Labiaplasty

Current grooming trends have brought labiaplasty and vaginal rejuvenation into the spotlight. No longer a taboo topic, women are opening up to their doctors and seeking female rejuvenation procedures for a variety of reasons. Some women have labia that are naturally large or uneven and others experience changes during pregnancy or childbirth that enlarge the vaginal lips, causing discomfort or embarrassment. This can be especially pronounced when wearing swimsuits and tight clothing or during exercise, intercourse and other activities. Everyone wants to feel more confident and vaginal rejuvenation procedures can make women look and feel great while improving intimacy and eliminating discomfort. Dr. Orna Fisher has specialized experience in vaginal rejuvenation procedures and will take the time to ensure that you will have beautiful, natural-looking results. Gain a boost in confidence with no more embarrassment!

What is Labiaplasty?

Labiaplasty is a vaginal rejuvenation procedure that is designed to improve the function or appearance of the female external genitalia, primarily the labia minora. Sometimes the labia are too large or uneven, containing excess skin that causes issues such as discomfort, painful intercourse, irritation and difficulty using tampons. Labiaplasty can address these concerns but can also be done for purely cosmetic reasons, helping women improve their self-esteem. Although discussing labiaplasty may seem a little uncomfortable, Dr. Fisher and her team at Elite Transformations in Palo Alto make your experience as relaxing as possible by providing a comfortable, open environment. She’ll help you feel reassured about your cosmetic goals and decisions so you can leave your personal consultation feeling prepared, educated and excited to begin.

Vagina or Vulva or Labia: What’s the Difference?

Frequently, people use “vagina” to refer to the entire female genital area, but most female rejuvenation procedures such as labiaplasty do not involve the vagina itself. The vagina is the internal canal that leads to the uterus and the vulva describes the external genitalia, including the labia minora and majora (the lips that surround the vaginal entrance), clitoris and clitoral hood, urethra and the mons pubis (also known as the pubic mound). The labia majora are the larger, outer vaginal lips extending from the pubic mound to the perineum, and the labia minora are the smaller, inner lips that surround the clitoral hood, vaginal entrance and urethra. The labia are extremely diverse among women, varying in size, shape and color; there is no standard vulva. Asymmetry, color variations and texture differences are not uncommon and changes due to childbirth or age can affect the appearance of the labia minora. The labia can also change in size as a result of hormonal changes and sexual arousal.

For some women, the appearance of their labia minora can be disconcerting enough to affect their self-esteem negatively. For others, the excess tissue can uncomfortably protrude from the labia majora, causing chafing and irritation. This can result in pain or decreased sensitivity during intercourse, difficulty or embarrassment wearing certain clothing, sexual inhibition and many other negative consequences. Labiaplasty is done to reduce the size of the labia minora to eliminate these symptoms while restoring confidence. For women seeking rejuvenation of the vagina itself, Dr. Fisher also offers V-Lase, a nonsurgical treatment that restores thickness and moisture to the vaginal tissues. If you’re considering additional vaginal rejuvenation procedures such as V-Lase, they may be performed along with your labiaplasty.

Vaginal Rejuvenation Candidates

Any woman that experiences genital discomfort or is simply not satisfied with her vulva may be a candidate for labiaplasty. For women considering getting pregnant, however, it is recommended to wait until after childbirth to ensure optimal, long-lasting results. It is also recommended that you not smoke to avoid unnecessary risks or complications.

If you experience any of the following, labiaplasty at Elite Transformations may be right for you:

  • Pain or discomfort during intercourse and physical activity
  • Difficulty with tampons
  • Asymmetric or protruding labia Irritation or chafing as a result of friction or rubbing
  • Decreased sexual sensitivity
  • Intimacy issues or sexual inhibition due to feeling self-conscious
  • Embarrassment in certain outfits (such as swimsuits or leggings)
  • Undesired changes after childbirth

There is no one right reason to get labiaplasty. Whether your concerns are functional or cosmetic, Dr. Fisher is ready to help you achieve your aesthetic goals.

Labiaplasty Procedure

Labiaplasty is a delicate procedure that requires skill and precision. To ensure that your labiaplasty produces the best possible results, Dr. Fisher is meticulous and thorough. Her detailed approach helps to reduce the risk of complications and give you the outcome you desire.

