What Is a Labiaplasty?

The term labiaplasty refers to a number of different procedures designed to address concerns around the size and shape of the labia. The most common labiaplasty procedure is designed to reduce the length of the labia minora. The size and shape of the labia varies from woman to woman, and though the labia are usually elastic, there are two main factors that can cause your labia to start to get longer or sag – childbirth and age. Multiple births can stretch the labia minora, so that the labia do not return to its original shape.

Enlarged labia minora can cause physical discomfort or a decrease in intimacy due to embarrassment about the appearance of the vagina. A labiaplasty will shorten the labia surgically, relieving any pain or discomfort, as well as restoring your confidence in the appearance of your vagina.

There are also procedures available to improve the shape of the labia majora. Most commonly, the procedures are designed to reduce the size of the labia majora.

vaginal treatment, san diego

How is a Labiaplasty Procedure Performed?

There are a number of different ways to perform a labiaplasty, but the two most common include:

  • Edge Resection (Trim Method) – This procedure involves trimming the excess skin along the edge of the labia, and stitching it up using small sutures. It is a relatively simple procedure. It does not always leave the best aesthetic result and is usually reserved for situations where only a little amount of tissue needs to be removed.
  • Wedge Method – This procedure involves the removal of a wedge of the labia minora, hiding the scar within the vagina. It is the procedure performed most often by the surgeons at Umansky Plastic Surgery because of its excellent results.

Recovery and Healing from Labiaplasty

Labiaplasty typically takes up to two hours and is performed using either general anesthesia or local anesthesia with IV sedation. It is performed as an outpatient procedure.

While recovery from a labiaplasty is not extensive, there are still some restrictions. Most patients can resume their exercise program within a few days of surgery. Sexual intercourse can usually be resumed about four to six weeks following the surgery. Most of the swelling is resolved by six weeks, although it may take longer to see the final results.

What are the Risks and Possible Complications?

Like all surgical procedures, there are risks with labiaplasty surgery. Most symptoms are temporary, including swelling, light bleeding or bruising. Complications may include:

  • Infection
  • Scarring
  • Pain during intercourse
  • Loss of sensation
  • Asymmetrical results

Keep in mind that these are not common occurrences, and at Umansky Medical Center for Plastic Surgery, you will be in the hands of a skilled, experienced, and board-certified plastic surgeon.

Labiplasty Frequently Asked Questions

What's the Difference Between Labiplasty and Vaginoplasty?

Labiaplasty focuses on reshaping the external labial tissue to reduce size or improve symmetry, addressing concerns about appearance or discomfort during activities. Vaginoplasty tightens the internal vaginal canal and surrounding muscles that may have stretched during childbirth. Both procedures can be performed individually or together as part of comprehensive vaginal rejuvenation, depending on your specific concerns and aesthetic goals.

Will Vaginal Rejuvenation Affect My Ability to Have Children?

Vaginal rejuvenation procedures generally don’t affect your ability to conceive or carry a pregnancy. However, future vaginal deliveries may stretch tissues again, potentially compromising your results. Many women choose to undergo these procedures after completing their families. During consultation, we’ll discuss your family planning goals to help you make the best decision about timing for your vaginal rejuvenation surgery.

Will My Partner Notice a Difference After Vaginoplasty?

Many patients and their partners report improved intimate experiences after vaginoplasty due to increased tightness and restored muscle tone. The procedure can enhance sensation and satisfaction for both partners. However, results vary among individuals, and it’s important to have realistic expectations. During consultation, we’ll discuss how the procedure might address your specific concerns and relationship goals.

At What Age Can I Consider Vaginal Rejuvenation?

Most patients are at least 18 years old and have completed physical development before considering vaginal rejuvenation. There’s no upper age limit for healthy candidates. Whether you’re a young adult addressing congenital concerns or an older woman seeking post-childbirth restoration, the key factors are good health, realistic expectations and, in many cases, completed family planning for the best long-term results.

Can Vaginal Rejuvenation Help With Urinary Incontinence?

While vaginal rejuvenation primarily addresses aesthetic and comfort concerns, some patients experience improvement in mild stress incontinence after vaginoplasty due to increased pelvic floor support. However, this isn’t the primary purpose of the procedure. If urinary incontinence is your main concern, we may recommend consulting with a urogynecologist who specializes in pelvic floor disorders for comprehensive treatment options.

How Long Before I Can Resume Sexual Activity After Vaginal Rejuvenation?

Sexual activity should be avoided for at least six weeks after vaginal rejuvenation to allow proper healing and reduce the risk of complications. This timeframe may vary depending on which procedures you’ve had and your individual healing progress. Our surgical team will provide specific guidelines during your recovery and clear you for resuming intimate activities during follow-up appointments when healing is complete.

Restore Your Confidence with Vaginal Rejuvenation in San Diego

Your intimate wellness deserves the same attention and care as any other aspect of your health. At Umansky Plastic Surgery in La Jolla, board-certified plastic surgeons Dr. William Umansky and Dr. Jeffrey Umansky provide compassionate, discreet vaginal rejuvenation services including labiaplasty and vaginoplasty. Whether you’re addressing functional concerns or aesthetic goals, we offer personalized treatment plans in a comfortable, private setting. Contact our San Diego practice today to schedule a confidential consultation and take the first step toward renewed confidence and comfort.