The procedure is often performed under a general anesthetic, IV sedation, or even local anesthesia alone. The procedure takes 1 1/2 hours and involves the removal of the excessive tissue and preservation of a more normal appearing labia. The most common technique is a central wedge removal; but, other techniques may be necessary. Excessive labia majora or excessive fatty mons can be treated with Liposuction. Occasionally, excessive tissue around the clitoral hood is also removed and great care is taken to avoid injury to the sensitive nerve endings in this location. Sutures are used but dissolve in 3 weeks. Pain after the procedure is moderate and manageable with pain medicine. Swelling and minor bleeding can occur but usually resolves within a week.
There will be some degree of discomfort for up to 2 weeks post surgery. The use of a feminine napkin is recommended to control minor bleeding and prevent your clothes from staining. Patients should avoid sexual intercourse for the first 4 weeks. Care in the placement of tampons is also necessary and should be avoided for at least 2 weeks.
Q: Will the procedure affect my sex life?
A: The procedure is done carefully to avoid injury to any nerve endings that affect sensitivity. In general, most women experience improvement in sexual satisfaction as the smaller, more attractive labia allows for less pain and discomfort but allows for more self-confidence. The area heals well in most cases with minimal to any noticeable scarring.
Q: Will insurance cover a labial reduction?
A: It is rare that insurance would cover a labial reduction unless there is medical justification/ Usually, documentation from your gynecologist stating that the excess tissue is causing painful intercourse, recurrent rashes, or localized trauma to the labia is necessary to appeal for medical necessity.