If you are in good health and fully developed, you may be a candidate for a labiaplasty. Dr. Sato will perform a medical exam and review your medical history to determine if this is the right option for you.
Many women desire a labiaplasty, specifically a labia minora reduction secondary to changes that occur with hormones (birth control, pregnancy, IVF, hormone replacement with menopause, etc.), physical trauma from childbirth and/or sexual intercourse, and loss of collagen/elastin as they age. The labia minora tend to lengthen over time and are no longer “hidden” by the labia majora. This exposure leads to more friction against clothing, which can create discomfort and darker-colored pigment from sustained trauma.
It is also not uncommon for teens to desire a labia minora reduction, as puberty can cause overgrowth of the labia minora. Labiaplasty can safely be carried out on a teen patient with the consent of one or both of their parents or legal guardians.
The labia majora also changes over time in terms of lifestyle. Weight loss and natural aging (loss of collagen/elastin) can cause deflation of this tissue, giving the appearance of hanging, sagging skin, and wrinkles. Youthful labia majora are plump and smooth and typically cover over the labia minora and vaginal opening, almost like French doors closing. Many patients desire to get back to that more youthful appearance.
Some of the aspects discussed above are not only evident naked but also can be seen in tight clothing, such as a swimsuit or yoga pants, which have become very popular. Patients frequently say that they can see the extra bulk when wearing this type of clothing, and this makes them feel self-conscious.