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.