Labioplasty and Perineoplasty Procedures
What is a labioplasty?
Labioplasty is a surgical procedure to change the appearance or size of the labia minora (which are the small, hairless lips of the external female genitalia, the “vulva”). Enlarged or misshapen labia minora can be due to childbirth, sexual activity, aging, genetics, trauma or prior surgery.
Women pursue labioplasty for a variety of personalized reasons, from cosmetics to comfort to function:
Concerns over the appearance of the labia
Difficulty with exercise, hygiene or sexual activity
Difficulty in wearing certain clothes: workout pants, swim suits, leotards, or yoga pants (having to fold or tuck the labia to fit into clothing)
Emotional or physical discomfort with sex or intimate activity
What is Perineoplasty?
Perineoplasty, also referred to as perineorrhaphy, is a surgery to repair damage to the vaginal opening and underlying muscles, primarily after childbirth. At times, a relaxing procedure is performed when the opening has become too small due to prior surgery or from skin disorders such as lichen sclerosus or lichen planus. The surgery aims at removing scar tissue and tightening or loosening the perineal muscles and vaginal opening to allow better function and appearance.
Perineoplasty can be done alone or in combination with labioplasty. Risks of these surgeries include infection, scarring, chronic pain, and repeat surgery. Patients must not have a body dysmorphic disorder diagnosis to be candidates for labioplasty.
Insurance companies usually consider labioplasty and sometimes perineoplasty to be cosmetic procedures, and these procedures are usually not covered by insurance. We have therefore streamlined our process to bring you a competitive out-of-pocket surgical cost for these services. In addition to surgeon fees, there are anesthesia and surgery center costs involved in the procedure.
This is an outpatient procedure and can be done under local anesthesia with sedation. Some patients need general anesthesia. The procedure usually requires less than an hour, depending on the treatment plan, or when combined with another surgical procedure.
Women generally pursue labioplasty or perineoplasty for improved quality-of-life. To obtain the best outcome, women should seek a board-certified, fellowship-trained gynecologic surgeon who has advanced surgical training and has a strong understanding of female genital anatomy and the medical, mental and emotional factors involved in a labioplasty procedure.