What Makes a Good Candidate

– excessive length, thickness, bulk, redundancy, and/or dark pigmentation
– asymmetry with one side significantly larger than the other
– deflation and/or loose skin of the labia majora

Functional Concerns such as:
– discomfort and/or displeasure during sex
– discomfort wearing certain clothing or when exercising or even sitting
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Labiaplasty (cosmetic vaginal plastic surgery of the labia minora or majora) in Los Angeles & Beverly Hills, CA

Labiaplasty and Vaginoplasty are among the fastest growing and accepted cosmetic procedures for women. It involves the surgical modification (most frequently reduction) of either the labia minora (inner lips) or labia majora (outer lips) to achieve a more proportional and/or comfortable anatomic size. The procedure is done on an outpatient basis and typically requires only light sedation or twilight sleep anesthesia. Even relative to many other plastic and cosmetic surgeries, labiaplasty and vaginoplasty patients have a high satisfaction rate and an improved self-esteem after surgery.

Labiaplasty is in a category of vaginal plastic surgeries known as female genital cosmetic surgery (FGCS). FGCS also includes: 1) Hoodectomy whereby excessive tissue covering the clitoris is reduced to provide better clitoral stimulation and thus improved arousal and 2) Vaginal Rejuvenation in which the vaginal vault is tightened and supported to provide better accommodation and thus heightened sensation during sex. If you feel you have a need or desire for either of these other vaginal plastic surgery procedures, please feel free to discuss them with Dr. Stanton during your complimentary consultation so that he may help you determine if you are a good candidate. If necessary, labiaplasty, vaginoplasty, hoodectomy, vaginal rejuvenation and/or vaginal reconstruction can often be performed at the same time for convenience and to avoid multiple recovery periods.

* Note that many women have these vaginal problems or defects as a result of genetics or developmental issues and others as a result of pregnancy. Therefore, it is not unreasonable to consider labiaplasty surgery or vaginoplasty surgery even before having children; in fact, most patients have never been pregnant before their corrective labiaplasty or vaginoplasty surgeries.

 
Additional Pertinent Surgical Details

Labiaplasty and Vaginal Rejuvenation are two totally different procedures done for completely different reasons on different pieces of anatomy.

Labiaplasty is one of the more rare plastic cosmetic surgeries that i perform on minors – several dozen or so in my 16 years of private practice. However, perental consent is definitely required to proceed with surgery. Thus the first and foremost important step is to enlist the understanding and consideration from a parent. After this, a consultation with a board certified plastic surgeon (or gynecologist) that specializes in labiaplasty is the next step.

Surgical prices vary by region, surgeon reputation, and surgical experience. I currently charge $4500 for labiaplasty of bilateral minora ($3000 unilateral) and additional fees for labia majora and/or if a clitoral hoodectomy is also required. Although I have kept these prices stable for several years, they are more likely to go up not down with time. I have been performing this procedure for 16 years in Beverly Hills, CA as one of my specialties.

Because the surgery appears simple at first glance, there are many novice surgeons nowadays offering up their services for labiaplasty.  Keep in mind however that the first time around has the absolute best chance for aesthetic and/or functional success and that revisions for botch-jobs almost never achieve as good results.

Please keep in mind that an in person consultation with physical exam is first necessary before any final surgery recommendations are made. Nonetheless your story and concerns are in good company with almost ever other patient that undergoes labiaplasty and/or clitoral hood reduction (aka hoodectomy). Based upon your photos, your anatomy is very typical of someone who seriously considers having these procedures and experiences a major boost in (sexual) self-confidence and pleasure thereafter.
Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips) but not infrequently trimming or tucking of the labia majora (outer/thicker lips), has become a relatively common procedure over the last ten and even more so last five years. Most commonly it is done under light sedation (aka twighlight sleep) with local anesthesia, in which case the patient should feel no pain during the operation. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is “symmetry”. Symmetry is the most important aspect to the final aesthetic result. Most women, just like yourself, prefer to have as much of the darker pigmented edges removed as possible. Also, it’s not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function – typically ~10 mm or so of the dry part of the labia. Finally, I have found the scar along the edge of the labia after “Trim Method” to be much more imperceptible compared to the scar running perpendicular through the entire labia minora after “Wedge Method”. Thus to achieve these four most important elements, I have found that the Trim Method satisfies best.  One unique potential complication after Wedge Method is that the clitoris gets pulled downward which sometimes is annoying and sensory changing to women.  Thus it is extremely important to consult with a board certified plastic surgeon that specializes in this operation (does at least 1 – 2 per week). It may cost you a bit more but it is this type of result you will want to live with for the rest of your life. Typical (all inclusive) fee at my office/surgery center is $4500.
Although there is no guarantee, women frequently do seek clitoral hood reduction (Hoodectomy) to improve exposure of the clitoris and hence better stimulation during sexual activity. By removing some of the excess &/or redundant skin concealing the clitoris, it becomes more readily exposed to sexual stimulation and hence a heightened sexual experience/orgasm is possible.

