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LABIAPLASTY – Labia Majora Reduction

Labia Majora Reduction

 

Labiaplasty of the labia majora also known as labia majora reduction is a less commonly performed when compared to labiaplasty of the labia minora.  Patients inquiring about labia majora reduction frequently complain of a sagging, hanging or wrinkled labia majora. The patient also describes a feeling that the majora needs to be closer to the body and the feel embarrassed in a bikini as they have believed they have a noticeable bulge.   Often patients will describe this look as the “cameltoe” appearance.

 

Though patients of all ages (15-80 years) present with complaints of enlarged labia, patients who complain of a sagging labia majora are more often in the 20 to 70-year age group.  Often these patients have had children or have had dramatic weight gain and weight loss and theoretically these conditions have stretched the skin of the labia majora. It is not unusual to for a patient to want to have a labiaplasty for both her majora and minora concurrently.  Dr Miklos & Moore were the first in the world to describes performing these concurrently during one surgical session in 2011.8

The sagging aspect of the labia majora can be reduced by excising the stretched excessive tissue of the majora and hiding the scar along the natural crevice/groove between the labia minora and majora.  This procedure can be aesthetically rewarding to the patient with minimal pain and rapid recovery.  The usual surgical procedure in a skilled surgeon’s hands is about 45-60 minutes.  Patients are instructed to wait approximately 3 -4 weeks to exercise and all restrictions (including sex) are lifted at 6 weeks.

 

References:

  1. Miklos JR, Moore RD Labiaplasty of the labia minora: patient’s indication for pursuing surgery. J Sex Medicine 2008 Jun 5(6);1492-5
  2. Capraro VJ. Congenital anomalies. Clin Obstet Gynecol. 1971; 14:988-1012.
  3. Miklos JR, Moore RD. Postoperative cosmetic expectations for patients considering labiaplasty surgery: our experience with 550 patients. Surg Technol Int. 2011;21: 170-174.
  4. Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg. 1998; 40:287-290.
  5. Alter GJ. Aesthetic labia minora and clitoral hood reduction using extended central wedge resection. Plast Reconstr Surg. 2008; 122:1780-1789.
  6. Maas SM, Hage JJ. Functional and aesthetic labia minora reduction. Plast Reconstr Surg. 2000; 105:1453-1456.)
  7. Choi HY, Kim KT. A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labio- plasty). Plast Reconstr Surg. 2000; 105:419-422; discussion 423-424.
  8. Miklos JR, Moore RD. Simultaneous labia minora and majora reduction: a case report. J Minim Invasive Gynecol. 2011; 18:378-380.

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