Some women have larger than average inner labia which creates discomfort when wearing lingerie. In addition, they are often embarrassed by the appearance of their intimate parts. From aesthetic point of view, the type and size of the inner labia can’t be assessed subjectively. In these cases, after consultation with a specialist, a decision can be made for labiaplasty, or reduction and aesthetic shaping of the inner labia.

Labiaplasty can be done with an electrosurgical unit (ESU), radiofrequency surgery unit (RFSU) or CO2 laser.

Labiaplasty, besides cosmetic intervention, is a very serious and responsible surgical interference because the inner labia are extremely rich in blood supply. The surgery should be performed by many experienced and highly qualified surgeons and OB/GYNs. After resecting and shaping the labia, precise and meticulous haemostasis and aesthetic suturing of the wound surface should be performed. Stitches usually disintegrate on their own after 2-3 weeks. The surgery is done with a short intravenous in combination with local anesthesia, which reduces postoperative pain. The intervention lasts between 20 and 40 minutes. After surgery, for 2-3 days, working capability may be limited and the patient might experience minor pain, which is why anesthetic creams and hydrogen peroxide washings are prescribed. Later, the intimate area can be treated with epithelial creams. Sexual intercourse and physical activity can be resumed after clearance of the swelling or about 7-10 days after surgery. The desired end result aesthetic effect is obtained in about 2 months.

Labiaplasty can be performed by two surgical techniques:

• TRIM (trimming) – reducing and shaping (remodeling) of the labia along their entire length
• WEDGE-RESECTION – wedge resection of the most protruding parts of the two labia

The choice of technique is decided after consultation and individual assessment of the anatomy, size, shape and consistency of the labia, as well as the patient’s expectations.

For example, if the patient wants to remove the bridles of the clitoris or thinks that the edges of the inner labia are darker, it is better to trim.

The TRIM technique is longer and more labor-intensive for the operator. Both techniques do not show differences in recovery and early post-operative complications. Although rarely (5-10%), as a late complication, the trim technique can lead to cicatrix formation and decreased sensitivity along the labia.

Gallery of the aesthetic gynecology centre can be found here.