A labia majoraplasty is a procedure designed to surgically reduce the size of the outer, hair-bearing labia majora.
Patients who feel their labia majora are too large or hang down may feel discomfort from such activities as cycling, or they may be embarrassed by the fullness.
This procedure can be done under local anesthesia with oral sedation or general anesthesia, depending on the amount of tissue to be removed.
The plastic surgeon removes two slight crescents of skin from the inner portion of each labium. The amount to be removed depends on the amount of excess tissue. In some cases, when there is atrophy of fatty tissue, a small amount of fat can be transferred from another area of the body after liposuction. Closure is usually done with absorbable sutures.
Risks include bleeding, hematoma, infection, scarring, underresection, overresection.
Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.
Patients can resume wearing tampons or having intercourse after four to six weeks.
Swelling after a labia majoraplasty can last 6 months or longer, depending on the thickness of the tissue, although much of the swelling is gone by 6 weeks.
This procedure typically results in smaller, tighter labia majora. In patients with excess skin, drooping of the labia majora when the patient is standing is usually improved. In patients with excess volume, this procedure can result in a lower profile.
A monsplasty is a procedure designed to reduce bulging of the mons.
Some women struggle with a bulge of excess skin and fat in the mons, the upper part of the hair-bearing part of their vulva. The bulge can result in women feeling too embarrassed to wear a bathing suit or tight pants.
The purpose of a monsplasty is to reduce the amount of fatty tissue and/or skin, depending on the cause of the bulge.
Depending on the amount of tissue to be removed, local anesthesia with oral sedation may be used for some procedures, but general anesthesia may be preferable in others.
Sometimes the amount of skin removed can be extensive, while in others, liposuction is sufficient.
Risks of monsplasty include bleeding, hematoma, infection and scarring.
Recovery takes about a week, with physical activity restrictions for two to six weeks, depending on the extensiveness of the procedure. If skin is removed, a drain or two may be placed, with removal typically scheduled within the first few days.
This procedure results in a lower profile mons that typically projects less in clothing. In some patients with a mons that hangs, removal of excess skin can result in less hanging.
Labiaplasty Table of Contents There are a variety of aesthetic genital plastic surgery procedures that may enhance appearance and reduce discomfort. These procedures include labiaplasty, clitoral hood reduction, labia majoraplasty, monsplasty and vaginoplasty. Patients also sometimes refer to
What is Vaginoplasty? Table of Contents Vaginoplasty (also known as posterior colporrhaphy) is a procedure designed to tighten the vagina. An alternative is noninvasive vaginal tightening through heating tissues with
What is Aesthetic Genital Plastic Surgery? Table of Contents There are a variety of aesthetic genital plastic surgery procedures that may enhance appearance and reduce discomfort. These procedures include labiaplasty, clitoral hood reduction, labia majoraplasty, monsplasty and vaginoplasty.
