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Labia Reduction in Munich
with Prof. Dr Stefan Gress

Aesthetics meets expertise: A labiaplasty performed by Prof. Dr Stefan Gress corrects enlarged or asymmetrical labia safely and to the highest aesthetic standards. He is a specialist in plastic and aesthetic surgery and has specialized in female intimate surgery for many years. Patients from all over Germany and around the world travel to his Munich practice to seek his advice and treatment.

In addition to labia reduction, Prof. Gress performs labia revisions, corrections of the labia and clitoral hood and complex reconstructions following previous surgeries. The procedures he uses include the “Composite Reduction Labiaplasty” method, which he developed himself. Reconstructions are mostly performed by two techniques. One is called “the lateral prepuce flap”, the other “vaginal skin advancement”. These techniques are usually applied to reconstruct the labia minora following amputation or too excessively shortening. The technique of the “Composite Reduction Labiaplasty” takes into account not only the size of the inner labia and the clitoral hood, but also the proportions of the adjacent areas and – if necessary – the position of the clitoris.

During a detailed consultation, Prof. Gress explains the options, limitations, and risks of the procedure, as well as the expected healing process.

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Results of the
Composite Reduction Labiaplasty

Definition: What is Labia Reduction Surgery?

Labia reduction surgery is a surgical procedure in which the inner labia (labia minora) that are too large are reduced in size and tightened. The reasons for this may include functional discomfort, pronounced asymmetry or a personal desire for aesthetic change.
The shape and size of the labia vary from woman to woman. Inner labia that are visible between the outer labia extend beyond them can also represent a normal anatomical variation. The aim of the operation is therefore always determined on an individual basis.
With the “Composite Reduction Labiaplasty” developed by Prof. Gress, the proportions of the clitoral hood are taken into account alongside the labia minora. Where indicated, the position of a prominent clitoris can also be corrected.
What is the difference between labia reduction and labia correction?
The terms labia reduction and labia correction are often used synonymously. In technical terms, however, labia correction is the umbrella term. Possible treatments include:

– reduction and shaping of the labia minora (inner labia),

– modeling or augmentation of the labia majora (outer labia),

– correction of the clitoral hood and the position of the clitoris itself,

– Reconstruction following previous surgeries, labiarevision.

Why choose Prof. Dr Stefan Gress for Labia Reduction Surgery?

Many women suffer from enlarged inner labia that protrude beyond the outer labia. This is not merely an aesthetic concern, but often leads to physical pain in everyday life. In our Munich clinic, we combine years of experience with state-of-the-art technology to give you a new sense of bodily confidence.

Your advantages with Prof. Dr Stefan Gress:

international expertise:Prof. Gress is a medical teaching book author (“Aesthetic & Functional Labiaplasty“, Springer publishers) and speaker at the most renowned international congresses in plastic surgery.

proprietary surgical technique: The “Composite Reduction Labiaplasty” method, now practised worldwide for the reduction of the inner labia, was developed by Prof. Gress and first published in 2013 in the renowned “Journal of Aesthetic Plastic Surgery”.

gentle procedure: Use of radiosurgery for low-bleeding incisions and faster healing.

natural aesthetics: As the labia are also tightened above the clitoris, the result is a harmonious overall appearance.

over 30 years of experience: More than 8,500 procedures performed in female genital surgery alone.

When should labia reduction surgery be considered?

The decision to undergo labia reduction surgery is usually based on a combination of functional and aesthetic reasons. Many patients report significant friction during exercise, particularly while cycling, horse riding, or jogging. Wearing tight clothing, such as jeans or fine underwear, can also become uncomfortable due to pressure on the excess tissue. Furthermore, invagination (indrawing) of the inner labia can occur during sexual intercourse.

Beyond the physical component, the psychological aspect plays a major role. Many women feel uncomfortable in their intimate area and feel inhibited about being seen naked. This can have a negative impact on self-confidence and sexual intimacy. If the inner labia are perceived as sagging or too large, labiaplasty offers a permanent solution.

What can be done about sagging labia?

For sagging or drooping labia, a professional labial correction is the method of choice. Prof. Gress will analyse your individual anatomy during a detailed consultation. During surgery, excess skin is not merely removed, the entire region is remodelled.

Often, a simple reduction is not enough. To ensure the result looks natural, the proportions between the inner and outer labia, as well as the clitoral hood and the clitoris itself, especially its position, must be correct. This is where the method perfected by Prof. Gress comes into play, ensuring that the inner labia are once again protected and enclosed by the outer ones after the operation.

