Functional reasons for seeking labial reduction centre on discomfort or pain that is often experienced when wearing tight underwear or trousers. The labia become uncomfortable as they rub against each other, or against clothing. Labial discomfort can prevent women from taking part in sporting activities, such as horse riding or cycling. Additionally, some women find that the labia fold into the vagina during sexual intercourse, resulting in friction and pain.

Women with a raised body/mass index (BMI) tend to have more prominent labia majora than those with a lower BMI. Enlarged labia majora can be a result of excessive fat deposits, excessive skin or a combination of the two. However, fat deposits or excessive skin formation can occur locally in the labia majora for many women regardless of their weight.

To avoid any clitoral injury and ensure an aesthetically pleasing result, surgery takes place under general anaesthetic. Labioplasty is typically scheduled as a one-day procedure and patients usually require pain relief for around three to seven days after surgery. Bruising may also result from the procedure.

After surgery, patients should anticipate to be off work for a minimum of three to four days to allow tissues to heal properly. Patients should wear loose, comfortable clothing during this time to reduce any labial discomfort and swelling. Sexual or sporting activities can be resumed after two to three weeks; however, this should be discussed with your surgeon prior to surgery.

The main risk of labioplasty is wound infection. To assist healing, cleanse with water, avoid astringents and dry by dabbing rather than rubbing. It is best to use an inflatable donut cushion to make sitting more comfortable during recovery.

Scarring after the surgery is usually minimal. The scars are fine and typically hidden well within the natural skin creases. Some patients may find that sexual sensations are improved, as excess skin no longer interferes.