Labiaplasty in Perth

(Warning!  Images of female genitalia contained on this page)

Labiaplasty takes place in the Labia minora which are the inner lips of the opening of the vagina. They naturally change in appearance as women age and especially with the vaginal delivery of a baby. They also vary in colour from one woman to another. These changes and variations over time and from person to person are normal and to be expected. Labia minoroplasty alters these changes by reducing or reshaping labia minoras.

Another factor that brings changes in the area is clothing which has changed dramatically too. Tight, form hugging jeans, leggings, sports wear, swimwear have become more common – for many daily – and even tighter than in previous years.

This has caused many women to become concerned about the appearance of their labia through clothing and the discomfort many women get while wearing tight clothing or doing certain activities.

Yes these activities can include having sex. Labiaplasty is not a procedure to tighten the vagina (see Vaginal Rejuvenation) and increase sexual stimulation (also see G-shot). Some women find enlarged labia minora can be uncomfortable during sex, which can be improved with labia reduction.

Cosmetic Vaginal Surgery and Labiaplasty brings results that only a few will see. It is mostly done for the people the women that want to have it. For the majority of patients few people will see the result (especially to be able to compare with the preoperative appearance). It is something done for yourself – either for physical comfort or to be comfortable and confident in your appearance.

The Procedure of Labiaplasty

Dr Oates FRACS performs Labia minoroplasty as a day case in our fully accredited theatre at Body Shaping Perth Day Hospital under a combination of twilight sedation and local anaesthetic. A Pudendal block is usually used to give pain relief for up to 24 hrs. Fortunately labiaplasty is not a painful experience.

The procedure takes approximately 1 hour and you will be at the clinic for about 3 – 4 hrs total.

There are a number of techniques to reduce the size of the labia minora. Dr Oates prefers the “free edge trimming” technique because it is the most reliable to produce a symmetrical and neat appearance. It also leaves undisturbed all of the remaining labia minora ensuring natural sensation and appearance. Use of RadioSurgery provides a near bloodless surgical field with minimal trauma for more rapid healing. The edge is gently closed with dissolving sutures.

Other techniques such as wedge excisions have a much greater risk of leaving the edge of the labia minora with an unnatural crease or the ‘de-epithelialization’ technique which is a more invasive procedure which often produces less reduction.

You will need a responsible adult to take you home and stay with you after the twilight sedation. We will supply you with medications and further postop information on the day of surgery.

After the Labiaplasty Procedure

It is normal to expect some discomfort, swelling, bruising and discharge/ooze after the procedure. Oral pain medication (supplied or ‘over the counter) should be adequate. For more severe pain contact the office. You may need something to avoid constipation as the healing time is not the time to suffer from this – lots of water, fruit and vegetables, fibre or whatever works for you.

Cotton underwear – maybe not a G-string – is preferable. No vaginal packing is used for Labiaplasty. Some patients find it useful to use sanitary pads in the first week. Icepacks can be used on the area on and off for the first 48 hours.

Most people want to take a week off their normal activities – but some are back at ‘office’ jobs within a few days. Gradually return to more activities over the next 3 weeks as you feel comfortable. You may return to sexual intercourse after 4 weeks.

You will have a number of postoperative reviews. Usually the first review is with the nurse 1 or 2 days post operatively. Then within 2 weeks with Dr. Jayson Oates FRACS . Results will be reviewed at approximately 6 weeks.

Post operative bleeding is a rare complication. It may present as a frank bloody discharge soaking through a pad or as a haematoma (large bruise). If you have excessive bloody discharge or bruising then call the office or Dr. Jayson Oates FRACS.

Labiaplasty Preparation/Expectations

Ensure you are clear about what you want and feel fully informed about the procedure of labia reduction. Have realistic expectations. Very minor asymmetries may persist (if you have very asymmetrical labia minora – especially in thickness – then it is more likely that some asymmetry persists).

Don’t smoke – it is bad for healing.

Cease Asprin (unless you have a heart stent or for prevention of stroke after TIA). Avoid other “Nonsteroidal Anti-Inflammatories” such as Neurofen.

Plan to take it easy for a few days.

How to Proceed with Labiaplasty in Perth?

You do not need a referral from your GP, but would recommend that you do discuss this with them. There are Medicare and private health fund rebates that apply to labiaplasty (GP referral is needed for a Medicare refund on the consultation, but not for the surgery).

Call our office in Perth to make an appointment to discuss your concerns with either Dr. Oates FRACS or our nurse educator. Once you feel comfortable with proceeding with labia minoroplasty the usual waiting period is 4 – 8 weeks.