Labiaplasty (Vaginal aesthetic surgery)

Hypoplastic outer lips and vulvar plastic surgery

Vaginal aesthetic surgery or labiaplasty has a place in case of hypertrophy of inner labia or hypoplastic outer labia and when there is to much vulva show or the vulva does not seem to be tight. This look in combination with intense wrinkles and relaxation creates in many women the desire to seek the advice of the Plastic Surgeon to undergo Vaginal aesthetic surgery or labiaplasty.

The correction of the problem is done in a very light sedation or local anesthesia and with injectable materials such as hyaluronic acid. In a more severe problem, however, the appropriate method is labiaplasty with fat transfer. This operation is also a Vaginal aesthetic surgery procedure, although its traditional meaning has been related to inner labia labiaplasty.

This is done after limited or full liposuction depending on the patient’s wishes and injection of this fat with a thin cannula of one or two mm on the outer lips in order to give volume and firmness to the area.

Vaginal plastic surgery can be performed under local, sedation or general anesthesia. There are no incisions other than two 2 mm holes that close by the next day. Return to activities the next day to avoid swelling. Exercise and sexual activity can start minimum after the 2nd week and maximum at one month later.

Labiaplasty – Inner labia vaginoplasty

Vaginoplasty concerns Aesthetic and Reconstructive Surgery of the vulva, including the vagina.

The most common deformity is hypertrophy and sagging of the labia minora usually in combination with hypoplastic outer labia . Thus the small lips of the vulva protrude and create an aesthetic problem. Furthermore, the penetration of the penis into the vagina during sexual intercourse becomes particularly annoying.

At the same time, there are many women who suffer from frequent irritations and infections due to this hypertrophy.

The person interested in labiaplasty enters the clinic in the morning. After the scheduled examination, plastic surgery is performed. The operation is performed under local, sedation, general or epidural anesthesia depending on the patient’s preference.

There are many surgical techniques. The classic method of labiaplasty is longitudinal removal. However, because this method tends to remove a lot of skin and mucous membranes, the V or Z plastic method is preferred. The incision is very small, does not appear and has absorbable sutures that do not need to be removed. On the outer labia, we intervene by filling them with autologous fat, thus improving their shape and youthfull look.

The preoperative counseling session is of paramount importance. There after taking photos we will discuss the extent of labia reduction. It is important for the Plastic Surgeon to show and mark with indelible ink on the candidate the maximum possible reduction range as in different thigh extension positions the lips are stretched or relaxed.

It is important to emphasize that the aesthetics of the area is not affected at all in a perfectly performed labiaplasty. In each case, a preoperative assessment of the patient precedes.

The patient after labial reduction surgery which does not last more than an hour can wear her underwear if it has first been lined internally with sterile gauze. There are no stitches to be removed and during the recovery period she can take a warm shower. The healing period is less than a week. Return to daily life is done from the next day while exercise and sexual activity can start after a month.

Vaginal plastic surgery – Clitoral plastic surgery (postectomy)

The clitoris is essentially the “hood”. About half of women have some degree of hypertrophy. Thus, in many women the clitoris is essentially covered. This operation is performed with local intoxication or even general anesthesia depending on the patient’s preference.

The recovery period is about a week while sports and sexual activity can begin after 3 weeks.

Adolescent vaginal hypertrophy and vulvoplasty

This is essentially lipodystrophy of the area. It affects all ages and causes aesthetic problems resulting in the psychological stress of women. Intense exposure even under clothing or swimwear often leads women with this problem to the Plastic Surgeon.

The solution is vaginal aesthetic surgery and can be delivered by a vulvoplasty liposuction with thin cannulas usually 2 mm. There are no incisions other than a 2 mm hole which closes the very next day. The operation can be performed under local anesthesia intoxication or general anesthesia depending on the patient’s preferences.The recovery period is short and even exercise and sexual activity can start from the 2nd to the 3rd week.

Hymenoplasty – Virgin suture

This is also a vaginal plastic surgery. It is performed on young women, usually who for religious, social or cultural reasons need to restore their hymen. The operation is performed under local intoxication, general or epidural anesthesia depending on the patient’s preference. The parturition lasts up to an hour. Women who have given birth normally need a thorough preoperative assessment. It is often impossible to restore the film in these cases. After the first weeks, a scar or mark is indistinguishable.

Postoperative recovery usually lasts two weeks. The first week of healing is crucial as the stitches are so thin that you can break them with careless movements. During the postoperative period, the woman wears gauze on her underwear as it is possible for a few drops of blood to run. It is a highly satisfactory operation for the candidates as it completely restores the area anatomically and aesthetically.

Recovery time

Recovery is short. Complete recovery takes place in 1-2 weeks.

Side effects – complications of vulvar plastic surgery

From the side effects, rare area hematoma or inflammation is reported.

Results of labiaplasty

The effects of the intervention on the small lips are permanent. Labiaplasty improves the aesthetics and function of the area. The injection into the large lips of hyaluronic acid lasts 1 – 1.5 years, while with the fat the results are permanent.


Vaginal plastic surgery is a simple operation that has become more common in recent years in Plastic Surgery. This surgery can be for athletes who feel some discomfort during exercise, young girls who want to improve their sex life, or older women who due to childbirth and hormonal changes notice changes in the vagina.

The Plastic Surgeon removes excess skin from the small lips of the vulva, improving the shape. The large lips are filled with hyaluronic or fat where needed, and their hollow shape is improved. Vaginal plastic surgery is a simple operation that gives complete satisfaction of results to the person concerned.

Vaginal plastic surgery


Recovery time
1 – 2 weeks