Labiaplasty, Labia Reduction Procedure

At Toronto Cosmetic Clinic we specialize in surgical and non-surgical labiaplasty procedures, and offer a full range of corrective and beautifying options. For a free consultation, call us at 416 221 5554, and we will answer any questions you may have, and discuss how we can best help you achieve your desired aesthetic results and/or alleviate any physical concerns.

Labiaplasty is a term which encompasses a variety of procedures involving the labia majora and labia minora; the inner and outer “lips” that surround the clitoris and vaginal opening of the female vulva. These procedures are designed to correct and beautify enlarged, asymmetric or otherwise abnormally shaped labial structures, and can also include textural and pigmentation improvements. When more extensive results and corrections are desired, surgical procedures are normally required. However, thanks to new and innovative laser technology, we now also offer several non-surgical options that can provide amazing results.

toronto cosmetic clinic clitoral hood reduction contouring

At Toronto Cosmetic Clinic we utilize the absolutely latest in laser technology for many of our surgical and non-surgical procedures. This allows for the ultimate precision and speed. In addition, laser is inherently sterile, thus greatly reducing the chance of any post-operative infections and complications. Laser surgery techniques are clinically proven to reduce bleeding frequency (amount of bleeding), and can also greatly reduce recovery time. Scar formation is also less common, compared to traditional techniques. For these reasons, laser is the method of choice in most labiaplasty procedures at Toronto Cosmetic Clinic, although some procedures still require more traditional methods.

At Toronto Cosmetic Clinic, our gynecological specialists have lengthy experience, training and education in the field of female genital refinement, including labiaplasty and labial reduction.
Labiaplasty can be performed alone, or in combination with other procedures, such as for instance:

  • Clitoral hood reduction: (also referred to as prepuce reduction); trimming of the skin folds that surround the clitoris, to increase sexual pleasure and improve visual appearance.
  • Vaginoplasty: surgical or non-surgical tightening of the vaginal passage. Traditionally women would have to have surgery to achieve this, but thanks to excellent innovation in the field of laser technology, we are now also offering excellent non-surgical and absolutely non-invasive vaginoplasty procedures in addition to the traditional surgical methods.
  • Hymenoplasty: repair of a woman’s hymen, utilizing specialized laser-surgery technology
  • Perineoplasty: removal or reduction of scarring caused by vaginal child-birth and episiotomies, removal of excess skin in the perineum (the area between the rectum and the vaginal opening), and tightening of the perineum muscles.
  • Mons Pubis Reduction: The mons pubis is the lower area of the belly, where the belly meets the pubic bone. This area is connected to the labia majora, and in some cases when this area is bulging above the labia, a mons pubis reduction might be performed as part of – or instead of - labiaplasty. The reduction can be done through a liposuction, or in combination with surgical removal of excess skin if necessary. Tightening up this area can sometimes be the all that is required to achieve the desired profile, as it is connected to the labia and provides a lift to this area.
  • Laser de-pigmentation and textural improvement: Utilizing the latest in laser technology, these procedures reduce hyper-pigmentation and improve the texture and firmness of the labia, in a non-invasive, pain-free manner.

Why Labiaplasty?

The reasons why a woman would decide to have labiaplasty range from wanting a more aesthetically pleasing look, to treating conditions that make sexual intercourse and physical activities uncomfortable. Protruding labial structures could prevent someone from wearing tight clothes, and participating in sports activities. Sometimes enlarged labia can be visible through clothing, and areas rubbing against fabric can cause pain and discomfort. Some women also choose labiaplasty to achieve normal sexual functioning. Enlarged labia minora could for instance be pushed inside during intercourse, causing pain and/or discomfort.

According to a 2008 article in the Journal of Sexual Medicine, 32 % of the women who had labiaplasty did so to correct a functional impairment, 31 % did so to treat both functional AND aesthetic concerns, and 37 % had surgery for purely aesthetic reasons. An article published by the same journal in 2010, reported 90-95% overall satisfaction rate in women who had undergone female genital cosmetic and plastic surgery (including labiaplasty, clitoral hoodreduction, hymenoplasty, vaginoplasty and perineoplasty).

