How to tighten skin on labia majora

In people over 40 years of age, there is certain need to tighten labia majora, to remove excess skin and fatty tissue. This is a surgical problem solving. If the shape and size of labia majora are aesthetically acceptable, but there is certain sagging, skin shriveling, it is enough to repair the firmness of the labia majora with hyaluronic fillers. Sometimes there is a structural cause of this phenomenon in very young people. The treatment can also be applied to young people without any consequences. This is an aesthetic procedure which does not affect the sensitivity of genital organs.

Procedure and recovery: This is a short, painless procedure and the recovery period is short. The duration of the effects depends on the quality of the fillers, but in any case they do not last for more than two years. If the procedure is performed with the patient’s own fatty tissue, the effects can last for many years.

Complications: Complications arising from this procedure are rare and mild. Certain hematoma and swelling may occur in the period of 7 days after the treatment, due to which the patient is advised to refrain from sexual intercourses and heavy physical work during this period.

Labia majora tightening using fillers (1 ml of filler) - 300
Note: Prices are in Euros.
Payments are made in dinar counter-value at the middle exchange rate of the NBS on the payment date. The complete price list of services is available here


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A labiaplasty is surgery to reduce the size of the labia minora – the flaps of skin either side of the vaginal opening.

It should not be done on girls younger than 18 because the labia continues to develop beyond puberty into early adulthood.

Some women want a labiaplasty because they do not like the look of their labia. But it's completely normal to have noticeable skin folds around the opening of your vagina. In most cases, it does not cause any problems, which is why labiaplasty is rarely available on the NHS.

Find out more about how puberty can change the appearance of your vulva (PDF, 2.73MB).

What to think about before you have a labiaplasty

Having a labiaplasty is a big decision that you should think about carefully. It can be expensive and carries a number of risks.

There's also no guarantee you'll get the result you expected, and it will not necessarily make you feel better about your body.

If you're thinking about having a labiaplasty, discuss it with your GP first.

You may have a condition that's causing discomfort, which can be treated. Or there may be a reason why the operation is not suitable for you.

Your GP may advise you to speak to a counsellor or psychologist before committing to surgery.

Find out more about deciding whether cosmetic surgery is right for you.

How much does a labiaplasty cost?

In the UK, a labiaplasty costs about £2,000 to £4,000, plus the cost of any consultations or follow-up care that may not be included in the price.

You cannot usually get a labiaplasty on the NHS

A labiaplasty is not usually available on the NHS. But it may be offered in some circumstances – for example, if the vaginal lips are abnormal, to repair tears after childbirth, or to remove cancerous tissue if a woman has vulval cancer.

Choosing a surgeon

If you're having a labiaplasty in England, check with the Care Quality Commission (CQC) to see if the hospital or clinic is registered with them.

All independent clinics and hospitals that provide cosmetic surgery in England must be registered with the CQC.

Be careful when searching the internet for labiaplasty surgery. Some clinics may pay to advertise their services on search listings.

Check the surgeon is registered with the General Medical Council (GMC). They should be listed on the specialist register and have a licence to practise.

Also, check the British Association of Plastic Reconstruction and Aesthetic Surgeons (BAPRAS) or the British Association of Aesthetic Plastic Surgeons (BAAPS) to see if the surgeon is a "full member" on the specialist register for plastic surgery.

Always book an appointment to meet the surgeon before the procedure.

Ask your surgeon:

  • about their qualifications and experience
  • how many labiaplasty operations they've performed
  • how many operations they've performed where there have been complications
  • what sort of follow-up you should expect if things go wrong
  • what their patient satisfaction rates are

Read more about choosing who will do your cosmetic procedure.

What a labiaplasty involves

A labiaplasty can be done using either a general anaesthetic or a local anaesthetic with sedation.

It involves shortening or reshaping the vaginal lips. The unwanted tissue is cut away with a scalpel or laser. The loose edge may be stitched with fine, dissolvable stitches.

The whole procedure takes about 1 to 2 hours.

You may be able to go home the same day.

Recovery

You may need up to 2 weeks off work to recover. It can take a couple of months for the skin to fully heal.

During this time you need to:

  • keep the area clean and free from infection
  • wear loose underwear and clothes to prevent rubbing
  • avoid sex for about 6 weeks
  • avoid physical activity for 6 to 12 weeks
  • use sanitary towels instead of tampons for a few weeks

Your surgeon may give you more specific advice to follow.

Side effects

It's normal after a labiaplasty to have soreness, bruising and swelling for up to 2 weeks.

During this time, peeing and sitting may also be uncomfortable. You'll be given painkillers to help with this.

What could go wrong

A labiaplasty can occasionally result in:

  • bleeding
  • infection
  • scarring of tissue
  • reduced sensitivity of the genitals

Any type of operation also carries a small risk of:

  • a blood clot in a vein
  • an allergic reaction to the anaesthetic

Your surgeon should explain how likely these risks and complications are, and how they would be treated if you have them.

What to do if you have problems

Cosmetic surgery can sometimes go wrong and the results may not be what you expected.

Speak to the surgeon at the hospital or clinic where you were treated if you experience complications after having a labiaplasty, or you're unhappy with the results.

You can contact the CQC if you have any concerns about your care. If necessary, you can make a complaint about a doctor to the GMC.

The Royal College of Surgeons also have more information and advice about what to do if things go wrong.

Further information

BAAPS: aesthetic genital surgery 

BAPRAS: female genital tract surgery 

Royal College of Surgeons: cosmetic surgery FAQs

How can I tighten my labia majora naturally?

Kegel exercises.
Pick a position for your exercises. Most people prefer lying on their back for Kegels..
Tighten your pelvic floor muscles. Hold the contraction for 5 seconds, relaxing for another 5 seconds..
Repeat this step at least 5 times in a row..

Can you tighten labia skin without surgery?

Non-surgical devices such as Thermiva, Femilift, etc. use laser or radiofrequency energy to heat internal and external tissues. Treated tissues respond by making new collagen, becoming firmer, and thickening the mucous layer.

How do you fix a sagging labia majora?

How can the appearance of the labia majora be improved? If the problem is volume loss, a small amount of fat can be injected into each side to recreate the fullness that has been lost. If there is too much skin, a patient may want to consider a labia majoraplasty.

Why is my labia so big and wrinkly?

"From birth until puberty, the labia minora are tiny and barely even there, but at puberty, a girl starts releasing hormones. That's when the labia minora grow, so they can get longer, darker in color, and wrinkly."

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