Labiaplasty

Labiaplasty, also called as labia reduction, is a surgical technique designed to reshape and rejuvenate the inner lips of the vulva, so they no longer twist, rub or show through clothing. Our experienced plastic surgeons perform labiaplasty with meticulous precision, ensuring natural-looking results that promote improved comfort and self-esteem.
A consultation setting at My Cosmetic Surgery in Miami, where a surgeon discusses labiaplasty options with a patient, highlighting professionalism and care.

Labiaplasty | Overview

Procedure Details

 

Type Surgical: reduction or reshaping of the labia minora; a clitoral hood or labia majora reduction can be added.
Anesthesia Local anesthesia with sedation.
Duration Around 1 to 2 hours, depending on the technique and any added procedures.
Hospital stay Outpatient: same-day discharge.
Areas treated Labia minora and labia majora.
Return to work Around 1 week for desk jobs.
Exercise, sex and tampons After 4 to 6 weeks, once your surgeon clears you.
Final results Most swelling resolves by 6 weeks; final result at 3 to 6 months.
Price The final quote will be confirmed at consultation based on the technique and any combined procedures.
Financing Available through Cherry Financing and Alphaeon.
Consultation Free

THE PROCEDURE

 

What is a labiaplasty and how is it performed?

A labiaplasty is a surgical procedure that reduces the length or changes the shape of the labia minora so they sit at or just inside the labia majora. It is the most common aesthetic genital surgery in the United States. It is performed as an outpatient procedure under local anesthesia with sedation or general anesthesia and generally takes 1 to 2 hours. Your surgeon marks the tissue to be removed, reshapes the labia with the trim or wedge technique, and closes the incisions with dissolvable stitches. The technique is chosen with you during your free consultation, based on your anatomy and the look you want.

→ General anesthesia vs. local anesthesia: which is the best option?

 

Why do women choose labiaplasty?

Visible inner labia are completely normal, and their size and shape vary widely from woman to woman. Labiaplasty is for women whose labia cause physical discomfort or affect how they feel about their body. The most common reasons are:

  • Pain, chafing or pinching during cycling, running, spinning or horseback riding
  • Twisting and tugging in leggings, swimsuits and tight jeans
  • Irritation, itching or difficulty keeping the area clean
  • Discomfort or pain during sex
  • Asymmetry, when one side is noticeably longer than the other
  • Feeling self-conscious in a bathing suit or with a partner

Labia can lengthen or stretch with puberty, pregnancy and childbirth, hormonal changes around menopause, weight changes and genetics.

 

Will I have scars, and where will they be?

Yes, but they are usually hard to see once healed. With the trim technique, the scar runs along the new edge of the labia minora, where it blends with the natural border. With the wedge technique, a fine line crosses the labia where the two edges are joined, and the natural edge is preserved. Genital tissue heals quickly and the incisions are closed with dissolvable stitches, so scars typically soften and fade over the following 3 to 6 months.

 

Does labiaplasty affect sensation or sex?

Labiaplasty does not cut or move the nerves of the clitoris. Research has found no significant change in sensation, lubrication or orgasm after labiaplasty for most women, and many say sex is more comfortable afterward because tissue no longer pinches or pulls. You will need to wait 4 to 6 weeks, until your surgeon clears you, before resuming sexual activity.

 

TECHNIQUES AND ALTERNATIVES

 

What labiaplasty techniques exist, and which do we offer?

The technique determines where the scar sits, whether your natural labial edge is kept, and which areas can be treated. Here is how the options compare:

Technique What it involves Do we offer it? Best suited for
Trim (edge) labiaplasty Removes excess tissue along the outer edge of the labia minora and closes the edge with dissolvable stitches. YES Long labia, or dark or uneven edges the patient wants removed.
Wedge labiaplasty Removes a V-shaped section from the middle of each labium and joins the two edges. YES Patients who want to keep their natural edge and its color.
Clitoral hood reduction Removes excess folds of skin around the clitoral hood; often done with a labiaplasty. NO Extra hood skin that looks bulky once the labia minora are reduced.
Labia majora reduction (majoraplasty) Removes excess, sagging skin from the outer lips. YES Stretched or sagging outer lips after weight loss, pregnancy or with age.
Labia majora fat transfer or filler Add volume to the outer lips with your own fat or hyaluronic acid filler. YES Outer lips that have lost fullness.

