Labiaplasty San Diego

It is common for women to have labia that sag or are irregularly shaped, since pregnancy, the natural aging process, weight fluctuations, and genetics all can affect the tissues of the vulva. Despite how normal this is, uneven or stretched labia can cause distress and discomfort—and labiaplasty can help you feel more comfortable and confident.

What is labiaplasty surgery?

Labiaplasty is a surgical procedure performed to correct excess or uneven/asymmetric tissue in the vulva by reshaping and removing some tissues. During surgery, La Jolla plastic surgeon Dr. Katerina Gallus removes a wedge-shaped section of tissue or a longer, thin piece of tissue through excision. Most labiaplasties address enlarged inner labia, or labia minora, but labiaplasty can also address the labia majora (outer labia), the clitoral hood, or the area just over the pubic bone, the mons pubis. 

As a result, this surgery can reduce physical discomfort connected with excess or sagging tissue in the labia, and can also help with any embarrassment or frustration with stretched labia.

Each individual’s anatomy and goals for their appearance are completely unique, so Dr. Gallus works with every labiaplasty patient to create a customized plan based on a frank, open conversation. There are multiple technique options: the wedge technique (also known as wedge resection) removes a wedge-shaped portion of the tissues and reshapes tissues to create the desired labia size and appearance. The trim technique uses an incision placed along the outer edges of the labia to remove a strip of excess tissues; the scar is hidden in the natural folds and contours of the labia.

During labiaplasty surgery, we first mark the area to be removed. Then, Dr. Gallus removes excess tissues and closes incisions with 3-4 absorbable sutures on either side. Assuming you carefully follow post-op instructions, patients are back to their regular routine after 3-5 days and back to exercise, sports, and other physical activities after about 4-6 weeks.

Video transcript »

Labiaplasty is one of the more popular procedures that I perform in my office. What labiaplasty is is removal of excess tissue around the labia. It is a common procedure for women of all ages. You may be a good candidate for labiaplasty if you have excess tissue or asymmetry, and that excess tissue in the labia area is interfering with your ability to wear form-fitting clothing, swimsuits, participate in certain sporting activities, discomfort with intercourse, or just being self-conscious about that area. If you’re interested to know if labiaplasty is the right procedure for you, please go to our contact page and set up a consultation where we can go over your specifics in detail. We look forward to seeing you at RestoreSD plastic surgery.

Why do women choose labiaplasty?

Women undergo labiaplasty for reasons that are both cosmetic and functional. While your reasons are completely personal and there is no “wrong” reason to seek out labiaplasty, they may include:

• Friction or discomfort during physical activities 
• Discomfort while wearing certain tight clothing, or during exercise or sexual intercourse
• Dissatisfaction with the genital appearance
• Desire for increased confidence

Labia come in many different sizes and shapes, and they can also change over time with the natural aging process, weight fluctuations, and childbirth. Some women are born with asymmetrical or enlarged labia. Some athletic women, including competitive dancers and swimmers, request an improved contour to minimize friction and simplify hygiene. Today’s trends toward hair removal and revealing intimate clothing also simply expose more anatomy, so patients may want labial reduction to refine their appearance in revealing or form-fitting clothes.

The Lady Bits: A Guide to Labiaplasty

Dr. Gallus and her scrub tech Bri chat all things labiaplasty in this episode of All the B’s, their fun and unfiltered plastic surgery podcast!

Am I a good candidate for this surgery?

To be a good candidate for labiaplasty, you should be in good health and not use any nicotine products—smoking, vaping, or otherwise. You may have discomfort due to your labial anatomy, some asymmetry, or a concern with excess skin in the labia. You will also need to be prepared to dedicate several days to rest as your body recovers from surgery, as well as avoid strenuous activity for 4-6 weeks.

Video transcript »

People are often surprised at the wide range of ages of women that come seeking labiaplasty. I see young women who have issues before they even have children and then maybe having extra excess labia interferes with their ability to participate in sports. Older women who have had children, women who have had weight loss, and those who’ve had traumatic childbirth events in which case they have asymmetry or a tear in their labia. You may be a good candidate for labiaplasty if you are healthy, non-smoking, and have excess tissue that’s interfering with your ability to enjoy your day-to-day. If you’re interested to know if labiaplasty is the right procedure for you, please go to our contact desk page and set up a consultation where we can go over your specifics and detail. We look forward to seeing you at Restore SD Plastic Surgery.

Anesthesia

Labiaplasty can be performed under local anesthesia in our cosmetic surgery office or under general anesthesia in our on-site Quad A-accredited surgery center. Labiaplasty alone is usually performed with local numbing, but general anesthesia is more common if you are combining labiaplasty with other rejuvenation procedures.

