How To Decide If Labia Majora Liposuction Is Right For You

Labia Majora liposuction is a procedure performed on women who feel the outer lips of their vagina or Majora Labia are too loose or fatty. A skilled plastic surgeon can reshape this area by removing or transferring excess skin or fat. This surgery is performed on an outpatient basis and has minimal recovery time.

The outer lips of the vagina, the Labia Majora, may lose their elasticity and become enlarged after childbirth. Older women and women who've lost an excessive amount of weight may also experience loose tissue in this area.

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The outward appearance of this condition may be referred to as a "camel toe" when a woman wears tight pants, shorts or a tight swimsuit.


When the outer lips of the vagina are stretched, it can cause embarrassment, discomfort and intimacy problems. A plastic surgeon that reshapes the vaginal area can perform surgery to reduce the size of this loose tissue.

Should You Consider A Labia Majora Procedure?

The appearance and irritation caused by large outer vaginal lips may leave some women no choice but to inquire about a procedure to make the area tighter and more appealing. Here are a few of the signs that a reshaping surgery or similar procedure may be right for you.

  • You have chafing from everyday walking and activity.
  • You have irritation or feel embarrassed while having sex.
  • You avoid the beach or any activity when you’re expected to wear skimpy or tight clothes.
  • Riding a bike or working out may be painful.

 If you experience ongoing irritation, you may develop yeast infections, odor, or urinary tract infections. Large outer vaginal lips trap a lot of moisture, which harms vaginal health. The swelling and irritation caused by oversized Labia Majora may make regular vaginal hygiene difficult and lead to more infections.

What To Look For In A Surgeon

A doctor specializing in female genital plastic surgery should discuss the following issues with you before you commit to the procedure, and show you before and after photos of previous surgeries.

  • The contour of the area should be visually pleasing and smooth.
  • The skin tone should match the rest of the outer vaginal area.
  • The symmetry of the outer lips should be even and aesthetically pleasing.
  • The size should be appropriate for your genitalia and overall pubic area.
  • The post-surgery area should be smooth with no visible suture lines.

Choose a plastic surgeon who has performed surgery on female genitalia before, including the outer vaginal lips. You can learn about a surgeon’s experience by looking at his or her website, and viewing the gallery of successful surgeries.


Always select a board-certified plastic surgeon. The doctor should be a member of the American Society of Plastic Surgeons and have certification by the American Board of Plastic Surgery or the Royal College of Physicians and Surgeons of Canada.


The surgeon should have six years of post-medical school training and three years of residency training in plastic surgery. Check to see that your prospective surgeon has graduated from an accredited medical school and has taken patient safety and continuing education courses yearly.


Your procedure should be performed in a state-licensed, Medicare-licensed or accredited surgical facility.

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Some women believe a gynecologist with plastic surgery training is better equipped to perform female genital surgery than a plastic surgeon. A gynecologist with plastic surgery training can remove excess skin on the outer labia, but will not have the aesthetic know-how of a plastic surgeon.


A plastic surgeon will know how to make the labia look natural and can minimize scars during the procedure.


There are a few ways to reduce or reshape outer vaginal lips, and a plastic surgeon who specializes in the vaginal area will be able to help you decide which procedure is best for you.

Remodeling Surgery Or Majoraplasty

Some plastic surgeons refer to the procedure as a Majoraplasty, which reduces the hair-beating outer lips of the vagina.


A remodel of the outer vaginal lips is outpatient surgery. The plastic surgeon performs it while you are under general anesthesia or oral sedation. The surgeon conducts the procedure by removing tissue from the posterior aspect of the lips and then tightening and reshaping the entire outer lip area.


A plastic surgeon may also remove two small crescent-shaped pieces of skin from inside each labium. The exact amount depends on the size of the drooping or loose tissue. When the surgeon finishes, the area may be closed with thin, absorbable sutures.


Fat Transfer

Fat transfer from other parts of the body can improve tissue fullness and appearance. Some patients who have liposuction of the thighs, buttocks, pubis or abdomen can have harvested fat supplied to the outer vaginal lips.