What is Composite Reduction Labiaplasty?

“Composite Reduction Labiaplasty” is a surgical technique developed by Prof. Dr Stefan Gress for correcting the labia minora and adjacent areas. Unlike a simple shortening procedure, it does not focus solely on the tissue beneath the clitoris. Depending on individual anatomical findings, the clitoral hood and a protruding clitoris may also be included in the treatment.

The aim is a harmonious balance between the labia minora, the clitoral hood, and the surrounding structures. The technique was developed by Prof. Gress and published in the prestigious “Journal for Aesthetic Plastic Surgery“ (Springer publishers) in 2013.

Before/After Pictures
for Labia Reduction, Labia Correction and Labia Revision

What can be done about sagging labia?

For sagging or drooping labia, a professional labial correction is the method of choice. Prof. Gress will analyse your individual anatomy during a detailed consultation. During surgery, excess skin is not merely removed, the entire region is remodelled.

Often, a simple reduction is not enough. To ensure the result looks natural, the proportions between the inner and outer labia, as well as the clitoris, must be correct. This is where the method perfected by Prof. Gress comes into play, ensuring that the inner labia are once again protected and enclosed by the outer ones after the operation.

Result, shape and appearance

Function and anatomy

Problem and aim

Who performs the surgery?
Choosing the right surgeon

Surgery in the intimate area requires the highest level of trust. That is why this operation should only be performed by an experienced consultant in plastic and aesthetic surgery who specialises in this field.

Prof. Dr Stefan Gress is considered a global authority. His publications in the Journal of Aesthetic Plastic Surgery and his internationally recognised standard work on genital surgery have earned him the reputation of a “teacher of surgeons”. Patients travel from all over the world to Munich to be operated on by him or to undergo reconstruction after failed previous surgeries.

When choosing a treating physician, geographic proximity should not be the deciding factor alone. Key considerations include demonstrated specialization in female genital surgery, extensive surgical experience, and meticulous personal aftercare. Patients from across Germany and abroad therefore make a conscious decision to seek treatment from Prof. Dr. Stefan Gress in Munich, whether for initial surgery or for complex reconstruction following unsuccessful previous procedures.

How is the labia reduced? The surgical procedure

Everything important about Labia Reduction
at a glance

Duration of surgery
1.5 – 2.5 hours

Combination dates possible
1st day consultation, 2nd day surgery, 3rd day aftercare

Anesthesia
Local anesthesia; general anesthesia possible on request

Surgery
Outpatient in the practice’s operating room

Preparation before surgery
Complete intimate shaving, taking antibiotics and painkillers

Follow-up treatment
Local cooling, compresses insoles, wearing tight underpants on the first night, own pressure treatment after 14 days for 4 weeks

Convalescence period
Take it easy for approx. 1 week after the procedure, no sport (cycling, jogging, horse riding etc.) for 6 weeks, no sexual intercourse and no use of tampons and don’t cross your legs

Costs
3,500 – 7,500 euros net with a gynecological confirmation that the labia reduction is medically necessary

Labial Correction or Labia Revision as Reconstruction

A primary focus of Prof. Gress’s practice is the reconstruction of the labia minora following unsatisfactory or complicated previous surgeries. Correction may be necessary, for example, if too much tissue has been removed, significant asymmetries have developed, or the original incision has impaired form and function.

Prof. Gress has also conducted scientific research into reconstructive procedures. His medical publication, Labia Minora Repair,” describes various methods for restoring the labia minora after previous procedures.

Thanks to his experience, Prof. Gress can perform reconstructions even in complex cases, helping affected women regain their quality of life. The focus here is on restoring natural form and functionality.

Would you like to know what feedback Prof. Dr. Gress receives from women he has operated on? Read testimonials from our satisfied patients here.

Recovery and Aftercare:
What you need to knowbout Labia Reduction

A keAfter the procedure, you can rest in our clinic. Please do not drive yourself home or back to your hotel afterwards. Arrange to be collected or we can call a taxi for you.

– Clothing: Immediately after the procedure, wear firm-fitting knickers that you can pull up tightly to apply some pressure to the region. This helps to prevent severe swelling or the risk of post-operative bleeding. Loose-fitting clothing will be more comfortable for you after the first day.

