Labia Majoraplasty takes place in the labia majora, which are the areas of skin to either side of the vulva. They have hair-bearing skin over a fatty pad that is continuous with the Mons Pubis, just above the vagina. The broader outer lips of the vulva can be enlarged with excess skin and tissue. This enlargement can cause an embarrassing bulge in pants, swimsuits, or leotard. It can also increase the discomfort of sweating in the vulva. The labia majora may be enlarged from birth, secondary to childbirth, or due to aging. Many women also find quite a large and droopy labia majora after major weight loss such as post bariatric surgery.
Who Needs a Majoraplasty
Prominent or bulky labia majora may be problematic for some women, typically by causing an embarrassing bulging under pants, swimsuits, and tight fitting clothing.They may lead to functional problems with sexual intercourse, poor hygiene, and physical discomfort in the genital region. Examples of those affected include bikers, horseback riders, and rowers who have chronic vulvar rubbing. Some women have lowered self-esteem because of the undesirable physical appearance of their majora. A common derogatory, slang term for hypertrophic and visually unappealing labia majora is camel toes.
Labial reductions are typically performed on the labia minora and increasingly on the labia majora of female baby boomers, in whom aging often leads to sagging majora. Primary labia majora hypertrophy results from volume excess from fat deposits, whereas secondary labia majora excess is caused by volume loss, leading to skin excess.
A young Labia Majora
Labia majoraplasty Procedure
A Pudendal block is usually preferred to relieve pain for up to 24 hrs. The procedure takes approximately 60 minutes and you will be at the day hospital for 4 hours maximum.
Skin is excised just to the outside of the labia minora. The scar falls in the natural crease line and because of the good blood supply and natural line it heals very well. The incision line is not visible because it is the boundary between hairless and hairy skin. Many women find it useful to have some permanent hair removal in the area in case some hair is pulled towards the vagina.
Labia Majora Augmentation with Fat graft
What are the risks of a labia majoraplasty?
Risks include bleeding, hematoma, infection, scarring, underresection, overresection.
Recovering from a labia majoraplasty
Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.
Patients can resume wearing tampons or having intercourse after four to six weeks.
Swelling after a labia majoraplasty can last 6 months or longer, depending on the thickness of the tissue, although much of the swelling is gone by 6 weeks.
What are the results of a labia majoraplasty?
This procedure typically results in smaller, tighter labia majora. In patients with excess skin, drooping of the labia majora when the patient is standing is usually improved. In patients with excess volume, this procedure can result in a lower profile.