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Last Article in Annales de Chirurgie Plastique et Esthetique Française : Labiaplasty: Plastic or cosmetic surgery? Indications, techniques, results and complications.]: Cliquez ici 

Labiaplasty is the surgical term for labia minora reduction. This procedure has become popular among plastic surgery patients because physical discomfort and cosmetic concerns are virtually always combined. Demand for this procedure is becoming common for  young patients who  have been nourishing a complex since their early adolescent years that is disturbing their love life. There are several possible corrective surgical techniques, the postoperative courses  vary significantly. The traditional method (longitudinal resection) remains the most widely used, but requires resection of the larger part of the labia minora, that is why in the V plasty technique seems more appropriate. The benefits, technical details, complications and postoperative course of the V plasty technique are detailed here.



Nymphoplasty or Labiaplasty




The reduction of the labia minora is frequent in plastic and aesthetic surgery . It is a very specific surgery involving intimacy that needs to be considered  . A new technique has been developed to reduce  labia minora, it maintains the normal labial edge and color. Labia minora enlargement can be congenital or acquired by chronic irritation, exogenous androgenic hormones, and stretching with weights. This can cause inflammation, poor hygiene, interference with sexual intercourse, or intermittent urinary self-catheterization. Aesthetically, asymmetrical or enlarged labia minora causes self-depreciation and especially when the patient wears tight pants. Previously labia minora reduction was performed by amputation of the protuberant segment and oversewing the edge. 

Now, rather than amputation, a wedge of protuberant labial tissue is excised by 2 "V" flpas and and the labial edges are reapproximated. A lot of patients have undergone this aesthetic procedure with excellent results. No complications occurred. The new technique is relatively simple and can enhance a lot  patient's self-esteem.


Our technique is based on a two "V" shaped resection of the mucous membrane surplus  situated at the anterior and posterior of the labia minora. Removal of the excess of labial tissue is performed without touching the base of the labia. This enable sufficient resection even in case of significant hypertrophy. Successful results of this new technique can only be obtained if the surgeon respects these several key points:  careful planning and drawings before infiltration, perfect hemostasis, first stitch placed at the cutaneous mucosal junction and three layer closure by 4-0 Vycril. 

We performed this V-V technique in 12 cases which were all associated to a high satisfaction rate. None of these patients has been complaining about vaginal tightening, dyspareunia, painful scares or loss of erotic sensation. (one year after the procedure).

The technique described here, derived from the technique of Alter  and Palua .It has several benefits: placing the two V at the thirds anterior and posterior, we avoid  a central scar and thus diminuish the possibilities of sexual dysfunction (painful introitus,etc.)

2. in case of important hypertrophy instead of performing a large reduction associated which increases the risk of dehiscence,we perform two smaller reductions

 3. we preserve the free border of the labia

4. by performing two smaller resections we assure a more gradual anteroposterior color change providing a more aesthetically pleasant appearance. 

More informations about labiaplasty here:

Drawing of the V-V shaped mucous membrane resection

Final aspect after stiches 



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Female genital surgery(labia minora)

Labiaplasty / Labia reduction / Labial reshaping / female genital surgery is a plastic surgery operation to reduce the size of and reshape the labia minora (inner lips) and labia majora (outer lips) to achieve a more natural aesthetic appearance, reduce discomfort and improve self-confidence

  • Labiaplasty or Labia reshaping is performed to reduce the size of the abnormally enlarged labia minora and majora.
  •  Labia Reduction can relieve the discomfort caused by enlarged labia.
  •  Labiaplasty, labia reduction is carried out to restore a more natural cosmetic appearance of the labia and improve self-image and self-confidence.
  •  Labiaplasty - labia reshaping - reduction surgery is used to correct abnormal labia as a result of poorly performed labiaplasty - labia reduction.
  •  Abnormally enlarged labia minora and majora ( Labia enlargement - hypertrophy) can be a source of physical discomfort and psychological trauma for many women. Many women are commonly too embarassed to seek help- labiaplasty -labia reduction, to restore a normal cosmetic appearance to their genitalia and reduce labia discomfort. Enlargement of the labia minora and majora can be caused by a variety of factors, including pregnancy and childbirth, some sports and hormonal effects. Disfiguring appearance of the labia following poorly performed labiaplasty - labia reduction can cause severe psychological distress and these women need a caring, supportive person restore as normal cosmetic appearance as possible. In France the operation still have a bad reputation but it is quite commun in the US or in Asia.

  • Labiaplasty - Labia reduction to reduce the labia minora and majora is normally carried out under general or local anaesthetic  and involves a 45 minutes operation removing the excess labia tissue and refashioning the labia to achieve a natural cosmetic appearance with minimal scarring and restore your confidence.

    A careful assessment will be required and the optimum treatment- labiaplasty - labia reshaping- labia reduction, to achieve the best result will be discussed at the time of your confidential Consultation with Dr Benadiba.

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Article dans Gyn.Obs. Octobre 2006 : "Nymphoplastie, une demande de plus en plus fréquente"


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Labiaplasty : reduction of labia minora


Vidéo of V-plasty technique by Dr Laurent BENADIBA