Labiaplasty

Deformities of the labia know no boundaries nor respect any age group. They can be present in the very young as a variation since birth, or they can be present in much older women as a consequence of a difficult vaginal delivery. The excess can be confined to one side, or one part of one side, or both in varying degrees and causing much asymmetry. There can be irritation, discomfort in clothing or during exercise, and discomfort during intercourse.

Dr. Romano’s practice of labia surgery centers around these categories:

• Labia Minora Surgery: A crescent-shaped incision is made to design just the right length, projection and shape of the labia you want. Dr. Romano’s technique does not create any unusual scarring or interfere with your nerves, sensation, or stimulation.
• Labia Majora Surgery: This is the area just adjacent to the labia minora. Occasionally it is wrinkled or sagging and can be rejuvenated and made youthful with fat grafting.
• Pubic Mound Surgery: The area of the pubis may demonstrate too much fat or be small, wrinkled, and sagging. It can be rejuvenated by liposuction or fat grafting as indicated.

Dr. Romano considers your body as a whole and builds a system into all labial rejuvenation surgeries that allows you to recover much more quickly. His techniques serve to preserve your surgical outcome and enable Dr. Romano to produce results that are consistently very beautiful, quick to heal, and exceptionally natural. He uses minimal incisions.

Deformities and unevenness of the labia can occur at birth, just like any other abnormality in our body, or they may be acquired later in life.

The difference in this case is that oftentimes deformity of the labia is extremely personal, and women are particularly self-conscious about it and do not want to talk about it, and they avoid seeking help for these and other reasons. This is an area of plastic surgery in which I have seen time and again how surgical removal of sometimes just fractions of inches of excess tissue can profoundly change a woman’s life. I profoundly respect and understand your feelings, and I want you to know that I can help you with this condition.

Deformities of the labia know no boundaries nor respect any age group. They can be present in the very young as a variation since birth, or they can be present in much older woman as a consequence of a difficult vaginal delivery. The excess can be confined to one side, one part of one side, or both in varying degrees and causing much asymmetry. There can be irritation, discomfort in clothing or during exercise, or discomfort during intercourse. Labioplasty also deals with the repair of lacerations and tears that can occur from trauma like childbirth. Sometimes there is not a profound deformity, and a woman just wants to be smaller and more even.

The relevant anatomyin this case is the labia minora. This is the crescent-shaped tissue just adjacent to the vaginal opening and next to the labia majora. It can assume most any shape, length, thickness, or asymmetry. Deformities or excess in the labia are rarely associated with the clitoris. There may be features of the pubic mound (the pubis) or the adjacent labia majora that can also be addressed. Since this is such an important anatomic area, and there are very critical nerves and structures nearby, I take a lot of time and care to review all of this with you and coordinate the features of your anatomy with your expectations, formulate a plan with you, make drawings, and guide you through this process. There are several very specific surgical techniques and incisions for addressing this condition, and I use only the ones that are tried and true and safe. I will review them with you in great detail. Surgery involves a light general anesthetic and is performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. There is a mild degree of swelling after surgery. All of the stitches are small and dissolve in four to seven days, and you can return to work in as little as two to three days and to some physical exercise in the second week. My practice of labia surgery centers around these several categories:

• Labia Minora Surgery: A crescent-shaped incision is made to design just the right length, projection, and shape of the labia you want. The excess is removed, and the incision is closed. This does not create any unusual scarring or interfere with your nerves, sensation, or stimulation.
• Labia Majora Surgery: This is the area just adjacent to the labia minora. Occasionally it is wrinkled or sagging and can be rejuvenated and made youthful with fat grafting.
• Pubic Mound Surgery: The area of the pubis may demonstrate too much fat or be small, wrinkled, and sagging. It can be rejuvenated by liposuction or fat grafting as indicated.

I spend a great deal of time with you discussing your anatomy, listening to your expectations, drawing pictures, and interpreting for you what your anatomy and tissues will safely and predictably allow me to do. In addition I consider your body as a whole, and I build a system into all labial rejuvenation surgeries that, initially, allows you to recover much more quickly and, secondly, it preserves your surgical results. This system includes a special diet, special attention to blood clotting, vitamins, supplements, skin products, physical training, and knowing what to avoid. Together all of this allows me to create results that are consistently very beautiful, quick to heal, and exceptionally natural. I use minimal incisions. I am delighted to surgically provide you with such a profound yet natural body-image change, one that has so consistently pleased my patients and changed their lives.

Please also read Dr. Romano’s article on fat grafting FAQs and other related articles in the Educational Articles section of the website.