Labial Reduction (Labiaplasty)

Some women are unhappy with the size and/or symmetry of their vaginal lips (labia minora). Labiaplasty, a reduction or reshaping of the labia minora is a surgery that is becoming more popular as many women realize there is a solution to concerns, they may have in this area. This procedure is for many women more than just cosmetic; it can change and improve a woman’s quality of life.

What is a labial reduction surgery?

Labiaplasty, also known as labia minora reduction or shaping, is a cosmetic genital rejuvenation procedure that reduces excess skin and soft tissue of the labia minora and/or majora.

Who is a good candidate for a labial reduction surgery?

Most women are typically sensitive and may find it quite discomforting to seek vaginal cosmetic procedures. You may be a candidate for a labial reduction surgery if you live with discomfort, embarrassment or if you are self-conscious in your relationships due to labial asymmetry, protuberance, or excessive show. Some women may experience hygiene problems and even discomfort when wearing tight clothing or swimwear. There is no specific chronological age to have this surgery. Patients that undergo this surgery find the results to display an increase in confidence, self-esteem, and comfort. During your consultation, you and Dr. Motakis will discuss your individual concerns and expectations and he will provide the best treatment options to meet your goals.

What can I expect at my labiaplasty consultation?

Dr. Motakis views every consultation as a complete give and take of information between the two of you. During your consultation, you’ll begin by discussing the issues you’re having that make you interested in having this surgery. Do you have pain when wearing certain clothes such as yoga pants? Do activities like running or riding a bike cause pain? What about sexual activity? What cosmetic changes would you like to see?

Then Dr. Motakis will examine your vaginal area. He’ll discuss with you what changes he feels can be made. He’ll discuss the technique he will use and how it will minimize any visible scarring. Then he’ll move on to your recovery and any risks involved with your potential surgery. He’ll give you an idea of what your final results from your labiaplasty should be and what you can expect. Throughout the consultation, you’ll be encouraged to ask any and all questions or to bring up concerns you may have.

Regardless of if you go ahead with the surgery or not, by the time your consultation is over you should be well-versed in this procedure.

What are the reasons women have a Labiaplasty?

Women have different reasons for wanting this procedure. For many women, they seek to eliminate pain or discomfort during sex, when riding a bike, or wearing yoga pants. In many cases, the patient didn’t realize that the cause of her discomfort was twisting and tugging of the labia. Aesthetically, if you feel self-conscious about your appearance during intimacy or when wearing tight clothes such as yoga pants or a swimsuit, this could be a good procedure for you that doesn’t include a difficult recovery.

Will A labiaplasty affect my sensation? 

These surgeries target the outer, excess skin of the labia minora. The procedure doesn’t remove or damage any of the sensory nerves in the area, so your sensitivity shouldn’t be changed. The reality is that, since unnecessary tissue has been removed, many women report enhanced sensation after having labiaplasty. Plus, it’s important to know that these surgeries with Dr. Motakis don’t involve the clitoris at all, so there cannot be any change in sensation there.

Are my labiaplasty results permanent? 

The reductions made by Dr. Motakis in the excess skin and tissue of the labia minora are permanent.

The procedure

Labiaplasty generally takes between 1 and 1.5 hours and is done as an outpatient procedure at our Avenue Road fully accredited on-site surgical facility. The procedure can be performed under local anesthesia with sedation or under a general anesthetic. During your Labial procedure, Dr. Motakis carefully trims and removes the excess skin and tissue of the labia.

The incisions will be hidden and closed with dissolvable sutures. Labiaplasty is performed under general anesthesia.

What is the recovery period after a labial reduction surgery?

You will receive instructions from Dr. Motakis concerning caring for your incisions while you recover from surgery. On average, it takes 1-2 weeks for the incisions to heal. However, the slight residual swelling in the area will continue to improve past that point, over a few more weeks or months. Patients should avoid any sexual activity for at least 6 weeks after surgery. Initially, you should expect a few days of swelling and bruising with discomfort which is treated with mild analgesics such as Tylenol. You will likely be able to resume light activities 48-72 hours after your surgery. However, it is recommended any physical activity such as exercise only be resumed only after 2 weeks. You will likely need 3-5 days off from work.

How will it take to see my final results?

The results of your labiaplasty are immediate, but you will have some swelling. In one or two weeks this should fully resolve, and you’ll be able to see your final results.

Does labiaplasty leave visible scarring?

The scars from these procedures are very small. Plus, they can be effectively hidden in the natural creases of the area, making them virtually invisible moving forward. Thanks to the board-certified surgical expertise and experience of Dr. Motakis, you’ll be happy with your results and the lack of visible scarring.

What are the risk factors of a labial reduction surgery?

Dr. Motakis makes every effort to execute the procedure in the most meticulous way, however, as with any surgery, bleeding, infection, changes in sensation and reaction to anesthesia, are among the risks of labiaplasty surgery, although these are extremely rare.

When can I get back to exercising after labiaplasty?

This is an individual decision based on the pain you may or may not still be feeling. Regardless of that, you’ll need to start with walks and other light activity during the second week after your surgery. Anything overly strenuous or with impact, such as running, needs to wait another two weeks. You can pretty much return to any exercise you choose after four or five weeks. During your consultation and meeting after your surgery, Dr. Motakis can give you a better idea of when you can get back to your normal exercise routine.

When can I have sexual activity after labiaplasty?

You won’t feel like having sex during the early part of your recovery. Obviously, any sexual activity too soon after your surgery risks tearing your incisions. You should plan for between 6-8 weeks before you consider intercourse again.

Are there any alternatives to labial reduction surgery?

Currently, no good alternatives exist for labial reduction.

Can labial reduction surgery be combined with other procedures?

Many of Dr. Motakis’ patients combine their labial reduction procedure with other cosmetic procedures offered at the clinic. These procedures frequently include breast augmentation, tummy tuck, as well as liposuction, among others.

Is labiaplasty covered by insurance? 

Ontario’s Health Insurance Plan (OHIP) generally does not cover labiaplasty, as it is considered elective, cosmetic surgery. However, if your reasons for having the procedure are due to pain caused by the labia, the procedure could be covered. You will need to document problems you’ve had prior, and this will need to start with your primary care provider.

 
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