Description:

Enlarged labia minora can be functionally or psycho-socially bothersome. Local irritation, problems with personal hygiene, interference or discomfort with sexual intercourse and discomfort during cycling, horseback riding, wearing exercise clothing, walking or sitting are common complaints related to enlarged labia minora. For these patients, judicious reduction of the labia minora may serve to improve the physical comfort during specific activity. Often, patients may not have symptoms related to the labia minora but are simply not pleased with the appearance of the redundant and/or dark skin. Surgical correction for these patients may help improve the patient’s self image or confidence. In these cases, like any procedure performed for “aesthetic” reasons, it is important to ascertain that the patient is internally motivated (doing the procedure for herself) not motivated by another party. Patients should be made aware that psychological or relational components of dysfunctional vaginal or intercourse experience cannot be treated with surgery.

Patients from around California come to Pousti Plastic Surgery to have a consultation regarding labia reduction surgery. Enlarged or hypertrophic labia minora can be functionally or psycho-socially bothersome. Local irritation, problems with personal hygiene, interference with sexual intercourse and discomfort during cycling, horse back riding, wearing exercise clothing, walking or sitting are indications for surgical reduction. Patients usually like to decide the size of their labia but it is important to remember the function of the labia minora as well. The labia minora protect the vaginal orifice when the thighs are spread and therefore, overcorrection is not recommended. Dr. Pousti also performs Hymenorophy surgery (to read testimonials).

To read some Frequently Asked Questions.. click here.

Since Dr. Pousti is an expert in labia reduction surgery, many women from around California as well as aound the country choose to fly to San Diego to obtain his services. If you are not from the San Diego area, please visit Fly in for Surgery to learn more about our out-of-town accommodations and scheduling information.

If you live in La Jolla, San Diego or Temecula/Murrieta Valley and you would like more information or to schedule a consultation, please call our offices at (619) 466-8851, (858) 454-6888 or (951) 501-9822.

The Surgical Procedure:

Dr. Pousti will meet the patient prior to surgery to mark the area. This marking is done with the patient’s assistance while she holds a mirror. This allows the patient to communicate her goals again with her surgeon. Sometimes, the markings extend above the clitoris and/or below to the perineum (closer to the anus). Pre-existing asymmetry of the labia minora is very common and this should be corrected as much as possible. Extreme care is taken to avoid over-resection during the markings or the procedure.

The procedure is usually performed under general anesthesia (although, local anesthesia may be used for select patients). Regardless, long acting local anesthesia is used to help with patient’s post-operative pain control. The exact technique used is individualized and depends on the patient’s anatomy. For some patients, a triangular segment of excess labia minora tissue is removed; for others, a gentle curvilinear excision is performed. Excess tissue on the sides of the clitoris may also be removed judiciously. During the procedure, certain principles are adhered to strictly:
1. Avoid over-resection
2. Avoid encroachment upon the clitoris, urethra, or vaginal opening
3. Achieve as much symmetry as possible

Closure is done with sutures that dissolve – no suture removal is necessary. Scars will be minimally or not visible after several months. Ice and surgical pad are applied immediately.


What To Expect After Surgery:

Dr. Pousti and his staff ask that a responsible adult transport the patient home. Bed rest is requested for 2 days with ice on the area during that time. Patients may resume light activity and “desk job” after 3 days but should avoid strenuous activity / sports for at least 3 weeks. Sexual intercourse may be resumed carefully after 4 weeks. Dr. Pousti will want to see you for a post-operative visit 4-7 days after surgery and then again in a month (if possible). Based on Dr. Pousti’s extensive experience, our office finds that complication rates are very low and patient satisfaction is very high.


Resumption of Physical Activity:

Patients may go back to their daily routines after one week but with extreme caution. Patients are to avoid strenuous activity as well as sexual intercourse for 4-6 weeks after surgery.

Please, contact our office to obtain a Free Consultation. You may also click here to visit our main website where you can learn even more about plastic surgery procedures.

Call us Today: (619) 466-8851

Member of:
American Society of Plastic Surgeons
American Board of Plastic Surgery
American College of Surgeons
American Board of Surgery

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