Home » Labia Reduction | Labiaplasty

Labiaplasty | Labia Reduction Surgery

Author
Cosmetic Gynecologist Dr. Dimple Doshi
Dr. Dimple Doshi Cosmetic GynaecologistIndian Board Certified Cosmetic Gynecologist
Laparoscopic Surgeon
25+ Years Experience
FOGSI, MOGS, Member of ASI (Association of Medical Consultants)

“Wearing jeans and swimsuits would be No longer Hesitation for You.”

  • Are you embarrassed about wearing jeans due to the abnormal shape of the private part?
  • Are you feeling irritation and itching after walking, jogging or heavy physical activity due to the friction at the private part?

If the aforesaid are your point of concern, then Labiaplasty might be a solution for you.

Labiaplasty is a surgical procedure where both labia majora and minora are shaped to give it a youthful and rejuvenated appearance.

We at Allure Medspa, do vaginal rejuvenation where labiaplasty is combined with vaginoplasty, perineoplasty along with fat injection or skin lightening procedures.

Synonyms of Labia Reduction

Labiaplasty, Labia Reshaping Surgery, Labial Contouring, Labia Minora Reduction, Labial Enhancement Surgery


Time Required 15-60 Minutes
Anesthesia Local Anaesthesia With Sedation Or General Anaesthesia
Pain Level Mild to Moderate; well managed with medications
Hospital Stay Day Care Surgery
Flyback 2-3 Days
Success Rate Very High


The vulva includes the inner lips and outer lips, scientifically termed as labia minora and labia majora respectively as well as the clitoris, and the vaginal opening. Labia can be short or long, wrinkled or smooth as well as dark or light. The exterior of the clitoris can be pea-sized or as big as a thumb. Normally labia minora and clitoris are not visible from outside.

The shape or size of labia gets changed due to the following reason:

  • Puberty: Hormonal changes also lead to changes in labia. Puberty leads to the overall growth of the reproductive organs and also causes enlargement of the labia majora and labia minora.
  • Pregnancy: Pregnancy causes further enlargement of both the labia as well as the color. And so darkens giving it a purplish or violet hue; especially for the labia minora.

After menopause, the labia majora thinning happens and labia minora and clitoris shrink in size.

  • Childbirth, and
  • Aging


LOOK

  • Those who want maiden or the Barbie look of their introitus.
  • Pre-pregnancy look gets easier to achieve.
  • Changes the appearance of the vulva by sort out the issue of protruding and extra black skin that may embarrass you while wearing tight-fitting clothes or during intercourse with your partner.

FUNCTION

  • The Excess labial tissue between your legs no longer sticks out during physical activities.
  • Zipping and unzipping does not scare you of injuring your private area.
  • Irritation and itching after walking, jogging or heavy physical activities due to the friction at the private part is all sorted out.
  • Frequent infection and chafing on the labia are prevented.
  • You can comfortably ride on your bicycle.

INTIMATE LIFE

  • Sort out the pain during sexual intercourse.
  • You will feel confident during sexual intercourse.
  • Contentment in private as well as sexual life.

CONFIDENCE

  • Improve self-confidence and personal life.
  • Helps your professional life, especially if you are in the glamour world. Or your profession demands wearing western clothes.


You are a good candidate for Labiaplasty surgery if

  • You are physically fit.
  • You have realistic expectations with the labiaplasty surgery.
  • You are ready to take care during surgery and recovery.


Pre-procedure consultation helps you to understand what is there for you during labiaplasty surgery. Consultation helps the cosmetic surgeons to understand your concerns and expectations. So he can make the best plan for you to meet your goal and will explain to you about labiaplasty surgery, recovery in detail.

At the time of consultation, you are free to ask questions with your plastic surgeon and he will answer your every query related to Labiaplasty surgery.

During your consultation be prepared to discuss:

  • Your surgical goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use
  • Previous surgeries

Your Labiaplastysurgeon will also:

  • Have your per speculum and per vaginal examination is done to complete your gynec-examination.
  • Discuss the surgical options
  • Recommend a course of treatment to plan the Labiaplasty to meet your aesthetic goal
  • Discuss likely outcomes of labiaplasty and any risks or potential complications.
  • Evaluate your general health status and any pre-existing health conditions or risk factors.

It is good to make a list of important questions so that you don’t forget to ask anything before proceeding for the consultation.

Preparation: General examination and general fitness tests are done.

Labia minoraplasty

Aim: Labia minoraplasty aims is to reshape and reduce the length of a woman’s labia minora- the inner lips of the vulva.  According to ASPS (American Society of Plastic Surgeons), the number of women seeking to alter the appearance of their labia has been increased significantly.

Technique:

  • Conventional: The surgical knife is used to cut the tissue.
  • LASER: Tissue is cut with a laser. There is less tissue handling, more precise cut, less oedema, and faster recovery is achieved.

Type of Excision

DEEPITHELISATION

When labia are very thin and one wants to preserve labia volume then only labia mucosa is removed to preserve the volume.

WEDGE REDUCTION

When labia are larger in size they acquire a different shape of the wedges, which is excised to give labia a natural look and darker skin is removed.

