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There are two types of labiaplasty surgery, labia minora, which involves the smaller interior vaginal lips, and labia majora, which involves the broader outer lips of the vulva. Many patients request this surgery for aesthetic reasons, as well as to alleviate pain and discomfort.

Labiaplasty Minora (Labial Reduction)

This surgery removes excess or uneven skin of the labia minora (smaller interior vaginal lips) that often causes chronic irritation, rubbing, or discomfort during sexual intercourse. Many request this surgery to eliminate the appearance of a bulge with certain clothing such as wet swimsuits or leotards. Labia can grow large with estrogen stimulation at puberty and pregnancy and with the effects of gravity with aging. Dr. Mathews uses a highly refined technique using state of the art equipment which causes minimal tissue damage, much less tissue damage than with a laser or electrocautery which is used by the majority of surgeons performing Vaginal Aesthetics. The use of superior techniques and equipment results in more natural looking results. Labiaplasty may be performed in the office under local anesthesia and sedation or in the operating room if procedures for Pelvic Organ Prolapse are to be preformed. This procedure takes about one hour to perform and patients may return to work in 2 or 3 days.

Labiaplasty Major

The broader outer lips of the vulva, Labia Majora, can be enlarged with excess skin and tissue. This enlargement can cause an embarrassing bulge in pants, swimsuites, or leatards. The Labia Majora may be enlarged from birth, secondary to childbirth, or due to agining. Dr. Mathew's refined technique safely reduces the size of the Labia Majora removing excessive skin and results in a more natural look. Labiaplasty Majora is done in the office under local anesthesia and sedation, or in the operating room under general anesthesia if combined with threatment of pelvic organ prolapse. The procedure takes about one hour and you may return to work in 2 to 3 days.

Who is a candidate for Labiaplasty?

Many women are born with too large, irregular, or asymmetrical Labia Minora. Others develop stretching and elongation of the labia as a result of childbirth or with aging. This presents not only an aesthetic predicament but more importantly a functional hindrance. Women with large and irregular labia are often embarrassed during sexual interactions, and feel uncomfortable with wearing bathing suits, tight clothes, or jogging shorts. Others experience pain or irritation during intercourse or feel that they cannot reach optimal sexual pleasure because of the hindrance of their bulky Labia Minora.

Meanwhile, there are some women that develop very full and large Labia Majora (outer lips). This may becomes a noticeable nuisance when wearing tight pants, shorts, or bathing suits. It also traps moisture and causes skin irritation, rash, or even promotes yeast infection.

Does Labiaplasty prevent natural childbirth?

No, Labiaplasty does not interfere with natural childbirth, but instead, it may be beneficial.

What types of Labiaplasty techniques are available?

The direct excision and reduction method of Labiaplasty is the traditional method. A long strip of the Labia Minora is excised, leaving a surgical incision at the edge of the Labia. This procedure is often performed with a laser or electrocautery. Dr. Mathews performs a highly refined technique requiring special equipment which results in dramtically less tissue damage. The result is a superior cosmetic appearance.

The Wedget technique is one that many Plastic Surgeons use. A V shaped wedge is removed from the labia in an attempt to reduce the size of the labia while maintaining the natural edges of the labia. This technique is known to have higher complication rate regarding healing and may result in a second corrective surgery being needed.

The Brazilian Labiaplasty Technique leave the edges of the Labia Minor intact and attempts to hid the incison in the skin creases. This technique has not proven to be cosmetically acceptable in most patients and is limited in the amout of reduction possible.

Reduction of the Labia Majora, the larger outer lips of the vagina, involves removing the excessive skin and tissue to reduce the unwanted protuberance of the Labia Majora. Dr. Mathews uses a special technique to hid the incision so that is is not visible and gives a superior cosmetic outcome.

Anesthesia and Surgery for Labiaplasty

Labioplasty is performed in the office under local anesthesia with some sedation in order to reduce anxiety. This procedure is rather short, and can take about one hour. Labiaplasty is offten performed in conjunction with Vaginoplasty (Vaginal Rejuvenation). Labiaplasty & Vaginoplasty may be done when surgery for Pelvic Organ Prolapse (fallen bladder, uterus, rectum) is to be performed. In these instances, general or spinal anesthsia is necessary and the procedure is performed in an operating room.

Recovery after Labiaplasty

Mild discomfort, swelling, and bruising may be experienced after Labioplasty, which can last two to seven days. During this time, women can experience some spotting, and/or urinary hesitance. Sanitary pads and neosporin ointment applications to the surgical sites can bring comfort. Six hours after surgery, showers or washing can be done as frequently as desired. Although you can return to sedate activities and work within two days, you should refrain from jogging, biking, horseback riding, running, heavy lifting, and sexual intercourse for about 6 to 8 weeks.

Potential Risks and Complications

Aesthetic Vaginal Surgery like any other surgery carries inherent risks. The most obvious are infection, bleeding, possible need for blood transfusion which carry there own risk of HIV, Hepatitis, and possible other viral infections, reactions to anesthesia both injected and inhaled, aspiration of food or liquid into the lungs, pain, wound breakdown, blood clots, and even the risk of death. While rare, they can occur. An additional risk you must consider is similar to "buyers remorse" which occurs when one is not completely happy with the results of their surgery. Perfect symmetry is impossible to achieve and the exact look you may want may be unattainable.

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3108 Midway Road, Suite 200 & 210 | Plano Texas 75093 | 972-781-1444 copyright 2011. J. Kyle Mathews, MD., all rights reserved.