“No question, the availability of photos on the internet has influenced the surge in popularity of this procedure.”
Common name – “Female genital rejuvenation, vaginal rejuvenation, feminine rejuvenation.
Technical name/also known as – Labiaplasty.
Benefits of Labiaplasty
The female genital anatomy is more than just one structure. While some refer to all of the genitalia as “the vagina,” often, what women are referring to when they seek rejuvenative genital surgery are their labia. The labia are anatomical covers for the opening of the urethra, through which urination occurs, and the vagina, the cuff of tissue that connects to the cervix and uterus and during delivery of a baby through the birth canal. The two labia, outer (majora) and inner (minora) are named by their size, but for some women, the minora extend beyond the majora which can cause discomfort with activity such as running, biking, and even sexual intercourse, where the extra or elongated tissue gets tugged or pulled. Some women report an undesirable fullness in snug clothing such as bathing suits or yoga pants. Some women are self-conscious about the appearance of this excess tissue. Some of these are normal anatomic variants, others are changes that occur after childbearing or with aging.
How it this for
This procedure is for women who desire a reduction in size of their labia for physical or emotional comfort.
How it is done:
I almost always perform this surgery using a wedge technique. This removes a good portion of the bulk of the labia while replicating the natural anatomy (which appears like a wing) including the rugal folds of the outside part of the labia minora and the mucosal surface of the inside of the labia minora. If there is also redundancy of the clitoral hood, an extenstion may be made to reduce this tissue as well. Absorbable sutures are used, and these usually dissolve within two weeks. It is important to leave enough tissue behind to avoid traction exposure of the vagina and urethra opening.
Labiaplasty is a reliable procedure to reduce the size of the labia. The scars are generally well hidden, and this tissue heals quickly, with minimal discomfort.
Recovery involves avoidance of strenuous activity—including sexual intercourse–for six weeks. Early activity can lead to the edges of the closure swelling and separating. Because this tissue heals so quickly, sometimes this tissue closes on its own and leaving an area that requires revision.
Who pays for this
This is a cosmetic procedure, paid for by the patient.
What to expect
Length of operation
For a motivated patient, this can be done under local anesthetic.
General anesthesia is also a choice.
In or out patient
Time until final appearance
2 to 3 months.
Length of results
Long lasting. This tissue does not come back, though remaining tissue can stretch.
Temporary swelling, bruising, and some pain commonly occur. Irregular contour may be noticed initially. For the first two weeks after surgery, sutures will remainane will dissolve on their own. Sensation may be different initially.
Risks of procedure
All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise. Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.
“After this procedure, women feel more confident about their bodies and their intimate relationships.”
– Dr. Danielle DeLuca-Pytell
While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.
You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:
1. Arrange a consultation by phone or email,
2. Download the new patient forms. Click here.
After you fill them out, you can either fax or email them to me.
3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.
There, you and I will have time to talk about your goals, medical history, and all about the procedure.
While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.
4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.
You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.
I hope to virtually see you soon!
Your Next Step!
Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.
Our phone number
Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.
Our email address
Please also email us anytime with questions you have.
Quick Contact Form
Before and After Gallery
When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.
If healing proceeds as expected:
After labiaplasty, patients need to rinse with water and pat dry after they urinate. A sanitary pad is worn for about two weeks, or until there is no drainage.
Princess treatment (self care only, no exercise, no housework) is followed for two weeks.
Gentle exercise can begin at two weeks, but strenuous activity including intercourse must be avoided for six weeks.
Returning to Work
This depends on the type of work that you do. Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.
Time until final appearance
3 to 4 months, depending on how swelling resolves
Length of results
Long lasting, but varies from patient to patient.
Smoking and Surgery
If you smoke, it is imperative that you quit six weeks both before and after surgery. To better understand why, please click this link:
A squeeze bottle is helpful to have after the surgery to rinse after using the toilet. Sit baths can be taken for comfort and hygiene.
If you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.
See what her patients have to say about their surgical experience.
Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.
When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.
You will have the chance to ask any questions you might have.
Don’t forget: it is your body! There is no such thing as a bad or silly question!