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labiaplasty procedure

While each woman’s relationship with her body is unique, an enlarged labia can be a source of both pain and embarrassment. Besides aesthetic concerns, an enlarged labia can also be a cause of discomfort during exercise and other physical activities, like sex.

If your Google search has brought you here, then you may be one of the many millions of women who are self-conscious about the size and symmetry of your vaginal lips (labia minora). You can improve your life with Labiaplasty and Dr. Brown. Labiaplasty is a cosmetic procedure that surgically reduces excess tissue in the vaginal region.  

You don’t have to hide anymore. Dr. Brown is here to help. He is the medical director of one of the most esteemed and respected practices in San Diego, CA, with three convenient locations in La Jolla, Coronado and Del Mar. He is a sought-after writer and speaker who frequently appears on local television, magazines and medical journals. He and his sensitive, passionate staff of medical professionals are ready to listen and ready to help. 

Contact Daniel Brown, MD, Cosmetic Plastic Surgery for a consultation to learn more.   

Should I Get Labiaplasty?

Women who are interested in labiaplasty experience some variation of three issues: physical problems, concerns about appearance, or a combination of these issues. All are equally valid. Let’s see if labiaplasty is right for you.

Some women experience pain and discomfort because the sensitive tissues of the labia minora hang too low. This condition can become worse with age and the strain of pregnancy. Women suffering from extreme labial abnormalities may avoid tight or revealing clothing as well as certain activities that cause friction or put pressure on the vulva. Life’s most enjoyable activities, like sports, exercise and sexual intimacy can become a source of suffering. In more extreme cases, rashes, irritation and frequent UTIs are a risk.

Women everywhere are unfairly burdened by the pressures of society and culture to be flawlessly beautiful from head to toe. And today’s proliferation of social media has only amplified attention on the aesthetics of a woman’s body.

An asymmetrical or excessively large pair of vagina lips can bring unspeakable embarrassment. While you should not pursue labiaplasty to make anyone happy but yourself, an uneven or extensive labia can make clothing and social settings uncomfortable. If you feel not so confident about your vaginal appearance, you are a good labiaplasty candidate.

You worked hard for that beach body to be Instagram ready! Don’t let large lips keep you from hitting the beach to begin with, especially when there is something you can do about it. Labiaplasty is a simple outpatient procedure with fantastic results.(1)

So, wear that tight bathing suit. Snap a photo to your crush. We all deserve a body we’re proud to show off.      

Ideal Candidates

  • Women for whom the labia minora hangs below the outer labia majora 
  • Women who endure frequent pain or infection because of an enlarged labia
  • Women born with an asymmetrical vagina
  • Women who do not plan on getting pregnant after the procedure
  • Seekers of beach body perfection 

How Does Labiaplasty Work?

Dr. Brown and his highly-skilled, compassionate staff are dedicated to helping you look, feel and be your best. You are in good hands. Labiaplasty only takes up to two hours. It is an outpatient procedure that can be performed under local or general anesthesia. 

Your surgeon will use medical scissors or a scalpel to trim and sculpt the labial tissue according to your aesthetic goals and medical needs. There are two approaches the doctor may take with your labiaplasty, described below.

Trim Method

The trim method is accomplished with a single, continuous incision along the edges of the vaginal lips. Excess tissue is removed to create a cropped, symmetrical and attractive vagina. Some on social media have described these aesthetic gems as “designer vaginas.”(2) 

Wedge Method

In the wedge method, a V-shaped incision is made and the wedge of tissue is removed. The remaining skin is stitched back together to create a tighter vagina. This method may be ideal for women seeking to repair tissue damage caused by pregnancy. Scarring is less evident, though this variety of labiaplasty does less to address issues of asymmetry along the outer edges of the labia lips.  


  • Reduce the size of your labia minora and clitoral hood
  • Enhance sexual pleasure
  • Reduce the occurrence of genital irritation and urinary tract infections
  • Increase comfort during physical activities 
  • Achieve a tight vaginal appearance
  • Reduce the frequent pain caused by an oversized labia 

Complementary Procedures 

Some of Dr. Brown’s patients come in with a broader range of vulvic needs, needs that can’t be addressed by labiaplasty alone. There are complementary procedures the doctor recommends if you desire a more comprehensive vaginal makeover, discussed below.

