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    Conveniently located to serve St. Louis

    Labiaplasty is the surgical reduction of the labia minora, the inner lips of the vagina. It is an increasingly popular cosmetic surgery procedure. Women often consider treatment for what can be an embarrassing condition – enlarged labia. Surgery is performed by Dr. Paul Rottler or Dr. Hulsey here at our Seven Oaks Surgery Center under general anesthesia and usually takes less than one hour.

    Procedure Information

    Labial enlargement can be due to heredity, aging, pregnancy, or other causes. The surgical goal is to reduce the size of a woman’s labia minora and make them more symmetrical so they don’t protrude or hang beyond the labia majora. Women often consider the surgery for the following reasons:

    • Embarrassment
    • Labial enlargement can be seen through clothing or observed in intimate situations
    • Painful intercourse
    • Comfort
    • Chafing
    • Psychosocial and functional difficulties


    Before a date is set for your labiaplasty, you will need to meet with Dr. Paul Rottler or Dr. Angela Hulsey for a consultation. You will undergo a thorough exam, and our surgeons will ask you about your complete medical history, including allergies and current medications or supplements.

    Discuss your goals for the procedure with Dr. Rottler or Dr. Hulsey. They will tell you what to expect regarding preparation, recovery, and more.


    Labiaplasty is usually performed as an outpatient procedure, meaning you can go home the same day. Anesthesia will be administered, and then based on the details of your case, our surgeons will use either a trim or wedge technique. Both of these offer excellent results.

    In the trim technique, excess skin from the outer edge of the labia is removed. In the wedge technique, a V-shaped wedge of skin is removed at the widest point and the edges are sewn back together.

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    Recovery from labiaplasty varies from patient to patient. Follow our platic surgeons post-surgical care instructions diligently to avoid a prolonged recovery process.

    It will be important to rest following the procedure. Minimal discomfort is experienced and can be relieved by applying ice. Take prescribed medication to reduce pain and possible infection. Bruising and swelling are present, and they usually subside within 2 weeks.

    Time off from work will be required. Avoid sexual encounters and significant physical exertion and exercise for at least 6 weeks after surgery.

    Labiaplasty surgery has a high degree of patient satisfaction and success. Results can last a lifetime. Complications are infrequent but can include hematoma, infection, and wound breakdown.




    Contact our office to set up your consultation with Dr. Paul Rottler or Dr. Angela Hulsey and discover more about labiaplasty in St. Louis. Dr. Rottler and Dr. Hulsey will be happy to address any questions or concerns.