Labiaplasty (Vaginal Rejuvenation)

Conveniently located to serve Seattle and Bellevue

Cosmetic vaginal procedures are performed on the outside mons area or labia as well on the inside vaginal area or introitus and perineum. Examples of procedures Dr. Parikh performs are;

Procedures may involve enhancement of the labia or reduction of labia. Correcting asymmetries, revisional surgery after previous labiaplasty or tightening procedures.

Depending on what your goals are, vaginal rejuvenation has shown to increase confidence and enhance intimate moments. It can also improve symptoms in certain patients with discomfort.

Vulvar or Vaginal Anatomy

There are two labia. 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 undesirable 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.


After months of consideration and much internet research, I decided to have labiaplasty surgery. I was understandably nervous but from the moment I walked into the office, I knew I was in the right place. Dr. Parikh answered all of my questions and listened attentively to my concerns. HIs entire staff is absolutely wonderful and they made me feel relaxed and comfortable and as if my expectations being met were of their utmost concern. 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. If you’re considering this or any other form of cosmetic surgery, I would highly recommend Dr. Rikesh Parikh and his amazing staff. T.R.

Vaginal Rejuvenation Surgery

Labiaplasty Minora

The labia minora is commonly enlarges or asymmetric where one side is larger than the other. The surgery can be performed by either wedge technique or an edge trim technique. There are multiple techniques described but these are the main ones performed. There are certain advantages and disadvantages to both. This will be discussed in detail with DR. Parikh at time of consultation.

Labiaplasty Majora

The labia majora may need to be reduced or enlarged. Reduction involved, liposuction or removal of tissue techniques with incisions. If the labia majora appears defalted with volume loss, then fat grafting to the area can create a more youthful appearance.

Clitoral Hood reduction

Excess skin can be removed from the clitoral hood area. This adds balance to the overall outer look of the vaginal area. If the edge trim technique is performed the clitoral hood can appear accentuated and a hood reduction may be necessary in combination.


This involves closing the hymenal remnants or tags that can bee seen at the edges of the hymenal ring. The goal is to restoring a “virginal” state.

Vaginal Tightening

Perineoplasty or colpoperineoplasty can involve the tightening of the vaginal canal and perineal skin area. The goal is to reduce the circumference of the vaginal canal and opening.

It is important to see a surgeon with knowledge of the anatomy of the area and fat grating or transfer techniques. All of this can affect your results and safety. At the time of your consultation Dr. Parikh can go over in detail with you regarding the anatomy of the area and different techniques used.

Noninvasive Vaginal Rejuvenation

These are devices used to rejuvenate the vaginal area without surgery. They usually need to be repeated and require multiple treatments. The advantage is relatively no adverse effects and no downtime. They are at time performed by non physicians.

  • Radiofrequency Ablation RFA
  • Laser CO2

Revision or Correction Vaginal Surgery

Dr Parikh also performs revision on patients that have had previous labiaplasty, vaginal procedures or asymmetries.

Labiaplasty Correction Surgery

Labiaplasty of the minora can sometimes lead to unwanted aesthetic results. Complete amputation or removal of the labia minora can at times be corrected with surgical techniques. Scalloping of the edges of the labia can sometimes be revised to smoothen out. Dr. Parikh will discuss in detail what is possible to correct in your specific case at the time of consultation.

FGM – Female Genital Mutilation Correction Surgery

Female Genital Mutilation also known as FGM surgery or female circumcision is performed on the external genital. It can involve the clitoris, with or without the labia minora or majora involved. IT is generally performed at a very young age and has functional and psychosocial implications.

There are 3 general types I, II, and III

  • I – Involves the clitoris or clitoral hood only where the clitoris glans is removed partially or fully.
  • II – Involves the removal of clitoris glans and also the inner labia minora or outer labia majora.
  • III – AKA Infibulation involves possible removal of the clitoris glans but fusion of the labia majora after the labia minora has been removed.

