Labiaplasty is a surgical reduction of the vulva’s inner lips (labia minora). It addresses pain, irritation, embarrassment, and self-consciousness caused by oversized labia that protrude beyond the outer lips (labia majora). If the inner labia are long or protruding, it may be difficult to wear tight pants or swimsuits, exercise, ride a bike, have sexual intercourse, or do anything that twists and tugs the inner lips. Read on to learn more about what labiaplasty is and how it can benefit you – all with the help of our double-board-certified plastic surgeon, Dr. Michael F. Bohley.

What Causes Oversized Labia?

Contrary to some notions, enlarged labia minora are not caused by sexual activity or sexually transmitted diseases. Instead, they are caused by: 

  • Menopause or hormonal changes
  • Pregnancy and childbirth
  • Aging
  • Genetics

Who Is a Good Candidate for Labiaplasty?

Not everyone is a match for this procedure. Good labiaplasty candidates: 

  • Are dissatisfied with their labial size, shape, and protrusion or have discolored labial edges
  • Are experiencing discomfort or pain from oversized labia
  • Are healthy
  • Are at least 18 years old
  • Are done having children
  • Are a non-smoker or can stop smoking before and after the procedure
  • Aren’t taking any medication that could cause complications, such as aspirin, anti-inflammatory drugs, or blood thinners
  • Can refrain from sex for four to six weeks while the area is healing
  • Have realistic reasons for getting the procedure. 

Additionally, a good candidate is pursuing labiaplasty for themselves and not because someone else wants them to have it. Dr. Bohley will discuss your goals and expectations in detail during a consultation to ensure you’re a good fit for labiaplasty.

How Is Labiaplasty Performed?

Labiaplasty is an outpatient procedure that takes one to two hours and can be done under local or general anesthesia. Most patients can perform light activities within two to three weeks of surgery. At approximately six weeks, the incisions will fully heal. Lifelong results are expected. 

There are two main types of labiaplasty techniques, and our team will help you select the ideal option.

The Trim (Linear) Technique 

During this procedure, your surgeon will make a small, vertical incision along the labia minora’s length. Next, your surgeon will remove surplus tissue along the inner labia and close the wound with stitches. This is often the most effective and straightforward technique.

The Wedge Technique 

The wedge technique involves the removal of a triangular piece of tissue from the inner lips’ thickest area. After that, the two exposed sections are stitched together. This technique produces less visible scarring.


Although the labiaplasty procedure is brief, you may experience swelling, tenderness, and bruising for a few weeks. While you’re recovering, you should: 

  • Avoid baths or swimming
  • Keep the area clean and dry
  • Avoid tight clothes and wear cotton underwear
  • Refrain from strenuous movements
  • Avoid sexual activity
  • Use sanitary pads, since you may have minor bleeding for several days after your surgery


Like any surgery, labiaplasty has risks. These include:

  • Blood clots
  • Bleeding
  • Chronic pain
  • Infection
  • Loss of sensation
  • Scarring
  • Harmful reactions to anesthesia

Labiaplasty in Portland, OR

While you may find it difficult or embarrassing to talk about intimate subjects, Michael F. Bohley, M.D., P.C., of Dr. Bohley Cosmetic Surgery, Portland, Oregon, will treat you and your concerns with the utmost compassion and sensitivity. Dr. Bohley understands that labiaplasty can have a positive impact on your appearance and confidence and will thoroughly explain these benefits to you. Take the next step by filling out our convenient scheduling form and booking your consultation today!