– Wound Healing: On the day of surgery, cool the area for 10 minutes every hour during the day and take it easy. For optimal healing, you should place a compress between the labia for the first 2 weeks so that they do not touch. After this period, you should firmly squeeze the labia between your thumb and index finger along their entire length two to three times a day for 4 weeks. This will help the swelling subside faster and promote better scar healing. However, do not rub or massage the area.

– Aftercare: A wound check and dressing change will take place at our clinic on the first post-operative day. The stitches are self-dissolving and do not need to be removed. The dissolution of the stitches can sometimes be associated with strong itching. In this case, special creams or ointments can help.

Hygiene: You may shower from the third day after surgery, but for one week use only clear water and no soap.

Exercise & Daily Life: Depending on your job, you can return to work 1–3 days after the procedure. Physical exertion, cycling, and sauna visits should be avoided for at least 6 weeks. Please do not cross your legs for 6 weeks and do not use tampons during this time.

For any questions or emergencies, you will be given Prof. Gress’s mobile number so you can contact him at any time.

Surgery Techniques

Labiaplasty for Patients from Across Germany and Abroad

The best surgical technique for you is selected based on your desired result. This does, however, depend not only on your expectations of the result, but also on your starting situation.

There are four different options: labia reduction along their entire length, or purely below the clitoris, with or without tightening the clitoral hood, with or without correcting the position of the clitoris, etc.

Patients from various regions of Germany and international locations come to Prof. Gress’s practice in Munich for consultations and treatment. For those traveling long distances, the consultation, surgery, and initial follow-up appointment can usually be arranged to take place during a single visit.

Typically, the personal consultation and physical examination take place on the first day. The surgery is performed the following day. On the third day, Prof. Gress checks the wound and changes the dressing. You should therefore generally plan for a two-night stay in Munich.

The practice team will inform you in advance about the required documents, the exact procedure, and suitable accommodation options. Since you will not be allowed to drive yourself after the surgery, you will need someone to accompany you, a taxi, or another safe transport option to return to your hotel or accommodation.

1. Composite Reduction Labiaplasty

  • Reduction of the labia minora in all three sections
  • Correction of the clitoral position in case of a bulging clitoris (clitoral protrusion)
  • Additional upward tightening of the clitoral hood

The excess tissue in the areas highlighted in orange is removed. Clitoral protrusion is corrected by lowering the protruding clitoral glans. To tighten the clitoral hood, both skin flaps are tightened downwards and the clitoral hood is tightened upwards.

2. Reduction Of The Labia Minora In All Sections (without Correction Of The Clitoral Position)

  • Reduction of the labia minora in all three sections

Removal of the excess tissue (highlighted in orange). Unlike the procedures described above, only a downward tightening of the clitoral hood is performed; there is no correction of the clitoral position and no additional upward tightening of the clitoral hood. Two triangles of skin are removed from the sides to prevent engorgement of the tissue that would otherwise develop as the flaps are pulled downwards.

3. Reduction Of The Labia Minora Only In The Area Below The Clitoris

This procedure should only be considered in cases involving isolated enlargement of the labia minora limited to the part below the clitoris. However, these cases are rare.

Your path to us:
The consultation for Labia Reduction

If you are considering labia reduction, discretion and professional competence are of the utmost importance. In our Munich practice, Prof. Gress takes plenty of time to answer your questions and alleviate any anxiety you may have about the procedure. Together, we will define the goal of the labial correction so that you can feel completely confident and beautiful in your body again.

Book your consultation appointment now with one of the world’s leading specialists in intimate surgery.

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FAQ – Questions and Answers regarding Labiaplasty

What should I consider before labial correction?

How many appointments do I need?

Traveling from afar

Before the operation

Shaving

Clothing

Periods

Pain

Swelling

Sitting

Sport

Swimming

Sexual intercourse

Showering, water, soap

Sun bathing, solarium

Working

Childbirth

Your contribution to the healing process

Scar creams

Sutures, stitches

Laser or scalpel?

Final result

Causes

Simultaneous correction of labia minora and majora

Risks

Costs

Insurance

Financing

Individual information

Patient feedback and reviews

„Pioneer of female genital surgery“

„The labia pope of Germany“

„The Vagina Picasso

5.0

From a technical point of view, I have to admit that Doctor Gress works wonders. I had little hope, but he manages to reconstruct everything and I can now feel safe and pain-free.

