With over 65%, the reduction of the labia minora (labia reduction, labiaplasty) tops the list of all female intimate surgical procedures performed at our practice. Along with labia reduction, correction of a bulging clitoris (clitoral protrusion) can be performed.
Shaping of the labia majora by means of tightening and reduction and/or shaping and sculpturing using autologous fat tissue (Lipostructure).
Aesthetic and Functional Labiaplasty
International textbook by Prof. Stefan Gress, published by SPRINGER in January 2018.
This work describes his surgical techniques for labiaplasty and labial reconstruction in detail. It contains unique figures and illustrations that depict the precise anatomy of the region, the individual steps of the operations, and optimal results of treatment.
go to book published by SPRINGER ...
With the increasing number of intimate surgery procedures performed colleagues without adequate experience and training, unfortunately the number of less desirable results has also increased. In these cases, surgery to correct the poor results is required, if it is possible at all. This procedure is known as labia reconstruction.
In summary, the term labia correction covers the following treatment options/procedures::
- Labia reduction (Labiaplasty)
- Sculpting of the labia majora
- Reconstruction of the labia (labia reconstruction)
For detailed information, please refer to the respective sections.
If you are interested or have any further questions, feel free to email us or arrange for us to call you back or make an appointment for a personal and comprehensive consultation at our plastic surgery practice.
What is involved with the procedure?
Before the surgery
Before the labia correction surgery, your genital area should be completely shaved. You will be prescribed a pain killer and an antibiotic. Please take this medications as directed by us a few hours before you undergo the procedure. After consultation with your GP, you should stop taking drugs with an effect on blood clotting (e.g. aspirin, ASA, warfarin, etc.) at least 10 days prior to surgery.
Unless you have opted for general anaesthesia, fasting before surgery is not required.
After the surgery
Immediately after the procedure, you will stay for about 30 minutes in our rooms to rest and cool the genital area. After a visit to the toilet and a subsequent change of dressings, you can go home (or back to your hotel) by car.
During the first hours after surgery, you should continue to cool the genital area and lie down most of the time. On the following day, we will change the dressing at our practice. You will be supplied with compresses and wound dressing material for the next days.
You should take the antibiotic for about 4 days in total and the pain medication as required, but at least until the second postoperative day. On the third postoperative day, you can start having a shower again, but do not use any aggressive soap (for 7 days).
Since absorbable suture is used, the stitches do not need to be removed; however, they may start to itch after a few days. In this case, you may apply a sterile wound ointment (e.g. Bepanthen, aloe vera gel) to soothe the itchiness or have the stitches removed on day 12 after labia correction surgery (either by us or your gynaecologist or GP).
Frequently asked questions about labia correction
How long does the procedure take and what are the costs?
Costs depend on the extent of surgery and the time involved: The reduction of the labia minora along their entire course, including the clitoral hood, above and below the clitoris takes approx. 2 hours and costs EUR 3,100. If in addition the correction of a clitoral protrusion is required, the costs are EUR 3,800. The reduction of the labia minora exclusively below the clitoris takes approx. 60 minutes. Here the costs are approx. EUR 1,900. The reduction of the labia majora alone costs EUR 2,800; the operating time is approx. 90 minutes.
Together with our partner MEDIPAY, we can work out the best financing option for you. In case of the pelvic floor tightening procedure, costs for the anaesthetist and the hospital stay must be added.
When is the final result seen?
Approx. 80% of the swelling will have subsided after about 6 weeks. The remaining swelling, which will be hardly visible by then, will take comparatively longer to resolve, up to six months.
Can sensitivity be affected?
After labia reduction/labia correction, paraesthesia may be experienced along the scar, but this will soon resolve.
Since the nerves supplying the clitoris are running in the skin but in a deeper layer across the pubic bone, impaired sensitivity of the clitoris and sexual sensitivity is not to be expected.
Will it be very painful?
In the first night after labia reduction/labia correction surgery, patients usually experience a burning sensation and pain of various degree. However, on the next day after surgery these symptoms will have considerably improved or resolved altogether. Also, you will be given enough analgesics to control the pain, so usually this is not a problem.
So far, we have not been reported any pain during sexual intercourse. This type of pain is not to be expected after all, as the scar line is located outside of the “friction zone”. To the best of our knowledge, no permanent complication of this type has ever been described in the medical literature.
Are there any risks and complications associated with the procedure?
There are no serious risks and complications associated with labia correction/labia reduction. You have to expect some swelling and mild bruising. Typically, most of these will have subsided after a few days.
When can I resume sporting activities?
You should avoid mechanical stress for 6 weeks, i.e. refrain from sporting activities, such horseback riding, cycling and jogging, during this time.
When in the menstrual cycle should I schedule the surgery?
The procedure can be performed during any part of the menstrual cycle, including the days you are menstruating. However, after surgery you should avoid using tampons for 6 weeks and use pads instead.
When can I resume sex?
After labia correction/labia reduction surgery, you should wait for at least 6 weeks before resuming sex. Although the wounds have already closed, they are not yet very stable. If the wounds are exposed to mechanical forces, they may open up again.
In case only volume augmentation with autologous fat tissue was performed, you may already resume sex after 2 weeks