Labiaplasty and Vaginoplasty: Cosmetic Vaginal Surgery
Okay, okay. I admit it; it is true. I have thought about labiaplasty. I still think about it. Now, I am going to bare my soul and hopefully nothing else to you in this article. So, before you start thinking I have truly gone off the deep end in a state of ridiculous shallow coma, I have my reasons! And they are not only aesthetic.
Now, don’t expect me to get all super-personal and divulging my innermost secrets, so…I have this girlfriend (seriously), right? Well, this girlfriend told me that she has painful intercourse because her boyfriend and she have, how shall I put this, ‘size differences’. Apparently, sometimes it doesn’t truly matter how much personal lubricant a woman uses, if the guy is um, well-endowed. Tough. Sexual intercourse hurts if it goes on for too long or you have it too often. She said she is starting to avoid it because it tends not to be all that fun due to the pain. I assure her I am in total agreement with her. Poor thing. SO! She and I have traded stories about wanting vaginoplasty, or as I call it, labiaplasty. But, is it worth it?
“As with any plastic surgery, things can go wrong. But when something goes wrong down south, it can change your life in ways you could not imagine. My friend told me that Jenna Jameson had labiaplasty and had complications resulting in more harm than good. I didn’t even know Jenna Jameson had labiaplasty until I was told (and assuming that rumor is true) not that I would know anyway—I don’t watch porn. Apparently, as the rumor goes, there was going to be a movie version of her book, ‘How To Make Love Like a Porn Star’. However, after her alleged surgery reportedly didn’t go so well, she decided to take it easy for a while. Can you imagine more pain or being less-aesthetically pleasing than before? With too much pain, then you can’t use it at all. “
Why Have Labiaplasty or Vaginoplasty?
Now to your obvious question, why on Earth would someone mess with what God gave them down there for simple aesthetic reasons? Well, not all of us have perfectly airbrushed Playboy hoo-hoos. If you have ever seen a Playboy centerfold, the Playmates have their hoo-hoos airbrushed so that they are, for lack of a better word, trim. There is no labia minora hanging out of, or below, the perfectly symmetrical and small labia majora and the clitoris (I can’t believe I am even talking about the clitoris in public) is small and almost completely hidden except for a lil bit o’ hood showage. That ain’t natural, that’s Photoshop.
There are two types of Vaginoplasty categories, Internal and External Vaginoplasty. They are then further broken down into several sub-categories of other procedures. Not only can it benefit women who have painful intercourse, it can be for those who have had children and have larger than desired labia minora, or majora. Some women don’t even have to have children to have this problem, as they can have it genetically. Most internal procedures commonly consist of tightening. A common external tightening procedure is often performed after childbirth after an episiotomy during pregnancy, you know…the “extra stitch”. The internal version is more in-depth and leaves more room for error. I cannot relate because I have not had children, and (TMI Alert) my problem is on the opposite end of the scope. But, I am not sure I would risk internal tightening myself were it warranted. I would more than likely have a Cesarean anyway. But I simultaneously digress and get ahead of myself. I am not even sure I am having children yet. I am presently ‘undecided’.
As with most magazines, the media tends to set some sort of intangible-for-most Gold standard we are all supposed to measure up to. I am not saying it’s right; it is what it is. I am not thrilled that men, and men don’t call me bitter, seem to determine what we as women should resemble and then we do it even if we think it’s not fair. It is an ongoing debate and many argue that we prefer what we like because it does, indeed, look better—like breast implants. Sorry ladies, I am one of the women who feel that implanted boobs are way better looking and feeling than natural ones (of the same size). I should not lose my Woman Card (I shouldn’t even have to tear a corner off of it!) because I feel this way; I am being honest. I should mention that the media and men do not sway my decision.
Do I feel the same about hoo-hoos? Honestly, no. If I didn’t have to show it to anyone, I would not care what it looked like. The decision is usually and partly because of we ladies wanting to look more trim to our sex partner. Although I doubt men notice the difference nor do I think they even care. Why would I do it? MOSTLY because (TMI Alert) it friggin’ hurts. I still can’t believe I am talking about this. ANYWAY! I am going to break it down…so ladies, if there is a part [a piece of skin] that becomes inflamed with a larger partner, I say cut it off!!! There, I said it. Plus, external labiaplasty (namely the minora) reductions, IMHO, can make you look a little neater. Read below.
External Labiaplasty Surgeries
Let’s talk about external, since it is more for aesthetic reasons anyway. As I said, these procedures fall into several sub-categories. Some of which you may already know about, others you’d be surprised about.
