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Labiaplasty is a procedure that involves altering or removing excess vaginal tissue. Labiaplasty is the most commonly performed vaginal cosmetic surgery. The procedure can help women improve their cosmetic appearance and lessen the discomfort caused by labial hypertrophy.

Why Has Labiaplasty Become a More Popular Cosmetic Procedure?

Labiaplasty is commonly performed for many reasons, both cosmetic and functional.

Enlarged labia is thought to be a normal genetically inherited variant of the vaginal anatomy. Many women seek to improve the cosmetic appearance of their vaginas for a variety of reasons. Enlarged labia can be asymmetric, single-sided, and can involve the labia minora or majora.

There are also many functional reasons for women to proceed with a labiaplasty. Enlarged labia (labial hypertrophy) can make wearing underwear and bathing suits difficult. Large labia can result in physical discomforts, such as tugging during sexual intercourse, or cause discomfort for women while bike riding or wearing tight clothing.

Labiaplasty benefits

A few of the benefits of a labiaplasty can include:

  • Improved aesthetic appearance
  • More wardrobe options (swimsuits, shorts)
  • Improved confidence
  • Increased comfort
  • Reduce irritation or discomfort during intimacy or exercise

What Are the Types of Labial Enlargement?

There are three types of labial enlargement (hypertrophy):

Type I “Flag”: The enlarged tissue is seen as a flap at the front third portion and causes discomfort with tight clothing. With Type I labia hypertrophy, patients often do not report pain or discomfort with sexual intercourse. This is the least common type of labial hypertrophy.

vagina illustration
vagina illustration
vagina illustration

Type II “Oblique”: This is characterized by enlargement of the top and middle portions of the labia. Patients usually complain of pain with tight clothing and with sexual intercourse.

vagina illustration
vagina illustration
vagina illustration
vagina illustration

Type III “Complete”: This appears to be excess tissue in the back third of the labia; however, patients often experience less discomfort with tight clothes compared to Type I and Type II. Patients with Type III labial hypertrophy often experience pain with sexual intercourse and sports activities. With Type III, the opening of the vaginal orifice is blocked by the labia minora. This is the most common type of labial hypertrophy.

vagina illustration
vagina illustration
vagina illustration

The enlargement of labial tissue can occur on the right or left side and is not necessarily the same type on either side. Some patients may have Type III on their right labia but Type II on their left labia.

Who Is a Candidate for Labiaplasty?

Labiaplasty is ideal for patients with labial hypertrophy who want to regain their confidence and may or may not experience physical discomfort.

What Causes Labial Hypertrophy?

Many patients experience large labial folds since birth or after puberty. However, some women have tearing or stretching of the labia caused by childbirth, accidents or age.

What To Expect During Your Labiaplasty in Dallas

Based on the initial consultation, the extent of labiaplasty in Dallas varies depending on your desires and what Dr. Azouz deems appropriate. In a traditional method, a labiaplasty generally involves eliminating excess labial tissue. This can be done by trimming the tissue directly from the labia or removing a pie-shaped wedge of the labia, bringing the two ends together to reform the natural border. There are a variety of techniques depending on the type of labial hypertrophy.

  • Type I: In these cases, the edge of the labia minora is removed to form a tighter and improved contour. Dr. Azouz will suture the edge to create an improved profile.
  • Type II: For type II, a wedge resection is performed where Dr. Azouz removes a segment of triangular-shaped tissue and decreases the size of the labia. In this procedure, the natural labial edge is maintained.
  • Type III: A wedge resection or skin flap can be performed to improve the appearance of the labia, depending on the specific case.

During the procedure process, Dr. Azouz can also improve the symmetry and shape of the labia. Sutures are put in place to maintain the new contour until it heals. For all types of labiaplasty, Dr. Azouz maintains all or a portion of the clitoral hood to preserve sexual function.

Anesthesia During Labiaplasty

Dr. Azouz performs labiaplasty on an outpatient basis under local anesthesia with sedation.

Labiaplasty Recovery

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With any surgical procedure, it is important to follow Dr. Azouz’s specific aftercare instructions to reduce the risk of any complications. Most patients can return to desk work after a few days to a week. It is suggested to avoid sexual intercourse for six to eight weeks. Labiaplasty recovery time depends on your particular procedure and your natural healing process. Patients can expect some discomfort and swelling during the initial healing process that should subside over the next several weeks. Follow-up appointments will be scheduled to ensure a healthy recovery.

Combining Labiaplasty With Other Plastic Surgeries

Many patients choose to combine labiaplasty with an abdominoplasty and breast augmentation, also known as a “Mommy Makeover.”

Labiaplasty Cost

The cost of labiaplasty in Dallas is determined by many factors, including patient health, age, anatomy and smoking status. Dr. Azouz will determine the cost of surgery with history and physical examination.

Labiaplasty Results

After the labiaplasty recovery process, patients may have an enhanced cosmetic appearance of the labia with fewer physical discomforts. Patients may also be able to wear a bathing suit or underwear with improved confidence and comfort. See below what is possible from a before and after labiaplasty procedure.

Before and After Labiaplasty

Before and After Labiaplasty

Schedule your consultation with Dr. Azouz

If you are uncomfortable with your labia size and want to restructure this essential part of your body, a labiaplasty in Dallas may be right for you. An initial consultation with Dr. Azouz is needed to determine your candidacy for this procedure. Contact Azouz Plastic and Cosmetic Surgery today by calling (972) 702-8888 to schedule your initial consultation.

Frequently Asked Questions

Labiaplasty patient review for Dr. Azouz

“This was something I had been self conscious about for a long time and I am so glad I got it done! Dr. Azouz was able to get me in for surgery the day after my consultation and was very reassuring. He did an excellent job and I was never worried about the results. He does like to talk out the surgery, the healing process etc. and reiterate it, but it’s just to make sure you know what to expect.”

Read more patient reviews for Dr. Azouz

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