Feedback from Labiaplasty Patient
“It amazes me still that such a secret shame I held onto for so long has finally been acknowledged and dealt with, I feel so liberated. It’s an awesome feeling and I just wanted to make you aware that having this surgery has lifted a weight off my shoulders that I have had for too many years to count, I never imagined it would be gone and I would absolutely not feel this way had it not been for meeting you. Your compassion and empathy made this possibly terrifying experience really quite a positive one. I am a person who believes in intuition and I took a leap of faith making my initial appointment with you and for some explainable reason I trusted you implicitly from that day on, there was a comfort that made me believe it would all work out well.”
– Labiaplasty Patient, 2017
What is Labiaplasty?
Labiaplasty is a cosmetic procedure that reduces the size and corrects the shape of larger or irregular inner labia.The Vulva (genital lips or labia) is associated with fertility, reproduction, sex, genital confidence, and overall selfconfidence. It is also an emotional part of your being. The labia, especially the inner labia, come in many shapes and sizes. Some women have inner genital lips that are enlarged, irregular, and protrude far beyond the level of the outside labia—this can be problematic and severely embarrassing. Sometimes both inner labia are very wide and/or long (this is called labial hypertrophy), and sometimes the right and left inner labia are different in size and shape and seem malformed. Some women are born with enlarged labia, while others develop enlarged labia over time. How does this effect you? While some women are not concerned with having enlarged labia, many women don’t feel comfortable or confident with the size or shape of their labia. They find large labia effects exercise, sex, wearing tight clothing, thongs and swim wear. Keeping the area clean can be problematic when the labia are large. A common complaint is the need to continuously adjust your underwear to feel comfortable. When it comes to intimacy and sex, large labia can be embarrassing for some women, who then avoid intimacy, don’t want their partners to touch them or see them naked, develop low libido and encounter relationship problems due to their avoidance or lack of intimacy. Others complain of decreased sensitivity due to excess skin and folds getting in the way. Many women also request surgical repair when their labia are asymmetrical, or especially large and abnormal looking. A simple reduction of enlarged or abnormal looking inner labia for women who require it, is sensible and reasonable. Photos: Normal Labia
Dr David Gerber, MD, MHSc, FRCS(C), has been a gynecologist for over eight years. Prior to that, he was a family doctor for four years. He graduated from Medical School at the University of Stellenbosch in South Africa. He trained in Obstetrics and Gynecology at the University of British Columbia in Vancouver. After completing his residency, he did a subspecialty in Incontinence Surgery in Toronto. He attained a Masters in Health Sciences in Bioethics at the University of Toronto in 2004. During this time he practised academic gynecology at Sunnybrook and Women’s College Health Science Centre in Toronto, with an interest in minimally invasive surgery, colposcopy and emergency gynecology. Dr. Gerber is a member of the Society of Obstetricians and Gynaecologists of Canada and the American College Obstetricians and Gynecologists. In addition to his clinical practice, he teaches residents and students as well as lectures to community physicians. He has developed surgical systems that allow small procedures to be done efficiently and safely in an outpatient setting.
Labia Reduction Surgery
What is labia reduction surgery?
Labia reduction surgery, labiaplasty and vulvaplasty are terms used to describe a relatively minor surgical procedure that involves removing excess tissue to decrease the size and change the shape of longer and/or larger labia minora (inside genital lips). This does not interfere with sexual satisfaction, orgasm or the sensitivityof the labial skin. At Meridia Gynecology we perform safe procedures that decrease the size of enlarged labia minora. There are various surgical techniques for this problem and the correct choice depends on the unique characteristics of your anatomy. We realize that this can be a very delicate and sensitive problem to talk about. That is why we adopt a pragmatic approach for you to tell us what bothers you. In this way you can feel more confident and less vulnerable to discuss this often intimate and very private concern.
Why do some women request surgery to make their labia smaller?
Some women have larger labia minora (inside genital lips), also called Labia Hypertrophy. Many woman find the larger, protuberant, asymmetric, or irregular appearance cosmetically undesirable; Most women would prefer it if their inner labia did not protrude beyond the level of the outside labia; Some women feel discomfort when walking, cycling, exercising, or wearing certain types of underwear (like thongs) or tight pants; Some women feel embarrassed to shower at a gym for example, where others can see their protruding labia; There can be personal hygiene problems; Some women are troubled by having large labia and indicate that it causes them pain and discomfort during intercourse, or severe embarrassment. For some, this loss of sexual confidence and/or a lack of sexual enjoyment can lead to avoidance of intimate relationships.
Is surgery necessary?
There is evolving interest in maintaining and improving genital health both physically and emotionally. All women have a natural and unique body shape; similarly, there is variation in the size of the inner labia. However, if your inner labia are too long or unusual in appearance, it is unnecessary to live with this and feel embarrassed or unhappy with the way you look and feel. There is a solution involving relatively minor surgery that is done at our clinic. “Concerns about the appearance of labia minora extending beyond the labia majora can often be alleviated by explaining that variation in size is normal. Still, labial reduction should be considered for cases in which such aesthetic concerns influence the psychological and social well-being of the patient.” (Functional and Aesthetic Labia Minora Reduction Sylvester M. Maas, M.D., and J. Joris Hage, M.D., Ph.D.)
Surgery at Meridia Gynecology
We want you to feel at ease talking about this sensitive problem. We strive to offer you an environment that is supportive, dignified and encouraging. Dr Gerber has developed a unique procedure for reducing the inner labia using an operating microscope and meticulous attention to bring the skin edges together perfectly. Our procedures take longer to do than most other types of labiaplasty techniques because we want the skin edges to heal perfectly. This results in almost no scarring and most often, no one will ever know that you have had surgery., not even another Gynecologist. Our before and after photos are real and as you can see, there is no noticeable scarring and the symmetry is excellent. Meridia Medical distinguishes itself through a combination of experience and highly specialized service with state-of-the-art facilities and equipment. We only have qualified surgeons operating at Meridia Gynecology. We offer surgery that is safe and ethical. A simple reduction of enlarged labia for women who require it, is sensible and reasonable. We do not offer other operations to the genital area that are not proven to be effective or those that are disrespectful to women.
The Last Word
This can be a very sensitive and personal issue, and as such, we want you to consider your options carefully before you decide to proceed. In our experience, women are happy and relieved after having the procedure and exude a newfound confidence. It is most common to feel more easily aroused, and have increased quality of orgasm/satisfaction. The new appearance and sensation of the inner labia can change the way you feel about your genital area and help you reconnect sexually.
What should you do?
Carefully read our guidelines to prep for your upcoming Labiaplasty surgery. View Surgery Guidelines
Post Op Care
After labia surgery, please avoid exercise or excessive pelvic/leg movement especially for the first 48 – 72 hours. This will allow healing and good approximation of the skin edges. Download