Trim or wedge: which one is right for me?

Both are well-established techniques; the right one depends on your anatomy and the look you want:

Trim labiaplasty Wedge labiaplasty
Removes Tissue along the outer edge A V-shaped section from the middle
Natural edge Replaced by a new, smooth edge Preserved, including its color and texture
Best for Longer labia and a “clean” look A natural look with the original edge
Main risk Removing too much tissue The incision separating as it heals
How common The most common technique The second most common technique

Your surgeon will examine your anatomy during your consultation and recommend the technique, or a combination, that suits you best.

 

CANDIDACY

 

Who is a good candidate for labiaplasty?

A good candidate for labiaplasty is 18 or older, in good general health, and bothered by the size, shape or asymmetry of her labia, whether because of physical discomfort or how they look. Candidates should be non-smokers, or willing to stop smoking before and after surgery, and have realistic expectations: the goal is labia that feel comfortable and look natural, not identical to a picture. The decision should be your own, not someone else’s. Your surgeon will confirm whether you are a candidate during your free consultation.

→ What makes you a good candidate for cosmetic surgery

 

Can I have a labiaplasty if I plan to have children?

Your body needs time to recover from pregnancy and delivery before surgery. Recommendations vary, but surgeons commonly advise waiting 6–12 months after childbirth to allow swelling to resolve and the tissues to heal and stabilize. Your surgeon will assess your recovery, breastfeeding status, and medications to determine the right timing for you. Do not stop prescribed medications unless your healthcare provider advises you to.

 

Can I have a labiaplasty if I smoke?

Smoking should be stopped at least a month before surgery and for a month afterward. Nicotine constricts blood vessels and reduces circulation, which slows healing and raises the risk of the incision opening, especially with the wedge technique.

 

Can labiaplasty be combined with other procedures?

Yes. Common combinations include:

The right combination is decided at your consultation, based on your health and the total time required in the operating room.

 

MEDICAL TEAM AND SAFETY

 

Is my consultation private?

Yes. You will meet one-on-one with your surgeon in a private exam room, and a female staff member can be present if you prefer. Your photos and medical information are never shared without your written consent. Consultations are available in English and Spanish.

 

What are the risks of a labiaplasty?

Like any surgery, labiaplasty carries risks, although serious complications are uncommon. The most common include:

  • Swelling and bruising, which peak in the first few days and can last a couple of weeks
  • Bleeding or a collection of blood under the skin (hematoma)
  • Infection at or around the incision
  • Wound separation, when part of the incision opens as it heals; slightly more likely with the wedge technique
  • Removing too much tissue, the most common complication reported by the American Society of Plastic Surgeons, which can cause dryness, scarring near the vaginal opening or pain with sex
  • Removing too little tissue or asymmetry, which may need a small revision
  • Scarring, tenderness or changes in sensation

Less common but more serious risks include:

  • Blood clots (deep vein thrombosis)
  • Reactions to anesthesia
  • Ongoing pain or pain during sex

At My Cosmetic Surgery, we follow all the Florida Health Safety Guidelines to keep these risks to a minimum, and our surgeons take a conservative approach to tissue removal.

 

PREPARATION AND RECOVERY

 

How do I prepare for surgery?

Stop smoking and nicotine products at least a month before and after surgery, since they slow healing. Aspirin, anti-inflammatory drugs, vitamin E, fish oil and some herbal supplements may increase bleeding and should be paused only with your surgeon’s authorization. Arrange for a responsible adult to drive you home and stay with you the first night. Before surgery, have ready loose cotton underwear, maxi pads, ice packs, a squeeze (peri) bottle for rinsing, and a stool softener to avoid straining.

→ Requirements before your surgery

→ Medications you should avoid before surgery

 

What does recovery look like week by week?

