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TriBeCa Plastic Surgery

Sydney R. Coleman, MD  |  Mary Lombardi, PA-C

Enlarged labia minora (the tissue flaps that cover the opening of the vagina) can cause extreme discomfort and pain in women. Some women have naturally large labia, while others experience labial distension following childbirth or as they age. For some women, their labia are a source of anxiety and impact their ability to engage in some physical activities and intimate contact.

Labiaplasty improves the size of the labia and enhances the aesthetic appearance of the female genitalia.

Ideal Candidates

There is no “normal” standard by which to judge proper labial appearance. Women considering labiaplasty should be in good health and have enlarged labia that cause pain or discomfort during physical activities and sexual contact. Women seeking labiaplasty may identify with one or more of the following:

  • Born with naturally large labia
  • Pregnancy and/or aging have caused the labia to enlarge
  • Irritation and pain due to excessively large labia
  • Excess labial skin creates difficulties in maintaining hygiene
  • Avoidance of intimacy due to the appearance of the labia or associated discomfort  

Labiaplasty Procedure

Labiaplasty is designed to correct the size of the labia and improve the aesthetic appearance of the genitalia. In many cases, labiaplasty can be performed as an in-office procedure using local anesthesia in under two hours. During a labiaplasty procedure, excess labial tissue is removed to achieve a smaller labia. One of two techniques may be used during your labiaplasty.

Trim Method

This technique reduces the length and improves the color of the labia. The edge of the labia is trimmed to remove excess tissue, and it is sutured closed. Removing the edge of the labia removes the darker colored portion of the labia, leaving a pink edge. Some women feel that this pink labial edge appears more youthful.

Wedge Method

This technique removes excess labial tissue and preserves the natural appearance of the labia. A V-shaped wedge of tissue is excised from each labial fold. The remaining tissue is pulled together and stitched closed. This method leaves the outer edge of the labia intact.


You will experience swelling and numbness around the vaginal area for approximately two weeks following your procedure. You shouldn’t lift any heavy objects for one week following your surgery and, to avoid infection, avoid swimming and being submerged in water during the first six weeks of recovery. Most patients can resume sexual contact after six weeks.


Choosing the trim method may result in some visible scarring along the edge of the labia. This is likely to fade over time. The wedge method doesn’t result in any visible scarring. Barring any additional pregnancies or trauma to the labia, your results should be long lasting.

If you desire a tighter, more youthful inner labial appearance, schedule your consultation with TriBeCa Plastic Surgery today. Contact our office at (212) 571-5200, or fill out our online contact form here for additional information.