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Labiaplasty, is the plastic surgical procedure to reduce the size of large or asymmetrical labia minora, which are the flattened folds of skin or inner "lips" surrounding the entrance to the vagina. Because there is a significant variation in the size or amount of visible tissue in this area, it cannot be said that there is a normal amount or size of the labia minora for any woman. The medical term of labial hypertrophy refers to oversized labia minora. There are many factors affecting the size of these tissues. This condition may arise through normal developmental processes, or it can appear later in life with aging or due to stretching during childbirth.

The condition of labial hypertrophy may commonly be associated with discomfort from pressure or rubbing. This discomfort may occur when wearing certain clothes, during sexual intercourse, or with exercise activities, such as riding a bicycle or running. Many patients relate that labial hypertrophy can cause self-consciousness, such as with a sexual partner. Labia reduction surgery is designed to treat this condition. Dr. Weeter is one of the few plastic surgeons in this area experienced in Labiaplasty surgery. He has treated patients who come throughout Kentucky, Indiana and the surrounding states.

Many factors can contribute to your confidence, sexuality, femininity, and overall sense of good health and hygiene. None of these is more personal and private than your genitalia. If labial hypertrophy has become a problem for you; then, after careful consideration, a thorough consultation with Dr. Weeter can help you decide whether labiaplasty may be an appropriate solution for you. Although the majority of patients elect to have the surgery to reduce discomfort, it is considered a "cosmetic" procedure by insurance companies, which do not cover any of the costs of the surgery. The results are permanent; and, as with any surgery, there are risks of unsatisfactory results or complications.


Labiaplasty Before and After Gallery


  • Women who experience irritation from clothing.
  • Women who experience difficulty with the proper fit of clothes.
  • Women who have discomfort, such as rubbing of the labia minora, when engaging in sports or physical activities.
  • Women who have physical discomfort of these tissues during sexual intercourse.
  • Women who find that visible, enlarged labia are a source of embarrassment.


Labiaplasty is a surgical procedure to reshape and reduce the external appearance of the labia. It is also designed to reduce the size and exposure of the labia minora so that they are at about the same level as the labia majora fullness on either side. Thus, it can reduce the exposure to irritation. Labiaplasty is not vaginal rejuvenation surgery.

Labiaplasty Before and After

(click on any
photo to enlarge)


The surgical procedure is usually done in the privacy of our office treatment room. The surgery removes a wedge of excess tissue and then brings the remaining tissue back together. The incisions are very well concealed and are repaired with sutures that are absorbable, so that they do not need to be removed. Care is taken to conservatively remove just enough tissue to remove the excess and to retain adequate laxity of stretchable, soft tissue. Dr Weeter and his staff take special consideration to ensure that patients are as comfortable as possible during surgery. Pain during surgery is typically very well managed with a combination of topical anesthesia and local injections of anesthesia with a needle smaller than that used for a flu shot. Understanding that some patients may experience pre-surgery anxiety, Dr. Weeter is agreeable to prescribing an anti-anxiety medication, if necessary, for patients to take about an hour prior to the procedure. The procedure takes about one and a half hours.

A consultation with Dr. Weeter takes about 30 minutes or more so that he can thoroughly evaluate each patient, determine her needs and desired outcome, explain the procedure, and answer questions. He will also discuss the recovery process and plan for follow-up visits. He is glad to discuss this with your gynecologist, if requested. The consultation precedes the date of surgery, so that the patient can consider all the information and then make an informed decision to proceed. Special arrangements regarding consultation and surgery scheduling can be made for patients that come from more than 2 hours away. It is best to schedule the surgery shortly following your menstrual period.


Following the procedure one can expect swelling and bruising. Ice bags are helpful, as are loose clothing and adsorbent pads. Unscented baby wipes and a gentle wash bottle rinse are also recommended. Showers, but not tub baths, begin the day after surgery. Prescription pain medicine or Acetaminophen (Tylenol), but not aspirin or Motrin & Advil type pain medicines, will help with the post-operative discomfort. Sitting for long periods of time and moving around may be uncomfortable for some during the following week. Gradual return to activities is possible in the following weeks.

The healing tissues are delicate, as are the sutures for the repair. Therefore, you are strongly advised not to insert anything in the vagina, such as tampons, or engage in sexual intercourse or stimulation for six weeks. You may want to consider scheduling your surgery to occur soon after your last menstrual cycle. The same is true that you should not engage in any sports or exercise activities, such as riding a bicycle, that would stretch or put pressure on the healing tissues for at least six weeks.

One of our patients had the following to say about Dr. Weeter and her procedure

I had been considering having labiaplasty since shortly after the birth of my second child. It took two and a half years to finally work up the nerve to have a consult with a physician. Immediately upon meeting Dr. Weeter I was put at ease. I couldn't believe how easily I was able to frankly discuss such a personal issue with a complete stranger. I expected to feel a little embarrassed but I never felt that way with him. I felt like Dr. Weeter really listened and heard my concerns and understood what I wanted to achieve. Basically, I just wanted my "old self" back the way I was before having children. I didn't want to feel self-conscious any longer. Dr. Weeter took a great deal of time discussing not only the specifics of the procedure itself, but also what I could expect in terms of outcome and recovery. He answered countless questions and eased my worries. I was really worried about pain and he assured me that pain management during and after surgery was of utmost importance. He was right. During the procedure I felt absolutely no pain at all! The injections of anesthesia were the only discomfort I felt and it was very minor; nothing like I had anticipated. Dr. Weeter's nurse let me squeeze her hand and that was really all I needed. After that, again- no pain! It's been three weeks since my surgery and I am very pleased with my results. I feel like I have myself back and that's just what I wanted. I would tell anyone considering having this procedure that Dr. Weeter is the man to see. He is a perfectionist and really cares about his patients and their needs. I only wish I had done this two years ago! - Nicole

NOTE: The specific risks and the suitability of this procedure for you may be determined only at the time of consultation. All surgical procedures have some degree of risk. All of this web site content, and any email responses to your inquiries are strictly for general informational and educational purposes. It is not medical advice and should not be taken as medical advice. It should not be used to diagnose or treat a health problem or disease. It is not meant to be a substitute for professional medical care.

Information on labiaplasty in Louisville, Kentucky. Vaginal rejuvenation, labioplasty, candidates for surgery, results, procedure and recovery explained.

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