Labiaplasty in Portland, OR

Labiaplasty is a cosmetic surgical procedure that improves the appearance of the female genitalia, often focusing on labia minora reduction to create a more aesthetic labia minora and balanced proportions between the inner and outer labia. Some women pursue this treatment due to enlarged labia caused by genetics, childbirth, or physical activity, while others seek relief from discomfort, hygiene concerns, or self-consciousness.
This outpatient surgery is customized to each patient and is typically performed using local anesthesia for comfort and safety. The procedure is designed to remove excess tissue and excess skin from the inner labia, improving both form and function. Depending on individual anatomy and goals, providers may utilize different labiaplasty techniques, including the commonly performed trim procedure, to achieve effective labial reduction while maintaining natural contours. In addition to physical comfort, labiaplasty is often considered part of overall vaginal rejuvenation, helping many women feel more confident and satisfied with their bodies.

Why Do Women Pursue Labia Minora Reduction?

Labiaplasty can correct both physical discomfort and emotional distress related to the vaginal area. Whether the cause is genetic or damages during childbirth, excessively large or hanging labia can cause discomfort for many women during exercises such as cycling or sexual intercourse. In some cases, they may also feel discomfort or self-consciousness while wearing certain types of clothing, such as swimsuits or tight athletic pants. In addition, large or drooping labia can cause uncomfortable chafing and friction day-to-day. These physical issues are the most common reason why women choose labiaplasty. However, some also choose labiaplasty simply for cosmetic reasons. Especially if the labia has changed in appearance after childbirth, a woman may feel dissatisfied or self-conscious. For some, a labiaplasty may also be part of a mommy makeover to address the various changes that occur in the body during pregnancy and childbirth.

The Labiaplasty Procedure

The labiaplasty procedure involves reshaping or reducing the size of the vaginal lips. A board-certified plastic surgeon, like Dr. Bohley, is the best option for this type of procedure. During this procedure, the labia minora are reduced in size and then sutured with dissolvable stitches. Surgical options are also offered for reducing the size of the labia majora if this is also a concern of the patient. A clitoral hoodectomy may also be performed at the same time, which involves reducing the size of the hood of skin covering the clitoris, which in turn further exposes the clitoris for increasing sexual stimulation.

Labiaplasty is performed while the patient is under general anesthesia with sedation. The procedure can usually be completed in an hour or two, depending on the patient’s needs.

Incision Patterns

There are two basic incision techniques that may be used for your labiaplasty. First, the trim technique involves simply removing excess or overhanging labia minora tissue, ensuring that it appears symmetrical, and closing the incisions with dissolvable sutures. This is the most common and widely used technique for labiaplasties. The wedge technique, on the other hand, involves removing a wedge-shaped piece of tissue from the thickest portion of the labia minora. This preserves a more natural appearance as a result, but the technique is less commonly used. Again, dissolvable sutures are used to close wedge incisions.

The healing process after labiaplasty using either technique is more or less the same, and in both cases, scarring is well concealed within the natural contours of the body. The correct incision pattern for your labiaplasty will depend on your particular anatomy, overall goals for the surgery, and aesthetic preferences. Dr. Bohley will recommend which option is best during a consultation.

Labiaplasty Candidates

Women who have experienced considerable labial changes or damage, like tears during pregnancy, can be ideal candidates for labiaplasty. Women who are experiencing physical discomfort while exercising, sitting, or during sexual intercourse can also benefit from labiaplasty. Though Dr. Bohley stresses that there is no standard shape or looks for a woman’s vagina, there are many women who are dissatisfied with having prominent labia. Before a labiaplasty, you should be generally healthy and, ideally, a nonsmoker. For some patients, Dr. Bohley may recommend that you wait until after you are done having children, as future pregnancies can affect your results.

Recovering from Labiaplasty

Following your procedure, you will have to abstain from intercourse for about a month. There will be swelling and tenderness that lasts for a few weeks with possible bruising on and around the labia.

You will be prescribed pain medications and antibiotics in order to reduce any risks of infection following your surgery. During the recovery period, be sure to wear loose-fitting clothing to remain comfortable. Ice packs can also be used to reduce swelling and discomfort. Dr. Bohley suggests avoiding any strenuous exercises for about three weeks. You must also avoid using tampons for the first 10 days post-surgery, however, you will need to wear a pad for a week due to minimal bleeding that may occur.