COMPOSITE REDUCTION

When clitorial protrusion and hooding is considered along with labiaplasty in order to maintain ergogenic sensation, the composite reduction of excision is used.

Clitoral hood reduction or CHR is a procedure most often combined with labia minoraplasty and it involves removing the excess skin folds lying beside the clitoris. These extra folds can create a bulge that is exaggerated when the labia minora are reduced, and a clitoral hood reduction can improve the balance in the appearance of the female genitalia.

BARBIE LABIA PLASTY

When the complete volume reduction of labia done to give a teenager looks, it is called Barbie labiaplasty.

Labia Majoraplasty

FAT GRAFTING

Fat transfer is indicated when the labia majora have become irregular shaped and wrinkly as a part of the normal aging process; to make them look voluminous and youthful along with the fat reduction the extra crescent-shaped skin can also be excised at the same time to give it a more desirable and appealing look.

SIZE REDUCTION

When labia majora are very voluminous and looking conspicuous, size reduction is indicated. Vaser liposuction can remove fat from the targeted area and give the desired shape. In this procedure; crescent-shaped skin is excised from the inner aspect of labia majora and then the defect is closed by absorbable material.

Vulval skin lightening treatment

Vulval whitening is the treatment meant to reduce the discoloration in the vaginal area; laser and chemical peels are the methods of choice. Thus giving it a more desirable and appealing look; as the dark color of the skin will lighten up.  Multiple sessions are predominantly required.


Assessing the problematic area:

On the day of surgery, the surgeon will discuss your concern, examine you again and plan the surgical procedure as well as the outcome.

 Anesthesia:

Labiaplasty procedure can be done under local anesthesia with sedation; general anesthesia or spinal anesthesia.

Duration:

The procedure approximately requires 45 min to 1hr to perform.

MARKING:

Before starting labiaplasty surgery; your aesthetic surgeon will first mark the area, keeping in mind, the outcomes. And plan the incision accordingly.

The marking lines are followed in order to avoid the distortion which may be caused by infiltration and this is considered most to give the best shape.

 

Infiltration:
The operative area is infiltrated with a small amount of local anesthesia and adrenaline. Adrenaline reduces blood loss and helps to give bloodless operative field which makes the procedure more precise and there is less bruising and less scarring.

Lignocaine makes immediate post-operative recovery painless.

 

Incision:
The Incision follows the marking. Based on the technique which is discussed in the consultation; the excision is continued taking due care to minimize the blood loss and the labiaplasty technique like wedge resection; composite reduction; barbielabiaplasty or simple deepithelialisation is performed. The incision is sutured back using very fine absorbable material.

Labia majoraplasty is performed after labia minoraplasty is completed.  If it is planned, then excision of the extra crescent-shaped skin and suturing is done. Liposuction or fat injection is done in the end.

 

After Surgery:

You are advised to take care of the external and internal stitches by using the antibiotic ointment; take antibiotics on time and come for the follow up after 7 days.

You can see a reduction in labia size immediately. Complete healing takes 6 to 8 weeks


Every surgery comes with its share of risk and complications.it is very rare with labiaplasty surgery. The common side effect is swelling and bruising which will be taken care of with proper medications advised by the surgeon. The rare risk might include bleeding, infection, injury to the surrounding structures, dyspareunia, scarring, and complications related to the administration of anesthesia. However, with an expert cosmetic surgeon in an accredited hospital set up, surgery is quite safe with the desired result.


Stitches are absorbable and they heal up in a week. Due to Labiaplasty, you might experience some discharge, spotting, swelling, and itching when the tissues heal up. You might feel a little discomfort while passing stools. Taking proper perineal care, having a diet full of fibers, taking proper antibiotics will facilitate your recovery and hasten it also. After a week of the procedure, you should visit the clinic for a follow-up. Your surgeon will examine you and assess whether you are healing well and not experiencing any complications.

You can do heavy work in a week’s time and can have a relationship after 8 -9 weeks.

Dr. Milan Doshi, M Ch (plastic surgery), is a board-certified cosmetic surgeon with 20+ years of experience.

Dr. Milan Doshi is a pioneer name in the cosmetic surgery at MUMBAI, INDIA and performs cosmetic surgeries exclusively. He is well-known as the top cosmetic surgeon in Mumbai and a recognized member of the ASPS, ISAPS, APSI, IAAPS; he has trained more than 50 plastic cosmetic surgeons across India and has been a recognized mentor by ISAPS.

He has done more than 10K cosmetic surgeries and patients from 50+ countries got benefited by Dr. Milan Doshi’s expert surgical hands.

Dr. Milan Doshi and his wife Dr. Dimple Doshi a qualified gynaecologist have credit for performing more than 250 Labiaplasty surgeries in his career.

They regularly perform Labiaplasty and have maximum satisfaction rate when the patients’ feedbacks are taken at regular intervals. They are just a phone call away and the patients are guided about the proper post-operative care.

No wonder Dr. Milan Doshi has been recognized as a celebrity cosmetic surgeon for Bollywood fraternity and credit of happily satisfying hundreds & hundreds of labiaplasty surgery patients across the globe with the best results.


