In-Office Labiaplasty Procedure

There are several factors to consider when performing an office Labiaplasty:

• The most important part of the process is communication between the patient and Dr. Shashoua. Each patient has her own idea of the ideal labial skin appearance. In order for the procedure to be a success, the amount of skin removed has to match the individual patient’s vision and body.
• Consideration is also given to removing excess clitoral skin so that the labia minora appear in proportion to the clitoral skin.
• We perform labiaplasty safely and successfully in the office.

Consultation

Dr. Shashoua meets with the patient first for consultation and examination. A photograph is taken of the labia for the purposes of the exam. The patient can show Dr. Shashoua what she wants on the photo, and Dr. Shashoua can also make recommendations. The goal is to create a plan for the labiaplasty that incorporates the patient’s desires in a realistic and naturally appearing way.

Pre-procedure

All pre-procedure instructions will be thoroughly discussed prior to the labiaplasty. Preparation for the procedure involves shaving the external genitalia and cleansing with a special soap. Prior to the procedure, oral pain medications and a sedative are taken. In addition, a topical anesthetic is applied at home to numb the labia.

Labiaplasty

Labiaplasty takes one to two hours. Pro-Nox (50% nitrous oxide and 50% oxygen) is administered for the procedure. Pro-Nox is a patient-controlled, inhaled analgesic, taking only seconds to go into effect. A topical numbing agent is applied and a local anesthetic is then injected to further numb the area. The excess labial skin and underlying tissue is removed and the incisions are closed with absorbable sutures. Our goal is to make you as comfortable as possible. Our patients tend to lightly sleep throughout the procedure.

Post-procedure

We recommend taking 2-3 days off following the procedure. Oral pain medication is utilized after labiaplasty for several days as well. The labia should be kept clean and dry with water and special soap for one week after the procedure. If there is swelling after the first 24 hours, we recommend ice packs. If swelling continues after 24 hours, we recommend routine warm water baths. Intercourse is generally avoided for 6 weeks post-procedure, while the labia is healing.

Satisfaction

Your satisfaction and safety is our priority. Our goal is to deliver a labiaplasty suited to both your desires and your body. After swelling goes down post-procedure, a patient may identify areas that she would like further reduced. If this is the case, we will work with you to continue revising the labia to the desired effect.