Labiaplasty/ External Vaginal Rejuvenation
Labiaplasty and external vaginal rejuvenation have become very popular procedures. During the past few years, women of all ages have become more concerned with the appearance of their genitalia. The Internet has provided a forum for women to discuss genital plastic surgery in the privacy of their homes. As a female plastic surgeon, Dr. Walden understands the concerns a woman may have with this area from an aesthetic and functional standpoint. Many women seek out Dr. Walden for the procedure for just that reason.
Most patients seeking labiaplasty don't want the hanging of the labia minora beyond the labia majora (outer lips of the vaginal area). Others feel bulky in pants or a bathing suit to the point of not wanting to wear revealing clothing. Many patients seeking this surgery are active athletes who complain of rubbing when biking or running. Many patients experience irritation or discomfort with enlarged labia minora.
Labia Minora Reduction (Alter Wedge Labiaplasty)
Dr. Walden uses the latest techniques to safely reduce the size of the labia minora (see her expert interview with WebMD). A vertical wedge of labia minora tissue is removed, resulting in a small, nearly invisible scar that doesn't run the entire length of the labia. The prepuce/ clitoral hood is also usually hanging down and needs trimming as well to produce a harmonious and aesthetically pleasing result. The recovery period involves four to five days of low-level activity, followed by two to three weeks off from the gym. We have experienced a very high patient satisfaction rate with this surgery.
Click here to read one patient's experience on her blog "The Labia Monologues" about this surgical procedure performed by Dr. Walden.
Labia Majora Reduction
Some women note excess labia majora (outer lips of the vaginal area) in addition to labia minor enlargement. The labia majora can be reduced surgically by removing inner tissue in an elliptical pattern, and hiding the scar along the natural groove between the labia minora and the majora. Sometimes the labia majora just need a little "plumping" so fat grafting/ transfer by injection with a small, blunt cannula is done to this area with fat taken by a small amount of liposuction of another body area (often the pubis or pubic area or inner thigh).
Clitoral Hood Reduction
Excess skin or hooding along the top of the clitoris is present in some women. This redundant skin (clitoral hood) may be trimmed to decrease the bulkiness of the area.
Mons Pubis / Labial Fat Grafting
As women age, they lose fatty tissue not only from the face and breasts, but from the pubic area. Since many women shave or wax this area, they may find this wrinkling and skin laxity to be less than welcome. This loss of fat manifests in sagginess of the outer lips (labia majora) and mons pubis. Sex may even be uncomfortable due to the loss of natural padding along the pubic bone that fat provides.
While some women may prefer to treat this condition with temporary injectable fillers, a more permanent option for filling this area is "micro fat grafting." This procedure involves removing fat cells from the lower abdomen, hips or lower back and injecting the skin of the mons pubis and labia majora. The fat fills the pelvic triangle, giving a much more youthful appearance.