Days 1–3: Swelling, bruising and soreness are at their peak and are managed with prescribed medication. Rest with your hips slightly raised, apply ice 20 minutes on and 20 minutes off, and expect light spotting.

Days 4–7: Soreness eases. Most patients return to desk work around the end of the first week. Keep wearing loose clothing and a pad.

Weeks 2–3: Bruising fades and the stitches start to dissolve. Walking is encouraged; avoid sitting for long periods and anything that rubs the area.

Weeks 4–6: Most swelling has gone down. Cleared for exercise, cycling, swimming, sex and tampons once your surgeon confirms healing.

Months 3–6: The remaining swelling resolves and scars soften. This is when you see your final result.

 

How do I care for the area while it heals?

  • Rinse with lukewarm water from a squeeze bottle after using the bathroom, and pat dry; no soap on the incisions.
  • Apply ice packs over your underwear, 20 minutes on and 20 minutes off, for the first 2 to 3 days.
  • Wear loose clothing and cotton underwear, with a pad for light spotting.
  • Drink water and eat fiber to avoid constipation and straining.
  • Avoid baths, pools, beach and hot tubs until your surgeon clears you.

→ Post-surgery care for a successful recovery

 

When can I return to work, exercise and sex?

Most patients with desk jobs return within about 1 week; jobs that involve standing, walking or lifting may need 2 weeks. Walking is encouraged from the first days, while running, cycling, spinning, swimming, sex and tampons are typically cleared between weeks 4 and 6, once your surgeon confirms healing is on track.

→ When can I resume sexual activity after cosmetic surgery?

 

RESULTS

 

When will I see my final results?

You will notice a smaller, more even shape right after surgery, but swelling masks the full result at first. Most swelling resolves by about 6 weeks, and final results are typically visible at 3 to 6 months, once the tissue has fully settled and the scars have softened.

 

How long do the results last?

The tissue removed during a labiaplasty does not grow back, so results are long-lasting. However, a future vaginal delivery, significant weight changes and aging can stretch the labia again over time.

 

Will my labia look perfectly symmetrical?

Labiaplasty can greatly improve symmetry, but natural bodies are never perfectly identical from side to side. The goal is labia that look balanced and natural, and your surgeon will explain what is realistic for your anatomy at consultation.

 

COST AND LOGISTICS

 

How much does a labiaplasty cost in Miami, and do you offer financing?

Because the final price depends on the technique and whether a clitoral hood or labia majora reduction is added, your exact quote is confirmed during your free consultation with our coordinators. Financing is available through Cherry Financing and Alphaeon.

→ Payment options at My Cosmetic Surgery

 

If I’m traveling from another city, how many days should I stay in Miami?

At My Cosmetic Surgery, we recommend planning enough time in Miami for your initial recovery and at least one postoperative follow-up before flying home. Our team will confirm the exact timeline for your case at consultation for at least 2 weeks.

→ Free remote evaluation for cosmetic surgery in Miami

 

Schedule your consultation

Book a free consultation with My Cosmetic Surgery to discuss your goals, review your medical history, and find out which labiaplasty technique is right for you. Call us at (305) 264-9636 to schedule your consultation.

Why you'll love it

Labiaplasty, also called as labia reduction, is a surgical technique designed to reshape and rejuvenate the inner lips of the vulva, so they no longer twist, rub or show through clothing. Our experienced plastic surgeons perform labiaplasty with meticulous precision, ensuring natural-looking results that promote improved comfort and self-esteem.

Procedure Details

 

Type Surgical: reduction or reshaping of the labia minora; a clitoral hood or labia majora reduction can be added.
Anesthesia Local anesthesia with sedation.
Duration Around 1 to 2 hours, depending on the technique and any added procedures.
Hospital stay Outpatient: same-day discharge.
Areas treated Labia minora and labia majora.
Return to work Around 1 week for desk jobs.
Exercise, sex and tampons After 4 to 6 weeks, once your surgeon clears you.
Final results Most swelling resolves by 6 weeks; final result at 3 to 6 months.
Price The final quote will be confirmed at consultation based on the technique and any combined procedures.
Financing Available through Cherry Financing and Alphaeon.
Consultation Free

THE PROCEDURE

 

What is a labiaplasty and how is it performed?

