Labia Minora Reduction

Large inner vaginal lips, labia minora, can cause pain during sex or when wearing certain underwear.  Some people find them aesthetically displeasing as well.  The labia minora can be reduced surgically which can lead to a more pleasing appearance as well as greater enjoyment of intercourse.

The prepuce is the skin on both sides of and above the clitoral hood.  Sometimes women develop excess skin in this area. Some people find this unsightly and women sometimes find there is less sensation during sex due to decreased friction on the clitoris.

Perineoplasty

The perineum, the muscles and tissue between the vaginal and anal openings can be damaged – most often during childbirth or due to an episiotomy.  This can lead to an enlarged vaginal opening and decreased friction during sex.  Surgical correction repairs the damaged tissue and restores the vaginal opening to its original size.  It can also lead to more enjoyment during sex.

Labia Majora Reduction

The outer vaginal lips, labia majora, can become stretched as a result of pregnancy or weight gain.  When the weight is lost, the labial skin does not always contract leaving loose or sagging lips.

Labia Majora Augmentation

The outer vaginal lips can lose volume over time leading to wrinkling.  There are a number of injectables that can be used to replace this lost volume.  We commonly use a patient’s own fat from another area of the body for this purpose.

Labia Majora Convergence

Sometimes the outer lips of the vagina do not come together (converge) above and/or below the vaginal opening.  The lips can be pulled together surgically to create a more pleasing appearance.

Liposuction of Mons Pubis and Labia Majora

Many women ask me about liposuction to reduce the fatty bulges above and around the vagina.  These fat deposits can be unsightly in underwear, swimwear and when nude.  Liposuction can be used to reduce the fat in these areas.

Procedure

The liposuction is performed using tumescent or ultrasound – assisted technique (VASER liposuction).  In either case tumescent fluid (a mixture of sterile saline, lidocaine and epinephrine) is injected into the treatment area and then this fluid along with fat is removed using a small cannula.  Small incisions are typically placed in the groin.  Scarring is minimal due to the small size of the incisions and typically no suturing is required.