Labiaplasty refers to surgical trimming of the labia tissues to improve shape. This procedure is sometimes called vaginal rejuvenation, labial reduction, or labioplasty.
Labiaplasty is usually, but not always, cosmetic in nature. Women with excessive skin of the labia majora or labia minora can have many symptoms associated with this condition, from a collection of moisture in the genital area to pain with exercise or intercourse. In addition, excessive skin folds in this region can lead to rashes, infections, burning, and even bleeding. Skin can get caught in tight jeans. Labia skin can be visible in swimwear, and in more extreme cases, fall out of the contour of the swimsuit resulting in a very embarrassing bathing experience.
Labia can also be rejuvenated with the addition of fat. Fat from an unwanted area like the hips, thighs, or love handles can be removed then injected to create fullness in the labia majora. A combination resection of the minora and volume addition to the majora can create powerful rejuvenating effects.
Labiaplasty (reduction of tissue or fat grafting of labia) can be done alone or in combination with other surgical procedures such as liposuction, breast augmentation, or abdominoplasty. Often, it is an addition to mommy makeovers.
Why Some Women Desire Vaginal Rejuvenation?
The natural process of childbirth and/or the aging process can compromise the integrity of the vaginal walls and muscles; not only to the back (posterior) wall, but to the sides, front and the tissues surrounding the vaginal opening and urethra . The result is a relaxed vaginal canal (vaginal relaxation) and an enlarged vaginal opening.
Women who experience these problems can report:
- Feeling stretched out and not being able to feel their partner inside them during sex
- Inadequate friction or sensation during intercourse
- Challenge to achieve orgasm during intercourse (which of course may or may not be related to vaginal relaxation)
Women with any of the above symptoms often seek a solution to rejuvenate and tighten the vagina and achieve improved sexual function . Even women with no children can experience these problems because of aging and various hormonal issues. Perhaps even a history of smoking and weight fluctuations can generate tissue looseness. The good news is vaginal tightening solutions are available.
The goal is to strengthen the function of the vulvo-vaginal area, firming up and reshaping vaginal tissue for a more youthful appearance. One can consider the procedure as essentially a “facelift” for the female reproductive area that improves both form and function.
Labiaplasty and vaginoplasty, which can be combined into one procedure to restore or enhance the vagina’s cosmetic appearance or function. The procedure is a labia minora reduction where excess tissue is trimmed for cosmetic enhancement. It might also serve a functional purpose in the case of pain or rashes that frequently develop as a result of tight clothing, intercourse, exercise, or other physical activities. The transfer of fat to increase fullness in the labia majora may further enhance the region.
Another option is to go with PRP (platelet-rich plasma) and nano-fat grafting. PRP and fat is collected and can be injected into the vaginal wall and clitoris with the goal of improving sensation. Another less invasive option for potentially improving sexual pleasure is known as a honeymoon shot, an injection which delivers growth factors and cytokines directly to the pleasure spots, or G-spot. This procedure is done in the office under local anesthesia.
For PRP, blood is drawn from the arm and then processed to isolate the platelet-rich plasma component of blood. The plasma is then injected directly into the clitoris on the anterior vaginal wall where the G-spot is located. The idea is to deliver rejuvenating proteins to the vagina to allow the tissues to function more efficiently. Fat may also be collected from the love handles and processed through filters and injected along with its stem cells into the clitoris, G-spot, and vaginal wall.
The honeymoon shot has a male version, called S.T.I.M. Be sure to ask about couple specials.
How long will it be before I can have sex after surgery?
For labiaplasty, it is generally a good idea to wait at least three weeks before engaging in sex. One must be sure that the wounds have healed. Trauma from intercourse too early can disrupt the repair and lead to delayed healing. If one has a vaginoplasty, it may be slightly longer before one can engage in intercourse. It is always best to follow up with Dr. Neavin before resuming your sexual life to ensure that the sites are healed.
Do I have to be asleep for surgery?
The procedure can be performed quite easily under local anesthesia. Topical anesthesia is applied for 20 minutes, then the labia is injected with a numbing medication (lidocaine) with a vasoconstrictive agent, epinephrine. Vaginoplasty is often performed under either an intravenous sedation with local anesthesia or general anesthesia.
Many times these procedures are combined with others such as liposuction, breast augmentation, tummy tuck, or a mommy makeover (a combination of all 3). The advantage to having a labiaplasty while awake is you can guide the amount you want trimmed. The disadvantage is that local anesthesia will cause swelling and make the resection slightly less precise. About 25 percent of women that undergo this technique will require a touch-up procedure (at no additional cost) in the office within a month or so after the initial treatment.
What is the price of a labiaplasty?
The procedure can rage from $1,900 for one side to over $3,600 for bilateral.
What is the price of vaginoplasty?
Vaginoplasty costs around $3,500 and up.
What is the price of fat grafting (fat transfer) to labia?
Fat grafting to the labia (which may be done in conjunction with vaginoplasty or labiaplasty) costs $3,000 and up.
It should be noted that when procedures are combined the total cost for any one procedure is reduced.
Is it painful?
Oddly enough, labiaplasty and fat grafting causes very little discomfort. Most of the sensation is in the vaginal canal or clitoris. It should be mentioned that the clitoris is naturally avoided during these procedures.
Will this affect my sexual sensation?
Often women will report improved sensation after both labiaplasty and vaginoplasty. Fat grafting to the labia often doesn’t change sensation one way or another. However, a prettier looking labia (which is the goal of fat transfer) usually translates psychologically into improved sex.
If changes to your genital area have affected your self-confidence in the bedroom or your physical comfort, vaginal rejuvenation may be the solution you need. Contact Dr. Neavin today at 310‑858‑8811 or text 323-975-1287 to schedule your private consultation with Dr. Neavin.