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Labiaplasty reasons, how much tissue is removed, incision location & results!


People ask me all the time, when I tell them that I do MANY labiaplasties for women in the Bay Area, “Why do women want a labiaplasty???”

What do these women complain about?  Women coming for a labiaplasty consultation describe to me the following symptoms and experiences:

  • Discomfort with extra labia minora (mucosa) tissue “down there”
  • Self-consciousness while changing in public before/after working out or at the club
  • Discomfort riding a bicycle or doing spin class
  • Discomfort wearing thong underwear or yoga pants
  • Nervousness when wearing a bikini – that their extra folds of skin will come out and be visible to others
  • Pain or discomfort during physical activities such as running, doing yoga or having intercourse
  • Pain and irritation when their labia sticks to their inner thigh when not being held in place by undergarments when exercising or during hot weather
  • Shyness or embarrassment in intimate situations
  • Having to spend additional effort to clean this area of their body
  • Dissatisfaction with the physical appearance of this part of their body = “I just want that part of my body to look prettier!”

What do women who are interested in a labiaplasty look like?  Well, I thought I’d share with you some real “before” photos of women who are seeking a labiaplasty:

labiaplasty preop

labiaplasty preop

labiaplasty preop

labiaplasty preop

preop unilateral labiaplasty





labiaplasty preop






How much tissue is removed during a labiaplasty?  The tissue that is removed is usually the most darkly pigmented, irregularly textured (“cobblestone” surface) tissue.  See examples of how much “mucosa” (labia minora tissue) that is typically excised in a labiaplasty procedure:

tissue excised during labiaplasty (2)

The most irregular contoured and darkly pigmented labia tissue is usually what is removed in a labiaplasty procedure.

labiaplasty excision specimen

The amount of labia tissue removed in a labiaplasty is tailored to each woman’s anatomy. The more excess she has, the more tissue will be removed, in order to achieve her personal goals for a surgical outcome.

Note that usually only the labia minora (inner lips of the external genitalia) is trimmed during a labiaplasty.  Some women also, or alternatively, have their labia majora (outer lips) trimmed.  Often, redundant folds of the front of the area, called the clitoral hood is also trimmed.  This does NOT interfere with sexual function, erogenous sensation or ability to orgasm!

Where are the labiaplasty scars located?  Labiaplasty incisions are generally hidden!  See the following image, where the outer lips need to be spread, and you really have to look closely to locate where the incisions are:

011 (2)

Labiaplasty incisions 6 months postoperatively. They are hidden in a natural crease and are evident only upon close inspection.

Labiaplasty incisions 3 months postoperatively

Labiaplasty incisions 3 months postoperatively

Labiaplasty incisions 6 weeks postoperatively.

Labiaplasty incisions 6 weeks postoperatively.

What do the “after” results following labiaplasty look like?  See some examples of surgical results following labiaplasty here:

ASF after

BM after

CR after

DS after

JB after










To see more labiaplasty results, visit my website gallery of labiaplasty before & after photos (recently updated).

Visit our labiaplasty blog posts to learn additional information on surgery, recovery, downtime & more.

To schedule a labiaplasty consultation with Dr. Horton, complete our online consultation request form or call 415-923-3067 today!

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Dr. Karen M. Horton, M.D. - Plastic Surgery, Physicians & Surgeons - Medical-M.D., San Francisco, CA