Labiaplasty is a surgical procedure that reduces the amount of skin covering the clitoris and vagina. Some women are born with this and others may develop it as a result of trauma or childbirth. It can cause pain during intercourse or just be uncomfortable in tight clothing. Many women feel it is just unattractive and are embarrassed by it. Occasionally there is a marked difference in size between the labia on the two sides. The operation is usually done as an outpatient under local anesthesia but sedation is available for those who desire it. There are various ways of doing the operation including a straight-line excision along the edge of the labia, a wedge excision of the upper half of the labia and a wedge excision with a Z plasty (zigzag) closure of the upper half. I discuss the different options with each patient and customize my approach to best fit the individual needs. Absorbable sutures are used and these come out on their own in about three weeks. Sexual activity can be resumed in four to six weeks. The satisfaction rate of this procedure is very high.
I have been surprised to find out how many women are so embarrassed about this problem that they will not even discuss it with their own gynecologist or obstetrician.
I feel this was a good thing to do and I’m glad I had the nerve to do it. If I needed it I would do it again.-Actual Patient, name omitted for privacy