Labiaplasty (also referred to as labia rejuvenation) is a cosmetic procedure offered by Newport Beach plastic surgeon, Dr. Ed Domanskis that enhances the appearance of the vaginal lips. Women who have gone through pregnancy or those who have experienced a significant weight loss may have enlarged labia. In addition, some women are born with asymmetrical vaginal lips. Abnormal labia can result in an unsightly appearance, but more importantly, it can cause symptoms such as chronic irritations, discomfort during sex, and yeast or urinary tract infections. Women who are unhappy with the appearance of their labia should not feel anxious or scared to consult with a plastic surgeon. In fact, they may find comfort in knowing that labia rejuvenation is one of the fastest growing cosmetic surgeries in the U.S. today.
"Excellent experience with Dr. Domanskis! I had abdominalplasty and liposuction. He explained the procedures very thoroughly as well as what to expect immediately following my surgery. He was in contact with me by phone as well during the first week post op I felt very safe in his hands. My results are absolutely phenomenal I couldn't be more pleased!"- W.P. / Yelp / Aug 29, 2015
"I feel so bad, thought I had left a review. Couple things first, my review has value, the reason is that I'm rarely satisfied, and have had many things done over the years, what I received was unexpected and why I came back for more. I have psoriasis, for years I put Clobetesol on my face, which thinned it out and gave me a lovely TURKEY NECK, yikes, nothing I could do, but I had a friend who had a neck lift and it was awful, that is he had pain, weird scary looking wraps, so while things like that rarely bothered me I just wanted him to pull it up or put in fillers to tighten it. I finally ceded to neck lift, and what I got I did not expect. Not only did I get a PERFECT NECK, but I got back my best feature, my chin, I have a long, manly chin, that had been obscured with fat and loose skin, now you have to understand I went from a single guy with no prospects to back to how I was in my 20's, what is that worth?? Hock the house, seriously, to get young, hot girls again? And then the love of my life who I'm still with, all because, yes appearance, it matters people don't let anyone lie to you, I basically got to go back in time. Second, I had got used to "man boobs", and fat over my stomach, I'm athletic so figured I could handle it, but after seeing a side picture of myself, I went for it. At first he thought I'd need a tummy tuck, we avoided that, and I got what every man should get, ETCHING, first he removed all of the fat on my chest, then ETCHED the stomach, if you've never heard of it neither had I, he makes a indentation around your abs so you have them whether you work out or not!! Result? I was in seeing my dermatologist, female with her assistant, she asked me to remove my shirt, something I used to dread, I took it off and she looked at her assistant and said "What do you do", "What do you mean", "You have a great body", this all without working out, though I'm motivated and doing that now. What can I say? I have the mind and experience of an older guy, with the face and body of a much younger guy, say what you will, judge all you like, BUT I LOVE LOOKING GREAT AGAIN, getting a compliment "You have a great body", you can't imagine how often I hear "Handsome", oh that word I hadn't heard for such a long, wasted period. I had stated I was important to listen to because of experience, I've had IPL's, fillers because of my thin skin, lasers, must be over 25 doctors I've seen over the years and what do they have in common? They talk FAST AND OVER YOU, they charge to for a consult!! What nerve. Dr. Domaskis though a amazing doctor ACTUALLY LISTENS AND RESPONDS TO WHAT YOU SAY, it's why I'll NEVER pay for a consult, what arrogance what if we don't like the doctor? I want to end with this, I was staying at a hotel when I had my procedure, that is neck lift, though his directions were right on, I made a mistake and was uncomfortable, well I can be quite a nuisance, that is complainer, so I got angry, what did Doc do? HE CAME TO MY HOTEL AND FIXED IT HIMSELF!!! Tell me what plastic surgeon have you heard of doing that? Trust me the guy cares, I screwed up, he gets in his car, drives to my hotel and fixes MY MISTAKE. Thanks Doc!!!"- M.H. / Yelp / Jul 21, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure.Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"Dr. Domanskis is top notch. He is a perfectionist, cares about what his patient thinks and listens to what your concerns are. He is very honest and when he does not think you need a specific procedure he will tell you. I have had 3 surgeries with Dr. D and every one has been amazing. The first surgery was a breast augmentation going from a B to a large C. He asked me to show him several pictures of what I would like and he nailed it to a T. That was over 10 years ago and they are still amazing and not in need of replacement whatsoever. My breasts are just as perfect as when he did my procedure. Three years ago I went to another person - BIG MISTAKE . Dr. Domankis is a plastic and RECONSTRUCTIVE surgeon. He took the ridiculously botched up job this Dr. did and fixed my face. He did scar revision which is impeccable. The outcome of his work is amazing. He's your man! Dr. D's nurse Rachelle is wonderful as well."- K.C. / Yelp / Feb 22, 2018