A labiaplasty is a surgical procedure that reduces the length or changes the shape of the labia minora so they sit at or just inside the labia majora. It is the most common aesthetic genital surgery in the United States. It is performed as an outpatient procedure under local anesthesia with sedation or general anesthesia and generally takes 1 to 2 hours. Your surgeon marks the tissue to be removed, reshapes the labia with the trim or wedge technique, and closes the incisions with dissolvable stitches. The technique is chosen with you during your free consultation, based on your anatomy and the look you want.

→ General anesthesia vs. local anesthesia: which is the best option?

 

Why do women choose labiaplasty?

Visible inner labia are completely normal, and their size and shape vary widely from woman to woman. Labiaplasty is for women whose labia cause physical discomfort or affect how they feel about their body. The most common reasons are:

  • Pain, chafing or pinching during cycling, running, spinning or horseback riding
  • Twisting and tugging in leggings, swimsuits and tight jeans
  • Irritation, itching or difficulty keeping the area clean
  • Discomfort or pain during sex
  • Asymmetry, when one side is noticeably longer than the other
  • Feeling self-conscious in a bathing suit or with a partner

Labia can lengthen or stretch with puberty, pregnancy and childbirth, hormonal changes around menopause, weight changes and genetics.

 

Will I have scars, and where will they be?

Yes, but they are usually hard to see once healed. With the trim technique, the scar runs along the new edge of the labia minora, where it blends with the natural border. With the wedge technique, a fine line crosses the labia where the two edges are joined, and the natural edge is preserved. Genital tissue heals quickly and the incisions are closed with dissolvable stitches, so scars typically soften and fade over the following 3 to 6 months.

 

Does labiaplasty affect sensation or sex?

Labiaplasty does not cut or move the nerves of the clitoris. Research has found no significant change in sensation, lubrication or orgasm after labiaplasty for most women, and many say sex is more comfortable afterward because tissue no longer pinches or pulls. You will need to wait 4 to 6 weeks, until your surgeon clears you, before resuming sexual activity.

 

TECHNIQUES AND ALTERNATIVES

 

What labiaplasty techniques exist, and which do we offer?

The technique determines where the scar sits, whether your natural labial edge is kept, and which areas can be treated. Here is how the options compare:

Technique What it involves Do we offer it? Best suited for
Trim (edge) labiaplasty Removes excess tissue along the outer edge of the labia minora and closes the edge with dissolvable stitches. YES Long labia, or dark or uneven edges the patient wants removed.
Wedge labiaplasty Removes a V-shaped section from the middle of each labium and joins the two edges. YES Patients who want to keep their natural edge and its color.
Clitoral hood reduction Removes excess folds of skin around the clitoral hood; often done with a labiaplasty. NO Extra hood skin that looks bulky once the labia minora are reduced.
Labia majora reduction (majoraplasty) Removes excess, sagging skin from the outer lips. YES Stretched or sagging outer lips after weight loss, pregnancy or with age.
Labia majora fat transfer or filler Add volume to the outer lips with your own fat or hyaluronic acid filler. YES Outer lips that have lost fullness.

Trim or wedge: which one is right for me?

Both are well-established techniques; the right one depends on your anatomy and the look you want:

Trim labiaplasty Wedge labiaplasty
Removes Tissue along the outer edge A V-shaped section from the middle
Natural edge Replaced by a new, smooth edge Preserved, including its color and texture
Best for Longer labia and a “clean” look A natural look with the original edge
Main risk Removing too much tissue The incision separating as it heals
How common The most common technique The second most common technique

Your surgeon will examine your anatomy during your consultation and recommend the technique, or a combination, that suits you best.

 

CANDIDACY

 

Who is a good candidate for labiaplasty?

