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Vaginal Cosmetic Surgery

Vaginal cosmetic surgery is an umbrella term covering several types of procedures aimed at improving the appearance, size, and shape of the vulva, the external vaginal area. It is also often referred to as vaginal rejuvenation surgery or labiaplasty. These procedures can help women who are dealing with embarrassment, insecurity, or discomfort in their external vaginal area including the inner labia, the outer labia, or the pubic area.

Labiaplasty and related procedures have become increasingly popular as word has gotten out about their good cosmetic outcomes, safety, speedy recovery times, and high satisfaction rate.* Dr. Steven J. Varkony has performed labiaplasty and other vaginal cosmetic procedures on numerous patients with consistently positive outcomes.

* “Outcomes of labiaplasty in women with labial hypertrophy,” International Urogynecology Journal. Katie Propst & Cecile A. Ferrando. November 27, 2020.

labiaplasty photo

Treatment Options

Labiaplasty (Labia Majora)

A procedure aimed at rejuvenating the larger outer labia of the vagina, which can sag and droop after a large weight loss, pregnancy, or simple aging. Sagging of the labia majora can usually be addressed with fat transfer. Fat can be obtained through VASER ultrasound liposuction from multiple areas of the body.


Labiaplasty (Labia Minora).

This surgery reduces the length and size of the inner labia of the vagina for women who want smaller, more symmetrical labia. It can help prevent embarrassment or discomfort experienced during physical or intimate activity while also providing a more symmetrical, neater appearance.


Fat Transfer to Labia Majora

Unwanted fat is removed from elsewhere in the body via VASER ultrasound liposuction; it is then purified and used by Dr. Varkony to rejuvenate the appearance of the labia majora. This form of labiaplasty is also frequently referred to as vaginal rejuvenation and can provide impressive outcomes.



The bulge of the pubic mound is reduced via a delicately performed VASER ultrasound liposuction. This procedure allows women to wear tight and/or revealing clothing without embarrassment. The popularity of leggings and similar garments has added to the popularity of monsplasty and other vaginal cosmetic surgeries.

Labiaplasty and Vaginal Cosmetic Surgery Benefits

Improves the size, length, and appearance of the internal and external vaginal labia.

Reduces discomfort due to friction or pulling from physical activity.

Allows bathing suits and tight pants to fit better.

Prevents embarrassment while wearing tight or revealing clothing.

Minimizes worry, embarrassment, or self-consciousness during sexual activity.

May improve pain with sexual intercourse if excess inner labia are the cause.

Why Do Women Seek Out Vaginal Cosmetic Surgeries?

You likely know why you’re interested in the procedure, but what about other patients?

Aesthetics in Private

Every woman knows what looks good and what doesn’t and we all feel better if we like how we look. Younger patients may be dealing with inner vaginal labia that may have been on the larger side since puberty or may have changed after pregnancy in a way they find unattractive. For older patients or those who may have given birth multiple times, thinner, stretched-out inner labia may make women feel older than they are.


Aesthetics in Public

Sometimes the shape or size of vaginal labia and/or mons pubis can be seen through clothing. This can be very embarrassing and may be a particular problem for younger women who want to participate in sports involving tight clothing, such as gymnastics or swimming. For some women and girls, unintended “camel toe” can be another concern. The growing popularity of leggings for sports and casual wear is also a factor in the increased demand for labiaplasty.



Having labial hypertrophy, the medical term for enlarged labia, can be physically uncomfortable for some women. Friction can be a particular source of annoying pain and can take a great deal of the enjoyment out of athletic activities such as bicycling and horseback riding not to mention sexual intercourse. Even friction against underwear can be a cause of discomfort. Reducing the size of the labia can be an effective treatment.

Getting Ready for Vaginal Cosmetic Surgery

As with all surgeries, patients should avoid blood thinning drugs such as NSAIDs (Advil, ibuprofen, naproxen, aspirin, etc.) two weeks prior to surgery. Similarly, patients who smoke need to stop or cut back on smoking for two weeks before the procedure, though ideally, they should quit smoking permanently.

Though anesthesia could be general, twilight, or local, patients will never be okay to drive following surgery. It will therefore be necessary to have a designated person take them back home or to their hotel. Someone should also be with them the night following the procedure.


Before leaving the facility, patients will be given detailed instructions on how to care for the surgical site to ensure a healthy recovery. They will also be provided with prescriptions for prophylactic antibiotics and pain medication.

Recovery time will vary based on the procedure(s) done but it is often substantially shorter than for other plastic surgeries. During recovery, patients may experience swelling and discomfort which can be reduced through the use of ice packs as well as prescription pain relievers. In general, patients who undergo labiaplasty and vaginal cosmetic surgery should plan to rest at home for a couple of days but should be able to return to an office job two to three days later.

Frequently Asked Questions about Vaginal Cosmetic Surgery


Vaginal cosmetic surgery can be performed either under local anesthesia, IV sedation, or general anesthesia. Dr. Varkony will provide his recommended course of action and will work with you to ensure that you are completely comfortable during your procedure.


Candidates are typically women who experience embarrassment and/or discomfort from tugging or friction due to elongated, enlarged, or sagging vaginal labia or those who feel insecure about the appearance of their pubic bulge. As with all plastic surgeries, candidates should be in generally good health and have realistic expectations about the outcomes of their procedures.


While that will largely depend on the specific procedure, these surgeries generally take less than an hour to complete. The patient will usually stay in the recovery area an additional hour before being discharged to go home or to their hotel.

Schedule Your Free Consultation

For more information about labiaplasty in Los Angeles or other vaginal cosmetic surgeries with Dr. Steven Varkony, call us at (818) 907-9090 or visit the form below to get your free consultation.

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