Labia Majoraplasty takes place in the labia majora, which are the areas of skin to either side of the vulva. They have hair-bearing skin over a fatty pad that is continuous with the Mons Pubis, just above the vagina. Labia Majoraplasty reduces or reshapes the vagina outer lips, known as the labias.
With ageing, the labia majora experiences a loss of fat, altering of skin quality and a variation in colour, depending on the particular patient. These changes over time are normal and to be expected – in fact, they are similar to the changes we see in the face.
All cosmetic surgery is about feeling comfortable and confident in your appearance. It is not always about beauty or how other people view you. This is the great misconception and a common cause of dissatisfaction with cosmetic surgery.
Who is a good candidate?
Labia Majoraplasty is ideal for someone concerned about:
Discomfort due to an enlarged labia (during sexual intercourse, wearing tight clothes, etc.)
The appearance of an enlarged and/or irregular labia (outer)
Who is not a good candidate?
Labia Majoraplasty is not ideal for someone who either has unrealistic expectations or is concerned about:
An enlarged labia minora (this requires a different procedure called Labiaplasty)
Dr Oates performs Labia Majoraplasty at Academy Day Hospital under twilight sedation and local anaesthetic. A Pudendal block is usually preferred to relieve pain for up to 24 hrs. The procedure takes approximately 60 minutes and you will be at the day hospital for 4 hours maximum.
Skin is excised just to the outside of the labia minora. The scar falls in the natural crease line and because of the good blood supply and natural line it heals very well. The incision line is not visible because it is the boundary between hairless and hairy skin. Many women find it useful to have some permanent hair removal in the area in case some hair is pulled towards the vagina.
How long will I need off work?
Approximately 1-2 weeks are generally taken off work by Labia Majoraplasty patients, depending on the level of physicality in their industry.
You may experience mild to moderate discomfort, swelling, bruising and discharge/ooze after the procedure, which is completely normal. Cotton underwear should be worn rather than a G-string. Some patients have reported the use of sanitary pads in the first week as useful. Ice packs can be applied on the area on and off for the first 2 days. You may have sexual intercourse after a month if you feel comfortable.
Discomfort can be managed with over the counter analgesics or as prescribed by Dr Oates and his team of doctors.
Pre and post operative care
Your pre and post-operative care is managed by our registered nurses and includes pre-operative assessment and post-operative wound management.
Risks and complications
Vaginal surgery is usually very safe and complications are rare, however like any surgical procedure, there is a small risk of complications. These may include:
Prolonged bleeding (usually stops within 24 hours)
What’s the next step?
Your first step is an initial consultation with Dr Oates. You do not need a GPs referral for this consultation. Or you can have a complementary consultation with one of our Dermal Therapists or Nurses.
If Dr Oates decides that you are suitable candidate for labia majoraplasty and you want to go ahead with the surgery, a booking for the surgery and the pre-operative care is scheduled. The usual waiting period is approximately three to four weeks.
You may wish to speak with one of our qualified Dermal Therapists or Nurse prior to seeing Dr Oates. During this free consultation, a Dermal Therapist/Nurse can discuss both surgical and non-surgical options to treat your cosmetic concern(s).