A good candidate for labiaplasty is 18 or older, in good general health, and bothered by the size, shape or asymmetry of her labia, whether because of physical discomfort or how they look. Candidates should be non-smokers, or willing to stop smoking before and after surgery, and have realistic expectations: the goal is labia that feel comfortable and look natural, not identical to a picture. The decision should be your own, not someone else’s. Your surgeon will confirm whether you are a candidate during your free consultation.

→ What makes you a good candidate for cosmetic surgery

 

Can I have a labiaplasty if I plan to have children?

Your body needs time to recover from pregnancy and delivery before surgery. Recommendations vary, but surgeons commonly advise waiting 6–12 months after childbirth to allow swelling to resolve and the tissues to heal and stabilize. Your surgeon will assess your recovery, breastfeeding status, and medications to determine the right timing for you. Do not stop prescribed medications unless your healthcare provider advises you to.

 

Can I have a labiaplasty if I smoke?

Smoking should be stopped at least a month before surgery and for a month afterward. Nicotine constricts blood vessels and reduces circulation, which slows healing and raises the risk of the incision opening, especially with the wedge technique.

 

Can labiaplasty be combined with other procedures?

Yes. Common combinations include:

The right combination is decided at your consultation, based on your health and the total time required in the operating room.

 

MEDICAL TEAM AND SAFETY

 

Is my consultation private?

Yes. You will meet one-on-one with your surgeon in a private exam room, and a female staff member can be present if you prefer. Your photos and medical information are never shared without your written consent. Consultations are available in English and Spanish.

 

What are the risks of a labiaplasty?

Like any surgery, labiaplasty carries risks, although serious complications are uncommon. The most common include:

  • Swelling and bruising, which peak in the first few days and can last a couple of weeks
  • Bleeding or a collection of blood under the skin (hematoma)
  • Infection at or around the incision
  • Wound separation, when part of the incision opens as it heals; slightly more likely with the wedge technique
  • Removing too much tissue, the most common complication reported by the American Society of Plastic Surgeons, which can cause dryness, scarring near the vaginal opening or pain with sex
  • Removing too little tissue or asymmetry, which may need a small revision
  • Scarring, tenderness or changes in sensation

Less common but more serious risks include:

  • Blood clots (deep vein thrombosis)
  • Reactions to anesthesia
  • Ongoing pain or pain during sex

At My Cosmetic Surgery, we follow all the Florida Health Safety Guidelines to keep these risks to a minimum, and our surgeons take a conservative approach to tissue removal.

 

PREPARATION AND RECOVERY

 

How do I prepare for surgery?

Stop smoking and nicotine products at least a month before and after surgery, since they slow healing. Aspirin, anti-inflammatory drugs, vitamin E, fish oil and some herbal supplements may increase bleeding and should be paused only with your surgeon’s authorization. Arrange for a responsible adult to drive you home and stay with you the first night. Before surgery, have ready loose cotton underwear, maxi pads, ice packs, a squeeze (peri) bottle for rinsing, and a stool softener to avoid straining.

→ Requirements before your surgery

→ Medications you should avoid before surgery

 

What does recovery look like week by week?

Days 1–3: Swelling, bruising and soreness are at their peak and are managed with prescribed medication. Rest with your hips slightly raised, apply ice 20 minutes on and 20 minutes off, and expect light spotting.

Days 4–7: Soreness eases. Most patients return to desk work around the end of the first week. Keep wearing loose clothing and a pad.

Weeks 2–3: Bruising fades and the stitches start to dissolve. Walking is encouraged; avoid sitting for long periods and anything that rubs the area.

Weeks 4–6: Most swelling has gone down. Cleared for exercise, cycling, swimming, sex and tampons once your surgeon confirms healing.

Months 3–6: The remaining swelling resolves and scars soften. This is when you see your final result.

 

How do I care for the area while it heals?

  • Rinse with lukewarm water from a squeeze bottle after using the bathroom, and pat dry; no soap on the incisions.
  • Apply ice packs over your underwear, 20 minutes on and 20 minutes off, for the first 2 to 3 days.
  • Wear loose clothing and cotton underwear, with a pad for light spotting.
  • Drink water and eat fiber to avoid constipation and straining.
  • Avoid baths, pools, beach and hot tubs until your surgeon clears you.