View Before & After Photos

The surgery will be performed after your last menstruation cycle has ended and will last 2 or more hours, though procedure time varies by patient. If other female rejuvenation treatments such as clitoral hood reduction, V-Lase or labial puffing are performed simultaneously, the procedure may take longer. Dr. Fisher will use either anesthesia or IV sedation to help you feel comfortable during the surgery, as well as medications that block nerve signals and minimize bleeding. To ensure an aesthetically pleasing, symmetrical result, Dr. Fisher takes great care measuring and marking the skin to be removed. She will then trim the excess labial tissue using either a scalpel, scissors or laser; whichever technique is most appropriate for your unique procedure. Once finished, the incision is closed with dissolving stitches so there will be no sutures to remove. Dr. Fisher will prescribe medications to help with any pain. Most patients can return home the same day, though the full recovery process may take up to six weeks.

Labiaplasty Recovery

You will need downtime to recover from your labiaplasty. You may experience temporary, minor side effects that can be easily managed with prescriptions and over-the-counter medications. Most women can return to work after seven to 10 days, but it may take up to six weeks before you are fully recovered. Intercourse should be avoided during this time and Dr. Fisher will advise you when it’s safe to resume certain activities. Throughout your labiaplasty recovery, it will be very important that you keep the area clean and wear light, loose clothing to prevent friction and stay comfortable.

The First Week

The first few days following your surgery, you may have some temporary pain and swelling. Dr. Fisher will prescribe medications to manage these symptoms and will provide you with post-operative instructions that should be carefully followed. In addition to some pain and swelling, you may also notice some drainage, bruising and itchiness, but these symptoms will subside.

The Second Week

After the first week, pain and swelling should have significantly decreased. Around this time, your stitches should start to disappear and most women can resume light activities. Intercourse and anything that puts pressure or strain on the surgical site should still be avoided, until after six weeks or as directed by Dr. Fisher. A return to sexual activity too soon can result in painful tears that prolong the healing process and increase the risk of infection.

The Third and Fourth Week

By the third week, you should experience only minimal pain and swelling. You can gradually increase your activity levels, but continue to avoid anything too strenuous such as heavy lifting and intercourse. Your stitches should disappear and you may notice the resulting drainage; this is completely normal.

The Sixth Week

Most women are cleared to resume sexual activity after six weeks. Several factors can affect your recovery timeline, so you should first consult with Dr. Fisher to ensure you are sufficiently healed before proceeding. Although minor swelling may remain for up to six months, after five to six weeks you should slowly be returning to your normal routine.

Dr. Fisher is a dedicated and knowledgeable board-certified surgeon, committed to making your recovery as comfortable as possible. She will provide you with detailed aftercare instructions but will always be available if any issues or complications arise. You will also have the opportunity to discuss any concerns at your post-operative appointments where Dr. Fisher will assess your recovery progress.

Other Female Rejuvenation Procedures

Dr. Fisher offers several other female rejuvenation procedures to help you achieve the customized, beautiful results you want. These procedures can be performed individually or combined for a more comprehensive vaginal rejuvenation.

  • Labia Majora Reduction — Labia majora reduction is a procedure done to reduce the size of the labia majora (outer vaginal lips). This is done for women who feel that the labia majora are too large, prominent or sagging.
  • Clitoral Hood Reduction — Often combined with labiaplasty, clitoral hood reduction is a procedure that eliminates the excess skin surrounding the clitoris. This skin can be removed to provide a balanced, pleasing aesthetic result.
  • Labia Puffing Procedures — Labia puffing procedures increase the volume of the labia majora. Aging, pregnancy and weight loss can cause these tissues to sag and labia puffing rejuvenates the area through the use of fillers such as hyaluronic acid or fat transfer. Labia puffing procedures are often combined with labiaplasty.
  • Monsplasty — Monsplasty is a procedure that reduces the volume and size of the mons pubis, or pubic mound. Sometimes called a “pubic lift,” excess tissue is surgically removed to create a smoother, tighter pubic area. This is often combined with either a tummy tuck or labiaplasty.

If you’re ready to say goodbye to pain or embarrassment caused by your labia, Dr. Fisher can help improve your comfort, confidence and quality of life with personalized treatments tailored to meet your needs. Don’t wait to schedule a personal consultation to discuss your options; Dr. Fisher’s years of experience in female rejuvenation procedures and detailed approach will help make your aesthetic outcome the best possible. Call or contact Elite Transformations in Palo Alto at 650-600-7889 to schedule your consultation today!


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Labiaplasty | Vaginal Rejuvenation San Francisco | Palo Alto CA

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If you are considering having labiaplasty surgery, you will need to come in for a consultation to learn whether or not you are a candidate for the procedure. Contact our office today at ‭650.460.7260

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