- Labia minior and majora reduction: It is true; you can reduce the size of both labia types if you so choose. Common methods were to snip the ends off, suture it and call it a day. Not so much anymore. Several doctors I spoke with advised they prefer to remove a section in the middle of the labia and suture it closed, thereby reducing its overall size. Why? Because apparently scar tissue on the ends can be a real issue and cause more pain than not. Also, keeping the natural, let’s call it an ‘edge’, looks more natural and requires less downtime for the healing process.
- Fat Injections/Injectable Fillers to the Labia Majora: I kid you not. Just as with your face, as you age you can lose fat and collagen. Plump them back up, if you so desire.
- Laser Rejuvenation: If it’s wrinkly, you can actually tighten the look of the visible Labia Majora skin. Ouch.
- Clitoral Injections: It’s true! Not reaching orgasm without a little help, not reaching orgasm at all? Some women are choosing to have their clitoris injected so that it is more prominent and is more easily stimulated. Not exactly aesthetic, but it does make it stick out more if it is too hidden. If there is such a thing.
- Bleaching: Seriously. Don’t like the color of your goods? Some doctors are actually using chemical peels to lighten the skin and making it pinker. Lasers have been used for this as well.
- Pubic Hair Removal: Not exactly labiaplasty, but hair removal is a super-popular way to clean up the appearance of your southward bidness.
Internal Vaginoplasty Surgeries
Most of the procedures in this category are simply different methods in vaginal reconstruction. Cosmetic vaginal surgeries of this type are designed to tighten the vaginal canal and is often a procedure chosen by women who have had children. They may incorporate methods which have been utilized in sexual reassignment surgeries, or they may have invented what they deem to be a superior method. Be sure your doctor explains what he/she intends on doing and how many procedures such as this they have performed. Cross-reference via the Internet, talk to other patients, etc. Although obviously, procedures to tighten a natural vagina are far less complex, dangerous and prolonged, not everyone knows what they are doing.
Some procedures simply include injections to the G-spot to increase the probability of a non-clitoral orgasm. (Hmmmm…) And still others, to remove folds of skin that essentially get assaulted during intercourse.
Again, Why?
So, you see, it’s not just about aesthetics and conforming to a Gold Standard that is now invading our most private parts. It is about being comfortable. Comfortable with ourselves and being intimate with someone that we love (or not). The one thing it is is a personal choice. A choice we should not be judged for. Come on ladies, don’t disapprove of your friend for getting a cosmetic vaginal surgery which is honestly none of your concern. If you could walk a mile in someone else’s hoo-hoo you might not be so apt to make a harsh judgment about them. As unrealistic as that sounds, what I am trying to say is, it’s ludicrous to put your two cents in when you have no idea what the other person is feeling or has to go through during something so basic [and not so basic for some] as sexual intercourse.
Even if you want it for aesthetic reasons, granted your reward is simply aesthetic and not comfortability, but it’s your vagina. Do what you want with it. Regardless of your reasons, you are just as entitled to opt for a surgical change to your body, as you are to switch brands of dryer sheets. No one should tell you, or make you feel guilty, for wanting to change any aspect of your physical body. YOU have to live with it, and whether it is causing you pain emotionally or physically, you get to make the choice to alter your path.
If you’re the one having cosmetic vaginal surgery, pleeeeeeeeeease do your research. This isn’t getting Botox, or Restylane. This is messing with something functional. And even if you have surgery with The Labiaplasty Master, there are still inherent risks you must weigh before you choose to go ahead with surgery. Risk versus reward.





Reader Comments (12)
Hi Marianne...
First off, I wanted to say thanks for writing about your experiences so candidly and intelligently. I have learned so much during the two years or so I've been visiting your site.
Secondly, I wanted to echo what you said about doing your research. I had always been self-conscious about the size of "things" in that area. So, when my ex-boyfriend pointed out how large and asymetrical I was, I was mortified. He then offered to fix things up for me. So, that was how I found myself nekkid from the waist down watching my ex's head from above as he carefully sutured me up. This was also when learned I was his "first." Labioplasty that is...
When things healed up, I discovered I was once again asymetrical though now it's because he essentially snipped off my left labia minora. Yes, as in, it's totally gone...
Anyway, the moral of the story is: Do Your Research!!! Ask for pictures, discuss technique (I think the "wedge technique" produces nice results), and ask questions. And don't go to your ex-boyfriend who has no experience with the procedure you're wishing to undergo.
Lastly, if you get some time, will you discuss your experience with fat transfer a little more in depth? I'm thinking about doing some on my face along with the feather lift/wire scalpel but I'm nervous about doing all of this at 30.
