A labia majoraplasty is a procedure designed to surgically reduce the size of the outer, hair-bearing labia majora. Labia majora reduction is reserved for the patient that is experiencing significant sag, excess skin tissue or loss of volume leading to ptotic (droopy/deflated) labia majora. Patients may feel their labia majora are too large or hang down and may feel discomfort from such activities as cycling, or be embarrassed by unsightly camel toe.
Anesthesia for a labia majoraplasty
This procedure is done by Dr. Reed under local anesthesia with oral sedation. Majoraplasty is performed by making a vertical excision of an ellipsis (similar to a tear drop or 1/4 moon) of labial skin and then re-approximating the cut edges resulting in improved skin tone of the vulva.
The amount to be removed depends on the amount of excess tissue.
What are the risks of a labia majoraplasty?
Risks include: cosmetic results may not be in keeping with your expectations, healing difficulties, bleeding, hematoma, infection, scarring, and under/over resection.
Recovering from a labia majoraplasty
Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her pelvis elevated to reduce swelling.
Patients can resume wearing tampons or having intercourse after four to six weeks pending post-op evaluation for healing.
Swelling after a labia majoraplasty can last six months or longer, depending on the thickness of the tissue, although much of the swelling is gone by six weeks.
What are the results of a labia majoraplasty?
This procedure typically results in smaller, tighter labia majora. In patients with excess skin, drooping of the labia majora when the patient is standing is usually improved, resulting in a more taught, perky and more youthful appearance. In patients with excess volume, this procedure can result in a flatter, less “bulky/full” appearance.