Hormonal changes, injury, pregnancy and childbirth, dramatic weight-loss, aging as well as congenital conditions can all cause asymmetrical, misshaped, enlarged, elongated, or “sagging” labial structures. At Toronto Cosmetic Clinic, our gynecological surgeons have been selected based on their exceptional track record, specialist training, superior education and impressive experience. As a result we have a long list of happy patients. This, combined with the fact that we pride ourselves on having the absolute latest and top-of-the-line technology available in our premier medical facilities, means that we can offer an unparalleled range of surgical and non-surgical treatment options, tailored to each woman’s particular wishes and concerns.

Some of the labiaplasty procedures we perform include:

“The Barbie Labiaplasty”:

barbie smooth labiaplasty

Also referred to as the “smooth look”, this procedure has been performed since approximately 2007, and is rapidly gaining popularity. It is rumored to have been invented by a doctor in the USA, in response to women who requested a perfectly smooth look; much like the doll that coined the name. During this procedure, most – or all – of the labia minora (the “inside lips” of the vulva) is removed, to create a completely tight and petite look. By removing this part of the vulva, the labia majora is allowed to close tightly, creating a smooth “single line” opening. In cases where the labia majora is enlarged or appears “saggy”, this part of the vulva is also trimmed down to enhance the streamlined appearance. The result can be quite stunning! This is one of the more comprehensive forms of labiaplasty, so we remind our clients that reversal of the procedure is not easily performed.

Rim or “Peek-a-boo” Labiaplasty:

rim look labiaplasty

This is the most common and more conservative of the labiaplasty procedures we perform at Toronto Cosmetic Clinic. During this procedure, both the labia minora and labia majora (the inside and outside “lips” of the vulva) could be reduced in size, however a part of the labia minora is allowed to protrude slightly outside of the labia majora, to “peek out”. At the same time, a part of the labia majora is left intact around the vaginal opening, to create a natural looking slight rim. The primary purpose of this procedure is to create a symmetrical look, remove skin folds, and also to remove excessively protruding parts of the labia minora. Many women also request this procedure as they want to remove a darker, more irregular edge from the labia minora.

Hybrid Labiaplasty:

hybrid labiaplasty

The hybrid procedure is a combination between the traditional/RIM labiaplasty procedure, and the Barbie. The labia minora is reduced in size so that the labia majora overlaps it, but the reduction is less dramatic than the Barbie. About one centimeter of the labia minora is left intact. This is sufficient for it to not protrude past the labia majora, allowing it to close more tightly over the labia minora for a smooth and clean shape. Removing the protruding parts of the labia minora creates a “clamshell” aesthetic look, albeit not as closed or dramatic as the Barbie procedure.

Labia Majora-plasty:

This labiaplasty procedure focuses only on the labia majora; the outer lips. During this procedure, excess skin is normally removed to create a smooth look, and remove any wrinkles. This is the most commonly sought procedure for women who experience sagging skin in this area, which makes the entire vulva look too open. Some refer to this excess skin as “woman balls” or “camel foot” look. In instances where the sagging is less pronounced, we might recommend fat transfer or dermal fillers, instead of – or in addition to - surgical skin removal. This will “puff up” the area, and thus stretch the skin and create a more closed and firm appearance. We also sometimes recommend one of our new non-surgical laser technology procedures, where we stimulate the dermal structures to shrink the skin on the surface, and simultaneously stimulate collagen matrix remodeling of the area below the surface, to increase firmness.

