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Do I Need Labiaplasty or Labia Majora Fat Transfer, or Both?

Recently, a 20-year-old woman asked Dr. Steven Yarinsky via email if she would benefit most from either a labiaplasty and clitoral hood reduction, or simply a fat transfer to her labia majora. Based on several photographs accompanying the inquiry, Dr. Yarinsky was able to determine that she was showing signs of labia majora deflation, paired with the presence of prominent clitoral hood and labia minora skin. His recommendations for addressing these concerns included a combined double wedge labiaplasty, in addition to application of a dermal filler or transferred fat to the labia majora to add volume or “puff” its appearance. Ultimately, he outlined that her next step should be to carefully choose and visit a board certified plastic surgeon who can perform a full, in-person examination and provide the most informed treatment recommendations.

In addition to her cosmetic questions, she expressed that insecurity about the appearance of her labia and vagina was holding her back from sexual intimacy. Ultimately, she believed that achieving a more “ideal look” through female intimate surgery procedures would give her the confidence to engage in a sexual relationship. Dr. Yarinsky found it important to emphasize that, though he did highlight cosmetic concerns she may want to remedy with surgery, he found nothing inherently “abnormal” about her appearance in the photos. He went on to impart some helpful wisdom to consider when evaluating one’s own female genitalia:

  • There is broad variation in the natural appearance of womens’ labias and vaginas, and no one particular standard of beauty must set the bar for everyone.
  • Men are not as attuned to the cosmetic details of the labia and vagina as many women may think.
  • The beauty of the female genitalia is in the eye of the beholder.

In conclusion, Dr. Yarinsky reiterated that if she desires to change the appearance of her labia for her own personal satisfaction, confidence, and comfort, plastic surgery techniques can provide a solution.

If you are considering female intimate surgery and want to learn more about which options may provide you with the results you desire, please contact Saratoga Springs Plastic Surgery to schedule a consultation with Dr. Yarinsky.

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