→ Post-surgery care for a successful recovery

 

When can I return to work, exercise and sex?

Most patients with desk jobs return within about 1 week; jobs that involve standing, walking or lifting may need 2 weeks. Walking is encouraged from the first days, while running, cycling, spinning, swimming, sex and tampons are typically cleared between weeks 4 and 6, once your surgeon confirms healing is on track.

→ When can I resume sexual activity after cosmetic surgery?

 

RESULTS

 

When will I see my final results?

You will notice a smaller, more even shape right after surgery, but swelling masks the full result at first. Most swelling resolves by about 6 weeks, and final results are typically visible at 3 to 6 months, once the tissue has fully settled and the scars have softened.

 

How long do the results last?

The tissue removed during a labiaplasty does not grow back, so results are long-lasting. However, a future vaginal delivery, significant weight changes and aging can stretch the labia again over time.

 

Will my labia look perfectly symmetrical?

Labiaplasty can greatly improve symmetry, but natural bodies are never perfectly identical from side to side. The goal is labia that look balanced and natural, and your surgeon will explain what is realistic for your anatomy at consultation.

 

COST AND LOGISTICS

 

How much does a labiaplasty cost in Miami, and do you offer financing?

Because the final price depends on the technique and whether a clitoral hood or labia majora reduction is added, your exact quote is confirmed during your free consultation with our coordinators. Financing is available through Cherry Financing and Alphaeon.

→ Payment options at My Cosmetic Surgery

 

If I’m traveling from another city, how many days should I stay in Miami?

At My Cosmetic Surgery, we recommend planning enough time in Miami for your initial recovery and at least one postoperative follow-up before flying home. Our team will confirm the exact timeline for your case at consultation for at least 2 weeks.

→ Free remote evaluation for cosmetic surgery in Miami

 

Schedule your consultation

Book a free consultation with My Cosmetic Surgery to discuss your goals, review your medical history, and find out which labiaplasty technique is right for you. Call us at (305) 264-9636 to schedule your consultation.

People may consider labiaplasty to address issues such as discomfort during physical activities, discomfort in tight clothing, pain during intercourse, or dissatisfaction with the appearance of their labia.
Most patients describe the first few days as soreness, swelling and tenderness rather than sharp pain, and it is managed with prescribed medication and ice packs. Urinating can sting at first; rinsing with lukewarm water helps. Discomfort usually eases noticeably after the first week.
Not right away. Use pads for any spotting in the first weeks. Tampons, like sex, are usually allowed again after 4 to 6 weeks, once your surgeon confirms the incisions have healed.
No. The tissue that is removed does not grow back. The labia can stretch again over time, especially with a vaginal delivery.
No. Labiaplasty reshapes the external labia. Vaginal rejuvenation and vaginoplasty address the vaginal canal, such as laxity after childbirth. Some women combine them.

Labiaplasty | Our Surgeons

Professional headshot of Dr. Fabian Fontaine Figueredo, MD, at My Cosmetic Surgery in Miami.

Fabian Fontaine Figueredo, MD

Board Certified Cosmetic Surgeon

#madeinmcs Journey

Labiaplasty | Checklist

Labiaplasty | FAQS

People may consider labiaplasty to address issues such as discomfort during physical activities, discomfort in tight clothing, pain during intercourse, or dissatisfaction with the appearance of their labia.
Most patients describe the first few days as soreness, swelling and tenderness rather than sharp pain, and it is managed with prescribed medication and ice packs. Urinating can sting at first; rinsing with lukewarm water helps. Discomfort usually eases noticeably after the first week.
Not right away. Use pads for any spotting in the first weeks. Tampons, like sex, are usually allowed again after 4 to 6 weeks, once your surgeon confirms the incisions have healed.
No. The tissue that is removed does not grow back. The labia can stretch again over time, especially with a vaginal delivery.
No. Labiaplasty reshapes the external labia. Vaginal rejuvenation and vaginoplasty address the vaginal canal, such as laxity after childbirth. Some women combine them.

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