"I love Dr Domanskis. He saved my life when other plastic surgeons said live with it you don't qualify for reconstruction. He made me feel comfortable and was more knowledgable tan the others I saw. He and he office worked with me since I live five hour away in another state. My results so far have been amazing."- Anonymous / Vitals / Oct 18, 2017
Women who are considering labiaplasty should consult with a qualified cosmetic surgeon. In the past, before surgeons improved this procedure, the approach was to remove the excess tissue and skin deformity using an amputation method. Today, skilled surgeons use aesthetic reshaping techniques so that the labia are not only reduced in size, but also the nerves are protected in the process so that sexual feeling is not compromised. A surgeon with experience will preserve the natural color and contour and create a result that looks visually appealing with minimal to no scarring.
Labiaplasty Surgical Process
The most common approach surgeons take to perform labiaplasty is to use a device known as Iris Scissors. This fine, advanced surgical tool allows the surgeon to reshape the inner folds of the labia. In the process, a clean “V” shaped wedge is made to the vaginal lips, and is removed to reduce the size. The surgeon will carefully work to reshape and reconstruct the lips so that they meet the patient’s aesthetic goals. Dissolvable sutures are used to close the incision. Another approach is to use a laser treatment to reduce the labia. This is effective for some patients, but is only recommended in cases where the skin defect is minimal.
Labiaplasty typically takes between 1-2 hours to complete, depending on how complex the surgical case is. It is performed under general anesthesia at an accredited surgical facility and does not require an overnight stay. Women who undergo labia rejuvenation will need to avoid any activity that may cause swelling and bleeding, such as exercise, sexual activity, douching, and the use of tampons. These activities can be resumed slowly around 4-6 weeks post-op. Women find that the results of this procedure look so natural that their self-confidence and self-image are improved drastically.
Labiaplasty is a surgery that is sometimes covered by medical insurance. This is generally the case if the condition is causing problematic symptoms. The procedure itself can run between $3,000-$5,000. It is a procedure that is now offered by many cosmetic surgeons.
Plan Your Procedure
OBGYN or Cosmetic Surgeon?
When researching the aesthetic surgery market, most patients will find that a large majority of cosmetic surgeons offer labiaplasty. While many OBGYNs are capable of performing labia rejuvenation, the procedure is most often considered cosmetic. An OBGYN will be able to surgically remove any excess that exists within the labia; however, a cosmetic surgeon will consider the aesthetics as well. This ensures that scarring is minimal, and that color, contour and symmetry looks and feels natural.
Does It Cause Insensitivity?
As with any surgery, there may be numbness in the vaginal area after the procedure is completed. This is temporary as the skin and vaginal lips heal. In regards to sensitivity, it is important to understand that labia rejuvenation affects, for the most part, the vaginal lips only. Sensitivity is served by the clitoris. A skilled cosmetic surgeon that specializes in labiaplasty will work around this area so that a loss of sensitivity does not occur.
Does It Affect Intercourse?
Labiaplasty, when performed by a skilled surgeon, will only improve sexual intercourse. In many cases, this is because the excess skin and tissue that may have gotten in the way during sex before will now be removed. The clitoral region will be protected and the sensory nerves preserved so that sexual intercourse is not impacted in a negative way.
Before or After Pregnancy?
In most cases, it is recommended that women wait to have labia rejuvenation until after all pregnancies are complete. However, if having enlarged labia is bothersome and causes physical symptoms and emotional hardship, then this surgery can most definitely be performed before a planned pregnancy. If the results of the surgery are compromised due to a post-surgical pregnancy, a second surgery can be discussed.