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Labiaplasty in New York City

Labiaplasty – before & after photos, reviews, risks, recovery

Labiaplasty, also known as labia reduction, is a type of vaginal surgery that reduces the size or shape of the labia minora. Manhattan plastic surgeon Dr. Thomas W. Loeb performs the procedure on women who are born with irregularly shaped, asymmetrical or large labia. For some women, enlarged labia causes embarrassment or shyness with a sexual partner. For others, the condition can be physically painful and interfere with pleasurable sexual activity.

“There is no need to suffer with discomfort or shame,” Dr. Loeb explains. “The general public doesn’t understand the day-to-day struggles a woman goes through. Numbers have surged in recent years as more women become aware of their options. I’ve helped transform the lives of women for a myriad of personal reasons, whether it’s to alleviate chafing or boost self-confidence.”

It is Dr. Loeb’s office policy to provide a consultation at no charge for Labiaplasty patients.

Labiaplasty Surgery - Dr. Thomas Loeb Dr. Thomas Loeb discusses labiaplasty surgery, and what options are available for women considering this procedure. Before and after photos are shared toward the end.

Why do women get labiaplasty surgery?

What constitutes a “normal-sized labia” for women is not well-defined. The inner lips of the vagina are typically a quarter to half an inch from the uppermost skin fold to the lowest hanging edge. The size and shape of the labia is determined by genetics but can stretch, tear or change with childbirth.

Usually, the labia goes back to pre-baby status, but labiaplasty surgery is a consideration if the inner lips remain exposed, causing irritation from snug clothing, activities like sex or bike riding, and repeated yeast or urinary tract infections. Some women also consider labiaplasty for purely cosmetic reasons to meet their ideal standards of size, shape and symmetry or match a partner’s expectations.

As one labiaplasty surgery patient put it: “My unruly butterfly wings — otherwise known as my labia — interfered with my sexual activities. Riding a bike for more than 15 minutes? Painful. Camel toe? Obvious. Intercourse? Lube did little to relieve.”

The American Society for Aesthetic Surgery reported a 44 percent increase in the number of labiaplasties from 2013 to 2014. A 2008 study published in the Journal of Sexual Medicine found that 37 percent of women made the decision to have surgery for aesthetic reasons alone; 32 percent wished to correct functional impairment; and 31 percent elected for surgery based on a combination of practical and aesthetic concerns.

The labiaplasty procedure (also sometimes called a “labia minora reduction”) is done by Dr. Loeb by trimming the excess labia while the patient is under local anesthesia or IV sedation. Dr. Loeb pre-marks the area/tissue to be removed so you can see what’s going to be removed. The cutting tool, laser, cautery or scissor/scalpel is at the preference of the surgeon. Dr. Loeb uses a micro-pointed cautery as it has been his experience that this works best. Dissolving sutures are then placed.

The procedure is done at an accredited surgical facility under twilight anesthesia, or just local, which means patients are awake and able to respond to basic commands, but relaxed and generally unaware of what’s going on and have no pain. The whole event is over within one hour. After a few hours in the recovery room, patients are sent home.

Can I get labiaplasty if I haven’t had children?

Some young women express concern about getting labiaplasty prior to having children. However, the excess skin of the labia serves no utilitarian function, which should put the labiaplasty pregnancy debate to rest. The labiaplasty should not interfere with the ability to go through a natural childbirth.

Is labiaplasty worth it?

The end result is improved self-confidence and sexual enhancement, say patients in labiaplasty reviews. The procedure received a 95 percent “Worth It” rating at Real Self, the internet’s largest database of plastic surgery reviews and patient stories.

“I suffered for more then 15 years I was always worried about wearing tight clothes specially swimsuit. I don’t have to anymore. I feel so good about my body for the first time in my life,” said a 29-year-old from Denver, Colorado.

