Labiaplasty (Genital Aesthetics)

Definition

some cases, the labia majora (outer lips) to improve both aesthetic appearance and functional comfort.

Enlarged or elongated labia may be congenital, develop after childbirth, hormonal changes, or with aging. In some women, this condition causes aesthetic concerns, discomfort during physical activity, difficulty with hygiene, or pain during sexual intercourse. Labiaplasty aims to restore a more proportional, symmetrical, and natural genital appearance while improving patient comfort and self-confidence.

Indications

Labiaplasty is indicated in women who experience:

Labial hypertrophy or elongation (congenital or acquired)
Functional discomfort such as irritation, friction, or hygiene issues
Pain during intercourse or sports activities due to excess labial tissue
Asymmetry of the labia minora or majora
Aesthetic concerns affecting body image and self-confidence

Ideal candidates are in good overall health, non-smokers, and have realistic expectations regarding outcomes.

Preoperative Considerations

Medical evaluation: Assessment of genital anatomy, general health, and patient goals.
Lifestyle adjustments: Smoking should be discontinued at least 2 weeks before surgery; anticoagulants (aspirin, etc.) stopped under physician guidance.
Surgical planning: The extent of reduction and reshaping is customized to the patient’s anatomy, ensuring a natural look while preserving sensation and function.

Surgical Technique

Labiaplasty is usually performed under local anesthesia with sedation or general anesthesia, lasting 1–2 hours.

Steps of the procedure:

Incision design: The surgeon marks the excess tissue to be removed while maintaining symmetry.
Tissue excision: Excess labial tissue is removed using trim technique (removing along the edge) or wedge technique (removing a central portion and rejoining edges).
Hemostasis and closure: Fine absorbable sutures are used, ensuring minimal scarring and natural contour.
Preservation of function: Care is taken not to damage clitoral or nerve structures.

Postoperative Course (Recovery)

Pain and swelling: Mild-to-moderate discomfort is common in the first few days, managed with analgesics and cold compresses.
Hygiene: The genital area must be kept clean and dry; antiseptic washes may be recommended.
Activity: Patients should avoid tight clothing, strenuous exercise, and sexual intercourse for 4–6 weeks.
Stitches: Dissolvable sutures are commonly used; complete healing occurs within 4–6 weeks.
Return to daily life: Most patients resume normal activities within 5–7 days, with full recovery in several weeks.