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
"Dr Domanskis saved me! My promised implant job before meeting him ended up not good and me distressed. Dr Domanskis was very compassionate and clear during my consultations. He said i may need 2 surgeries, and incredibely he did it all in one surgery and repaired 2 very different looking breasts to look the same and fuller! I couldnt be happier. His knowledge and skill level is second to none (I have had more than 1 breast surgery in my time). I HIGHLY recommend him and will always go back to him if needed for other things in the future! Thanks Dr. Dom! :)"- Anonymous / RateMDs / Feb 20, 2019
"I'm a new patient of Dr. Domanskis and met him under emergency circumstances (that a previous monster surgeon had done to me.) I was over a month post-op of breast lift, replacement and reconstruction surgery for the second time in less than a year and was left with LITERALLY hundreds of stitches in my breasts and a huge hole for the second time that was the size of a quarter and my implant was exposed and This was not only a repeat of what happened to me in Feb 2018 of last year but this time I knew better from past experience (that ended up putting me in the hospital for a deadly staph infection in July 2018) That it's best I find a competent Dr. Who is highly recommended. I called my Oncologists and immediately they said Dr. Domanskis is the best! Couldn't agree more! Truly from the time I called Initially which was in the AM on a Monday I was taken care of by Rachelle and she made sure I was in to see the Dr by 2:00 that day. When I met Dr. Domanskis I was already so fearful of Dr.'s and the lack of care if I had been shown previously, I was surprised at the time and effort he put into listening to me and removing all the hundreds of stitches that should have been taken out weeks ago and the amount of concern Dr. D shows me when taking a culture of the wound to make sure I did not have another staph infection like last time. He sat and slowly explained everything that was hoiu on and what my options would be. Come Friday I opted to have the implant extracted in his office and to my surprise, it was not only painless but super fast and I'm currently healing and looking forward to having Dr. Domanskis help reconstruct what the monster surgeon had done to my body. I have so much faith in Rr. Domanskis and love this place! I know hands down that I will be cared for and taken care of here. This Dr. and his team (Rachelle) treated me like family or an existing patient, it's not about money here it's about caring for the patient and they really do!!"- H.B. / Google / Jan 25, 2019
"Dr. Domanskis & Rachell - I love this place!! Hands down I will never go to another Surgeon after I have met my forever favorite Dr. Domanskis! I had an emergency situation and was desperately avoiding going back to my previous surgeon (due to having two breast revision and reconstructive surgeries, not by choice but because my prior Surgeon left me each time with a hole the size of a quarter and implant exposure which led me to end up in the hospital last Summer with a almost deadly staph infection and recently leading me to face again the same hole he never repaired originally) I was referred to Dr D. by my oncologists office and so I called and was immediately given the utmost care from Rachelle when explaining my situation to her over the phone she was so sympathetic and quickly fit me into Dr. D's busy schedule. I was seen immediately that same day and was treated like an existing patient and greeted with a friendly and warming Dr. Domanskis. I was so hopeless and afraid after suffering mental anguish, pain and the fear of having to be under the care of a incompetent surgeon, Dr. Domanskis not only helped me right from the first consultation but he and Rachelle helped start the process of wound healing and removal of the implant without pushing me off and saying I should see my original surgeon, like I was told before earlier this year. DR. D made me have confidence again in Dr.'s and I am so grateful that he was willing to help me during this horrible time of fresh recovering that I was in. I am now looking forward in being Dr. D's patient and have so much faith that he will be able to reconstruct what the past monster had destroyed twice. I know that I will not only get the results that are best for me and my body but Dr. D and Rachell genuinely care about the client rather than just the money. THANK YOU SO MUCH DR.D & Rachelle I can't wait to so you soon!!"- Anonymous / Vitals / Jan 24, 2019
"He knows what he is doing - Dr. Domanskis is very intuitive without alot of explaining he was in tune with what I wanted and gave me the hips to balance out my shape! I always had stubborn belly fat and back fat as well as a narrow waistline and flabby arms. After this liposuction my waist has drastically changed into the hour glass shape I wanted and I am happy with the results :)."- D. / RealSelf / Dec 27, 2018
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.