What is a labia majoraplasty?

Prominent or bulky labia majora may be problematic for some women by causing an embarrassing bulging under pants, swimsuits or tight clothing.

A labia majoraplasty is a procedure designed to surgically reduce the size of the outer, hair-bearing labia majora. Aging or excess fat deposits (genetic or from general obesity) can enlarge and stretch the labia majora, causing sagging skin of the labia majora in patients.

Before and During the Procedure

Before undergoing a labia majoraplasty surgery, Dr. Rodolfo Castillo board-certified plastic surgeon makes a detailed consultation and assessment. During this appointment, determine if you are a candidate, explain the procedure, discuss your expectations and take action. The doctor may require some preoperative studies and ask that you stop certain medications before treatment, guidelines on eating and drinking and quitting smoking.

Dr. Rodolfo Castillo will remove two slight crescents of skin from the inner portion of each labium. The amount to be removed depends on the amount of excess tissue. In some cases, when there is atrophy of fatty tissue, a small amount of fat can be transferred from another area of the body after liposuction. Closure is usually done with absorbable sutures.

After the Procedure and Recovering

Dr. Rodolfo Castillo board-certified plastic surgeon and our staff will provide detailed postoperative instructions so you can experience a successful recovery.

Most patients are seen at 3 weeks post-op to evaluate the healing. You may feel some itching as sutures dissolve. Revisions can be considered once full healing has occurred, typically no sooner than six months from surgery.


Following your labia majoraplasty surgery, Dr. Rodolfo Castillo will recommend you to:

  • Must wear compression garment or elastic bandages after the surgery
  • Avoid straining, bending and lifting or any pressures on the suture lines
  • Avoid vaginal penetration for 6 weeks
  • Avoid wearing tampons or having intercourse after four to six weeks
  • In case of any infection, wash the wound with soap and water. If discomfort persists, contact your Patient Care Coordinator