Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for altering the labia minora(inner labia) and the labia majora (outer labia), the folds of skin surrounding the vulva. There are two main categories of women seeking cosmetic genital surgery: those with congenital conditions such as intersex, and those with no underlying condition who experience physical discomfort or wish to alter the appearance of their genitals because they believe they do not fall within a normal range.

The size, color, and shape of the labia vary significantly, and may change as a result of childbirth, aging and other events. Conditions addressed by labiaplasty include congenital defects and abnormalities such as vaginal atresia (absent vaginal passage), Müllerian agenesis (malformed uterus and fallopian tubes), intersex conditions (male and female sexual characteristics in a person); and tearing and stretching of the labia minora caused by childbirth, accidents and age.

The key for rejuvenating the female external genitalia are three fold: (1) the labia majora with age undergo fat atrophy, which leads them to be thin and wrinkly. (2) the labia minora undergo hypertrophy and enlargement in an irregular way. The combination of the labia minora being larger and the majora smaller leads to physical protrusion of the labia minora, which is significant concerns for many women. (3) The clitoris, tends to be hidden by overgrowth of the tissue above it called the clitoral hood. This prevents women for being stimulated like they used to be, and not enjoying the act of sex with their partner.

They procedures to fix all the above problems are to perform fat transfer to the labia majora giving them volume, and effectively reducing the pubis fat as a secondary effect from the liposuction that is needed to obtain the fat. In addition, the labia minora are reduced using the Pie technique, which leaves no visible scar and had no complications of nerve damage. Lastly, the clitoral hood is unroofed to allow more exposure.

Case 1 – Before

Case 1 – After

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