Labiaplasty is a reconstructive surgery that removes excess and/or uneven labial tissue from the labia minora (i.e. vaginal lips). Enlarged or elongated labia minora, known as labial hypertrophy, are the result of genetics, puberty or childbirth.
Sometimes enlarged labia cause discomfort during exercise or intercourse. They can be uncomfortable and/or visible when women wear tightly fitted clothing or bathing suits. Labiaplasty surgery resolves any issues with irritation, rubbing, and visibility.
The surgery is a simple gynecological procedure and serves to improve the aesthetic quality of a woman’s vaginal region. The procedure restores confidence and self-esteem to women who are self-conscious about the appearance of their labia minora.
Dr. David Ghozland’s labiaplasty procedure utilizes the latest technology within the tranquil setting of his Santa Monica offices, located four blocks from the ocean.
How is Dr. Ghozland’s labiaplasty done?
The procedure is performed in-office using a local anesthetic. Patients will not feel any pain. They can watch a movie, read a magazine or speak with Dr. Ghozland during their labiaplasty surgery.
The Ellman Surgitron is used to perform all labiaplasty surgery, as it is by far the most advanced method to achieve natural and cosmetically appealing results. This laser provides for a more precise incision than a standard laser or scalpel. It also promotes faster healing with little-to-no scarring, as well as reduced levels of pain, swelling, and infection post-procedure.
What technique is used?
After 10 years of performing labiaplasty surgery and experimenting with various styles of surgical technique, Dr. Ghozland determined that a straight edge technique is the most effective with the fewest risks. The incision runs along the length of the labia. It allows Dr. Ghozland to remove darker pigmentation often found on the edges of the labia and more accurately create the new shape of the labia as determined by the patient. The laser provides superior precision and cutting and less thermal injury, thereby promoting faster and less painful healing.
All sutures utilized are self-dissolvable and disappear within six weeks.
How long is the surgery?
Dr. Ghozland’s labiaplasty in Los Angeles usually takes 60 to 90 minutes to complete. Combined with a vaginoplasty, it will take approximately 2.5 hours. Typically, patients are discharged shortly after the procedure. A patient should come with a driver — a friend or family member — since they will be slightly sedated post-surgery.
Can I opt for general anesthesia if I’m nervous about local?
Patients can have their surgery performed with general anesthesia if they prefer, but it will have to be performed at a surgery center/hospital. There also are additional costs (e.g. operating room time, anesthesiologist and nurses) and the normal, minimal risks involved with general anesthesia. Both local anesthesia and general anesthesia are equally great options. Procedure results are the same no matter what anesthesia method is chosen.
Are there bleeding risks or infection risks post-operation?
The risks associated with this surgery are similar to those of any minor surgical procedure. Bleeding and infection are among the most common risks. Proper cleaning and post-op care will ensure effective healing. Scarring or uneven labia (as a result of the procedure) is extremely rare, but it is possible in some cases.
Spotting will occur for a few days following the procedure. Swelling will last for up to 72 hours.
If patients soak more than two sanitary pads an hour for more than two hours, Dr. Ghozland should be notified immediately. This is a rare occurrence. However, Dr. Ghozland and his staff are available 24 hours a day if abnormal amounts of bleeding occur.
Is there a recommended age range within which to complete the procedure?
There is no recommended age range. The procedure is most commonly seen performed by women between 20 and 35 years old. However, the procedure is safe for women of any age.
Who are candidates for surgery of the labia?
Women who have experienced labial stretching or tearing during childbirth or women suffering from labia minora hypertrophy can benefit from this procedure. Abnormally large labia can cause irritation and discomfort during certain activities and sports. Also, women who are self-conscious regarding asymmetrical labia can gain self-esteem by achieving a more proportionate and balanced look.
What is recovery like following labia surgery?
Labiaplasty is an outpatient procedure. After a short recovery time, the patient is allowed to go home and may return to work in a day or so. Patients are advised that pain and swelling will persist for the first few days post-procedure, though walking around and daily activities may be resumed almost immediately.
Regular icing for the first 48 hours is recommended to keep swelling down and aid in comfort and support. Pain is managed by over-the-counter or prescription medication. Patients will be instructed on the proper cleaning of the incision and the application of topical ointment for pain, if necessary.
Patients should abstain from heavy exercise and sexual activity for about six weeks unless they are told otherwise. Patients are asked to come in for a one-week and a one-month follow-up to ensure proper healing.
In general, the vaginal and labial area is quite forgiving and heals quickly. There is very little scarring, if any, involved.
Can this surgery be combined with other gynecological procedures or cosmetic surgeries?
Labiaplasty is easily paired with vaginoplasty or other gynecological procedures, such as hysterectomy, urinary stress incontinence, and endometrial ablations. They also can be performed in conjunction with plastic surgeries like breast augmentation and/or tummy tucks.
What if patients live outside the Santa Monica area?
Dr. Ghozland offers flexible Saturday appointments for those with strict work schedules, who live outside the Los Angeles area or who don’t want to sit in traffic on their way home. The office works with nearby hotels to offer preferred rates for surgical patients. Dr. Ghozland’s office can help with accommodations.
Free consultations are offered to prospective patients.