Labial & Clitoral Hood Reduction | Labia Majora Augmentation or Reduction

Vanderbilt Trained Plastic Surgeon Rikesh Parikh MD. See Genuine Patient Reviews.

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Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Our Featured Labiaplasty - Vaginal Rejuvenation Testimonial for Dr. Rikesh Parikh

"“Dr. Parikh is incredibly talented and professional and his caring attitude is beyond anything I've ever experienced with any other doctor. It has been six weeks to the day since I had my surgery and I couldn't be any happier with the results."T.R. Seattle WA 2016

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Labiaplasty | Labial reduction involves removing excess skin and tissue from the labia (inner lips of vagina) area. The goal of the procedure is to reduce the lips (labia) of the vagina and change the appearance of the area to a more rejuvenated state.  Some patients have issues with pain or discomfort during activity or intercourse, while others desire labial reduction for cosmetic purposes.

Vulvar Anatomy

The Labia Minora and Labia Majora are the inner and outer folds of the vulva on either side of the vaginal opening.

The Labia Minora or “inner lips” are more commonly hypertrophied or enlarged resulting in an undesiranble appearance or discomfort in certain situations. The two sides converge towards the clitoral hood and can form the crura of the clitoris in the midline.

The Labia Majora or “outer lips” are larger than the minora and can also be enlarged or bulky where a reduction type procedure may be needed. They can also be too small or without fullness and require volume to make them appear more youthful and full.

The Clitoral Hood is the skin surrounding the clitoris which hangs over and around the clitoris. This can also be in excess where it may need to be reduced.

Cause of Labial Enlargement

In general, large or lax labia is genetic in nature. Patients range from all types of ages from adolescence to elderly.

Reasons to Perform Labiaplasty

Functional: Some patients experience discomfort in clothing or during intimate moments.

Cosmetic: Some patients strictly do not like the appearance of the area.

Both Functional and Cosmetic: Most patients have both symptoms and want a more youthful appearance.


There are multiple techniques to surgically reduce the Labia Minora. Dr. Parikh Plastic Surgeon will go through the different techniques with you at your consultation. No one technique is better than the other. Every patient has a tailored approach to Vaginal Rejuvenation based on the baseline anatomy.

Vaginal Tightening versus Labiaplasty

The term “vaginal rejuvenation” is quite vague. Labiaplasty differs from vaginal tightening in the sense that tightening refers to tightening or decreasing the size of the vaginal opening. This is an entirely different procedure from labiaplasty.


The surgery can be performed under:
Local Anesthesia
Local Anesthesia with Sedation  
General Anesthesia.


The total cost of surgery usually includes 3 main components; 1. Surgeon’s fee 2. Facility/Hospital fee and 3. Anesthesia fees.

Fees may be given to you as separate or all included.


After your Labiaplasty, our plastic surgeon Dr. Parikh will contact you and keep a close follow up during the initial phase. Instructions regarding wound care and postoperative medications will be reviewed you in detail. All the stitches used during the surgery are absorbable and do not to be removed. Monitoring of your progress after surgery is very important. Complications although uncommon can occur early or later in the postoperative course. We encourage patients to contact us immediately if there are any concerns after surgery.


Wound breakdown
Loss of skin
Altered sensation to the vaginal area
Contour irregularity or Asymmetry
Pigment changes

Risks of the procedure are outlined above and will be discussed with you in detail at the time of your consultation. Our Plastic Surgeon Dr. Parikh encourages you to have questions ready and is always available to answer questions regarding your safety in terms of procedure and anesthetic risks.

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Note: Individual results may vary. Images do not constitute a promise or representation of any particular outcome or experience.

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