Labiaplasty is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), which are the folds of skin surrounding the human vulva. In general, the female perineum, which includes the vulva (labia majora and minora, and clitoris), perineal body (muscle between the vagina and anus), the vagina, and the anus should look normal to a woman. Enlargement or stretching of any of these tissues can lead to sexual dysfunction, difficulties with hygiene, and a less than feminine appearance. With menopause, there is thinning and atrophy of the structures.
Dr. Cherup’s trained eye allows her to preserve the natural contour and pigmentation of the labia with minimal scarring, while maintaining sensation – producing the most natural results. As a female plastic surgeon, you can trust Dr. Cherup to be discreet and answer your questions with care and respect.
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On some level, the aesthetic appearance of the female genitalia deserves as much consideration as the aesthetic appearance of any other part of the body. Many textbooks have been published on the principles of breast, eyelid, and facial plastic surgery, but there are no textbooks on perineal (that which encompasses the labia, clitoris, and vagina) rejuvenation. It is a fairly new subject. The articles that have been written are mostly in the gynecological literature, with very few in the plastic surgery literature. Plastic surgeons, in general, would like to learn from their GYN colleagues, but do not trust them, because, we believe, they do not consider sensation, nerve and arterial supply, and tissue viability as seriously as we do. Therefore, we are hesitant to experiment with unproven techniques. I would like to stick with basic principles of tissue rearrangement and healing.
Patients who seek consultation for labiaplasty feel that their labia minora or majora are enlarged, droopy, asymmetric, or deflated. They want the perineal area to look and feel normal and feminine and not aged. Sometimes, their labia get pinched, torn, or abraded by exercise activities or clothes.
Your labiaplasty consultation with Dr. Cherup will be private and quiet. She will listen to your concerns. She will examine your external perineum and diagnose asymmetries and abnormalities of proportion. She will propose a plan to remove excess tissue or plump up tissues that need to be improved.
The labiaplasty surgery usually lasts one to one-and-a-half hours. Our anesthesiologist will use IV sedation anesthesia to put you to sleep before injections numb the perineal tissues. Dr. Cherup uses the trimming technique for the labia minora tissues and clitoral hood. She uses a central wedge excision technique for the labia majora tissues. All sutures are absorbable and only a few knots need to be removed at 10 days. Ointment, perineal gauze, and an ice pack will be used as dressings as you move to our comfortable recovery room.
Post Operative Recovery
Discomfort will last for two to five days. Lying horizontal, with an ice pack on your perineum to keep swelling to a minimum, is the most important maneuver you can do for the following two to five days after surgery. Sitting is terrible for the swelling. Bruising resolves in one week. Your perineum must be washed each time you urinate or move your bowels. You may return to work in one week. The final size and shape will be apparent at about three weeks. I cannot emphasize enough that taking a week off of work, and lying in a horizontal position, will greatly reduce the swelling and make your recovery much more tolerable.
The problems that Dr. Cherup sees after her labiaplasty techniques are few. Prolonged swelling is usually caused by too much activity in the five days immediately after surgery. The swelling will eventually go down. Those who have a job where they sit probably will take the longest to recover from the swelling. It is very important that ice packs are used, and snug fitting underwear that almost acts like a girdle is used to help put compression on the tissues.
Irregularities along the suture line can occur, because these tissues are very soft and floppy when one is suturing them. Any irregularities that are palpable or visible can be addressed at three or four months after surgery. This is usually unnecessary. Resulting asymmetries, meaning one side being larger than the other, could happen. Frankly, a little bit of asymmetry looks normal. If the asymmetry is causing you problems, Dr. Cherup and you will discuss any revision surgery needed. Decreased sensation in your labia will happen in the initial week after surgery. It eventually should return to normal.
Dr. Cherup has never encountered decreased sensation in the clitoris as a postop problem.
Schedule a Consultation
For more information on labiaplasty surgery, schedule your private consultation with Dr. Cherup. Call our office at (412) 220-8181 or (877) 441-0639 or use our online form below.
From Our Patients…
“I had an amazing experience with Dr.Cherup. She listened to exactly what I wanted and treated me with kindness and respect. I felt completely comfortable from the first consultation. I will never regret my choice to go to Radiance.”