Pod Casts

Labial Reduction

The labia minora (inner lips of the vagina) differ in size and shape. Patients may find very large labia physically uncomfortable or aesthetically displeasing.

Why do patients request labial reduction?

In some patients the labia may be too large and cause discomfort with underclothes and fitted jeans, difficulty with maintaining hygiene during menstruation and pain during and after intercourse. In some cases large labia may be visible through underclothes and swimwear. The two labia may also be visibly different and cause embarrassment.

What does labial reduction involve?

The procedure is usually carried out under general anaesthetic as a day case. Surgery involves very careful reduction in the size of the labia by trimming of excess skin followed by repair with fine dissolving sutures. An antiseptic dressing is applied and held in place with a panty liner. Patients are discharged home the same day. A review appointment is made for a week after surgery.

What is the normal postoperative course?

Patients experience minor discomfort for 24 to 48 hours following this procedure. The labia are slightly bruised and swollen for a few days after the procedure. The sutures normally dissolve within two to three weeks leaving a fine well-healed scar.

How much time do I need off work?

Most patients are able to return to work within two days after surgery.

What are the complications of this procedure?

Like any other operation labial reduction can have complications; these include bleeding, haematoma (blood clot under the skin), infection and a tender scar. These are uncommon. Most patients have mild residual asymmetry, as it is extremely unusual for anyone to be perfectly symmetrical.

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My hand is fully functional and I'm back at work typing letters as before. To me I feel that the operation was a complete success.


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