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Labia Majora Reduction

Surgery to reduce and rejuvenate the outer vaginal labia

What is Labia Majora Reduction?

Labia Majora Reduction is surgery to decrease the size of the outer lips of the vulva and remove excess skin to create a slimmer, more youthful genital contour.

The Labia majora are the outer labia, which are made up of the hair-bearing skin  and underlying fatty tissue. Labia Majora Reduction surgery can treat labia that are enlarged, unsightly, wrinkled, or low-hanging to improve the appearance of the labia in and out of clothing.

Why have Labia Majora Reduction?

The labia in young women are typically full, but for some people, weight gain or their natural pattern of fat distribution can make them swollen and bulky. Age, menopause, and gravity can cause the underlying tissue to shrink and the skin to become lax so that the labia dangle down like an empty bag.

Enlarged, prominent, or low-hanging labia majora can cause a bulge in clothes, often with camel toe effect, which many women find unsightly or embarrassing. If you are unhappy with the appearance of your labia, or you struggle to wear trousers because of the contour of your genitals, Labia Majora Surgery can offer a  permanent solution.

What happens in Labia Majora Reduction?

Labia Majora Surgery at Bella Vou is performed under local or general anaesthetic, depending on how much skin and tissue needs to be removed. It’s a day case procedure, so you won’t need to stay in hospital overnight.

The surgeon will make an incision in the natural folds and creases of the vulva so that the scar is discreet even if you remove all the pubic hair. A crescent-shaped patch of skin is excised from each lip, together with any excess fatty tissue. The skin is pulled tightly to lift, smooth, and rejuvenate the area. The incision is then closed with fine sutures under the skin.

The experienced aesthetic surgeons at Bella Vou provide bespoke Intimate

Rejuvenation. They will listen to your worries, examine the area, and customise a treatment programme that will address your concerns. The Labia Majora can also be

rejuvenated with other treatments, including:

  • Non-surgical reduction with CO2RE laser
  • Vaser Liposculpture: VASERlipo™ is an advanced body sculpting procedure. Excess fat is removed to reshape and contour the labia.
  • Renuvion skin tightening can be performed with VASERlipo™. The device uses plasma energy to tighten loose skin to create a toned, smooth appearance.
  • Volume enhancement with fat or injectable fillers, to reduce skin laxity and wrinkling in labia majora that have thinned with age.

How long is recovery from Labia Majora Reduction?

You’ll be able to go home following surgery. However, you should relax and recover overnight and avoid exercise and heavy lifting for two weeks. You will need to avoid intercourse for at least four weeks to allow the wounds to heal.

Some pain, swelling, and bruising are normal with any surgery. In this sensitive area, it can take time to settle fully. By six weeks, most swelling will have eased, but it can take three to six months to see the final results.

Quick glance guide to Labia Majora Reduction

Procedure Time: 1-2 hours

Recovery: 1-2 weeks. No sex for 4 weeks

Anaesthetic: Local anaesthetic or general anaesthetic, depending on the extent of surgery

Hospital stay: No

Treats: Bulging or sagging of this area

Why choose Bella Vou for Labia Majora Reduction?

Bella Vou offers clients a uniquely individual approach to cosmetic surgery, aesthetic treatments, and intimate health care. The state-of-the-art clinic provides the latest procedures in a discreet, comfortable, and welcoming environment in the heart of the beautiful historic town of Royal Tunbridge Wells.

Bella Vou’s surgeons are highly-skilled and experienced in Intimate Surgery. Bella Vou is dedicated to providing satisfaction, the highest standards of care, and a personal touch, throughout your treatment journey. The skilled staff is passionate about helping people achieve the results they want and making their experience pleasant and stress-free.

Bella Vou offers competitively priced packages of care, with no hidden extras. The clinic is approved and inspected regularly to ensure the highest standards of patient care and assured with exacting standards on cleanliness and infection control safeguards. The staff at Bella Vou are professional, highly qualified, and led by cosmetic surgeons recognised by the most reputable aesthetics and cosmetic surgery associations, including the UK Association of Aesthetic Plastic Surgeons (UKAAPS).

