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What is a Labiaplasty Procedure?

Labial hypertrophy, or an enlarged labia minora, can be a source of anxiety and pain for some women. Labia minora that protrude beyond the outer vaginal lips can be considered unsightly and may cause discomfort for some women. Labial hypertrophy can be genetic, meaning enlarged labia minora may be present at birth. However, childbirth and aging can also affect the appearance of your labia.


Women considering labiaplasty should be in good health and have realistic expectations about their results. While labiaplasty can improve the appearance of the labia, it is important to remember that labial appearance does vary among women. Labiaplasty is best suited for women who experience pain, discomfort, or poor hygiene due to enlarged labia minora. However, women with a significantly altered labial appearance following childbirth can benefit from this procedure. Women with labial hypertrophy may identify with one or more of the following:

  • Labia minora are visible even when your legs are together
  • Noticeable labial profile in tight-fitting clothing
  • Discomfort during intercourse
  • Irritation during exercise
  • Difficulty maintaining proper hygiene

Labiaplasty Procedure

Labiaplasty is performed as an outpatient procedure and is designed to improve the aesthetic and functional abilities of the labia minora. Most labiaplasty procedures are performed using a local anesthetic with a topical to ensure your comfort during the procedure. However, if you choose, the procedure can be done under monitored sedation or general anesthesia. During your labiaplasty, excess labial tissue is removed and an improved labial shape is created. Depending on the aesthetic look you desire, one of two techniques can be utilized during your labiaplasty.

Trim Method

The trim method is best suited for patients seeking a more youthful labial appearance and an improvement in tissue color. The trim technique removes excess tissue from the outer edge of the labia minora. Targeting the edge of the labia minora removes the darker-colored portion of tissue, leaving a pink edge. Some women believe that a pink labial edge has a more youthful aesthetic.

Wedge Method

The wedge method may be implemented for patients who desire smaller labia minora but wish to keep their natural labial-edge coloration. A V-shaped wedge of tissue is excised from each labial fold. The remaining tissue is pulled together and stitched closed. The wedge method leaves the outer edge of the labia intact, preserving its natural color.


In addition to large labia minora, women may have fatty deposits in the pubic region that are visible through clothing. These bulges can be present from birth or may be the result of puberty or weight gain. Liposuction can be utilized in this area to achieve a flatter, slimmer pubic region.


Swelling and numbness of the vulva is normal following labiaplasty. A temporary loss of sensation may persist for up to two weeks. You should avoid most physical activities for at least one week following your surgery. To prevent infection, do not go swimming and don’t stay submerged in water for the first four weeks after your procedure. Most patients can resume sexual contact after four weeks.

If you are looking to restore a youthful, more pleasing labial appearance, schedule your consultation with Dr. Mabourakh today. Contact our office in Sacramento at 916.984.8585 or fill out our online contact form for additional information.

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