We have two centres in MUMBAI with state-of-the-art facilities; the cosmetic surgery clinic at Andheri West is for the non-surgical procedure where one can get the pre-procedure consultation, post-procedure follow-ups. The Andheri West centre of Allure Medspa is a prime attraction for celebrity people as it is a hotspot destination for production houses and their offices.

Cosmetic surgery hospital/centre in Goregaon West, which is NABH-certified, follows the strict medical protocols to make your surgery safer.

The two separate modern operation theatre, advanced patient’s monitoring system during operation and post-operative care add to the safety of the procedure.

We are all updated with the latest technology. We recommend the particular option of the technology/method of the procedure according to the patient’s need, expectation and desired goal of the labiaplasty.

Due to the facilities of equipment such as an ultrasonic cleaner, ETO-sterilization, autoclave, fumigation and stringent protocols we ranked highest in the safety and hygiene measure.

With an indoor overnight facility one can find the best ambiance in our centre where the patient’s comfort is kept in mind with in-suit bathrooms & rooms are equipped with all the necessary things such as microwave, refrigerator, LCD TV, landline phone, etc. and make a homely feeling for the patients during their hospital stay.

The staff at Allure Medspa takes all precautions to make your journey of fine to fabulous a pleasant experience. One can have a homely feeling even with the medical procedure.

Our centre is committed to providing exceptional care, standard facilities, and advanced measure for the surgery and all under a single roof.

We have the most priority for the patient’s PRIVACY and CONFIDENTIALITY!

The procedure cost depends on various factors in which the following are the mandatory inclusion:

  • Surgeon’s Fee
  • Anesthetist fees
  • Medicines/consumables during surgery
  • Hospital facility & stay
  • Technology used
  • Immediate post-operative follow-ups

Following are the factors that are NOT included in the cost:

  • Preoperative fitness test
  • Post-operative medications (to be taken at home) After the Labiaplasty surgery
  • Rare and unforeseen health circumstances experienced by the patients
  • Insurance doesn’t cover the labiaplasty surgery cost as the financial service provider doesn’t assist you in planning cosmetic surgeries.

How various Factors affect labiaplasty surgery cost?

Patient’s Profile:

An Anatomical change in labia, the extent of the surgery, the technology used for the surgery, general health of the patient as well as the goal of the surgery.

Surgeon’s Profile:

The board-certified surgeon is firstly counted for the cosmetic procedure, especially the labiaplasty surgery as they have expertise in performing labiaplasty surgery and recognized by various national & international cosmetic organizations, i.e., ASPS, ISAPS. The surgeon’s reputation & recognition weigh the cost of the procedure significantly.

Anesthetist Charge:

Anesthesiologist makes your surgery painless and monitors your vital parameters during surgery and his expertise is important for the safety of the surgery.

The Infrastructure of the centre:

NABH accredited centres assure you about stringent medical protocols for safety & hygiene 24/7 as this facility will assure you about the safety of the centre more than that of a daycare centre. The location of the hospital, as well as the ambiance and other facilities, also weigh the cost of the procedure.

Medicines

Medicines include anesthesia, surgical medicine, disposable and consumables.

Follow-ups

The required session of follow-ups after the labiaplasty surgery may enhance the cost of the procedure.

Note: Most health insurance plans do not cover labiaplasty surgery or its complications, but many plastic surgeons offer patients’ financing plans, so be sure to ask. The cost of labiaplasty surgery generally ranges fromINR60000 to 80000 which takes around 1-2 hours to perform.


Q: When can I have sexual activities after Labiaplasty?

A: It’s better to wait for 6 to 8weeks after labiaplasty surgery as your body needs time to heal properly.

Q: Does Labiaplasty affect sensation?

A: No, labiaplasty does not affect sexual sensation, enjoyment or caliber to attaining an organism. Most women derive sexual enjoyment from clitoral stimulation. The clitoris is not operated on and there are no changes in the sensations from this procedure. Clitoral hood removal helps to enjoy the intimacy

Q: Can I have a normal delivery after labiaplasty?

A: Yes, you can have a normal pregnancy after labiaplasty, but the achieved result will go away. That’s why one should opt for labiaplasty after completion of the family.

Q: Is the labiaplasty surgery long-lasting?

A: Labiaplasty is meant to give permanent results until you undergo vaginal childbirth. It gradually dilates as one becomes aged.

Q: Will the scars be visible in the Labiaplasty?

A: In Labiaplasty the incision is given on the perineum. And the stitches are taken with the finest absorbable material to minimize scarring. Our post-operative scar treatment protocol makes it almost inconspicuous.

Q: Is Labiaplasty Surgery painful?

A: General anesthesia is administered before performing the procedure. Therefore, you will not feel any pain during the procedure. Following the procedure, your surgeon may prescribe medication to alleviate any pain. Most patients experience more discomfort than pain as they recover.

CPT Code and Description about Labia Reduction:

CPT Code CPT Description ICD -10 Procedure
15839 Labia Minora Reduction Z41.1
15877 Labia Majora Reduction Z41.1

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