Thanks for all your hard work and knowledge! You're gorgeous inside and out!
Carrie
Carrie,
As I am sure you now know, your ex-boyfriend was an complete jacka$$. Who is he to say anything of yours, much less something so private, is asymmetrical and 'large'. You should have kicked him in the ding-ding as soon as the words left his mouth.
Thank you for writing and sharing something so intimate. I know it has always been so hush-hush but it is time we are able to do as we want with our own as we please. And without repercussion to our Woman Cards!
As a woman, I have often felt it natural to simply "deal with: the pain which can be caused by our anatomy. I am not saying go out and get our pee-pees nipped and tucked over one man. I am saying, if it is an ongoing issue. Deal with it. If it's aesthetic, get err dunn!
I am just so sorry some jerk talked you into to doing something that is a decision all your own. But,I understand, I think if my boyfriend were to make a comment, I would be mortified as well. You don't see me asking for a few inches of girth to be removed. WTH? Granted size matters regarding men so I 'get' the props they receive when they are too large. We don't care if they tilt to the left or right, heck we don't usually care when they eventually go bald or get *fat* But us? We are expected to be Playmates 24-7. No fair. When are we going to get the acceptance we so crave? When's gonna be my time?? When Lord, when!!
Like you said, we need to do our research. If we are going to do it, so be it. But we shouldn't be someone's first. And we shouldn't be someone's last. Somewhere in between would be nice, with competence on our side.
Thank you again, It is good to have someone write in and let me know I am not the only one.
M
It's really refreshing to see someone opening up about something so intimate.Thanks for being brave enough to post everyone!I was really embarrassed to see a Dr., but I found a really great surgeon in Bal Harbour, Dr. Michael Salzhauer. His website was great(www.balbody.com) I am having a labiaplasty and breast augmentation right before Christmas, I 'll let you know how it goes. Wish me luck!!!
Mariane,
You might consider whether what you are feeling is a chronic inflammation known as Vaginal Vestibulitis. The vestibule of the vagina is sort of a horseshoe shaped centimeter or so on the lower side of the entrance of the vagina and is easily irritated. At any given time, about 10% of women are experiencing irritation, and for a number of those, the pain is chronic (and sometimes severe). I experienced pain with intercourse for well over a decade before I was finally diagnosed properly. Treatment is, unfortunately, somewhat elusive, but I had great luck with capsaicin cream. If you try this, put an almost microscopic amount (got a tiny tiny dab on your index finger? OK, wipe off 3/4 of it) on your vestibule. Do thiss every day. It hurts like an M.F. the first few days, but after that it is more than tolerable. There are other, more invasive treatments, but this one worked for me.
Anyway, the point is: INTERCOURSE SHOULD NEVER EVER BE EVEN A LITTLE PAINFUL. Also, vestibulitis is both incredibly common and incredibly underdiagnosed. A bit like bacterial vaginosis, which was rarely diagnosed until a few short years ago... but that is another story. Talk to your OB-GYN before going to a plastic surgeon! Or at least google Vaginal Vestibulitis and see if it sounds familiar.
It is only usually painful after sex with a larger partner. Usually repeat sex, 1-3 times. Then I am done for a week. If my partner is, let's say, average, then not at all unless it is a considerable amount of sex which lasts an hour nonstop or upwards of a few hours.
I truly only started experiencing it regularly with a recent partner because the 'size difference' is considerably different than what I have been accustomed to. Before, the occurrence was very sporadic and usually only due to an abundance of intercourse.
I never have any irritation or pain at any other time other than sexual intercourse which lasts longer than "normal" and without much lubrication, or when, like I said, the size difference is an issue.
Can it still be vestibulitis? I still cannot believe I am posting about this publicly. Seriously. I am truly embarrassed but I am sure there are many other women out there who wonder the same thing.
Marianne,
Let me tell you my story, hope it helps.
About 12 years ago, at the age of 16 I was victim to a rape which required a tad bit of reconstruction and stitches (all external). Two years later I became sexually active or at least tried to become sexually active. It so happened that the stitches I was given previously were a bit more than maybe was needed and sex was a best excruciating. It didn’t help that I chose a man who was more than well endowed (nearly 11 in and too much girth for my hand ), compounding they problem. As you can image, I was a bit confused and embarrassed by the whole thing. I didn’t seek treatment at the time. Instead, as stupid as two young people can be, we tore right thru it, literally. After nearly 8 months of frequent attempts “loosen things up thru sex”. A lot of scar tissue was created from the frequent tearing. I know people reading this have got to be thinking, “why subject yourself to that”, well teenagers do strange things for sex and well I wanted to be normal. After 6 years together with the same well endowed man and the abuses we subjected my body to, I am anything but a porn star model.
