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Labiaplasty is surgical adaptation of the labia. Labiaplasty in most cases involves removing excess skin from the labia, so that the inner labia become shorter than the outer.
The woman has two pairs of labia. The outer and the inner, also called labia majora and labia minora. The term labiaplasty refers to a surgical procedure on the labia. One method will shorten the length of the inner labia, the other method will shorten the skin on the outer labia and thus make it tighter. If you have reduced fullness of the outer labia, this can be improved by inserting your own fat tissue. Often, by using this method, in addition to satisfactory fullness, a significantly improved skin tightening can be achieved.
If you plan on having surgery, you will need to take some time preparing. That will include devoting considerable time and energy to your health, learning all you can about the procedure, and getting to know the people who will be doing the surgery. Planning is essential to ensuring you have a successful procedure and recover quickly after surgery.
Recreational drugs, such as alcohol, marijuana, narcotics, and stimulants, should be discussed in great depth, since they have an effect on how the anesthesia affects you and the number of anesthetics you may require.
Remember to inform the surgeon if you or a family member has had a bad reaction to anesthesia or pain medication, and inform about your experience of anesthesia side effects even if you’ve had them in the past. Also let him know if you’ve had a stroke or have had heat stroke.
The treatment can be carried out either under local anesthesia or under general anesthesia.
When reducing the length of the inner labia, there are several methods to choose from. The method we mainly use at the Fornebuklinikken was designed by a German professor of plastic surgery. This method addresses all aspects of the external genitalia, not just parts of the inner labia. This technique is considered by us to be the best, because it can be individually adapted. If there is excess skin behind the labia towards the posterior vaginal opening, this will be removed in addition. If there are asymmetric inner labia, efforts will be made to correct this as well, so that the result is as symmetrical as possible. Sometimes there is overlying skin over the clitoris which is embarrassing, this can also be corrected in the same procedure. Because this method takes longer, up to 4 hours, it costs more than the usual, “simpler” the techniques. As far as we know, only Fornebuklinikken offers this method in the Nordics.
Another widely used method is longitudinal reduction or trimming of the inner labia. One then reduces the length along the entire inner labia so that it lies at the same level as the outer labia.
A third method is a wedge resection where the middle part of the inner labia is cut out like a V. This method gives a shorter scar, but has challenges in that the scar can split open more easily compared to the longitudinal method, in addition to the fact that it rather does not remove excess skin folds further back towards the posterior vaginal opening.
After the examination, the surgeon will determine the most suitable method. The wound is sutured with self-dissolving thread, which disappears on its own after a few weeks. Follow-up checks take place after 1 and 6 weeks, after which you get in touch even if there is something you are wondering about.
If after 2-3 days you experience increasing pain, swelling, redness and fever, you should contact the surgeon as soon as possible.. Infections and bleeding are extremely uncommon, and in very few cases require reoperation and/or antibiotic treatment. If a urinary tract infection or other infection occurs, this must be treated with regular antibiotics. If correction is necessary, this is done free of charge within one year (provided there is a medical indication and a clear potential for improvement).