S

Sarah M. / 2024

…I had a vaginal tightening and I must say this man has solved all the problems I had. I no longer have urinary incontinence and everything is perfect! I also had a labia reduction and I can only say: PERFECT! This man really is an artist! …More

N

Nancy W. / 2024

 I know that Dr. Gress is a luminary in his field and my very high expectations were met one hundred percent. I can recommend him and his incredibly friendly team without reservation!

Patient / 2024

 I would like to thank Prof. Gress for his great work. He did such a great job that you can’t believe it. One wonders the whole time how he did it? …More

Patient / 2022

Inquire now

A personal conversation provides clarity most quickly. Our communication will be treated professionally and discreetly!

Over 13,500 operations in total

Over 8,500 operations in the female genital area

Over 30 years of experience

Scientific Frontrunner

Inventor of the
Composite Reduction Labiaplasty

This publication by Prof. Gress in the Journal of Aesthetic Plastic Surgery describes the world’s most renowned technique for labiaplasty. It not only reduces the labia minora below the clitoris, but also in the area of the clitoris and above. It also corrects a protruding clitoris (clitoral protrusion). This is the perfect technique if the outer labia are to completely enclose or cover the inner labia.

While the reduction of the labia minora was still considered rather unusual a few years ago, it is now part of the on the homepages of most plastic surgeons and an increasing number of gynecologists. gynecologists…

Textbook author and teacher
of female genital surgery and intimate surgery

International textbook by Prof. Gress Intimate genital surgery, especially for techniques to reduce the labia minora, to reconstruct the labia minora and for labia revision and to reduce the labia majora and for shaping the mons veneris.

Specialist for
Labia Reconstruction and Revision, Labia Reduction, Labia Correction, Vaginal Tightening

This publication by Prof. Gress entitled “Labia Minora Repair” in the Journal of Aesthetic Plastic Surgery, describes the possibilities of reconstructing the labia minora after botched previous operations. The correction is described in particular detail when the labia minora below the clitoris have been excessively shortend and the clitoris protrudes too far (small penis deformity).

The demand for surgical procedures to treat the external female genital area, in particular labia reduction and labiaplasty has increased significantly in recent years…

Well known
from the media

Professor
of Plastic Surgery

Prof. Gress is a member of numerous professional societies.

It goes without saying that Prof. Gress actively participates in the most renowned specialist congresses worldwide and organizes and conducts his own teaching events and lectures, in particular to ensure the highest international standards for surgical and treatment techniques, the »State of the art«.

Memberships

Professor Gress is a member in the most important national and international specialist societies.

ASPS

American Society of Plastic Surgeons

DGPRÄC

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen

ISAPS

International Society of Aesthetic Plastic Surgery

IPRAS

International Confederation for Plastic, Reconstructive and Aesthetic Surgery

Labiaplasty
can give you a new sense of well-being

To this day, elongated or enlarged inner labia, as well as sagging outer labia, remain a taboo subject. This is unjustified, as they often lead to a significant reduction in quality of life for the patients affected. The reasons for this are also very varied. On the one hand, such changes can be due to genetic predisposition and age, but on the other hand, hormonal fluctuations or childbirth can also be the reason for such a change. Many patients find this change in the labia very disturbing. They avoid going to the sauna, refrain from wearing tight clothing or try to avoid sexual contact. Ultimately, enlarged or sagging labia can cause further impairments such as pain during sexual intercourse or sports. In all these cases, labiaplasty can contribute to a better quality of life.

Trust in the expertise of Prof. Dr. Gress for labiaplasty

Although social acceptance of labiaplasty is growing and more and more women are finding the courage to talk openly about intimate surgery, many of those affected initially feel very uncertain. Labiaplasty is therefore still one of those plastic surgery procedures that requires a great deal of tact in dealing with patients on the one hand, but also the highest level of professional expertise on the other. You can place your trust in the practice of Prof. Dr. Gress, who is renowned worldwide for his experience and the labiaplasty technique he has developed.

In good hands right from the start

If you are considering labiaplasty, we will be happy to provide you with comprehensive support right from the start. We will be happy to advise you discreetly and individually to determine the best treatment method for you. You can expect a modern and comfortably equipped practice. Both our practice and our private clinic for inpatient operations are excellently equipped in terms of personnel and technology. This enables us to guarantee you maximum safety at all times. Our aim is to ensure the highest possible standard in the surgical and treatment techniques we use. Make an appointment now for a personal consultation. We look forward to seeing you!