What is Labia Majora Reduction?

Labia Majora Reduction and Reconstruction (LMR) or labia majoraplasty is the removal of the sagging and/or wrinkled skin from one or both sides of the labia majora (the outer hair-covered lips). Women request labia majora reduction for two primary reasons:

  1. To give a more youthful and taut appearance.
  2. For comfort, as some women report feeling bulky and self-conscious in a swim suit, yoga pants or underwear. Labia majora sagginess can also cause chaffing and irritation, especially with clothing, exercise and intercourse.

We can’t emphasize enough the importance of choosing a labiaplasty surgeon who is experienced and specializes in labia majora reduction surgery. This surgery is intricate and requires a high degree of expertise to achieve desired results. You do not want to entrust this part of your body to an inexperienced surgeon. Dr. Troy Robbin Hailparn of the Cosmetic Gynecology Center of San Antonio has received specialized training in this area. She has performed over 800 labiaplasties since being trained in 2003.

Labia Majora Reduction Surgery

There are surgical and non-surgical labia majora reduction procedures. Only an in-office physical exam and conversation about the patient’s expectations can determine which would be the appropriate procedure for any specific patient.

For women with a significant amount of excess skin and fat, labia majora reduction surgery may provide a solution. Labia majora reduction surgery is the removal of the sagging skin (and possibly fat) from one or both sides of the labia majora. The excess tissue is surgically reduced and then the area is pulled together with several layers of sutures to give a more youthful and taut appearance. The sutures are hidden in the creases between the labia minora and the new labia majora.

For women desiring a plumper appearance, removal of any excess or saggy skin and restoration of the fat sac will obtain that look. For those wanting a flatter look, both skin and fat can be removed. In both cases, a more youthful appearance can be achieved.

Recovery from Labia Majora Reduction Surgery

Labia majora reduction surgery is about an hour-and-a-half to two hours long in an accredited out-patient surgery center. Blood loss is a teaspoon or two. The patient leaves the surgery center on the same day and returns to our office the next day for their first post-op visit. The patient can return to work between days 4-6. Dr. Hailparn likes to have a follow-up exam at two weeks for suture removal and about eight weeks after surgery to review the surgical site, to make sure it is healed and to answer any lingering questions or concerns the patient may have.

Cost of Labia Majora Reduction Surgery

After your consult, which includes a physical exam by Dr. Hailparn, you will receive the exact cost of labia majora reduction sugery. Most times, labia majora reduction surgery is not covered or fully covered by insurance. You can read more about payment options here.

Labia Majora Reduction Without Surgery

For some patients, labia majora reduction can be achieved without surgery. Non-surgical options to improve the comfort and appearance of the labia majora include:

  • radio frequency (ThermiVa)
  • lasers
  • platelet-rich plasma (O-Shot)
  • fillers including fat

In Dr. Hailparn’s clinical experience, most woman she has treated with radio-frequency (RF) have experienced improvement in the appearance of their labia majora. This high-tech, in-office procedure causes shrinking of collagen and stimulation of new collagen over time and does not destroy cells in the process. There is no discomfort or downtime.

Lasers destroy cells to rejuvenate the skin. It’s a different process to the same end.

PRP can help by adding concentrated growth factors under the skin to stimulate healing which includes new collagen production.

Fillers are less frequently recommended as they are inconsistent in outcome. Some absorb quickly, and lumpiness under the skin can occur as well as reactions to the fillers themselves. With autologous fat as a filler, it can be absorbed back into the body over weeks to months and the labia majora returns to it’s original state before the procedure.

Some women combine labia majora reduction with labiaplasty (aka labia minora reduction). If you are interested in labia majora reduction, schedule a consultation online or call us at 210-615-6646. Dr. Hailparn is happy to address your concerns and answer all your questions in a thorough consultation.

More Labia Majora Reduction Information

What is Labiaplasty?
Explanation of labiaplasty. Plus who's a good candidate for labia surgery? How much does labiaplasty cost? See before and after labiaplasty photos, and find out why it's so important to pick the right doctor.
Labiaplasty Reviews
Read these labiaplasty reviews from some of Dr. Hailparn's actual patients.
Labiaplasty Surgery: Why Women Want Labia Reduction Surgery
Some women want labiaplasty surgery for purely aesthetic reasons, while others have medical or functional issues that need to be addressed.
Labiaplasty Gone Wrong: Botched Labiaplasty
When labiaplasty goes wrong, it can leave the patient traumatized. Read this story. See labiaplasty gone wrong photos. Discover the importance of finding the right doctor.
 
 

Read more: What is Labia Majora Reduction?

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What is Labiaplasty?

What Does Labiaplasty (Labia Surgery) Entail?

