital appearance improves sexual experience of 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.
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 is a good alternative depending on your pigment distribution, preferred result, and the shape of your labia. Because each woman presents differently and has a particular idea of what she wants, like most plastic surgery procedures, labiaplasty is custom designed. Dr. Laverson skillfully re-arranges tissue, matches skin folds, and preserves the softness of labia minora while removing excess bulk. Your desired result will be demonstrated with a surgical marker so you’ll understand the proposed procedure in advance. 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. Sometimes, removal of more labia in a secondary procedure is necessary, but if so, it is a 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 was easy, and I’m much more comfortable. I just wish I hadn’t waited so long to do it.
– Jennifer B, Carlsbad
Other requested vulvar aesthetic procedures include labia majora reduction or augmentation, laser hair removal, labial de-pigmenting, and liposuction of enlarged mons pubis or labia majora.
Upon arrival in our office, before marking your skin, topical anesthesia numbs the treatment area. After marking, local anesthesia offers complete comfort during your labiaplasty procedure. Medication to help you relax further is also available if needed. Besides improving appearance and comfort, Dr. Laverson accomplishes a durable repair, facilitating healing and early return to normal activity. Apply a pad daily until there is no longer spotting (usually one week). We recommend our post-labiaplasty care, and provide you with supplies. This includes Dermoplast® 20% benzocaine anesthetic spray for pain relief, TUCKS® medicated (Witch Hazel) pads, and perineal spray wash for sensitive healing tissues to use at home after your procedure. We also prescribe mild narcotic analgesics (codeine, hydrocodone, or oxycodone with acetaminophen) to control discomfort, and antibiotic ointment to apply daily after gentle bathing. Trauma to the perineum should be avoided until pain and tenderness resolve, usually four to six weeks.
Beyond self care, ThermiVA vulvo-vaginal RF (radiofrequency) is a pain-free non-hormonal office treatment for vaginal dryness, stress urinary incontinence, labial and vaginal laxity, and other peri-menopausal changes. Many women describe improvements in sexual response after ThermiVA.
Several excellent links for information about women’s health are: