Absolutely, this procedure is often performed in combination with other types of cosmetic surgery such as Labiaplasty Majora, Clitoral Hood Reduction, Vaginoplasty and Perineoplasty. Labiaplasty may also be combined with the O-Shot^® or other gynecologic procedures, such as MyFlow^® or MyControl^®.

Labiaplasty is a cosmetic gynecology procedure that can improve the appearance of the labia minora (smaller inner lips) and/or the labia majora (larger outer lips) . Many physicians only perform labiaplasty minora so their websites will just refer to this as “labiaplasty.” This isn’t completely accurate. Dr. Brenner performs a full array of cosmetic gynecologic procedures . Therefore, the true definitions are as follows when it comes to reduction of the labia.

The simple answer is - YES! Labia come in many shapes, sizes and even colors. No two women’s labia look exactly alike and, usually, the two sides are not exactly the same size or shape . Some women have minimal labial tissue , whereas other women have elongated labia with multiple folds and grooves. The color and thickness of the labia can also vary from person to person. Some have labial edges that are pink; others have dark edges on their labia. Some women’s labia extend all the way down to the bottom of the vagina; others have labia that only extend half way down the opening of the vagina. Some women have thin labia, others have thick labial tissue.

It’s all normal! However, just as with breasts and noses, just because it’s normal doesn’t mean you are stuck with it. Labiaplasty has become one of the most popular cosmetic procedures in the world.

If you are over age 18 and feel self-conscious about the size, shape, unevenness/asymmetry or appearance of your labia, you may be a good candidate for a labial reduction surgery or procedure. Also, enlarged labia may be interfering with your life and/or sexual intimacy. Large labia can cause problems such as discomfort with exercise and sexual activity, Tight-fitting pants and bathing suits may be quite uncomfortable or even painful.

Finally, if you dislike the dark pigmented edges of the labia minora,you may be a good candidate for a labiaplasty surgery.

There are many reasons why labiaplasty has become one of the most popular cosmetic surgeries in the world. One reason women opt for labiplasty is because excess labial tissue can interfere with certain activities. Excess protruding labial tissue can cause discomfort or irritation when riding a bike/horse or any exercise. Protruding labia can be obvious in tight-fitting clothing like yoga pants, tight jeans or bathing suits. Furthermore, the labia tissue can cause discomfort and for some women embarrassment with sexual intimacy. Finally, many women choose labiaplasty just as they do other cosmetic surgeries: they desire a different aesthetic look to the labia. Sometimes, women are self-conscious about their labial appearance and desire a change.

During your consultation, Dr. Brenner will review your complete medical history and perform a physical exam or review your photos, if this is a virtual consult. She will discuss your desired changes and aesthetic goals and work with you to determine if surgical labiaplasty is right for you. The two of you will also discuss if nonsurgical Aviva Femtite (scarless labiaplasty) is an option and the pros and cons of a surgical versus a “scarless” nonsurgical approach. The two of you will determine your aesthetic goals and develop a customized plan based on your unique anatomy. Dr. Brenner will review the process of a surgical labiaplasty, how the procedure is performed and the recovery period. Dr. Brenner will review with you her album of before and after pictures to help you determine the aesthetic look you are seeking. She will answer any questions you may have about labiaplasty. Next, our patient coordinator will review the financial aspect and costs associated with having a labiaplasty in Cincinnati Ohio. If needed, financing options can be discussed. The final steps include scheduling and preparations for your big day.

Yes! Many patients have traveled across the country to have Dr. Brenner perform their labiaplasty surgery. The same process for the in-person consultation is followed. An in-person physical exam is performed the day before the scheduled surgery or the morning of the surgery. Our team will work with you to coordinate your stay in Cincinnati.

There are two techniques used in surgical labiaplasties: the wedge technique and the edge technique (also known linear excision or trim method) Aviva Femtite “scarless“ labiaplasty is another nonsurgical technique that only a few surgeons in the country are offering.

The wedge technique involves removing a V-shaped “wedge” from the labia and stitching the edges together.

For the linear technique, an incision is made along the length of the labia minora that removes the outer edges of the elongated labia. A linear trim labiaplasty technique has several advantages over a wedge technique. This technique has a significantly lower risk of wound breakdown and also permits for the removal of darkened tissue that is commonly on the rim of the enlarged labia.

Dr. Brenner does have a CO2RE Intima laser in her practice. However, she chooses NOT to use her laser for labiaplasty surgery. Dr. Brenner uses her CO2 laser for other gynecological procedures and the treatment of vaginal atrophy (dryness) and lichen sclerosus. Dr. Brenner has a superior tool called the Ellman Surgitron for performing a surgical labiaplasty. This tool offers precision cutting and coagulation with minimal energy spread compared to a laser.

Labiaplasty surgery can be performed in our office in Cincinnati, Ohio with local and oral anesthesia. The procedure is relatively short and provides significant long-lasting results. Women have found that their self confidence in their intimate appearance is increased and their physical discomfort associated with elongated labia is eliminated.

As with any surgical procedure, there are remote risks with a labiaplasty. Typically, complications with a labiaplasty surgery are rare. Surgical risks can be reduced by selecting an experienced cosmetic gynecologist and carefully following post-operative instructions. Dr. Brenner typically performs labiaplasty surgery in her office with local and oral anesthesia and ProNox inhaled nitrous oxide. Therefore, since general anesthesia and a hospital stay isn’t necessary, many risks typically associated with surgery are eliminated. Dr. Brenner will have an in-depth discussion with you during the consultation process of the remote risks that have been associated with labiaplasty .