If you don’t need liposuction performed on other areas of your body, the surgeon will transfer a small amount of fat from another part of your body, without a liposuction procedure. This fat transfer or “informal liposuction” procedure will help women whose tissue is loose, but not bad enough to merit formal remodeling.

Liposuction Or Sculpting

Consult a female genital plastic surgeon for a procedure to sculpt the Labia Majora. This procedure is informally referred to as liposuction) of the “camel toe” or fatty outer vaginal lips. The liposuction or sculpting procedure removes the fatty bulges that cause "camel toes.”


Wearing tight clothing and underwear may be less irritating, and you're likely to look and feel more attractive after this surgery. Like the more generic fat transfer, this procedure is often performed while liposuction is performed on other body parts.


Suction removes fat from under the affected area and makes the outer vaginal lips look firmer and more attractive. A surgeon may also reduce the size of the Mons Pubis, too, as it is connected to the outer vaginal lips. If one is changed surgically, the other should be changed to achieve a balanced-looking outer vaginal area.


The Mons Pubis is round, fatty tissue that rests over the joint of a person’s pubic bone. It is sometimes referred to as the Mons Veneris in women.


This outpatient procedure takes place in your doctor's office or clinic. It may last 30 to 40 minutes, depending on how much work the surgeon needs to do.


The risks of any surgical reshaping procedure of the outer vaginal lips include infection, bleeding, scarring, hematoma, and under suctioning or over suctioning the area.


Preparing For Liposuction Or Sculpting Surgery

 During your pre-surgery consultation, you'll provide your doctor with your medical history and a list of the medication, vitamins, and supplements you take. Before surgery and for a week or two afterward, stop smoking if you do smoke. Nicotine is harmful to healing and circulation.


Stop using aspirin, St. John’s Wort, fish oil, Vitamin E and any blood-thinning medications for at least a few days before and after surgery. Blood thinners exacerbate bruising and bleeding and may cause other complications.


Your doctor will give you a list of supplements and medications to avoid, and let you know how long you should refrain from using them.

After Surgery And During Recovery

Immediately after surgery, you’ll experience some bruising, mild pain or swelling. Your doctor will prescribe safe medication to control the discomfort.  Full results may take as many as six weeks. Antibiotics may also be prescribed to prevent infection.


Avoid strenuous activity, wearing tampons, and sexual intercourse for four to six weeks. Your surgeon will let you know the exact amount of time, depending on your particular procedure. Your doctor will schedule one or more follow-up appointments to make sure you are healing properly.


Recovery differs for everyone. You should be able to walk normally the next day and take showers again on the second day after surgery.


Some surgeons may require that patients wear a compression "panty" for a week or two after surgery so that the renewed outer labia achieves the desired appearance. You can exercise normally and participate in sports about two weeks after the procedure.


Most women take at least a week off from work. You can use a cold pack between your underwear and an elastic garment to reduce any swelling. Use the ice pack for twenty minutes, then leave the area free for twenty minutes before reapplying the pack.  You can also elevate your buttocks while lying flat to curb the swelling.


If you experience bleeding, wear a sanitary napkin. Always call your doctor if you notice excessive bleeding. Follow a healthy diet, exercise and maintain your ideal body weight after the recovery period to retain the new, sculpted appearance of your outer vaginal lips.


In some cases, swelling lasts up to six months, although it usually subsides after six weeks.


All procedures designed to reduce loose skin in the outer vaginal lip area will eliminate the drooping that makes wearing tight clothes uncomfortable. When you stand up, the tighter skin will eliminate any sign of "camel toe."

Other Surgical Methods

 When liposuction or sculpting is not recommended, some doctors perform an excise of the labia. In this procedure, the surgeon removes some of the tissue in the outer lips to tighten loose or wrinkled skin. The doctor will hide the incision in the area between the labia minora and majora.


Hiding the incision leaves the appearance and physical sensation of the genitals intact. You won’t have any visible scars.


You may also receive augmentation if your outer lips are thin because of genetics, atrophy, or for other reasons. The surgeon injects fat or another filler to flesh out the lips and eliminates any extra hanging tissue.

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