If you, like many women, don’t like certain aspects of your female anatomy, it is empowering to know many of your issues can be addressed. Some women have an extra tissue in the labia that protrudes on one or both sides, which bothers them in clothes or during intimate encounters. The labia can be reduced so that it does not protrude from the vaginal area.
Addressing Excess Tissue Near the Clitoris
In some, the extra tissue extends up to the clitoris. This extra skin can be removed while preserving the deep nerves. Removal of the extra skin surrounding this sensitive area does not change the physical sensitivity of the clitoris, but it does improve anatomical access to touch, which leads to a perceptual increase in sensitivity.
What the Procedure Involves
The procedure is done in our office OR under sedation and local anesthesia. The extra tissue surrounding the clitoris is anesthetized with local anesthesia, and the excess skin folds are removed while preserving the deep nerve pathways to the area. The inner “lips” of the vaginal area, the labia minora, are reduced to improve the function and appearance of the vagina. The excess labia minora is removed so that it does not protrude from the vagina. The incisions are placed in such a way that the tissue does not have a scar that could rub. All incisions are closed in layers with absorbable sutures to decrease discomfort.
Recovery and Aftercare
After the surgery, you may experience some mild swelling and discomfort. Pain medications will be given to you, but are often not used for more than a day or two. Most women describe the pain as minimal. Cold compresses, not ice, to the area greatly aid in reducing swelling. You will be asked to refrain from exercise for 3 weeks and sexual activity for 5 weeks.
Results
Results are immediate and lasting. Most patients report easier stimulation and more intense sexual encounters, while others only note subtle sensory changes. The changes to the external appearance of the area can be significant. Complete outcomes vary on an individual basis.
Risks and Complications
Complications are rare when postoperative instructions are followed. As with all surgical procedures, bleeding and infection are the most common issues encountered. Patients who follow postoperative instructions, don’t exercise or engage in sex too early, and don’t take medicine or supplements that increase bleeding do well.
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I look forward to seeing you in the office and helping you reach your goals.
Article by Dr. Arthur Jabs, board-certified plastic surgeon in the Washington, D.C. metro area, specializing in deep plane facelift and natural facial rejuvenation.




