We assess skin and volume separately
We distinguish sagging caused by excess skin from bulk caused by excess fat. If hollowing is the main concern, restoring volume is another option.
Women's Aesthetic Care
Labia majora surgery
Lax skin and excess volume are reduced according to the tissue of the labia majora.
What does this surgery involve?
Labia majora surgery reduces outer skin laxity and fat volume as separate issues. How sagging skin is refined, and how excess volume is reduced, depends on the condition of the tissue.
- The area you want to change
- Skin and fat of the outer labia majora
- How we approach it
- Excision of excess skin or adjustment of fat volume
- Goal of the change
- Adjusting sagging, volume, and left–right difference
See how change is made.
We choose a method suited to the tissue
We review options such as excision of excess skin, liposuction, or tissue removal, based on your condition. Not all methods are performed together.
We plan for scarring and left–right balance
We review incision and suture placement together with how much skin should be left. Asymmetry may remain, and scarring or changes in sensation can occur.
What change are you aiming for?
Lax skin
The goal is to adjust excess skin to refine sagging and wrinkled contour.
Excess volume and left-right difference
The goal is to adjust tissue volume to balance the shape. This is distinct from a procedure that fills sunken areas.
Before appearance, we start with the discomfort you feel.
The labia majora are the outer skin folds of the vulva. Size and left–right shape vary from person to person. A different appearance alone does not mean treatment is needed; specific discomfort such as friction or sagging, and the change you want, should be reviewed together.
Surgery to reduce volume and procedures to add volume have different purposes. Rather than matching yourself to types in photos, we assess tissue condition by examination.
In consultation, we distinguish three points.
Situations that cause discomfort
Please tell us which area rubs when you dress or move, and whether there is pain or skin irritation.
When it changed and previous treatment
We ask when the change started, and whether you have had previous surgery or injectable procedures.
Changes you hope for
Please describe specifically which areas you would like reduced and which you would like to keep. We discuss possible changes and differences that may remain.
The first question is whether to reduce or to add volume.
Even for concerns in the same area, the approach differs if the problem you want to address is different.
Surgery to reduce loose tissue
This is a way to adjust extra skin or tissue. The extent of removal, suture placement, and where a scar may lie are confirmed together during examination.
Removing too much tissue is difficult to reverse. Sensation and friction should be considered, not only how it looks.
A procedure to add volume
If volume loss is the main concern, a different consultation from reduction surgery is needed. Advantages, disadvantages, and risks also differ depending on the material and method used.
This is not a required step of reduction surgery. Available methods and whether they are needed are confirmed separately.
View labia majora volume consultationIf you do not choose surgery
Managing the cause of irritation first, or observing the change, can also be options. If another problem that needs treatment is found on examination, that problem is addressed first.
You can hear a full explanation and then decide. Having a consultation does not mean you must proceed with surgery.
If you have decided on surgery, we review the plan in detail.
Examination and confirming the area
We examine the area of discomfort and the condition of the tissue, and you will receive an explanation of the extent of excision or augmentation. If additional procedures are recommended, confirm why each one is needed.
Confirming preparation and how the procedure is done
Tell us your medications, allergies, and previous surgeries. Anesthesia, fasting, and how you go home are explained individually according to the planned surgery.
Confirm recovery and the contact plan
We go over wound care, when to return for follow-up, and whom to contact if a problem arises. Suture care and when to resume activities are also confirmed.
Anesthesia, duration, going home, and suture care vary with the surgical method and your condition. Please confirm preparation and timing in detail when you book.
What to know about results and recovery
Appearance and sensation cannot be guaranteed
Left–right differences may remain after surgery. Evidence that vulvar aesthetic surgery improves sexual function or satisfaction is limited, and the change you hoped for may not appear.
Changes while the wound heals
Pain, swelling, bleeding, infection, scarring, and changes in sensation may occur, and further treatment may be needed. Follow postoperative instructions on washing and reducing friction.
If discomfort increases, contact us first
If pain or bleeding gets worse, or you are worried about the wound, contact the medical facility where you had surgery. Do not touch sutures or change medications on your own.
Frequently Asked Questions
If they are asymmetric, do I need surgery?
Left–right difference by itself is not a reason for surgery. Actual discomfort, the condition of the skin and tissue, and the changes and risks of surgery are reviewed together.
Can the recovery period be set in advance?
It depends on the extent of surgery and how recovery proceeds. Ask separately about work, exercise, and sexual activity, and confirm when to resume at your postoperative visit.
Do I also need a volume treatment?
The two methods have different goals and are not always done together. Ask for a separate explanation of the expected changes, risks, and costs if you choose one method versus both.
Feel free to bring your questions.
Please tell us what is bothering you and your previous examination and treatment history. Together we will confirm the care you need.
This is general medical information. Individual care plans and what is offered at the clinic are confirmed during consultation.