Enlargement of the labia minora is a common concern in women. The cause is most often hereditary, but it may also be due to exposure to androgens in infancy, manual stretching or weight attachment.
Correction can improve the psychosocial and physical discomfort associated with enlarged labia minora as well as improve sexuality in some women.
Surgery involves reduction of labia minor via edge excision or a V-shaped excision pattern. It can be perfomed under IV sedation or general anesthesia, and is commonly performed with another procedure involving body contouring. In treating the hypertrophy of the labia majora, treating excess clitoral hooding may also be required.
In addition, treatment of the labia majora can be perfomed, including fat grafting for added volume
The recovery takes 2 weeks and requires a limitation in activity during this period as well as techniques for perineal hygiene and oral antibiotics.
There is a high patient satisfaction with this procedure. Women can return to normal activities in 4-6 weeks.
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