A labiaplasty is a surgical treatment that corrects redundant, enlarged or long labia minora. Women who seek this procedure are usually self conscious about asymmetric labias, hanging labial tissue, or have pain during sexual intercourse. The purpose of this procedure is to decrease large labia minorae, to create symmetry and to make the labia look more cosmetically aesthetic. A labiaplasty only provides reconstruction to the inner lips of the vagina. It does not reconstruct the outer lips, nor does it address the vagina.

Procedure

The procedure is performed under general anesthetics. The region to be cut is marked, and a local anesthetic is used to prevent bleeding, bruising and to keep the area numb upon surgery completion. Then, excessive tissue is removed. Dissolving sutures are then placed. An antibiotic ointment is applied, and mesh panties with a pad that absorbs is worn. Usually, surgical time takes up to two hours. Patients are allowed to return home within a few hours.

Risks and Complications

As with any surgical procedure, there are certain risks of excessive bleeding, swelling, bruising, infection and pain. Bleeding is usually controlled by a cautery pen that coagulates any blood vessels which are encountered. Antibiotics will be given for a few days to control any infection. Make sure to shower daily to keep the area clean. At first, the labia will not appear completely symmetrical, and while healing, there will be some pigmentation changes.

Cost

All surgical treatments include anesthetic fees, operating room fees and a surgical fee. Usually, the price of a labiaplasty is between $4,000 and $8,000, depending on the details of your specific anatomy, surgery duration, and the complexity of the treatment. Generally, insurance does not cover a labiaplasty.

Recovery

There will be some mild pain a few days following the surgery. Patients are recommended to keep the area very clean and to apply a topical antibiotic ointment daily. Also needed is to wear a pad in your underwear in case of any bleeding. Patients are also advised to use a pad instead of a tampon when they have their period for the first two menstrual cycles. Sexual intercourse should be avoided for three to six weeks. Final results can be seen within a year.