Clitoral Hood Reduction

The skin enshrouding the clitoris is removed. This better exposes the clitoris, increasing sexual pleasure and further contributing to a tidy and balanced-looking vagina.    


When labiaplasty is not enough, Dr. Brown may recommend this deeper procedure to repair the stretched and damaged skin and muscle tissue throughout the entire vagina. This is a popular one with women who have been pregnant.  


Labiaplasty is safe and simple, but it is still a surgical procedure that requires care and preparation.

It is highly recommended that smokers discontinue smoking at least two weeks before the procedure. Also, since you will be under anesthesia you should arrange for a ride home following the procedure.

You will need some time to recover, so ensure your homecoming will be a comfortable one—make sure your children and pets will be cared for during the rest of the day. 


The initial recovery time from labiaplasty lasts about a week or less. Avoid strenuous activity and stay off your feet during this initial recovery time. Both sitting and standing may cause discomfort during this time, so Dr. Brown prescribes bed rest for the first 3-5 days following labiaplasty. Too much activity, even standing, may lengthen recovery time, as it may cause swelling and bleeding in the surgical site. 

You can expect swelling and bruising of the surgical site, as would be expected after any surgery. And, because the vulva is such a sensitive area, there will be discomfort that you can manage carefully with doctor-prescribed pain relievers and anti-inflammatories. Also, don’t be alarmed by occasional spotting, as this is normal. Women are advised not to use a tampon while they recover.  

You should abstain from intense physical activity for the first month of recovery. Do not have sex for the first two months. You can expect temporary numbness of the surgical site as you heal. As the nerves repair, some patients report a “pins and needles” sensation similar to your foot falling asleep. This is a good sign! It is indicative of healthy blood flow and signals a return of normal sensation. 

Best Practices Immediately Following Labiaplasty

  • Bedrest—stay off your feet!
  • Avoid sitting
  • Cold compresses to reduce swelling
  • Pelvic elevation 
  • Use doctor-prescribed pain relievers and anti-inflammatories as needed

Look and Feel Your Best

Many women have insecurities about their vagina. It can be difficult to talk about, even with close and trusted friends. Our culture has loosened up somewhat regarding this sensitive topic, but you likely still have questions regarding labiaplasty. Dr. Brown is here to help.

You don’t have to live with labia you don’t like. You can be a more perfect you! 

Dr. Daniel Brown and his associates want you to look, feel and be your best. Dr. Brown is renowned throughout the San Diego area for his care and skill. He is a board-certified plastic surgeon recognized for both his knowledge and his compassion. 

Contact Daniel Brown, MD, Cosmetic Plastic Surgery for a consultation to learn more.


Who is the ideal for labiaplasty?

Women who are not satisfied with the appearance of their vulva or (worse yet) who experience frequent pain due to their labia. Some women also risk rashes and urinary tract infections because of their oversized labia. Women may be born with this issue or it may have come about from the physical strains of pregnancy.   

How does the labiaplasty procedure work?

There are several approaches to the surgery, depending on the type of incision and the goals of the patient. All variety of labiaplasty aims to trim back and balance the symmetry of the labia minora. It is an outpatient procedure, lasting up to two hours. The patient will be under a local or general anesthetic and, in most cases, be allowed to return home the same day.    

Are there any complementary procedures with labiaplasty?

For a more comprehensive “designer vagina” makeover, many women opt for a clitoral hood reduction to reveal the vulva’s more attractive features and enhance sexual pleasure. Some women also get a vaginoplasty. A Vaginoplasty is a deeper procedure that repairs loose skin and muscle tissue in the vagina—this surgery is popular with older women and women who have been pregnant. 


  1. Magon, N., & Alinsod, R. (2016). Female Cosmetic Genital Surgery: Delivering What Women Want. The Journal of Obstetrics and Gynecology of India, 67(1), 15–19. doi: 10.1007/s13224-016-0930-y  
  2. Furnas, H. J. (2017). Trim Labiaplasty. Plastic and Reconstructive Surgery – Global Open, 5(5). doi: 10.1097/gox.0000000000001349 

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