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.
"I will be seeing Dr D in October. He will be fixing years of BOTCHED work. His staff are pleasant, insightful and all around awesome. Its a big deal to take my case on and I'm proud to say even before the work is done, I have FINALLY made the right choice. AND I'm coming all the way from Canada! Im soooo freaking excited!So I had my surgery in early October. It was quite the case although Dr D has such great energy all the fear I had was alleviated. I had a few issues after the fact that caused me to return to him and Orange County (basically the poor skin quality from all the previous surgeons BOTCHED work). Again he was unphased. He's a genius, talked me through all steps, what we should do and my aftercare. Rachelle and himself took great care of me. Also nurse Julie I'd highly recommend if travelling alone which I was this time. He makes himself available to you 24/7 which you pretty much never see. HIs work is amazing, hes pleasant, kind and compassionate as is Rachelle. I wish I had gone to him in 2012 like I had initially planned. If I could rate him 100 out of 10 I would.Love his and his teamSE"- S.E. / Google / Nov 28, 2019
"So I’m complicated. Years of botched work from prior surgeons. Nothing phases Dr Domanskis. He always has a plan. I’m travelling from Canada, he’s amazing. I have his cell. He always answers, and I’m high mtce. I’ve never seen such skill and compassion. His staff are amazing. There IS no better surgeon and trust me I know. These were all breast complications but he also did ab etch and let me tell you it’s amazing work! Pics to come. I love him and his staff! Xo"- S. / Healthgrades / Nov 19, 2019
"Dr. Domanskis has performed surgical procedures on both, wife and I and he is by far the best. His knowledge and patient centric approach making you comfortable by informing you on every step of the way was more than we hopped for. What an outstanding doctor !! Well done Dr. Domanskis."- C.B. / Yelp / Oct 21, 2019
"Dr. Domanskis is the best Plastic Surgeon! I would give him 20 stars if I could. He just performed an En Bloc Capsulectomy on me 3-weeks ago, tomorrow. I am pleased with the results, I feel great and am so happy that I had this done. I feel great after just 3-weeks post-surgery, it's unbelievable.When I initially called his office to schedule my Consultation with Dr. D, Rachelle took my call and was so incredibly helpful in answering all of my questions and has always been so kind and understanding. At my appointment with Dr. D, he was so thorough and informative. He answered all of my questions big and small and got me to a point prior to surgery that I knew exactly what to expect afterwards. He fully explained the process of the surgery, so I understood exactly what he would be doing to remove the capsule and implants. After surgery he made sure to follow-up with me to make sure I was doing okay and to make sure I didn’t have any issues/ concerns. He is empathetic and has the best bedside manner. I would recommend him to anyone and everyone that is looking to have surgery – big or small."- S.D. / Google / Oct 09, 2019
"I will be seeing Dr D in October. He will be fixing years of BOTCHED work. His staff are pleasant, insightful and all around awesome. Its a big deal to take my case on and I'm proud to say even before the work is done, I have FINALLY made the right choice. AND I'm coming all the way from Canada! Im soooo freaking excited!"- S.E. / Google / Sep 14, 2019
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.