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Labiaplasty is a surgical procedure that aims to decrease the size of the labia minora (inner tissues of the female genitalia) so that it is flush with the labia majora (outer part of the female genitalia). It is the most commonly performed female genital plastic surgery and it can relieve symptoms women experience from twisting and tugging of the labia.


There are a host of reasons females have enlarged labia, including childbirth, aging, sexual activity and genetics. Females choose to have surgery for several reasons. First, there are several functional benefits when electing for a labiaplasty. Many females who suffer from an enlarged labia experience difficulty with exercise, hygiene, urinary tract infections, sexual activity and other physical activity. Furthermore, with the increasing trend of wearing yoga pants, workout pants, and swimming suits, an enlarged labium can make it difficult to wear such clothes. However, most female patients describe feeling extremely self-conscious when becoming romantically involved with their partners. If you are considering Labiaplasty, the information below will give you a basic understanding of the procedure: when it can help, how it’s performed, and what results you can expect.

Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness. The goal of the procedure is to reduce the labia minora so that they don't hang below the hair-bearing labia majora. A labiaplasty may be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist or tug.

During your initial consultation, your surgeon will evaluate your health and examine you to prepare for the details of your operation. The surgeon will explain the location of the planned incision, the expectations you should have in terms of the size and shape of the labia, and what type of scar you may expect after your surgery. Be sure to explain how your vaginal area is problematic for you. If you find intercourse painful or you cannot exercise without discomfort. Inform your surgeon of any medication that you are taking and if you smoke. Explain your expectations of the surgery at this time, and ask any questions you may have, including the risks associated with the surgery.



Labiaplasty procedures are performed at the Centurion Day Hospital under general anaesthesia. Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. We advise that you need to stop smoking two weeks before surgery and two weeks after surgery. This will help to expedite your recovery period and encourage better healing on a cellular level and to avoid unforeseen complications.



After your consultation, you will be provided with a personalised quotation based on the recommendation of your surgeon. While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days.

Labiaplasty procedures take between forty-five minutes to an hour in theatre. The Trim procedure is the original technique and is most natural to perform. It is also the most widely used technique used by surgeons. In this procedure, the excess part of labia minora is removed and sutured so that it is symmetrical with the labia majora. This procedure gives the vagina a natural look after the surgery, preserving the wrinkled edges. You will likely have absorbable sutures that do not need to be removed.

You are likely to feel sore and tired after surgery but will be able to mobilise post-operatively. You should expect to be back at work in about a week or two, depending on the level of activity required. The first follow-up appointment usually takes place seven days after surgery with a second to follow in six weeks. Most of your discomfort can be controlled by prescribed medication and a topical antibiotic to apply to your suture lines.


While you are still healing, you shouldn't exercise, run, ride a bike, swim, or begin sexual activity for six weeks after surgery. Premature return to the activities can exert pressure on the wound and will unnecessarily delay the healing process. You should avoid long showers, sitz baths will be discussed by your surgeon as post-operative treatment and you should pat the wound dry every time after washing. Maintain good hygiene during your recovery. You should not wear tight clothes or undergarments as they cause friction against the wound. Generally, labiaplasty surgery is a one-time procedure that doesn't involve multiple surgeries.

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Centurion Cosmetic Clinic, understand that getting a plastic surgery procedure is one of your biggest life decisions.
It takes time, planning, and resources. We want you to know that our Plastic Reconstructive Surgeons and the Centurion Cosmetic Clinic team are here to help you every step of the way.



Contact us for free phone consultation with one of our knowledgeable surgical consultants who are trained by our Plastic Reconstructive Surgeons. They will answer many of your questions, provide you with additional information on procedures of your interest and pro-forma quotations. You can decide if you are ready for your consultation with one of our Plastic Reconstructive Surgeons.

Consultation with Dr Paul Pienaar or Dr Liana Volkwyn

Meet your Plastic Reconstructive Surgeon during your one-on-one consultation. During the consultation the surgeon will discuss the procedure, preparations, after care and answer all additional questions. You will be provided with a personalised quotation after your consultation. The consultation fee is R 900.

Preparations & Surgery Day

After you reserve your surgery date, Centurion Cosmetic Clinic will need a 30 % deposit to secure your theatre booking at the Centurion Day Hospital. The surgeon and the Centurion Cosmetic Clinic team will make sure you are well informed and prepared for your big day. Preparation and After care are very important parts of your plastic surgery journey.

Enjoy Results

The post-op phase is an important time. The Centurion Cosmetic Clinic team will make sure you are well informed with post-op information and will arrange your first follow up appointment on the day of your surgery. You will have to visit the Centurion Cosmetic Clinic for your first follow up appointment 7 to 10 days after surgery and then again on 6 weeks after surgery. Healing and recovering are of great importance so you can enjoy your amazing results and your improved quality of life that you have envisioned.

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