Not all labiaplasty procedures are the same. In fact, when we speak of labiaplasty, we’re actually talking about one of several different techniques. The actual technique that you undergo will vary according to your needs and according to the plastic surgeon that you’ve hired. One of the most common techniques is the reduction of the female labia majora. Let’s take a closer look at it. The Labia Majora Reduction is a technique that is nicely suited for the woman who feels that labia majora (the outer lips of the vagina area) are overly puffy or fatty. This excessive puffiness can be chaused by childbirth, sudden weight gain and loss, or even by genetics. One possible result of enlarged labia majora is a trapping of moisture, which in turn causes skin irritation. Many women who experience yeast infection can trace it back to this fatty condition. One way that a surgeon moves this excess fat is through liposuction. The name says it all: liposuction is simply the use of suction to remove fat from under the skin. Liposuction in a labiaplasty causes the labia to appear more attractive and streamlined. Sometimes a mons pubis reduction will help, as well. This is because the labia majora and mons pubis are connected, and sometimes, if we change one, we must change the other, so as to avoid the appearance of a visual imbalance. Sometimes, though, liposuction might not work well. In this case, we might opt for labia excision, in which we remove portions of the outer lips in order to tighten any wrinkled and / or loose skin. When the surgeon opts for labia excision, she actually hides the incision in the valley between the patient’s labia minora and labia majora. It presereves the woman’s looks and genital sensation, and leaves no external scars. And then there’s augmentation. The plastic surgeon and patient might choose this when the lips appear atrophic and too wrong, or insufficiently full. In augmentation, we cut away any excess hanging tissue and we inject a filler (often fat), in order to achieve fuller outer lips. Deciding if reduction of the labia is right for your situation will require a consultation between you and your plastic surgeon. However, if you have any general questions about this technique, feel free to contact me, and I’ll be happy to answer your questions.