Labia surgery, known as labiaplasty or labia reduction surgery, is designed to reduce the size of the labia minora (smaller, inner vaginal lips). It is very important to choose a labiaplasty surgeon who is experienced and specializes in this procedure. Dr. Troy Robbin Hailparn of the Cosmetic Gynecology Center of San Antonio (formerly the Laser Vaginal Rejuvenation Institute™ of San Antonio) has received specialized training in this area and has performed nearly 800 labiaplasties since being trained in 2003. She is also the author of Beneath Your Pink Perfect: Everything You Ever Wanted to Know About Labiaplasty But Didn't Know to Ask, a labiaplasty e-book in which Dr. Hailparn and her patients share details and insights into labiaplasty.

Who is a Candidate for Labiaplasty?

Appearance of labia minora naturally varies from woman to woman. Many women are born with large labia minora or experience changes in the appearance of their labia following childbirth. Some women want a labiaplasty purely for cosmetic reasons, others may also suffer from discomfort or irritation from large labia minora and labia reduction may help resolve these symptoms.

  • Pain/pulling/discomfort/irritation with intercourse
  • Pain/pulling/discomfort/irritation with certain activities/exercise/clothing
  • Unable to wear certain clothes/lingerie/bikinis
  • Irritation with prolonged sitting or walking
  • Multi-directional urine stream
  • Odor and other hygiene issues
  • Unhappy with appearance due to asymmetry or pigmentation or length
  • Previous Labia Minora Reduction surgery desiring evaluation for surgical correction
  • Inhibits patient from sexual activity, self-conscious, and embarrassed due to extra tissue

You can download our labiaplasty candidate checklist for your convenience.

Labiaplasty is done under either general or local anesthesia, in an out-patient surgery center, and depending on the complexity can take about 60-90 minutes. During labia surgery, a scalpel is used to contour the labia. Depending on the patients needs and wishes:

  • both labia can be reduced
  • a single side can be reduced so the labia are symmetrical in size
  • pigmented edges can be removed so they are pink and present a more youthful appearance. Some women prefer to keep the darkened labia and that can also be accomplished.

Importance of Choosing a Highly Experienced Doctor for Your Labia Surgery

When it comes to labia surgery (labiaplasty), many regard it as simple surgery; a matter of just cutting off the enlarged labia minora (inner lips). In our opinion, this couldn't be further from the truth. Labia surgery is intricate and requires a high degree of expertise to achieve desired results. You do not want to entrust this part of your body to an inexperienced surgeon. A plastic surgeon may or may not have expertise with this type of vaginal cosmetic surgery. That's why, when considering labia surgery, it is important to consider the experience and training of the labiaplasty surgeon.

Labiaplasty Recovery

Most patients leave the out-patient surgery center within one to two hours following the labia surgery. They return to the doctor's office the next day for a post-op checkup and to have any questions answered. Patients receive pain and anti-inflammatory medications and can usually return to work within a week. Full recovery takes about 6-8 weeks contingent on the individual's healing process. Because of the very fine, absorbable sutures used for the labiaplasty, there is usually very little scarring and the scars may not be visible to the eye because they are hidden in the creases and folds of the labia. Sensation may even be enhanced because of the new nerve endings and removal of the tissue.

Labiaplasty Cost

The cost of labiaplasty varies from patient to patient and depends on the complexity of the case and whether additional cosmetic gynecology procedures are being performed (some women also desire a clitoral hood reduction when they get a labiaplasty). Our labiaplasty price, as with vaginal rejuvenation and other procedures, is all-inclusive; meaning the cost of the out-patient surgery center, pre-op laboratory tests, doctor's fee, and anesthesiologist are included in the labiaplasty price we give you.

If you would like more information on labiaplasty or to schedule a consult with Dr. Hailparn, feel free to call our office at 210-615-6646 or schedule a consult online. We're happy to answer any questions you have.

More Labiaplasty Information

Labiaplasty Reviews
Read these labiaplasty reviews from some of Dr. Hailparn's actual patients.
Labiaplasty Surgery: Why Women Want Labia Reduction Surgery
Some women want labiaplasty surgery for purely aesthetic reasons, while others have medical or functional issues that need to be addressed.
Labiaplasty Gone Wrong: Botched Labiaplasty
When labiaplasty goes wrong, it can leave the patient traumatized. Read this story. See labiaplasty gone wrong photos. Discover the importance of finding the right doctor.
What is a Clitoral Hood Reduction, Hoodectomy?
When getting a labiaplasty, some women also ask for a clitoral hood reduction, aka hoodectomy. Discover what that's about.

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Labiaplasty Surgery: Why Women Want Labia Reduction Surgery

What is Labiaplasty Surgery (Labia Reduction Surgery)?

