Labiaplasty

Labiaplasty is a surgical procedure to change the size or shape of the labia, the inner lips of the vulva. It can be performed for cosmetic reasons, to correct physical discomfort like chafing or pain during intercourse, or for exercise.

The surgery involves trimming excess tissue, most often from the labia minora, and can be done using different techniques.

Who is a candidate?

Ideal candidates for labiaplasty are women with physical discomfort, irritation, or self-consciousness due to enlarged, asymmetrical, or irregular labia minora. It is suitable for those experiencing pain during daily activities, exercise, or sexual intercourse. Candidates should be in good overall health, fully developed, and have realistic expectations about the surgical results.

Preparation for surgery

Preparing for a labiaplasty involves halting blood-thinning medications (aspirin, ibuprofen, herbal supplements) and nicotine 2–4 weeks prior to minimize bleeding and aid healing. Key preparation steps include arranging transportation for surgery day, buying sanitary pads, and preparing loose clothing. Patients often cleanse with specific soaps (e.g., Hibiclens) the night before and follow fasting instructions, typically avoiding food/drink after midnight before the procedure.

Procedure

Labiaplasty is an outpatient plastic surgery procedure, usually taking 1–2 hours under general anesthesia.

Recovery

Patients usually return home the same day. Significant swelling and bruising are common for the first few weeks.

The procedure is generally described as causing mild to moderate discomfort or aching rather than severe pain, which is manageable with medication. Sexual activity and rigorous exercise should be avoided for 4–10 weeks.

Potential Complications

There are risks associated with any type of surgery. Although the incidence of complications is rare, Dr. Van Laeken feels that all patients should be informed of the potential complications prior to proceeding with surgery.

While serious complications are rare (less than 1%), temporary issues like swelling, bruising, and discomfort are common during recovery. Labiaplasty is generally safe, but potential complications include;

Asymmetry

Symmetry is not always achieved.

Bleeding

The escape of blood from blood vessels, resulting in hematoma formation or external hemorrhage.

Haematoma

Blood can gather under the skin and cause a blood clot. If this does occur, Dr. Van Laeken can drain the area. Indications of a haematoma are a firm, painful lump that causes colour change in the skin. This rarely occurs after 48 hours post operatively.

Infection

Signs of infection are localized heat, redness, fever, and pain. Dr. Van Laeken can prescribe antibiotics to treat the infection. Occasionally the area will need to be drained.

Nerve Damage

Disruption of neuronal structure or function, leading to impaired sensory or motor output. Manifestations vary depending on the affected nerve and can include altered sensation, weakness, or paralysis.