Local anesthesia

The labiaplasty procedure with local anesthesia takes one to two hours in our office, and you can go home immediately afterwards. You may request mild oral sedation in addition to the local numbing anesthetic, and if you do, we require that you have a designated driver to take you home after surgery.

To begin the procedure, we apply a topical numbing cream to the area, and mark the planned incisions on the area of concern (depending on your individual anatomy, Dr. Gallus may use a trim or wedge technique). Once the planned incisions are marked, Dr. Gallus injects a local anesthetic, as well. After anesthesia has taken effect, Dr. Gallus will then carefully remove the excess labia skin and surgically repair it in a way that minimizes visible scars or pigmentation changes. The repair is performed with dissolvable sutures, and ointment is applied. 

General anesthesia

If you are having surgery under general anesthesia, you will be administered anesthesia via an IV by our board-certified anesthesiologist. The surgery begins once you are completely asleep. Afterwards, you will need a trusted adult to drive you home and stay with you for at least 24 hours.

Video: How labiaplasty works

In this video, female board-certified plastic surgeon Dr. Katerina Gallus demonstrates how labiaplasty is performed using the trim technique, and discusses what you can expect at the consultation, why women choose labiaplasty, and how surgery works. Dr. Gallus has helped numerous San Diego & La Jolla women feel more confident and comfortable with labial reshaping or reduction.

Video transcript »

Hi, I’m Dr. Katerina Gallus and we’re gonna do a little demonstration of labiaplasty. The flower and the blue towels are representing the labia majora and labia minora. And this would be the clitoral hood right here. And so for a lot of reasons women choose to have the excess labia minora trimmed. And there’s a several ways you can do this operation but my preferred way because it leaves a lovely scar that’s hidden, is to do a trim. And so in the office at your consultation, I will mark this area for you so that you can see what is going to be removed and we can agree on a plan before any surgery happens. So this would be marking for excision of excess labia. Women have this done for very many reasons to include just getting in the way of clothing, chaffing with athletic activity, problems with different sports. And so then once the area is marked and everything is appropriately numbed then the excess tissue is trimmed. And then I’m gonna trim off the excess. Like that. So again it’s very important to mark prior to doing the surgery because we are infiltrating local anesthesia. And so we have to rely on our markings once that’s done. So this would be an example of excess labia removed. And then it’s very simple to just suture up this area with – this is not an absorbable suture – but normally I would use an absorbable suture -it’s just this blue color. And then you just suture it like so. And then these sutures are absorbable and fall out on their own. And we would place two or three more sutures along each edge depending on the length of the labia. And then with appropriate post-op activities you can be back to your work in three to five days and back to physical exercise and activity in four to six weeks.

The recovery process

Most patients return to work and their regular, daily activities within a few days to 1 week after labial reduction surgery. During recovery, you will need to wear loose-fitting clothes and refrain from strenuous exercise. Dr. Gallus will clear you to return to sexual activity and exercise once you are ready, after about 6 weeks, when incisions are completely healed.

What type of results can I expect?

Your labiaplasty results will be completely customized based on the goals you share with your board-certified plastic surgeon in your personal consultation. For most patients, this looks like a reduction in size or a change in shape of the labia minora and/or labia majora.

View labiaplasty before & after photos »

Is labiaplasty permanent?

Yes, labiaplasty is considered to be long-lasting, although additional changes or stretching over time is possibly due to any future pregnancies, vaginal birth, weight changes, or menopause.

Is labiaplasty painful?

One of the most common questions Dr. Gallus’ San Diego labiaplasty patients ask her is whether the procedure is painful. In this video, Dr. Gallus shares that it is not a painful procedure, and discusses the steps she takes to ensure her patient’s comfort:

Video transcript »

Most people ask is labiaplasty a painful procedure, and it is not. The way we do labiaplasty in my office is that you come in and you get topical numbing cream applied to the area. After the numbing process has been completed, I do markings and then inject with a local anesthetic. Some of my patients opt to also take an oral sedative. Once this is finished, I go on to do the procedure, and my patients actually don’t feel anything during the procedure. I follow up with some more local anesthetic so that you have time to get home, take some pain medications, and start icing the area. My patients generally need pain medication for the first 24 hours. It’s very important that you give yourself enough time to rest after labiaplasty, and that entails 72 hours of lying as flat as possible. My patients that follow this post-op regimen find that their recovery is much faster and are usually pretty healed with minimal swelling at 2 weeks. For more information or if you’re curious about what labiaplasty can look like, please go to our gallery and see the before and afters on my site.