​Options for cosmetic enhancement of the labia majora typically include reduction of excess/loose skin (“tucking”) or fat transfer. In general, i have found patients to be more satisfied with the results of tucking. In rare cases a combination may be indicated. Once a physical exam is performed to determine the balance of deflation to loose skin and remaining skin elasticity, then the best recommendation can be given. Glad to help.

Sometimes I recommend adding hoodectomy to labiaplasty to better harmonize the aesthetic outcome. Again, the key is seek consultation with a board certified plastic surgeon or gynecologist who performs this procedure regularly (>2-3 x/month) so that just the right amount of tissue is removed and just the right amount remains such that the clitoris is not constantly exposed and rubbing on clothing, etc… Typical fee for a hoodectomy is ~$3000 but reduced to about half that price if done along with a labiaplasty.

Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly. Most patients are sore for 4-5 days before things start to get a lot better from there. Some patients can resume work before this time depending upon their occupation. No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks. My patients are given an oral pain medication such as Vicodin or Percocet but icing the area for the first 48 hours and applying some custom made take-home topical local anesthetic cream seems to work the best.

 

Commonly Asked Questions.

Am I a good candidate for labiaplasty? -or- are my labia normal?

Labiaplasty and Vaginal Rejuvenation are two totally different procedures done for completely different reasons on different pieces of anatomy.

Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years.  Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is “symmetry”.  Symmetry is the most important aspect to the final aesthetic result.  Also, it’s not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function.  And finally, most patients are also quite self-conscious about the darkly pigmented edges of the labia minora, thus desire removal of most if not all of this part.  To achieve these three most important elements, I prefer the “Trim” much over the “Wedge” method.  I personally have also found the scar to be better concealed and less perceptible with the Trim method.   As you can see, it is extremely important to consult with a board certified plastic surgeon that specializes in this operation (performs at least 1 – 2 per week).  It may cost you a bit more but it this type of result you will want to live with for the rest of your life.  Typical (all inclusive) fee at my office/surgery center is $4500.

Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly.  Most patients are sore for 4-5 days before things start to get a lot better from there.  Some patients can resume work before this time depending upon their occupation.  No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks.  My patients are given an oral pain medication such as Vicodin but icing the area for the first 48 hours and applying some custom  made take-home topical local anesthetic cream seems to work the best.

What is better the "wedge" or "trim" method for labiaplasty?

Labiaplasty and Vaginal Rejuvenation are two totally different procedures done for completely different reasons on different pieces of anatomy.

Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years.  Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is “symmetry”.  Symmetry is the most important aspect to the final aesthetic result.  Also, it’s not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function.  And finally, most patients are also quite self-conscious about the darkly pigmented edges of the labia minora, thus desire removal of most if not all of this part.  To achieve these three most important elements, I prefer the “Trim” much over the “Wedge” method.  I personally have also found the scar to be better concealed and less perceptible with the Trim method.   As you can see, it is extremely important to consult with a board certified plastic surgeon that specializes in this operation (performs at least 1 – 2 per week).  It may cost you a bit more but it this type of result you will want to live with for the rest of your life.  Typical (all inclusive) fee at my office/surgery center is $4500.

Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly.  Most patients are sore for 4-5 days before things start to get a lot better from there.  Some patients can resume work before this time depending upon their occupation.  No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks.  My patients are given an oral pain medication such as Vicodin but icing the area for the first 48 hours and applying some custom  made take-home topical local anesthetic cream seems to work the best.

Am I a good candidate for vaginal rejuvenation (a.k.a. vaginoplasty)?

Vaginal Rejuvenation (a.k.a. vaginoplasty) is performed to reconstruct (more or less tighten) the vaginal vault most commonly following natural vaginal birth.  Again, like most other surgery, the experience of and “attention to detail” (a.k.a. compulsiveness)  by the surgeon is the most important element to achieving a good result. Although there is some merit to Kegal exercises, many patients with laxity after natural vaginal birth fail to obtain sufficient tightening.  For these patients, vaginoplasty, tightening of the vaginal vault muscles from the introits (opening) up to the cervix is typically the best solution.  The procedure is commonly done on an outpatient basis in about an hour under either deep intravenous sedation or general anesthesia.  Recovery is gradual but probably the worst for the first 4-5 days until swelling starts to reside then patients feel better each day thereafter.  Sexual activity is usually refrained for about 6 weeks.  In a study I was involved in back in 2009, 87% of vaginoplasty patients were satisfied with their results and had an improved sexual experience post-operatively.  Glad to help.

Other Cosmetic Plastic Surgery Procedures

Beverly Hills plastic surgeon and vaginal plastic surgery specialist Dr. Stanton offers several cosmetic plastic surgery procedures and treatments that may be considered in combination with your labiaplsty surgery and/or vaginoplasty surgery to achieve the overall look and appearance you desire. During your consultation with Dr. Stanton you will be able to address your goals and expectations for your vaginal surgery and to ask any questions you might have. Other cosmetic plastic surgery procedures you can read about and may consider and discuss with Dr. Stanton are breast augmentation, breast implants, tummy tuck, rhinoplasty, and others.

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