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Labiaplasty

Labiaplasty surgery is surgery to reshape the labia. It is one of the surgeries for the “designer vagina”. In the vast majority of patients, the labia minora or inner labial lips are reduced in size and reshaped. Less commonly the labia majora or outer labial lips are reshaped too and sometimes excess skin folds are removed from the clitoral hood. 

There are many reasons that women wish to have labiaplasty surgery. Some women can develop large or asymmetrical labia minora (inner lips) after puberty or pregnancy.  This can cause them to feel very self-conscious and in some cases, it is noticeable in tight clothing and swimwear or can cause problems during intercourse or some sporting activities e.g. cycling, horseriding.  During the menopause or after a large amount of weight loss, the labial tissue can become stretched and droop. Some women are extremely self-conscious about the appearance of their labia to the extent that it severely affects their self-esteem, confidence and sense of femininity. The procedure of labiaplasty generally involves reducing the size of the labia minora to a more aesthetically pleasing size and shape.  

It is however extremely important to note that there is a very wide range of what is considered a normal appearance of the labia. Labia vary considerably in size, shape and colour and can change in appearance during puberty and pregnancy.

During your labiaplasty consulation, Ms Nugent will explore the reasons you are considering a labiaplasty with you, take a full medical history and examine you. If you are a suitable candidate for a labiaplasty procedure, she will then explain the procedure to you and go over the recovery and aftercare information and any potential risks with you. You will get an information leaflet to take home. If you wish to proceed with surgery, you will then be seen for a second consultation before arrangements for surgery are confirmed. The purpose of the second consultation is to ensure that you have received and understood all the information that you need about the labiaplasty and that you have a further chance to ask any questions that you may have.

Labiaplasty is usually performed under local anaesthetic (awake with the area numbed) unless a general anaesthetic (asleep) is requested or other surgery is being done at the same time. It is done as a day case procedure.  There are many variations in how the surgery is done. During the surgery, the size of the labia minora are reduced either by removing a thin strip of tissue along the edge or by removing a wedge shaped area of tissue. Removing tissue in a wedge shaped manner leaves less scarring at the edge of reshaped labia although the scars usually heal very well and are very discrete. Any clitoral hood extra skin can be removed as part of either techniques if planned. This is done in a way that will not damage or affect sexual sensation or stimulation of the clitoris.

Afterwards it will be necessary to gently shower the area daily to keep the surgical wounds clean and to wear a pad in the begining until the area heals. Antiseptic cream is often applied in the early stages of recovery in addition. Tampons should be avoided until the area is healed. (In general, it is best to time the surgery for when you do not have your period and when it is not due immediately afterwards.)

Most people can return to work between a few days and two weeks depending on the type of work and how they are recovering. There will be some swelling and bruising of the area that gradually settles down over the couple of weeks after surgery. Strenuous sports and sexual intercourse should be avoided until the area is fully healed. This is usually about 4 to 6 weeks post surgery.

(Labiaplasty is not recommended for girls under eighteen years of age.)

Before And After Labiaplasty Images

” Very happy with the outcome”, labiaplasty at Purity Bridge 2017

“Nora was incredibly professional, friendly and understanding. I had wanted labiaplasty from a young age but always too ashamed to tell anyone. Nora was fantastic and put me at ease from the first consultation. The procedure went very well. Highly recommend Nora. Thank you so much.” labiaplasty at the Montefiore Hospital 2017

“Really great treatment” KJ, labiaplasty at the Montefiore Hospital 2015

“Wonderful, thorough + extremely happy”, labiaplasty at Purity Bridge 2016

“I saw Ms Nugent this evening for the 2nd consultation re labiaplasty. I felt it necessary to say thank you, I could not help but feel very apprehensive and uncomfortable about this appointment, despite knowing that this was one of may such appointments for Ms Nugent, and trying to force myself to approach it in a clinical manner-I felt embarrassed, actually mortified is not an exaggeration, I felt the urge to make a fast exit as I sat in the waiting room. But please pass on my thanks; I felt comfortable throughout the consultation. I understand that it is part of a doctors/surgeons training to make patients feel at ease, but it is not really a skill that can be taught (in my opinion/experience). I feel relieved about how the appointment went today and confident about going ahead with the procedure. Many thanks.” AT, labiaplasty consultation Nuffield Health Tunbridge Wells Hospital 2017