There are surgical options to possibly recreate partial or completely missing labia. The clitoris glans that has been amputated may also be revised. Scar tissue that has formed can be revised as well. The goal of surgery is to improve functionality, visual aesthetics, and sensation to the area in addition, restore confidence that may have been lost due to FGM surgery.

Candidates for Vaginal Rejuvenation or Labiaplasty or Tightening

Ideal candidates are healthy. Some patients are symptomatic and experience discomfort in clothing or during intimate moments. Most patients just do not like the appearance of the area and want it enhanced. Labiaplasty minora reduction is the most common of the procedures performed, candidates can range from teens to elderly. The cause of excess labia minora is likely genetic in nature and not really affected by childbirth or sexual activity. Labia minora are seen significantly hanging below the majora may be candidates for a reduction labiaplasty. The labia majora lose volume as we age. Loss of volume combined with loss of skin elasticity contributes to the deflated wrinkled appearance. Labia majoraplasty is an option in this case to restore a younger look. Vaginal tightening procedures can be performed in women who feels there the vagina is wide or the sensation during intimate moments is not what it use to be. A thorough examination needs to be performed prior to any vaginal rejuvenation procedure to see if you are a candidate. These options will be discussed in detail with Dr. Parikh at the time of consultation and is important to ensure high patient satisfaction.

FAQS about Labiaplasty

  • What does Vaginal Rejuvenation mean?

    Vaginal Rejuvenation is a generalized term to describe cosmetic procedures that attempt to regain youthful characteristics of the mons, labia minora, clitoral hood, labia majora and vaginal canal. Procedures may be invasive or noninvasive. Noninvasive techniques have not been shown to be as effective as surgical techniques for rejuvenating the areas. Vaginal Rejuvenation procedures are trending up rapidly and have increased recently over the last few years.

  • How is Fat Transfer to the Labia Majora performed?

    The Labia Majora or “outer lips” lose fat and volume over time. With the addition of loss of skin elasticity the labia majora can appear wrinkled and deflated. Fat transfer can be performed to this area to replenish the lost volume. Fat is harvested from elsewhere on the body and injected by cannula to the labia majora.

  • What does the recovery entail after Labiaplasty, Fat Transfer or Vaginal Tightening Surgery?

    The full recovery time for internal procedures such as vaginal tightening or labiaplasty minora is 6 weeks of no intercourse, tampons,..etc. Downtime is low, patients are walking the same day and can generally go back to work after a few days.

  • What is Labia Correction Surgery?

    Labia Correction Surgery is revisional surgery where a labiaplasty has been performed in the past and complications have occurred or an undesirable result. It can involve the correction of minor asymmetries to complete rebuild of labia minora if needed. Please visit Labiaplasty Vaginal Rejuvenation Surgeon Dr. Parikh’s photo gallery for before and after examples.

  • Can Labiaplasty and Vaginal Tightening Procedures be performed at the same time?

    Yes, these procedures can be performed simultaneously under general anesthesia or awake with sedation and nerve blocks.

  • What Vaginal Procedures does Plastic Surgeon Dr. Parikh Perform?

    • Labiaplasty
    • Labia Majora Augmentation Fat Transfer
    • Labia Majora Reduction
    • Clitoral Hood Reduction
    • Monsplasty
    • Hymenoplasty
    • Labiaplasty Correction
    • Female Genital Mutilation Correction Procedures
  • Wedge Technique vs Edge Trim Technique, which is better?

    One technique is not necessarily better than the other. The technique used is best in certain circumstances. After consultation the technique performed will be determined. The edge trim technique tends to lose the pigmented part of the labia, while the wedge technique preserves that natural look. The wedge trim in smokers have a higher chance of wound breakdown with this technique. The edge trim technique can result in complete amputation of the labia if not performed correctly. It is important to seek out a surgeon who is well versed in these procedures. The edge trim can also result in a prominent clitoral hood if not performed in conjunction with a clitoral hood reduction when required.