FYI: we also offer Pro-Nox, a patient-controlled pain management system that allows you to administer your own pain relief during your treatment. Learn more about Pro-Nox here»

What are the risks? Is the procedure safe?

Labiaplasty safety is well-established. Every surgery comes with risks, but with labiaplasty, there is a low complication and high satisfaction rate. While complications are rare, the risks include infection, bleeding, scarring, poor wound healing, loss of sensation, bruising, or asymmetry. There is also a risk that too much (or too little) tissue may be removed.

You can minimize these labiaplasty risks by choosing a labiaplasty surgeon who is board-certified with extensive experience and a proven patient safety record. Dr. Gallus operates in a private, Quad A-accredited surgical facility located onsite at Restore SD Plastic Surgery. Further, she will educate you about all of the risks of surgery during your consultation to help you make an informed, empowered decision.

How much does labiaplasty cost in San Diego?

Labiaplasty surgery cost can vary depending on your needs and desires. After you schedule a personal consultation with Dr. Gallus to determine the details of your procedure, our patient coordinator will provide you with a comprehensive fee quote based on this conversation. We can also help you with third-party financing options to break down the cost into manageable monthly installments.

Is labiaplasty covered by insurance?

No, in most cases insurance will not cover labiaplasty, as it is rarely deemed “medically necessary.” Because labia are naturally many different sizes and shapes, labiaplasty is aimed at improving the shape or appearance of a normal body part for cosmetic reasons.

Can I combine labia reduction with another surgery?

Yes! Labiaplasty can easily be combined with laser vaginal rejuvenation, liposuction, or other mommy makeover procedures. Our RejuVanate CO2 Laser platform offers a pain free, non-hormonal office treatment for vaginal dryness, mild stress urinary incontinence, vaginal laxity, and peri-menopausal changes, making it an ideal complement to labiaplasty.

Non-surgical feminine rejuvenation vs. surgery

Advances in laser treatment allow you to have a non-surgical, simple in-office treatment that can improve vaginal tone, lubrication, dryness, discomfort during intercourse, and even mild urinary incontinence—no surgery required. Vaginal rejuvenation with laser treatment accomplishes these results by increasing collagen production to improve the tissues’ health in the vagina. On the other hand, labiaplasty is a surgical procedure that exclusively focuses on removing and/or reshaping the tissues of the vulva, or external genitalia.

Schedule your consultation with Dr. Gallus

Ready to learn about your options? We’re here to help! We invite you to schedule your consultation with Dr. Gallus today by calling 858-224-2281 or filling out our online contact form.

Call to schedule your consult today »

References »

Özer M, Mortimore I, Jansma EP, Mullender MG. Labiaplasty: motivation, techniques, and ethics. Nat Rev Urol. 2018 Mar;15(3):175-189. doi: 10.1038/nrurol.2018.1. Epub 2018 Feb 6. PMID: 29405204.

Sasson DC, Hamori CA, Placik OJ. Labiaplasty: The Stigma Persists. Aesthetic Surgery Journal. 2022 May 18;42(6):638-643. doi: 10.1093/asj/sjab335.

Willis RN, Wong CS, Pai A, Patel BC. Labiaplasty Minora Reduction. 2023 Apr 3. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. 

Oranges CM, Sisti A, Sisti G. Labia minora reduction techniques: a comprehensive literature review. Aesthet Surg J. 2015 May;35(4):419-31. doi: 10.1093/asj/sjv023. PMID: 25908699.

Furnas HJ. Trim Labiaplasty. Plastic and Reconstructive Surgery Global Open. 2017 May 23;5(5):e1349. doi: 10.1097/GOX.0000000000001349. 

Rowley M, Thawanyarat K, Shah J, Nazerali R. Labiaplasty and Insurance: To Cover or Not to Cover? Archives of Plastic Surgery. 2022 Apr 6;49(2):285-286. doi: 10.1055/s-0042-1744428. 

Your Safety = Beautiful Labiaplasty Results

Labiaplasty at Restore SD

At Restore SD Plastic Surgery, patient safety comes first. Board-certified plastic surgeon and former Navy plastic surgeon Dr. Katerina Gallus operates in a private, on-site Quad A-accredited surgery center, with state-of-the-art equipment and LED surgical lighting. She proudly works with a board-certified anesthesiologist and holds privileges at Scripps Memorial Hospital La Jolla.

Here’s how we keep you safe »

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Labiaplasty blog posts from Dr. Gallus

• Labiaplasty: What To Know If It Will Be Covered By Insurance
• Carpools & Cannulas: Modern Motherhood and Plastic Surgery – Episode 20 – Labiaplasty
• Is Labiaplasty Right for Me?

Areas served:

• • La Jolla
  • San Diego

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