Childbirth, significant weight loss, aging, or injury to the genital structures can lead to changes in female genitalia. Labiaplasty is a procedure that improves the appearance of the female genitalia. Some women seek this opportunity to improve their appearance and ultimately feel satisfied with their body, while some seek changes for physical discomfort or medical reasons. If severe, and medically indicated, it is occasionally covered by insurance.
Women who are experiencing lax labia minora (inner labia) structures due to aging, weight loss, or pregnancies can often benefit from a labiaplasty. Lax skin of the labia can cause discomfort when taking part in athletic activities and intercourse, as well as irritation, itching, and self-consciousness.
The labiaplasty procedure reduces the labia minora so that they do not hang below the labia majora. This procedure may also be done to reduce the asymmetry of the labia minora when one is longer than the other. This can reduce the length of the labia so that they no longer tug or twist when wearing certain types of clothing, or fall out of a bathing suit.
During the labiaplasty procedure, excess tissue is removed, and absorbable sutures are placed to enforce the new labial contour.
Most patients take about a week off from work to recover. Swelling is to be expected and can be reduced with cold packs and by elevating the bottom with pillows. While most swelling is gone after six weeks, it can take up to six months for full swelling to subside. Sexual intercourse can usually be resumed after 6-8 weeks. When the labia are fully healed, patients can enjoy a neater labia appearance with reduced discomfort and a boost in self-confidence.
If you are tired of living with the discomfort associated with loose labia minora, a labiaplasty may be able to help. Give our Portland office a call today and schedule your initial consultation with Dr. Fichadia to get started.
Why would someone get a labiaplasty?
There are various reasons for enlarged labia, such as childbirth, aging and genetics. Women start considering labiaplasty for a few reasons. First is functional benefits when electing for a labiaplasty. Many women with an enlarged labia experience difficulty with exercise, hygiene, urinary tract infections, sexual activity and other physical activity.nnAdditionally, with certain clothing choices such as yoga pants, workout pants and swimming suits, enlarged labia can make it difficult to wear such clothes. Some of our patients report tugging of the labial tissue with running and exercise. Some women also feel self-conscious with intimacy with their partners. These are some of the top reasons women choose to get labiaplasty.
How long does a labiaplasty take?
Dr Fichadia performs labiaplasty with local anesthesia. A labiaplasty can be done in office with numbing medicine or local anesthetic. It typically takes 1.5 hours to perform the actual procedure. Dr Fichadia recommends planning on 2-2.5 hours for the procedure to allow the numbing medicine to work. If the surgery is done in the operating room under general anesthesia, it is around 1.5 hours of surgery time.
What are the risks of labiaplasty?
Overall, labiaplasty is a very safe procedure. Like any other surgery, there is a risk of bleeding, infection, and wound separation. If excess tissue is removed, there can be scarring which can result in painful sex. Dr Fichadia recommends a conservative excision of skin to ensure great results with minimal risk of painful scarring.
Are you put to sleep for a labiaplasty?
With Dr Fichadia, a labiaplasty can be done with local anesthesia in the office. However, many of our patients feel comfortable being put to sleep, and therefore, this option is also available to our patients.
Is a labiaplasty covered by insurance?
Usually, labiaplasty surgery is not covered by insurance. If you have a referral from your gynecologist documenting repeated infections, and long standing physical symptoms from enlarged labia, Dr Fichadias office can submit for insurance authorization.
Can you drive home after a labiaplasty?
We recommend against driving yourself after a labiaplasty. For patients who undergo this procedure in office under local anesthesia, Dr Fichadia prescribes Xanax or other such sedative. Driving is not recommended after taking these medications, as well as after general anesthesia.
How do you pee after a labiaplasty?
You can go to the bathroom like usual after a labiaplasty. It is important to wash the area and pat it dry after every visit to the bathroom. Detailed instructions on wound care are given at the time of your pre-surgical visit.
How do you know if you need a labiaplasty?
If you have enlarged inner labia that are bothersome to you, you may be a candidate for labiaplasty.
What is the recovery from a labiaplasty like?
Dr Fichadia recommends resting as much as possible for the first week after a labiaplasty. Lying on your back, and icing the area reduces swelling, pain and ensures smooth recovery. You may be able to do remote online work in this time. Riding bikes, running and other physical activities will need to be avoided until you have been released, which is usually in 4 weeks. Premature return to the activities can exert pressure on the wound and will unnecessarily delay the healing process. You should not wear tight clothes or undergarments as they cause friction against the wound for the first 2 weeks. Also, Dr Fichadia recommends avoiding vaginal penetration for at least 6 weeks.
How long will I bleed after a labiaplasty?
Small amount of bleeding and drainage is normal after a labiaplasty and usually resolves in the first 48 hours.