Labia Minora Reduction

(Labial Reduction)

Labia minora reduction is undertaken surgically usually under general anaesthetic. Abnormally enlarged or unequal labia minora can be the result of normal variation in size or be caused by chronic irritation, intake of male hormones, persistent manual stretching or weight attachment.

Physically the enlarged labia minora can cause inflammation, poor hygiene, and interference with coitus or urinary self-catheterization. Discomfort may occur during walking, cycling, sitting.

Emotionally they can induce embarrassment and self-consciousness either sexually or when a woman wears tight shorts/trousers/swim wear. Enlarged labia minora can lead to loss of self-confidence & self-esteem, besides interfering with formation of relationships with members of the opposite sex. Surgical reduction is performed if the enlarged labia minora are causing the patient to be self-conscious or are causing physical problems or are very unequal in size.

Depending on how severe the deformity is Professor Malata will perform a wedge or elliptical or W-shaped excision of the protruding labial tissue before suturing the edges with absorbable stitches

To view the cosmetic results of surgery as shown in Professor Malata’s publication on labial reduction please click below.

• Aesthetic and functional reduction of the labia minora using the Maas & Hage technique

As in any cosmetic surgery, there are benefits, risks and the final results are not guaranteed. The chance of complications following labia minora reduction depends on the type of operation and other factors such as your general health. Professor Malata will explain how the risks apply to you. Detailed postoperative instructions will be discussed during consultation and a procedure-specific handout given to you by Professor Malata.

Some risks of labia minora reduction:

• Bruising and swelling – common

• Bleeding ± haematoma – uncommon

• Acute retention of urine - occasional

• Wound breakdown if sutures give way: rare.

• Infection: uncommon

• Altered sensation: temporary

• Pulling sensation during sexual intercourse: rare

• Persistent irritation ± discomfort during walking etc, from the suture line

• Mild residual asymmetry: preop asymmetry is common

• Under-correction / Over-resection

• Tight introitus

• Occasional need for revisional surgery: distortion of labia, breakdown, under-resection

• Distortion of urethral orifice by possible over-resection.

Alternatives to labia minora reduction surgery:

• No surgery : reassurance that extension beyond labia majora can be a normal variation in size

• Frequent washing, creams, etc, : may help reduce the irritation

• Baggy underwear or sports wear : can be effectively used to hide the flabby / long labia