At this stage, I am now married to an average man and our sex life has some problems, some of which are mine. I have had no children or other incidents. The frequent abuses and tissue damage has created the opposite problem in my later life. I now have almost no muscle tightness and get very little pleasure out of sex due to lack of sensation and or the frequent slippage of my partner from my body. I have discovered that my husband, although very understanding is not all that interested in sex with me. I feel like my vagina is that of a woman who is sixty and has given birth to the whole Brady bunch horde.
The moral of the story here, is that the abuses I put myself thru created a different problem in the long run (this is confirmed by my GYN). Had I been older I would have seen a doctor and had it addressed. If I had it to do over, I would have chosen a partner not only suited as a companion, but also to my size and refrained from engaging in sex with a man like that at all. Now, I am looking for a surgeon to perform a Vaginoplasty to tighten the muscles and get tide of the external scar tissue, although I am told it will only help so much. I don’t like to idea, but feel unless I never want to enjoy sex, I have no choice.
The first thing I did when I heard the word "vaginoplasty" is check out and compare myself to "the norm" via googling pics on the web. Then I thought... how sad that I'm compelled to do this. No... I just gotta draw a line here folks. This ain't right.
I used this dr before. They have great resources on the subject too.
A great resource for
Vaginal Reconstruction
Can someone please tell me how long they really waited to have sex after labiaplasty, and if it hurt?
Ladies, Thank you so much for sharing your stories. I no longer feel so alone. I am having a problem with my labia majora. They are losing elasticity and getting longer. It is uncomfortable to sit and when I wear a bathing suit of underwear I have a "camel toe." I hate it so much, I am aware of it every minute of every day. I don't want a filler, because I don't want them to get any bigger. I want them "trimmed" back to the way they were. I see a lot of info on labia minora reduction but not majora. Any advice from anyone?
I am exactly six weeks into my recovery from a vaginal rejuvenation, labiaplasty, and a rebuilding of my perianal zone. After "complete tears" from my two childrem, I had substantial physical, aesthetic and functional issues in my nether regions. In the words of my plastic surgeon, I looked like a misbuttoned shirt! At any rate, the recovery is much slower than I expected. And a lot more painful. I've snarfed down a year's worth of painkillers in days. After each birth, I was ready to have sex within five weeks. (really!) After this surgery. I just today (six weeks and one day) woke up and didn't think - "Hey, my vah-jay-jay fells like I've slept on a cheese grater!".
I have no idea when I can have sex again. I have a sickening feeling that I've been closed up a bit too tight and will need to hang on to several days worth of vicodin. However, I do feel improvement each day.My labia lips are still sore, I still can't sit straight on my ass and I'm terrified that I've done something irreversible. If readers are interested, I'll give more details of the recovery and the attempts to have sex again.
C
BG,
I am so sorry for what you have gone through. My heart goes out to you. For some reason I didn't see these responses and I feel awful that I have not responded. I honestly did not see them.
I cannot thank you all enough for reaching out and sharing your own stories. you have honestly made a difference in the lives of other women who feel the exact same way--including myself.
The other day after sex, apparently it was too rough, not enough lubrication, well one side of my labia minora was SO swollen, like the size of a tangerine segment. I was severely embarrassed and in my too-much-drinking state began to cry and felt disgusting. It turned out to be engorged from blood and compounded by no release, plus the roughness and size was a contributing factor. It lasted until the next day. I searched frantically on the Internet to see if I was "normal". It turned out that indeed I was. It is common.
I, too, have Googled images to determine what the "normal" appearance a bah-jay-jay is, and we apparently come in all shapes and sizes. The impact of the expectations of men after see the airbrushed bodies of playmates all of their lived have definitely affected our self esteem through the apprehension we feel during sex.
All I can say is, do what you have to do and pray all works out. I was talking about surgery the other day simply because my leg straps on my BASE container pinch me when I walk so I wait until I get to the exit point before I tighten them. MY boyfriend made a comment and said, "well it shouldn't be all hanging out like that" IN FRONT OF PEOPLE!! I was mortified. But, it turns out he meant because I was going commando (sorry, I admit it) and not because of any anatomical issues in his opinion. Nonetheless I was affected negatively by his comment :( We all then got on the subject of labiaplasty. With me being the only girl. It was embarrassing, but these guys (other than my b/f) had never even heard of surgery for this area and wondered why a woman would do such a thing.
Ladies, we have the choice to do whatever we want to our bodies, with no judgment from others.