Laser labia-tightening with Fotona Dynamis SMOOTH mode technology:

Until recently, no effective non-invasive treatment method existed for labia beautification. As a first in Canada, Toronto Cosmetic Clinic is excited to introduce a revolution in this area! With the Fotona Dynamis Er:YAG laser, we can perform non-contact, non-invasive, high precision procedures in the genital area, which is so pain-free that the patients normally do not require any form of local anesthesia. Tiny micropulses of laser-light is applied to the skin and the collage structures beneath the skin, to shrink skin-cells and thus tightening the labia majora. The laserlight is operated in such a manner that heat does not “stack” up, and patients report only a slightly warm feeling. Because the light is delivered in a pulsing manner, which affects different depths of the skin, the area under the skin is also stimulated to create new collagen bundles, which increases firmness and tightens up the area under the skin. In women who have excess skin covering the clitoral area – also referred to as the prepuce - the same laser technology can be used to firm up the skin to expose more of this highly sensitive area of the female gynecology, and increase sexual pleasure. In cases where the amount of skin covering the prepuce is markedly excessive, we might however recommend a more ablative laser method to carefully trim some of the excess skin for a more pronounced correction.

Laser de-pigmentation:

Many women requests de-pigmentation and evening out of skin tone and texture in the labial region, either alone, or in conjunction with more extensive labiaplasty procedures. We have the absolutely latest in laser technology available at Toronto Cosmetic Clinic, and can perform depigmentation and textural refinement in the most comfortable manner possible. Recent laser innovation enables us to perform these safely and comfortably on all skin types.

“Botched Labiaplasty Revisions”:

Quite a few of our clients come to us because they have had surgery somewhere else, and are not pleased with the result. While we feel sorry that some clients have gone through an unpleasant experience elsewhere, we are very happy to report that in the majority of cases we can help correct the situation.

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Questions & Answers

What is labiaplasty?
It is the reduction of the ‘labia minora’, which can be naturally larger, become darker in colour, or even sag with age and from pregnancy. This procedure is used to enhance the overall cosmetic appearance of the vagina.
How do I know if I need labiaplasty?
You may choose to get labiaplasty for aesthetic purposes, whereas others may be good candidates for this procedure depending on other factors that are not purely visual. If your clothes feel tight around your genital area, or you have the feeling of having to “adjust” yourself to avoid discomfort, you may be a great candidate.
Can labiaplasty and vaginaplasty be performed together?
The short answer is ‘yes’. These procedures are often combined, although they serve different purposes. Labiaplasty is usually performed for cosmetic reasons or minor discomfort and vaginaplasty is done for more functional reasons, such as tightening the vagina muscles.
When can I engage in sexual activity after my labiaplasty?
As with most surgeries, labiaplasty takes approximately 6 weeks to fully heal. Until then, you may risk reopening the operation site by engaging in penetration intercourse. The “wedge” technique is more prone to breakage than the “trim” technique.
Does labiaplasty affect the nerves in the genital area?
When done properly, this procedure should not interfere with your nerves. Some numbing or a lessened sensation could be felt on the outer edges of the labia for 1 or 2 months after the procedure, but this should never interfere or reduce sexual pleasure.
Can you get labia repair after giving birth?
Pregnancy is difficult on a woman’s body and can actually tear the labia. This can be easily repaired and return symmetry to you labia and overall look of your vagina.
Can I use tampons after getting a labiaplasty?
Generally, it is suggested that you wait a menstrual cycle before starting to use tampons again. The area will be very delicate and scar tissue will have just formed. You do not want to interfere with the healing process.
When can I go back to work?
You should be on bed rest for a couple of days after this surgery and have plenty of ice on-hand. You may resume ‘light work’ or ‘desk work’ duties after about 3 to 4 days. Do not engage in strenuous activities or sports in the following 3 weeks.
At what age can I get labiaplasty?
It is generally recommended that women wait until they are at least 18 before considering this procedure. This is due to the fact that the female body can keep growing until a woman is in her early 20s. It is important that you wait until you are fully developed before going in for cosmetic surgery.
Can I get a second labiaplasty?
A second labiaplasty because of excess tissue that was not removed the first time is almost certainly attainable. However, this also depends on how much of your labia were removed in the first place.