Labiaplasty surgery, also known as labia reduction surgery, is a popular procedure for women wishing to reduce the appearance of the large or protruding labia minora. Labiaplasty reduces the size of one or both labia minora. Many women are concerned, for medical or cosmetic reasons, about long labia minora (small inner vaginal lips) and for that reason desire labiaplasty surgery. Others consider labia surgery because of physical deformities or inconsistencies in appearance of the labia minora. (more below)

As for why some women have long labia, the scientific literature generally attributes it to genetics and hormones.

Why Women Want Labia Reduction Surgery

One of the most common complaints from women wanting labiaplasty surgery is that the labia minora (inner vaginal lips) are too long or that one is longer than the other. This group of women is concerned that their inner vaginal lips protrude out past the labia majora, the outer vaginal lips. From a purely cosmetic viewpoint, this can impact a woman's sexual confidence and inhibit her from enjoying her sexual experience. As one of Dr. Hailparn's patients confided to her:

"It was a psychological thing for me. I was always worried about having sex and when I did, I made sure it was completely dark. I didn't want any man seeing me with my clothes off."

Another cosmetic concern, some women find that the labia minora protrude past the clothing edge when wearing certain types of clothing; like underwear and bathing suits.

There are also medical and comfort reasons behind why women request labia surgery. The result of long labia may be:

  • pain with intercourse
  • can't wear certain clothing - seams are uncomfortable and cause rubbing and chafing
  • can't do certain exercises - walking, running, biking, horseback riding - because they press on, squeeze or pinch the labia.
  • hygiene problems - long labia can attract moisture, resulting in odor and yeast infections. There's ongoing research into the possible link between recurring urinary tract infections and long labia. Some women have trouble inserting tampons.

For these types of issues, labiaplasty is actually the recommended treatment.

The third group of women interested in labia reduction surgery are those whose labia were injured during childbirth or some other accident. Pigmentation may also be an issue. Where the edges of the labia minora are usually pink, they are now gray, brown or black. Having labia reduction surgery resolves that issue. (download our "Am I A Candidate for Labiaplasty" guide)

Labiaplasty with Clitoral Hood Reduction

Many women who have a labiaplasty also elect to have a clitoral hood reduction (aka hoodectomy); removing the extra folds of prepuce tissue around the clitoral hood. It can be done on one or both sides.

Some women have none or very little prepuce, while in others it is quite prominent. This can:

  • hinder access to the clitoris
  • cause hygiene issues
  • be bothersome due to asymmetry or pigmentation
  • cause the clitoral hood to stick out

No tissue is ever removed from the middle, only from the sides to avoid injury to the clitoral nerves. Once the extra tissue is removed, thin sutures are placed in two layers to reapproximate the skin edges. They dissolve within several weeks. (View hoodectomy before and after pictures)

To address your personal questions about labiaplasty surgery or to schedule a consult for labia reduction surgery, please call the Cosmetic Gynecology Center of San Antonio at 210-615-6646, use our contact form or book a consultation with Dr. Hailparn by using the tab on the left side of the page.

Additional Labiaplasty Surgery Information

What is Labiaplasty?
Explanation of labiaplasty. Plus who's a good candidate for labia surgery? How much does labiaplasty cost? See before and after labiaplasty photos, and find out why it's so important to pick the right doctor.
Labiaplasty Reviews
Read these labiaplasty reviews from some of Dr. Hailparn's actual patients.
Labiaplasty Gone Wrong: Botched Labiaplasty
When labiaplasty goes wrong, it can leave the patient traumatized. Read this story. See labiaplasty gone wrong photos. Discover the importance of finding the right doctor.
What is a Clitoral Hood Reduction, Hoodectomy?
When getting a labiaplasty, some women also ask for a clitoral hood reduction, aka hoodectomy. Discover what that's about.

Read more: Labiaplasty Surgery: Why Women Want Labia Reduction Surgery

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Labiaplasty Gone Wrong. Here's Why.

“The bitterness of poor quality remains long after low pricing is forgotten!" ~ Leon M. Cautillo

Botched Labiaplasty

At the Cosmetic Gynecology Center of San Antonio, we have seen our fair share of women with a botched labiaplasty from another doctor. Unfortunately, in our experience, it is not uncommon.

When labiaplasty has gone wrong, the patient receives less than desirable results. Many times, Dr. Hailparn can repair a botched labiaplasty, but remember, once the labia are cut, there is no putting them back. That's why it's so important to select a skilled, experienced surgeon with expertise in labiaplasty. Dr. Hailparn has performed nearly 800 labiaplasties since her specialty training in 2003 (Read more about Dr. Hailparn's labiaplasty training and experience).

