Enlarged labia can be problematic with exercise and sexual activity. Aging changes to the region can also lead to dissatisfaction. The labia majora (outer lips) and/or labia minora (inner lips) can be affected. Dr. White reduces the outer lips with an incision along the transition between hair-bearing and non-hair-bearing skin, which leaves a scar that when completely healed, is very difficult to see.
For the inner lips, either a wedge technique (which preserves the pigmented and ruffled free edge while reducing the bulk of the labia) or trimming technique (for when the colored area is considered undesirable and the labia is trimmed along its length) can be used. For most women, this is done in the privacy or our office using local anesthesia. Dissolving sutures are used. You will need to be very careful with the area and abstain from sexual activity for 3 to 4 weeks.
Occasionally, filler (temporary) or fat transfer (permanent) can be used in the labia majora to regain a fuller, more youthful appearance.