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Labiaplasties address functional or aesthetic concerns of the labia minora. As a board-certified plastic surgeon, I have dedicated extensive time and effort to developing a labiaplasty technique that prioritizes patient safety, comfort and satisfaction.

Over the past three years, through continuous refinement and modification, my technique has evolved based on invaluable experience gained from performing the procedure on hundreds of patients.

Here is a description of my technique, including preoperative, intraoperative and postoperative aspects, demonstrating significant advancements achieved.

Preoperative Considerations

The initial consultation is a crucial step in establishing open communication with the patient and allowing me to fully understand their concerns and goals. Equally important is ensuring that the patient genuinely desires the procedure for herself, devoid of any external pressures or shaming. It is imperative to create a supportive environment where the patient feels comfortable expressing her needs and expectations.

Furthermore, patients must be at least 18 years old and provide their own informed consent for a labiaplasty. This ensures that the decision is made with maturity and autonomy.

Prior to the procedure, I want patients to be in the best of health. For individuals who smoke or vape, a comprehensive consent form is signed, acknowledging the increased risk of wound-healing complications associated with nicotine use. These patients also undergo nicotine testing before the procedure is scheduled. To minimize the risk of bleeding during the procedure, patients are advised to discontinue multivitamins and blood-thinning medications before the scheduled surgery.

Intraoperative Technique

My technique focuses on achieving desired outcomes while optimizing patient comfort throughout the surgical process. With this goal in mind, a topical numbing cream is applied to the labia and inner thighs, ensuring local anesthesia and minimizing discomfort. After 15 minutes, the cream is removed, and the area is carefully iced, which enhances numbness and further reduces discomfort.

Next, each side of the labial area is injected with a mixture of 8 cc – 10 cc of 0.5% marcaine and 1% lidocaine with epinephrine. This combination serves two essential purposes: it provides extended pain control and simultaneously reduces bleeding during the surgery.