Labiaplasty 101

What is a labiaplasty?

Labiaplasty is a surgical procedure designed to reduce the size or alter the shape of the labia minora- the inner lips of the vulva.  Most common reasons for individuals to seek a labiaplasty include:

• Cosmetic appearance – some individuals may feel self-conscious about the appearance of elongated and/or asymmetric labia minora
• Physical discomfort- Elongated labia minor may feel uncomfortable during intercourse or exercise or may rub against undergarments causing discomfort.

What is the procedure like? 

During the procedure, the labia minora will get trimmed and reshaped to provide a more symmetric and aesthetically pleasing appearance. This is done using a trim or wedge technique, depending on the situation. With the trim technique- excess tissue is removed along the edge of the labia minora, this tends to be more cosmetically preferred method as it removes the hyperpigmented area of the labia minora.   With the wedge technique, a triangle or V- shaped segment in the middle of the labia minora is removed, with the edges brought together. The wedge technique preserves the natural hyperpigmented edge of the labia minora.  The trim technique is the most common way labiaplasty is performed. The procedure is most commonly performed right here in our office at Down There Urology.  This is done while maintaining patient comfort during the procedure.

What should I expect after my Labiaplasty?

After the procedure, individuals should expect some swelling, bruising, and post-procedure discomfort. The swelling and bruising will improve and resolve over the following few weeks. You will be given prescriptions for pain medication to use as needed.  You will be given a squirt bottle to use to gently rinse the area during and after urination.  You can gently pat dry after using the squirt bottle.  It’s important to not rub or scratch the area during the healing process.  You will also be given a cold compress to use in that area for 15 minutes at a time to help with pain and swelling. For added comfort during the healing process, some individuals purchase a donut pillow- this can relieve pressure in that area during sitting. 

Things you CAN do after Labiaplasty: 

• You may shower normally. 
• Walk and use stairs normally.
• Normal daily activities

Things you can NOT DO after Labiaplasty:

• Avoid swimming or bathing until you are instructed by Dr. Milhouse (typically 4-6 weeks)
• No sexual activity in this area for at least 6 weeks.

If you are considering Labiaplasty in the Chicago area, contact us at Down There Urology and request a FREE CONSULTATION with Dr. Milhouse today. Call 312-620-1803 or go online to schedule.