Our consent form includes the following: prolonged healing, hematoma (blood clot in the area), bleeding, infection, loss of sensitivity, uneven labia, incision separation, pain with intercourse, changes in pigmentation, scar tissue formation, irregular areas of the skin, numbness, changes in smoothness of the edges of the labia and cosmetic results not up to expectations.

Therefore, choose your cosmetic gynecologist carefully!!

The labial tissue will be swollen, tender and sometimes bruised immediately after surgery. This will alter the sensation for a few weeks after a labiaplasty. However, since Dr, Brenner uses a linear/trim technique, the procedure does not affect the nerves responsible for sensitivity, and the clitoris (the area from which many women derive sexual pleasure) is left untouched. The nerves come up from the deep pelvis and are not typically altered with a linear/trim technique.

Women who felt self-conscious of the way their labia look or found their long or enlarged labia were interfering or “getting in the way” with sexual intercouse have been thrilled with the effects labiaplasty has had on their sexual wellness.

Yes! The results of labiaplasty are permanent.

Dr. Brenner and her team will give you a detailed explanation of what to expect after the procedure and several tips to enhance the healing process. Most women experience minimal pain after a labiaplasty surgery. You will be advised to rest, elevate your pelvis, and ice for the first week after a labiplasty surgery. After a week, you may return to “office” work without excessive walking. At three weeks, you can usually resume walking, light hand weights and your normal daily activity level. At six weeks, (unless additional procedures are performed ) most patients can resume sexual intercourse, use a tampon and exercise as they desire.

Dr. Brenner typically does several layers of sutures. The deep layer won’t be seen by you . The outer layer will be visible to you . These outer layer of stitches start to dissolve and often times fall off 2-3 weeks after the labiaplasty surgery. Many patients report itching during this period as this is part of the normal healing process.

You may have some stinging with urination. Dr. Brenner will give you a “bag of goodies” to assist in your healing that will include a spray bottle. Fill this bottle with warm water to squirt on the incisions as you urinate. This will dilute the urine and reduce the stinging sensation. Additionally, the warm water helps keep the incisions clean.

Everyone heals differently. For patients that follow our detailed post procedure instructions, most of the swelling has resolved after 1 week.

We get it! A satisfying sex life is important to your health. Sexual wellness is one of the main issues our sexual medicine experts focus on at Amy Brenner, MD & Associates. Many women desire a labiaplasty to enhance their sexual experience. However, you do need adequate time to heal. Sexual intercourse can cause the incisions to open prematurely. Dr. Brenner recommends her patients to avoid sexual intercourse for 6 weeks after a labiaplasty surgery.

Mild spotting from your incisions is normal. Excessive, heavy or continuous bleeding is not normal.

Water causes the sutures to dissolve. Dr. Brenner and her team instructs her patients not to submerge their labiaplasty incisions in water (such as in a bathtub, pool, hot tub or ocean) until the incisions have completely healed. Typically, this is around 4 weeks after a labiaplasty surgery.

Water causes the sutures to dissolve. Dr. Brenner and her team instructs her patients not to submerge their labiaplasty incisions in water (such as in a bathtub, pool, hot tub or ocean) until the incisions have completely healed. Typically, this is around 4 weeks after a labiaplasty surgery.

At three weeks, you can usually resume walking, light hand weights and your normal daily activity level. Depending on how quickly your body heals, you can can resume your regular exercise routine after 6 weeks .

No. We have a great anesthesia protocol we use for labiaplasty. Typically, our patients are sleeping, listening to music or watching TV during the procedure.

Absolutely! In fact, traveling to Ohio to have Dr. Brenner perform your labiaplasty procedure is quite common. There are actually very few fully trained, and experienced cosmetic gynecologists in the United States. Our team can work with you for your travel needs and stay in Cincinnati, Ohio for your labiaplasty. Initial consultations may also be conducted by phone and patients can also send photos of the area that needs treatment

Unfortunately, the answer is no. Insurance companies consider labiaplasty a cosmetic procedure and therefore they do not cover the cost of this surgery.

The good news, however, is that Dr. Brenner performs the majority of her cosmetic gynecologic procedures in her office under local anesthesia. This avoids the need to pay for hospital and anesthesia fees.

Dr. Brenner uses a linear/edge/ or rim technique and the scar is either not noticeable or hardly noticeable after the incisions are completely healed. Typically, the incision line is hidden into your natural folds. Dr. Brenner is also one of the few physicians in the country to offer Aviva Femtite “scarless” labiaplasty.

Certainly that is always an option. Many OB/GYN’s and plastic surgeons report that they can perform this procedure. But has your local physician had advanced training in labiaplasty in the latest and greatest techniques by the best teachers in the world? Or did your local doctor learn their skill of just “cutting it off” with scissors or a knife? Over the last several years new techniques emerged that produce much less scarring and produce a superior surgical result.

Your comfort is of utmost importance to us! We have developed a protocol to optimize your experience for labiaplasty surgery.

The area will be numbed with potent topical numbing cream. The plasticized base of our numbing cream is superior to other topical creams we have used in the past. You will also be given oral and injectable pain medications and an oral sedative. We also have ProNox which is inhaled nitrous oxide that is used during the lidocaine numbing injections. Most of our patients do not even remember the numbing injections because they are using ProNox. After the area is anesthetized with the lidocaine injections, patients typically do not feel any discomfort during the procedure.