Labiaplasty FAQs

Does labiaplasty affect sensation?

When performed correctly, labiaplasty should not cause any loss of sensation.

Does labiaplasty leave scars?

Labiaplasty should not result in visible scars, as any scar tissue is hidden within the natural contours of the area.

Can labiaplasty cause infertility?

No, although pregnancy and childbirth can affect the results of a labiaplasty, theres no link to fertility issues caused by this partially cosmetic procedure.

Is labiaplasty covered by health insurance?

Cosmetic labiaplasty is not covered by health insurance. However, it may be covered if the surgery is deemed medically necessary.

Can an OBGYN perform labiaplasty?

Some gynecologists may perform cosmetic surgeries including labiaplasty. However, the procedure is more commonly performed by a plastic surgeon.

How long is recovery from labiaplasty?

Swelling and tenderness will be present for up to 10 days, and Dr. Bohley requires patients to not have intercourse for a month after the procedure.

Can you lose feeling after labiaplasty?

Although rare, some patients have experienced a diminished sensitivity after labiaplasty that is usually not permanent.

How long does swelling last after labiaplasty?

Swelling can last as long as three to four months, but most of it has been reduced by about six to eight weeks following the procedure.

What helps itching after labiaplasty?

Itching and swelling after labiaplasty can be helped by cold packs and witch hazel pads.

Is a labiaplasty surgery painful?

No, you will not feel any pain during your labiaplasty surgery. Before we ever make an incision, we will administer general anesthesia, ensuring you are comfortable throughout the procedure. Dr. Bohley will also prescribe pain medication afterward to limit any discomfort during your recovery.

What anesthesia is used during a labiaplasty?

For labiaplasty at Bohley Plastic Surgery, we typically use general anesthesia with sedation for labiaplasty surgery. By being “put to sleep,” we ensure you don’t feel any pain or discomfort during the procedure.

How long does a labiaplasty take?

How long your labiaplasty surgery takes will depend on the results you’re looking for and your unique needs. On average, a labiaplasty takes about 1-2 hours.

What should I avoid after a labiaplasty?

There are some activities you will need to avoid after a labiaplasty to ensure proper healing. Dr. Bohley recommends avoiding sexual intercourse, the use of tampons, strenuous activities, and heavy lifting for at least a few weeks. You will also need to take 1-2 weeks off work.

Should I wait until after I’m done having children to have a labiaplasty?

While having a labiaplasty after having children will ensure your results last longer, many women do not wait, especially when it means feeling more comfortable in their bodies. During your consultation, you can discuss any concerns and questions you have with Dr. Bohley.

Will I need any follow-up appointments after my labiaplasty procedure?

Absolutely! Whether you have a labiaplasty or another cosmetic surgery, follow-up appointments are necessary to check up on your healing and ensure your recovery is going well. We will schedule your follow-ups before you have your surgery to ensure you don’t have to worry about scheduling them afterward.

What Results Can I Expect from this Procedure?

Since the appearance of the female genitals varies from one patient to the next, the results are dependent on the individual and their desires. Dr. Bohley’s main goal is to maintain sensitivity while achieving the desired aesthetic shape and size.

It takes about three to four months before you can see your final long-term results, but most of the healing is complete within six to eight weeks.

Whatever your reason for choosing Labiaplasty, most women regain their confidence with the youthful appearance of their labia post-surgery. Patients often find that physical comfort and their sexual experience are both improved once the excessive labial tissue has been removed.

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Learn More About Labiaplasty

If you’re interested in a labiaplasty, the first step is a consultation. Dr. Bohley will answer any questions you might have about the procedure and create a custom treatment plan to improve your confidence and quality of life. To schedule a consultation with Dr. Bohley, please contact his Portland, OR office at (503) 213-9914 or visit his contact page.

 

Double Board-certified Plastic Surgeon |  + posts

Dr. Michael Bohley is a double board-certified plastic surgeon recognized as one of Portland’s leading experts in body, breast, and facial cosmetic procedures. With years of advanced training and a distinguished surgical career, he combines refined aesthetic judgment with meticulous technique to deliver consistently exceptional results. Renowned for his skill in tummy tucks, liposuction, breast augmentation, and mommy makeovers, Dr. Bohley develops highly individualized treatment plans to meet each patient’s unique goals. His dedication to patient education, safety, and precision has earned him membership in numerous prestigious professional organizations and the trust of patients throughout the greater Portland area.