Labiaplasty/ Clitoral Hood Lift
With one of the best female plastic surgeons in Florida, its easy to see why we’ve become a leader in labiaplasty surgery. We see many patients who feel self-conscious about an enlarged or asymmetric labia. Some have discomfort related to an enlarged labia that make it difficult to wear tight pants, exercise, ride a bike, or enjoy intercourse. Other patients experience vaginal looseness as a result of childbearing, trauma, or aging. There may be a loss of muscle tone and stretching of the vaginal opening, which may interfere with sexual relations.
Fortunately labiaplasty and clitoral hood reduction surgery can improve both the appearance and symptoms related due to over-sized or asymmetric labia or clitoral hood, and vaginal rejuvenation surgery or laser can tighten the vaginal walls and opening.
Our patients are often excited to find out that clitoral hood reduction and Labiaplasty surgeries are usually done in the office with oral medication to manage discomfort and anxiety if needed. Because oral sedation is used, labiaplasty surgery costs can be far lower than labiaplasty surgery is performed under general anesthesia. Vaginal rejuvenation surgery can often be achieved with non surgical or office based surigical tightening. However, full tightening of the vaginal canal usually done at an outpatient surgery center under general anesthesia or IV sedation.
After labiaplasty surgery or clitoral hood reduction, there will be discomfort and swelling for 1-2 weeks, which is controlled with prescription pain medication. This is similar to recovering from an episiotomy. Depending on your job you may be able to go back to work in as few as two of three days. Stitches dissolve on their own within a few weeks after labia reduction or clitoral hood lift surgery. You should also refrain from resuming strenuous activities for 4-6 weeks after labiaplasty or clit hood reduction surgery. The final result is seen as early as 6 weeks, although for some patients it can take 2-3 months for swelling to resolve.
Some women are born with an enlarged labia minora (inner lips) or labia majora (outer lips), and some notice a change in the size, shape, or color of the labia after childbirth, trauma, or with aging. We often see patients who experience embarrassment and discomfort in tight clothing, with exercise, and with sexual intercourse.
Dr. Dana uses labiaplasty surgery to reduce the size of the labia to alleviate discomfort and improve the appearance of the labia. The labiaplasty surgery can be extended to the clitoral hood to provide a clitoral hood lift without a change to the nerves using techniques designed to produce minimal scarring. In most cases, the scars cannot even be seen after 4-6 weeks. You will likely have swelling and discomfort for a few days to weeks after labia or vaginal rejuvenation surgery.
Surgical tightening of the muscles near the entrance of the vagina (called the introitus) can often be done in the office with similar recovery to labiaplasty. This can help women whose muscles have been injured in childbirth leading to a weak or widened vaginal opening. Other patients experience stretching and weakness of the entire vaginal canal, which can be tightened with a surgery under general anesthesia.
During cosmetic vagina surgery, we remove the extra lining of the vagina and tighten the muscles underneath to decrease the dimensions of the vagina and increase and/or restore sexual gratification. Sexual sensation is usually greatly increased for both partners.
Vaginal rejuvenation or vaginoplasty is performed under sedation or general anesthesia combined with local anesthesia. The procedure lasts 1-2 hours, and it can be combined with other vaginal rejuvenation procedures like labiaplasty or pubic (mons) lift (See the before and after image at the bottom of the page.)
Most of our patients have mild to moderate discomfort for a few days to weeks after surgery that is easily controlled with pain medication. Strenuous activity should be avoided for 2 weeks after surgery, and sexual activity and tampon use should be avoided for 6 weeks after surgery.
Laser Vaginal Rejuvenation
Our Femtouch Laser is an alternative to surgery for some patients and can be used in addition to surgery for others to maximize results. Laser stimulates collagen and improves blood flow to the vaginal lining, which can improve vaginal atrophy. It can also improve the texture and color of the labia minora or majora. Our patients have seen improvements in vaginal tightness and an improvement in incontinence, although severe cases might require more invasive treatments. Patients also notice a significant improvement in symptoms of vaginal atrophy, like improved moisture and decreased discomfort with intercourse. The laser treatment involves a ten minute in office procedure with no time needed off work and only 2-3 days avoidance of intercourse. Most patients have 2-3 treatments about 1-2 months apart and then maintain with a yearly treatment.
Many of our patients have enlargement of the pubic area, causing a bulge in clothing. This can either be due to excess fat, which is improved with liposuction or excess skin and fat, which is treated with a pubic lift. A pubic lift tightens the area with an incision near the bikini line and can sometimes be done without general anesthesia. This procedure is often combined with a tummy tuck, but sometimes it is done alone. Recovery includes 2 weeks of restrictions on activities and minor swelling that can come and go for several months after surgery.
Any surgery, including vaginal surgery, labia surgery, and clitoral hood reduction surgeries carry a risk of infection or bleeding. Serious infection and bleeding are extremely rare with labiaplasty and clitoral hood reductions. Additional risks with include asymmetry, delayed wound healing, injury to nerves and blood vessels, injury to the colon (with vaginoplasty), and excessive scarring. Internal vaginal laser has been associated with temporary discomfort but not with more serious complications.