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Labia majora reduction surgery is the removal of the excess skin and the underlying fat from the outer labia. Reduction resolves symptoms of sagging or bulging labia majora, often increasing confidence and comfort during sexual activities.

Labia Majora Reduction

Over time, the labia majora can become enlarged for reasons, including stretching that occurs during pregnancy and delivery and lower estrogen levels associated with aging. When combined with a mons pubis reduction, the enlarged, sagging tissue of the labia majora can be lifted creating a more natural appearance.

Like labiaplasty (reduction of the labia minora), this procedure is usually done in the office with a combination of medications for pain control and relaxation in addition to a topical anesthetic.

Mons Pubis Reduction (Monsplasty)

Women with enlarged labia majora can present with enlarged mons pubis (fatty tissue over the pubic bone) as well. These women often complain of a mound, bulging, or puffiness at the level of the pubic bone. This can sometimes become more prominent after c-sections, abdominoplasty, weight gain or weight loss.

Mons pubis reduction can be combined with labia majora reduction or labiaplasty to help reduce the excessive fatty tissue in this area and help reduce the bulge. The procedure is done on an outpatient basis with around 1 week of downtime.

We are pleased to provide our services to patients in Austin, as well as out of town or state. For our patients traveling to Austin, we can often set up procedures based on phone consultation and secure photo upload. We typically ask our patients traveling from out of state to stay locally overnight, in the instance there are any issues within the first 24 hours after surgery.

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For all the anatomical details, check out this video:

Before & After

Before and After

Before & After, Explained


Labia Majora Reduction Before


Labia Majora Reduction After

Normal anatomy of the labia

Anatomy of the labia

Enlarged labia majora

Anatomy of the labia

Labia majora following labia majora reduction

after labia majora reduction procedure

Get Your Labia Majora Reduction Performed by a Top Rated Urogynecologist

While other cosmetic surgery practices work on the entire body, we specialize in clitoropexy, vaginal rejuvenation, labiaplasty, labia majora reduction, and vaginoplasty. Our track record and commitment to care is evident in our reviews.

Dr. Shashoua is a Realself Top Contributor. This distinction is based on his overwhelmingly positive reviews and commitment to answering questions about the procedures we perform. Less than 10% of medical professionals on Realself earn this status.

Everything You Need to Know About Labia Majora Reduction

Sarah Stiriss, FNP-BC gives you the rundown on why women seek the labia majora treatment and what to expect if you’re one of them.

Give us a call to learn more.
(512) 973-8276

Before & After

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