What Causes A Bad Labiaplasty?

When patients with a bad labiaplasty come to Dr. Hailparn for a labiaplasty repair, they've usually been to an unqualified, inexperienced plastic surgeon or gynecologist who did the first labia reduction surgery after showing them a few pictures (To compare, Dr. Hailparn's before and after labiaplasty picture books include hundreds of photos of her actual patients). A patient may talk to the doctor who says "I do these procedures" and/or offers a very low or "good price". The end result may not only be physical damage to the labia, but psychological damage to the patient as well. Take a look at these before and after pictures of labiaplasty gone wrong.

We want to emphasize that, at this time, there are relatively few doctors across the United States, even the world, who have the knowledge, skill and experience to perform a high-quality, aesthetically pleasing labiaplasty, or the additional procedures in conjunction with a labiaplasty that may be needed to get the correct and desired results.

Labiaplasty Repair

If you've had a labiaplasty gone wrong and are looking to repair a bad or botched labiaplasty, call us at 210-615-6646 or contact the Cosmetic Gynecology Center of San Antonio (formally the Laser Vaginal Rejuvenation Institute of San Antonio) for information or to schedule a consultation with Dr. Hailparn. Women from San Antonio, across Texas, the United States and around the world come to see Dr. Troy Robbin Hailparn because of her reputation as a specially trained, knowledgable, skilled and highly experienced labiaplasty surgeon and cosmetic gynecologist.

Don’t Let Your Labiaplasty Go Wrong

What is Labiaplasty?
Explanation of labiaplasty. Plus who's a good candidate for labia surgery? How much does labiaplasty cost? See before and after labiaplasty photos, and find out why it's so important to pick the right doctor.
Labiaplasty Reviews
Read these labiaplasty reviews from some of Dr. Hailparn's actual patients.
Labiaplasty Surgery: Why Women Want Labia Reduction Surgery
Some women want labiaplasty surgery for purely aesthetic reasons, while others have medical or functional issues that need to be addressed.
What is a Clitoral Hood Reduction, Hoodectomy?
When getting a labiaplasty, some women also ask for a clitoral hood reduction, aka hoodectomy. Discover what that's about.

Read more: Labiaplasty Gone Wrong: Botched Labiaplasty

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Labiaplasty Gone Wrong Photos

Here are some before and after photos of labiaplasty gone wrong. The photo on the left is the patient with a botched labiaplasty done by another doctor. The after photo is on the right side, after the labiaplasty repair was done by Dr. Troy Robbin Hailparn of the Cosmetic Gynecology Center of San Antonio.

Unfortunately, there are some incompetent and unqualified doctors doing labiaplasty surgery. Over the last few years, dozens of women have come to Dr. Hailparn after having a botched labiaplasty and because of her extensive surgical experience, she has been able to do a labiaplasty revision (labiaplasty repair) and helped many of these women.

If you find yourself in this unfortunate situation, please contact our office by phone at 210-615-6646 or through our contact form. We're here to help.

Botched Labiaplasty Before and After Photos

Botched Patient 1
Botched Patient 2
Botched Patient 3
Botched Patient 4
Botched Patient 5

To get a sense of what a good labiaplasty surgery can look like, view labiaplasty, labia reduction before and after photos here.

Don't End Up in Our Labiaplasty Gone Wrong Photo Gallery

Get more trusted information on labiaplasty.

What is Labiaplasty?
Explanation of labiaplasty. Plus who's a good candidate for labia surgery? How much does labiaplasty cost? See before and after labiaplasty photos, and find out why it's so important to pick the right doctor.
Labiaplasty Reviews
Read these labiaplasty reviews from some of Dr. Hailparn's actual patients.
Labiaplasty Surgery: Why Women Want Labia Reduction Surgery
Some women want labiaplasty surgery for purely aesthetic reasons, while others have medical or functional issues that need to be addressed.
Labiaplasty Gone Wrong: Botched Labiaplasty
When labiaplasty goes wrong, it can leave the patient traumatized. Read this story. Discover the importance of finding the right doctor.
What is a Clitoral Hood Reduction, Hoodectomy?
When getting a labiaplasty, some women also ask for a clitoral hood reduction, aka hoodectomy. Discover what that's about.

Read more: Labiaplasty Gone Wrong Photos

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The recommendations and information provided by this website are for educational purposes only. This website does not contain comprehensive coverage of the topics addressed, and is not a substitute for direct consultation with your healthcare provider. Always consult a physician regarding your specific condition. Final results of any medical procedure are dependent on many different factors and vary from patient to patient. Trademarks referred to are the property of their respective owners. Pictures used on this site are of models and not actual patients unless otherwise stated. ©2016 Cosmetic Gynecology Center of San Antonio.