Before Surgery	After Surgery	Before Surgery	Before Surgery
After Surgery	After Surgery	After Surgery	After Surgery

Before Surgery

After Surgery

Before Surgery

After Surgery

While many women are becoming more and more aware of labiaplasty surgery, which refers to reduction in size or reshaping of the inner vaginal lips, less attention has been given to labia majoraplasty, or surgical rejuvenation of the labia majora, the large outer lips at the vaginal entrance.

These structures can lose their original firm, well defined appearance for many reasons. There can be genetic causes for loosening of the supportive connective tissue below the surface. The skin can lose its elasticity and youthful appearance from aging, childbirth and weight loss. All of these conditions result in sagging, droopy labia that is esthetically unpleasing, sometimes sexually embarrassing and is yet another reminder of getting older.

So what can a woman do? Many fillers have been used, such as fat harvested from one part of the body and injected into the labia majora, or synthetic fillers like Restalyne® or Juvederm® are utilized to avoid the unpleasantness of transferring fat from one part of the body to another. Most recently, Dr. Jennifer Berman, a renowned Los Angeles sex therapist and until recently a long time vocal critic of vaginal rejuvenation, revealed on the nationally televised program “The Doctors” she personally underwent labia majora augmentation with the filler Sculptra® because she saw how her sagging labia majora were impacting her self image and sense of youthfulness. Dr. Berman’s courageous public reversal from skeptic to avid supporter of vaginal rejuvenation procedures can only further empower women to take control of their bodies.

However, all of these injections and fillers have limitations and are not without risk or side effect. They are expensive, need to be redone periodically and can leave areas of irregularity and unsightly bumps if the material is not distributed deep or evenly enough. They provide good results but are only temporary solutions.

The only permanent solution is labia majoraplasty. This is a surgical procedure where all the unsightly, hanging skin is removed along with some of the underlying tissue that has lost its ability to maintain resilience. The remaining connective tissue is then shrunken and firmed using specialized surgical techniques, followed by joining the refreshed skin edges together with fine dissolving sutures. Majoraplasty, when done by a surgeon trained in this specialized technique, takes little more than an hour as an outpatient procedure. The key to successful healing with a great cosmetic outcome is compliance with all post operative instructions and diligent use of prescribed medications and anti-aging creams to prevent scar formation.

Labia majoraplasty is often performed in combination with other types of cosmetic surgery such as vaginal rejuvenation, labiaplasty, vaginoplasty and hymenoplasty, as well as traditional plastic surgical procedures.