Labiaplasty is a surgical procedure that reduces the labia minora, (inner labia), that covers the vaginal opening. It is the most commonly performed vaginal rejuvenation procedure.

Dr. Roth will first listen to your concerns and goals. Some patients bring in photos from publications to demonstrate desired look and size. He will then gather a thorough medical history. Past medical events may impact your surgery, anesthesia, and recovery. Current issues such as; medications, herbal remedies, allergies, smoking, drug use, bleeding and scarring tendencies, will be reviewed. Chronic issues, (e.g. diabetes, high blood pressure, auto immune disease), are also important.

Dr. Roth will examine you and will describe not only what he sees, but also how it relates to your appearance or other issues. He will then explain what might be done to improve each area medically or surgically.

You may not wish to take advantage of every treatment that is available, but at least you can know about available options and what each might offer.

Many things can effect the success of the procedure, the subsequent healing process, and final result. Clearly, issues effecting your general health and ability to heal can impact the process, but more subtle issues and practices can also make a significant impact.. It is imperative that patients refrain from ingesting any medications or other substances that could potentially cause surgical complications. A list of medications should be reviewed and selected medications discontinued at least two weeks prior to the procedure.

Patients undergo a general physical examination prior to their surgery. This is to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. The Anesthesiologist may have specific criteria to be met. Appropriate consultation, (Cardiology, Pulmonary, etc.) may be requested to address any issues. Any issues, however trivial they may seem, should be reported. For example, a seemingly innocent minor infection can result in a surgical wound infection, and so must be treated prior to surgery. Likewise, hypertension must be under control. Blood pressure medicines are typically taken right up to the time of your procedure. Cigarette smoking has a significant impact on wound healing and needs to be discontinued prior to the operation. Serious wound healing complications can occur in patients who are exposed to smoke, even passively. The risk of wound healing problems decreases after one quits. Appropriate timing of surgery after cessation of tobacco exposure can be discussed.

Preoperative photographs are taken. They assist in the planning of the procedure and in reviewing the improvement afterwards. Postoperative photographs are generally taken at 3 and 6 months after your procedure as well.You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. Some of these risks have been reviewed here, but are also discussed at the consultation.

Appropriate prescriptions are written, (e.g. pain pills, so that you will be able to take them when you return home).

You will need to arrange for someone to drive you to and from the surgery center. Patients cannot drive after surgery, and for 10 days afterward. Recently sedated patients will not be placed into taxis for transport home. Medical transportation can be arranged in the event that you cannot find someone. It is also mandatory to have someone stay with you for the first few days after surgery, for your comfort and safety.

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

There are different choices in Labioplasty. These are determined by the individual's anatomy, tissues, and goals.

The procedure takes a variable amount of time, depending on the extent of your particular anatomy, tissues, and procedure. 

Remember that any surgical procedure requires a certain period of recovery from the surgery and anesthetic. Individuals vary, but it is possible (and normal) to experience swelling and bruising. Depending on how you feel, you can still go out in public.

You will need to have someone drive you home from the surgery center. You should also have someone stay with you the first couple of days after you go home. You will also need someone to drive you to your visits to the Doctor. Remember, no driving for 10 days after the procedure. Some areas may be numb for weeks to months. Everyone responds differently to an operation. It may take some time for the healing process to let you accurately appreciate the operation. With proper peri-operative care, you should be able to maximize the healing process and help to achieve your goals.

Frequently Asked Questions

Why do women get Labiaplasty surgery?

Some women can have large labia one or both sides. Some have pain during intercourse or when participating in activities, (bicycle riding, motorcycle riding, or horseback riding). Wearing tight fitting clothes, (yoga pants, or bathing suits), can also be painful or embarrassing. Others may have no discomfort, but feel insecure due to the aesthetics of their labia.

What can I expect after Labiaplasty surgery?

This procedure is done as an outpatient. Expect swelling to last for a couple of weeks. The incisions usually heal well and are seldom noticeable.

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