It will come as a surprise to many of our female patients that we offer surgery for this taboo area. Many are not even aware that the option to reduce the labia exists. The demand for this procedure is rising. There are many women who suffer because of too large labia and do not have the confidence to talk about the reduction or have it done.
Women with hypertrophy (enlargement) of the inner labia could have problems with wearing certain clothes, such as tight trousers, bikini, strings or sports attire, cycling, riding or sexual intercourse. Such activities can lead to the development of wounds, pain or swelling.
Apart from the physical issues, patients could develop psychological problems due to feelings of embarrassment. Sauna, naturism or undressing before the partner can become torture. The labia serve to close the genital opening and to protect the vagina from infection, foreign bodies or drying. Inner labia that are too small cannot fulfil these functions. The balance between shape and function play a key role when correction is considered. You can rely on our extensive experience acquired through numerous procedures.
We carry out the labiaplasty under general anaesthesia and additional local anaesthesia. The operation takes roughly 1-1.5 hours. The patient is discharged after several hours.
It is a small, well-tolerated, corrective operation. We will decide the alteration that you desire together with you in advance. We will accurately measure how much skin and tissue to remove in order to achieve a perfect, maximally symmetrical result. The excessive skin will be removed accurately and bloodlessly with an electric needle. This leads to an improved, rapid healing process. The incision edges will be closed with absorbable stiches.
The inner labia cannot be considered separately; in our eyes they form an aesthetic whole with the clitoral hood and the outer labia. For this reason, in many cases these structures of the outer genitalia are also corrected or tightened to enable a harmonic and aesthetically ideal global result. You will learn more during your consultation. This procedure is performed on an area well supplied with blood, so the treated tissue heals very quickly (in 2 weeks). The sensation is unchanged, and the scar is later not bothersome and almost invisible. The patient has little wound pain. After 1 week you will be ready to go to work.
The cost of the labiaplasty varies very much due to the variable nature and extent of the procedure. It depends on the type and duration of surgery. In most cases, the cost ranges between €2,000 and €3,000. The cost of anaesthesia and hospital are not included in this figure.
The patient will often develop swelling and a mild blood collection. After roughly 6 weeks, 80% of the swelling is gone. The remaining swelling resolves over the next 6 months.
There is also some pain, which varies in severity. This develops especially in the first 24-48 hours. We recommend rest and pain medications for relief.
Wound-healing problems are statistically the most common complication. In the last 15 years, we have performed this procedure every week and have encountered very rare problems of this type (roughly 1 patient per year). In order to prevent this complication, we recommend the avoidance of any kind of friction or mechanical stress in the area (sexual intercourse, horse riding, jogging, use of tampons during the menstrual period) for 6 weeks. Everyday activities such as sitting, walking or lying may of course be carried out.
In most cases, the scars heal to thin lines that are later difficult to notice. The concern for red and bumpy scars is unjustified, since the skin in this area is under almost no tension, so no pulling forces act on the wound. About 2 weeks after labiaplasty, the scar can be gently pressed with the fingertips so that it becomes flat and invisible faster.
Patients tell us during the consultation in woman-to-woman conversations about their fears of sensation problems. Abnormalities of sensation in the genital area are not to be expected. In general, in the first 2-4 weeks the area is a little sensitive, numb and raw, particularly at the wound edges. This resolves when the wound healing is complete.
Very rare complications after the labiaplasty are postoperative bleeding, mild asymmetry or wound infections. If postoperative bleeding develops, wearing a compressive pair of trousers could help by exerting pressure on the genital area.
After a labiaplasty at Berkei Aesthetic Surgery, bed rest for the next 10 days is very important. A dressing is placed for protection and better healing of the labia. It contains an antiseptic salve, gauze pads and a menstrual pad. This can be changed or removed if needed (for instance when going to the toilet).
In order to minimise swelling, we advise our patients to take Arnica a couple of days before and after the operation day. We close the wounds at the end of surgery with resorbable sutures, so that suture removal is not necessary.