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Dr. Beverly Friedlander

Labiaplasty


Social Media and the internet have provided a vast number of images and communications which have fueled the interest in vaginal rejuvenation. If you are embarrassed by the appearance or your labia or you are symptomatic from pressure or irritation you should consider labiaplasty. Most women who choose to have this procedure are sexually active.

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What is Labiaplasty?


Women do not want the labia minora (inner lips) to hang beyond the labia majora (outer lips). They don’t like thickening of the inner and outer lips which can be visible in tight clothing (camel toe). Many are uncomfortable because of rubbing that can occur during athletic activity, while wearing certain clothing and during sexual activity. Cosmetic surgery is not functional, so there is no ideal age.

Vaginal Rejuvenation or Labiaplasty allows us to sculpt and shape the most intimate of areas when performed at our New Jersey office. It is an increasingly common procedure performed by plastic surgeons. Women who seek labiaplasty are self-conscious about the appearance of their genitalia and may be uncomfortable or even embarrassed to engage in sexual activities. Labiaplasty can enhance the appearance of the outer vagina leading to improved self esteem.

What does Labiaplasty correct?


  • Protruding or Asymmetric Labia Minora(inner lips)
  • Enlarged Labia Majora(outer lips)
  • Atrophied Labia Majora(Outer Lips) and Mons Pubis
  • Thinned Labia Majora(Outer Lips) and Mons Pubis

Am I a good candidate for Labiaplasty?


The term labiaplasty refers to labia minora reduction. Many women are self conscious about enlarged or asymmetric labia. They may be born with it, or develop it after childbirth and with aging. Enlarged labia may be embarrassing or may be uncomfortable in certain clothing, while exercising, or while engaging in sexual activity. Most women seek surgery to correct the labia because they want to enhance the appearance of the outer vagina. The surgery restores a more appealing, smaller, thinner appearance to the labia with minimal scarring. The enlarged central portion is removed while ensuring that the sensitivity and color are not affected . The surgery is performed as an outpatient.

What are the types of Labiaplasty surgery?


There are 2 basic types of Labiaplasty surgery. Both will reduce the redundancy and the bulk of the labia. Dr. Friedlander will determine which is the best procedure for you. The first type is known as a “Trim” Labiaplasty since it reduces the labia by trimming the edge down. It is ideal for a patient who has a thick or darkly pigmented edge. The “Wedge” Labiaplasty removes a triangular portion of the central labia. It is better suited for the patient who has both a vertical and a horizontal excess such as might exist after massive weight loss. The wedge resection results in an anatomic alignment of the labia minora. The recovery from both procedures is the same.


What can I expect after Labiaplasty surgery?


There may be mild discomfort, swelling or even spotting during the first week which is entirely normal. All post operative instructions will be reviewed in detail before the surgery. You will be asked to apply an antibiotic ointment. You may return to work in one week and resume sexual activities and athletic activities in 4-6 weeks.

What about the Mons Pubis and the Labia Majora?


The Mons Pubis continues downward and forms the outer lips of the vagina called the Labia Majora, which is seen just to the side of the Labia Minora. The Labiaplasty addresses changes in the appearance of the Labia Minora, but what about the Labia Majora? This area can be a source of concern as well.

Is your Mons too big or too droopy?

An enlarged appearance may be associated with heredity, pregnancy and aging but weight change plays a bigger role here. In some cases, the labia may appear as a visible bulge in the crotch area, which limits the selection of attractive and feminine attire and impacts self esteem and sexual activity. If the problem is associated with an overgrowth of fat, liposuction alone may be sufficient. Other times, they need to be trimmed. When the mons pubis hangs low, obstructing the vaginal area, as may be seen after weight loss, a pubic lift needs to be performed. A pubic lift raises the tissue by surgically removing excess skin and fat, and then resuspends the skin to lift the mons and create a more youthful appearance. This is often done during a tummy tuck as well.

Are your Mons or Labia too small?

Atrophy of the mons and labia majora are less commonly treated. This may be associated with a loss of estrogen, and often is associated with extreme weight loss. The result is a wrinkling, laxity or deflation of the area. The loss of fatty padding which occurs may be a be a source of pain during intercourse or other activities and effect self esteem. This condition can be improved restoring the lost volume with fat grafting. Fat is harvested from areas of natural excess and transferred to the mons and labia to provide more youthful contours and appearance. Fat provides a long lasting correction, but fillers offer other alternatives.

Schedule a Labiaplasty consultation


For more details and to find out if you are a candidate for labiaplasty please contact us to schedule a consultation or call our office at 973-524-7124.

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Beverly Friedlander MD
636 Morris Turnpike, Suite 1A
Short Hills, New Jersey 07078

Phone: (973) 524-7124

Fax: (973) 912-8070

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