Labiaplasty – The Results You Can Achieve

The labia minora and labia majora are part of the external female genitalia. Other structures include the mons pubis, clitoris, and the vaginal vestibule.
The primary role of the labia is to protect these delicate areas from injury, friction, and infections. However, in some cases, the size, shape, or asymmetry of the labia can impair their protective function and even contribute to recurrent irritation and infections.
The appearance of the labia minora and majora varies greatly between individuals, and not every case requires surgical intervention. Each situation should be individually evaluated by a medical professional.

As previously mentioned, both enlarged labia minora and structural irregularities of the labia majora can cause noticeable discomfort or health issues for some patients.
But what factors contribute to labial hypertrophy or asymmetry in certain women?
While the size and shape of the labia are often genetically determined, several factors throughout a woman’s life can lead to changes in the anatomy of the labia. These include:

• Injuries and loss of tissue elasticity during childbirth (such as tissue damage, tearing, or improper healing after episiotomies);
• Tissue laxity associated with the natural aging process;
• Hormonal therapies received during childhood;
• Use of androgenic hormones;
• Recurrent infections and inflammatory conditions in the vulvar area;
• Chronic inflammation due to urinary incontinence;
• Developmental abnormalities of the genital organs during fetal growth.

Labial hypertrophy and asymmetry can significantly affect a woman’s quality of life—from recurring infections and irritation to limitations in physical activity, sexual discomfort, and aesthetic concerns.
As a result, many women seek professional help to achieve the desired shape and size of their labia.

One of the most effective corrective methods is labiaplasty, a surgical procedure designed to reduce labial asymmetry and/or reshape and resize the labia by either enlarging or reducing their volume. It can also restore firmness and elasticity to the tissues.
At the INVICTA Anti-Aging Clinic, labiaplasty is performed using an innovative radiofrequency surgical knife, allowing for extraordinary precision and accuracy—both critical for successful labial surgery.

Before being qualified for the procedure, patients must undergo a medical consultation and provide a Pap smear result dated within six months of the surgery. Additionally, the doctor will order several tests, including a detailed gynecological exam, complete blood count, blood sugar level, HIV test, anti-HCV antibodies, and clotting profile.

Labiaplasty is performed under local anesthesia, and the surgeon may choose from several surgical techniques:

• Classical technique – an incision along the labia minora to remove excess tissue;
• Wedge technique – removal of a triangular section of tissue from the labia, followed by suturing the remaining parts together;
• Fenestration technique – allows for size reduction while preserving the highly innervated central portions of the labia.

The choice of technique depends on the specific anatomical concerns. However, the overall goal is to achieve the best aesthetic outcome while minimizing nerve damage and visible scarring. An individualized approach ensures optimal results and reduces the risk of complications.

For many women, labiaplasty opens the door to a life free from discomfort, pain, and the embarrassment linked to dissatisfaction with the appearance of their intimate areas.
Like any surgical procedure, labiaplasty has specific indications, which include:

• Labial asymmetry caused by genetic or acquired factors;
• Anatomical hypertrophy of the labia minora;
• Recurring infections, irritation, inflammation, and pain due to improper labial size;
• Difficulty engaging in certain physical activities (e.g., running, cycling);
• Sexual dissatisfaction linked to anatomical irregularities;
• Aesthetic concerns regarding the appearance of the intimate area.

Common contraindications to labiaplasty include:

• Active infections or inflammations (bacterial or fungal) in the genital area;
• Cancers, particularly within the urogenital system;
• Blood clotting disorders;
• Menstruation, pregnancy, or breastfeeding;
• Unexplained vaginal bleeding.

If you are unsure whether labiaplasty is right for you, it’s important to consult a specialist for personalized advice.

The vast majority of patients report a significant improvement in their quality of life after labiaplasty, confirming the procedure’s effectiveness.
Labiaplasty can reshape the labia to achieve the size and form desired by the patient.
The benefits include improved sexual satisfaction, a return to favorite physical activities, and relief from recurring infections, irritation, and associated pain.
The aesthetic appearance of the intimate area improves significantly, and in many cases, the tissues regain lost volume and firmness.
Typically, only one procedure is needed to achieve these results.

After the labiaplasty, the patient can return home the same day. The procedure does not require hospitalization.
Absorbable sutures are used, eliminating the need for painful suture removal.

Recovery typically takes 4 to 6 weeks. During this period, patients are advised to:

• Abstain from sexual activity;
• Use mild cleansing products;
• Maintain strict intimate hygiene;
• Apply topical antiseptics and cooling compresses as needed;
• Wear comfortable, loose-fitting underwear;
• Avoid cycling and other activities that could cause strain in the area.

Tight clothing should also be avoided postoperatively to prevent discomfort.
Pain, if present, can usually be managed with over-the-counter pain relievers or cold compresses.
The surgeon will provide a schedule for follow-up appointments and specific postoperative instructions.

Following these guidelines is key to a smooth recovery, and within a few months, the effects of labiaplasty will significantly enhance the patient’s quality of life.

Labiaplasty can be supplemented with urogynaecological physiotherapy, which supports the recovery process. It improves the condition of the pelvic floor muscles and increases tissue elasticity, which facilitates scar healing and improves the comfort of everyday life. Regular physiotherapy exercises also reduce the risk of complications such as swelling or intimate infections. You will find specialists in this field at our NAMI Medical Resort and Clinic in Sopot.