Excess of labial tissue is not uncommon. This can cause concern and embarrassment. More of a problem, however, is problems it may cause during sporting activities and in some cases pain or discomfort during sexual intercourse. Excessive and hanging labial minoral (inner lips) tissue is usually the problem but other issues may include bulky or excessive labia-majora (outer mound) tissue, a tight or obstructing clitoral hood or overly full mons pubis (upper mound). Labiaplasty addresses these concerns by removing excess or unsightly labial skin and tissue.


There are several not uncommon problems that can cause you to feel embarrassed about your vagina. These include:

  • The inner labia protrude outside your outer labia, are excessive or unsightly
  • The labia are out of shape, irregular or uneven
  • The labia have changed appearance following childbirth
  • The clitoral hood is excessive and “buries’ the clitoris
  • The labia majora (outer lips) are excessive or unsightly

Some women consider surgery because of aesthetic or cosmetic reasons – their labia may be visible through swimwear or underwear, or the appearance of their vagina might make them feel embarrassed or lacking confidence during sexual activity, particularly with a new partner. The condition is usually bilateral (both sides) but in some cases may only involve one side.

How is the Labiaplasty procedure performed?

Surgical reduction of excess labial tissue is a delicate, safe and effective way to deal with these concerns and problems. Your surgeon will trim back the labia minora to a plane level to the labia majora. However,  your surgeon might undertake a wedge excision technique, in more pronounced cases. In some instances, your surgeon may undertake labia majora reduction or clitoral hood reduction. At the time of consultation, your surgeon will examine you and will discuss and recommend the best method in your particular case.

Labiaplasty is a day stay surgery, involves a light anaesthetic and has little down time. The tissues heal quickly and well with return to normal activity in a week or so. Sexual activity is usually restricted for some 4 weeks or so.

Dr Drielsma has a long and extensive experience with this surgery. Possible complications include minor wound separation, early pain on intercourse and undercorrection but these and other complications are unlikely. Dr Drielsma will explain in detail the procedure, it recovery and possible risks and complications in your consultation.

**Results may vary for individual to individual