There is no universally accepted definition or classification system for hypertrophy of the labia minora. However, an enlargement of 3-5 cm is generally considered as such. In these cases women have multiple complaints, such as difficult hygene (because of secretion that makes underwear dirty); discomfort in tight clothing; pain in cycling and other sports; capturing the labia in zippers; or painful intercourse.

Perhaps the most common reason is the notion that the labia minora are too visible. Another indication for surgery is disturbing asymmetry.

Labiaplasty is easily bearable and does not affect patient's daily life. Sex life can be resumed two weeks after surgery.

The procedure can be performed after puberty, but the preferable minimum age is 18 years. It can be also done before or after pregnancy. The patient must not be in a cycle, in order to reduce the possibility of hormonal effects and the risk of postoperative infection.

Reduction of the labia minora is relatively contraindicated in patients with active gynecological and venerological diseases, such as infection or malignancy. Patients who are current smokers and do not want to temporarily or permanently quit (to optimize wound healing), can be excluded. Perhaps most importantly - patients with unrealistic goals or expectations should be appropriately counseled or excluded from the operation.

In Bulgaria and in the practice of Dr. Serdev  the minimum age requirement for operation is 18 years. Minors could be accepted in very rare exceptions, only with the requirement of the consent and signatures of both parents.

 

Read more - Liftings of the face; Liftings of the body; VASER Ultrasonic Liposculpturing