Bella Vou combines cutting-edge treatment and clinical excellence with the luxury, comfort, and discretion of a spa and the hospitality of a five-star hotel.

Your Labia Majora Reduction journey at Bella Vou Free, no-obligation consultation

Bella Vou offers every client a free consultation with an expert. The consultation is an opportunity to discuss any concerns you have, the results you want to achieve, and whether surgery can help you reach those goals.

The expert aesthetic surgeon will sensitively evaluate the proportions and balance of the genitals, and the location of any excess fat and loose skin. In careful consultation with you, they will plan the best treatment to achieve your goals. This could include Labia Majora Reduction, Vaser Liposculpture, Renuvion, or CO2RE Laser. Bella Vou will always give you an honest and impartial professional opinion. Mr Amir Nakhdjevani says:

At Bella Vou, we never pressurise people or try to sell procedures. It’s always about giving an honest opinion and honest advice.

Meet your surgeon

You will be offered a further appointment with your consultant before proceeding to surgery. This will give you a chance to find out more about the procedure, understand any risks and complications, and to ask any questions you may have.

Preparation for Labia Majora Reduction

You’ll be given personal pre-operative advice to reduce your chance of bleeding or infection and help your healthy recovery. If you are going to have a general anaesthetic, you will be advised when to stop eating and drinking in preparation for the procedure.

Let your surgeon know if you’re on any medications. You may be asked to stop taking aspirin or anti-inflammatory tablets, which can increase the risk of bleeding and bruising. It’s also important to stop smoking cigarettes and e-cigarettes before and after surgery because they can affect the healing process.

On the day of your surgery, you’ll be welcomed to Bella Vou, given a gown to wear and escorted to the state-of-the-art operating theatre. If you are going to be awake for your procedure, your surgeon will greet you, explain what will happen, and offer support throughout the operation.

What happens during Labia Majora Reduction?

The procedure will depend on your anatomy and the amount of skin and fatty tissue to be removed.

The surgeon will make incisions in both of the labia. The scar is in the natural folds and creases of the vulva, so that it is discreet and hidden, even if you remove all the pubic hair.

The surgeon will carefully excise a crescent-shaped patch of skin from each lip. They will either cut away any excess fatty tissue or use the innovative Vaser

Liposculpture device to liquefy the fat, suck it out and contour the labia. Finally, they will pull the skin tight to lift, smooth, and rejuvenate the area.

The surgeon will close the incisions using fine, absorbable sutures that don’t need to be removed.

Recovery from Labia Majora Reduction

You will usually be able to go home on the day of the procedure. The team at Bella Vou will monitor your recovery, offer safe, effective painkillers, and provide support every step of the way.

After one week, the nurse and wound care specialist will check that you’re well and inspect your scars. You should avoid exercise and heavy lifting for two weeks. You will need to avoid intercourse and using tampons for at least four weeks to allow the wounds to heal. You can then gradually get back to normal activities.

Some pain, swelling, and bruising are normal with any surgery. In this sensitive area, it can take time to settle fully. By six weeks, most swelling will have eased, but it   can take three to six months to see the final results. The Bella Vou team is always available if you have any questions or concerns at any time.


Is there anything I can do to reduce swelling?

Because fluid falls downwards due to gravity, the labia can become bruised and swollen following surgery. Reducing swelling can help healing and decrease pain. Popping on an ice pack can help, but make sure it is wrapped in a clean cloth to protect the delicate skin. Lying with your bottom elevated on a cushion can also help the fluid drain away.

How long before I can have intercourse?

It’s essential to take it easy after surgery and give the wounds time to heal. In

general, the surgeons suggest waiting a minimum of four weeks before resuming any rigorous activities or exercise. You can resume wearing tampons and having intercourse after four to six weeks if you’re worried, speak to your surgeon.

What results can I expect?

This procedure typically results in smaller, tighter labia majora. In patients with excess skin, drooping of the labia majora when the patient is standing is usually

improved. In patients with excess volume, this procedure can result in a lower, less prominent genital profile.

Medically reviewed by

Amir Nakhdjevan Profile

Amir Nakhdjevani

Last Updated: February 4, 2022

Published On: November 21, 2021

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