Patient Info
- Gender:
- Female
- Surgeon:
- Dr. Inessa Fishman
Description
This woman came to our practice interested in labiaplasty to address her long-standing comfort and appearance concerns. She was bothered by the deflated and too-long appearance of her inner and outer labia, and reported these tissues frequently got caught and irritated with intercourse and exercise. On exam, she had moderately long labia minora (inner folds of skin around the vaginal opening), a moderate amount of clitoral hood redundancy, perineal laxity, and pronounced deflation of her labia majora (outer folds of skin around the vaginal opening).
We treated this patient with a bilateral (both-sided) reduction labiaplasty of the labia majora; fat grafting to the labia majora; curvilinear labiaplasty of her inner labia, perineoplasty; and clitoral hood reduction to take away the excessively long inner labial skin and contour the too-long tissues around the clitoris for overall aesthetic balance. We performed a perineoplasty to tighten the perineum (the space of tissue between the vagina and anus).  We treated her labia majora with reduction of skin and fat grafting for volume augmentation. The patient is shown 4 weeks after her labiaplasty, clitoral hood reduction, fat grafting, and perineoplasty surgery, with a beautiful result and improved symmetry. She has normal and expected post-operative swelling, and her tissues will continue to become less puffy in appearance over the next 6 months. She is also shown here immediately after her surgery.
Our patient had her treatment awake and relaxed in the comfort and privacy of our clinic, and was excited to see her results immediately after surgery. She did not receive general anesthesia, and was very comfortable during her treatment with relaxing by-mouth medications, ProNox (laughing gas), and injected numbing medicine.
Labia and vaginas come in a wide array of normal shapes and sizes. Even with normal anatomy, some women feel uncomfortable with too-long or stretched or asymmetric labial tissues, which can develop after puberty, weight changes, pregnancy, or childbirth. We frequently combine labiaplasty procedures with clitoral hood reduction, perineoplasty, growth factor injections for improved sensitivity and sexual health, and vaginal rejuvenation to achieve optimal intimate health and self-confidence for our patients.