Labiaplasty is a sensitive procedure that raises many questions. Dr. Aviva Preminger has answers.

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Labiaplasty in NYC

Dr. B. Aviva Preminger has performed numerous labiaplasty surgeries in New York City in recent years, and patient satisfaction rates are off the charts with women who are finally comfortable with their bodies and with being intimate with a partner. If you are interested in cosmetic and physical enhancements to the labia, simply call Dr. Preminger’s Manhattan office at 212-706-1900 for a consultation.

Labiaplasty is commonly confused with vaginal rejuvenation. Labiaplasty is the surgical repair or restoration of the labia majora – the outer lips of skin surrounding the vulva. The external folds of skin are repaired for aesthetic improvement and day-to-day comfort. On the other hand, vaginal rejuvenation involves the tightening up of the internal vaginal tissues that have lost firmness with age or childbirth.

“A labiaplasty procedure is intended to excise or remove extra tissue and help address extra pigmentation,” says Dr. Preminger. “Sometimes for patients, this is simply a cosmetic concern that makes them feel self-conscious. And then sometimes for other patients, it’s actually a functional concern — doing sports such as bicycling, yoga, ballet and particularly when they’re wearing a lot of tight clothing, the area can actually become irritated.”

“As a female plastic surgeon, in particular, I really think it’s important that patients have the opportunity to have this addressed, particularly if it’s bothersome to them from either a cosmetic or a functional perspective. The patients are generally very satisfied with the results and happy they finally decided to do it.”

Quick Facts

Procedure Length

1 - 2 hours


Conscious sedation

IN/OUT Patient



Bleeding, infection, neuromas, and scarring are possible in rare cases


Swelling, tenderness, discomfort, painful urination


Back at work in 2-4 days
Resume light exercise at 4 weeks
Resume strenuous activity at 6-8 weeks
6 weeks for swelling to resolve



Common reasons to have labiaplasty include:

  • To correct a natural irregularity such as an uncomfortably large labia
  • To improve the size or shape of vaginal lips that have become stretched over time or with childbirth
  • To enhance intimacy
  • To resolve pain from an enlarged labia that has become irritated by tight clothing, sex, or physical activity
  • To be happier with your body, and feel more comfortable with a partner

Preparing for labiaplasty surgery

Every labiaplasty begins with a consultation in Dr. Preminger’s office. You can expect to discuss personal health history, motivations for wanting a labiaplasty, and expected results. Dr. Preminger will go over the steps to the procedure, recovery, and possible risks.

While risks are rare, they are possible with any surgical procedure. Skin contour and pigment irregularities, scarring, asymmetry, delayed healing, and allergic reaction to anesthesia are all possible complications. Patients who smoke, consume blood thinners, or suffer from immune suppressive disorders are at greater risk.

To prepare for labiaplasty surgery, you may be asked to:

  • Discontinue certain medications, vitamins, or supplements
  • Quit smoking
  • Make arrangements for someone to drive you to and from your appointment
  • Buy loose, comfortable, non-irritating clothing


Labiaplasty is performed right in Dr. Preminger’s office under conscious sedation, which means you’ll be lightly sleeping on a short-acting drug while we monitor your vitals and be awakened when the procedure is finished. As you sleep, the surgeon will measure and mark excess labial skin for removal, trim it with a scalpel or surgical scissors, and use absorbable sutures to close the incisions. There are several different techniques a surgeon may choose, depending on your unique anatomy, which will be discussed during the consultation.

Typically, the whole procedure is finished in 1-2 hours. You will need to spend a few hours for recovery at Dr. Preminger’s facility under the supervision of a nurse before returning home.



"Enhanced intimacy, increased sensitivity, and improved self-confidence are all wonderful benefits reported among my patients who have opted for labiaplasty. It really empowers women who have silently suffered embarrassment and physical discomfort for so many years."

- B. Aviva Preminger, MD


Some discomfort at the surgical site can be expected for the first few days. Patients are sent home with prescriptions for pain medication and antibiotics to ensure greater comfort during the healing process. The first few weeks are the toughest, while swelling, discoloration, and pain are highest. Full healing takes place at approximately six weeks when swelling subsides, but most people are back to work after 2-4 days and resume light exercise as early as four weeks. For the first week, you should not lift more than five pounds. Strenuous activity and sexual intercourse should be avoided for 6-8 weeks.

You’ll want to look out for signs of complications, such as: a fever over 100.4 degrees, increased redness along the incision, increased bruising and swelling, vomiting, dizziness, headache, yellow or green discharge, foul odor, and bleeding that does not stop with gentle pressure.

Here are a few other tips for labiaplasty recovery:

  • Wear comfortable gowns and loose clothing for the first few days.
  • You may shower 48 hours after surgery. Avoid tub soaking until the sutures dissolve.
  • Keep your incisions clean and dry. You will be instructed on how to look for signs of infection.
  • Feminine napkins should be worn to absorb any drainage, which is normal.
  • Take pain medication as prescribed on schedule. Avoid drinking alcohol.
  • Drink plenty of water and add more fresh fruit to your diet.


Patients generally express great satisfaction with their results. You’ll notice improvement as soon as the swelling goes down within the first few months, but more subtle improvements will take place up to six months after the procedure.

Manhattan labiaplasty

Surgeon skill is of paramount importance with labiaplasty. As Cosmetic Surgery Times indicates, labiaplasty complications may result from a cookie-cutter approach.

Dr. B. Aviva Preminger received a degree in plastic surgery from Harvard and her doctorate from Cornell University. She is an active member of several plastic surgery societies and serves on the board of the New York Regional Society of Plastic Surgeons. Fill out our convenient online form or call 212.706.1900 to schedule a consultation with Dr. B. Aviva Preminger.

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