Labia majora and labia minora are skin folds on either side of the vagina. Labia minora is a thin fold which forms a flap. Labia major is more fuller with thick skin that continues inferiorly below the pubic mound.

In some patients, the labia minora is enlarged during the developmental period or it can also be hypertrophic with aging. Hypertrophy of labia minora may cause following symptoms:

  1. Unaesthetic appearing flap
  2. Hygiene problems
  3. Repeated Infections

Labiaplasty is a procedure to reduce the size of the labia minora.

There are two kinds of labiaplasty procedures-

  1. Trimming or wedge resection- in this procedure under local anaesthesia the labia minora is removed along its free edge. The protruding part is completely trimmed away. The remaining labia minora is repaired with dissolvable sutures.
  2. “V” shaped resection- in this procedure the triangular excess of labia minora is removed.

The scar is transverse as compared to the other procedure and it does not lie in the free edge of the labia minora.

The risk of labiaplasty includes bleeding, haematoma, scar sensitivity etc.

Labia majora rejuvenation is required in patients who have lost a lot of weight or aging has caused flattening and wrinkling of labia majora.

It is performed by fat grafting and plumping the labia majora. Occasionally excess skin needs to be removed to tighten the major.

Fat grafting to labia majora is a minor procedure performed under local anaesthesia. Fat is harvested from inner thighs and transferred in the major.

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