Two months post-op, a 20-year-old UK woman said she couldn’t be happier with her new labia, though the recovery was “painful and slow” and she still felt some tugging during intimate encounters. Overall, she said she “couldn’t be happier” and called the surgery a “life-changer.”

A woman from Englewood, Colorado shared her labiaplasty experience after three vaginal births, explaining that she was tired of the soreness, swelling and rubbing. “I am equally excited to not have to move them out of the way for comfortable sex,” she said. The surgery changed her life and had her feeling young again, she added. “Sex is a whole different experience! Almost like being a virgin again.”

For many women, labiaplasty satisfaction is about more than sex. The New York Post tells the story of women who were so self-conscious about their protruding labial lips, they were actually reluctant to attend exercise classes in tight-fitting yoga pants.

Medical literature supports the anecdotal evidence, with overall patient satisfaction in the 90-95 percent range, according to a 2011 review published by the National Institutes of Health.

Labiaplasty before and after photos

Experts say the best way to know for sure if this surgery is right for you is to gauge results in labiaplasty before and after photos. Labias come in all different shapes, sizes and conditions. Find the “before” photo that looks most like your case and see what sort of transformation is possible to determine if a labiaplasty procedure will produce the results you seek.

Other vaginal surgery options to attain your aesthetic and functional goals may include: clitoral hood reduction, hymenoplasty, G-spot augmentation, monsplasty, or vaginoplasty.

Labiaplasty cost

The labiaplasty price has remained fairly consistent over the years, even as new technology comes out. The cost of labiaplasty is related to the following variables:

  • Geographical location
  • Extent of surgery
  • Anesthesia
  • Surgeon expertise
  • Type of facility

When obtaining quotes, it’s important to know what is included. Some clinics may offer a quote based solely on the surgeon and facility fees, without including the cost of anesthesia, post-op recovery drugs, or follow-up visits.

Is labiaplasty covered by insurance?

In most cases, labiaplasty is viewed as an elective procedure and will not be covered by insurance. However in some cases, women may be able to prove that they are suffering from serious related health issues. Excessive tissue damage following childbirth, cancer, disease or infection may warrant coverage for the plastic surgery.

In the event you cannot get insurance coverage, most offices will work with patients to set up affordable payment plans. To learn more about financing options available for labiaplasty surgery in NYC, contact Dr. Loeb’s office today.

Labiaplasty risks

Labiaplasty carries the same risks as any other surgical procedure – swelling, tenderness, discomfort, bleeding, infection and scarring. In addition, patients may temporarily have pain during urination or intercourse. There is a chance that revision surgery will be necessary to provide desired results.

Labiaplasty recovery

About an hour after surgery, you’ll need someone to escort you home. Swelling, bruising and minor pain are to be expected, particularly during the first week. Tylenol is usually enough to help. Some oozing and draining at the incision site are normal, so absorbent pads should be worn. The full results should be evident in about one month.

Labiaplasty recovery tips include:

  • No showering for the first 48 hours.
  • No lifting greater than five pounds for one week.
  • No tub soaking until sutures dissolve.
  • A return to social activities and work in a few days.
  • No strenuous exercise, swimming or sex for four weeks.

More questions about labiaplasty plastic surgery?

Dr. Thomas W. Loeb is a board-certified labiaplasty plastic surgeon in New York City with over 25 years of experience.

Those interested in learning more about labiaplasty are invited to contact Dr. Loeb directly at 212-327-3700. He offers consultations at his Fifth Avenue office in Manhattan or remotely via Skype.

Other labiaplasty articles from Dr. Thomas Loeb:

Additional labiaplasty resources:

  1. American Society for Aesthetic Plastic Surgery, Labiaplasty and Buttock Augmentation Show Marked Increase in Popularity,
  2. Journal of Sexual Medicine, Labiaplasty of the labia minora: patients’ indications for pursuing surgery,
  3. Journal of Sexual Medicine, Female genital cosmetic and plastic surgery: a review,

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