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Labiaplasty
Labiaplasty addresses the size, shape, or asymmetry of the labia minora where these cause functional discomfort or ongoing dissatisfaction.
It may be appropriate where conservative measures have not resolved symptoms, or where the concern is significant enough to affect daily activity, exercise, or wellbeing. The focus is on determining whether surgery is appropriate, and whether expectations are realistic.
My Approach
The labia minora varies considerably in size, shape, and symmetry between individuals and there is no single "normal." Labiaplasty is appropriate when labial anatomy causes genuine functional problems, aesthetic distress, or both, not as a response to an arbitrary aesthetic standard.
My approach begins with a careful assessment of the concern: whether it is primarily functional (discomfort during exercise, cycling, or intercourse; difficulty with hygiene; irritation from clothing), primarily aesthetic, or a combination of both. This guides both the surgical plan and the conversation about what is realistically achievable.
The goal is a natural result, one that resolves the concern without creating an over-reduced or unnatural appearance. I do not perform clitoral hood reduction, as this procedure carries meaningful risks to sensation and function that I do not consider acceptable for a cosmetic indication.
Planning & Technique
Labiaplasty is tailored to each patient's anatomy. There is no single technique that suits all presentations, and the choice between approaches depends on the degree of excess, tissue quality, and the patient's goals.
Techniques may include:
Edge resection - direct removal of the excess labial edge. Straightforward and reliable for patients with primarily edge-related excess or irregularity, though the scar sits along the labial margin.
Wedge resection - removal of a V-shaped segment of tissue, preserving the natural labial edge and its pigmentation. Better suited to patients with excess in the central body of the labia rather than the edge, and produces a more natural contour in appropriate cases.
The choice between edge or wedge is made at consultation following examination, with a clear discussion of the trade-offs of each approach for your specific anatomy.
All procedures are generally performed under local anaesthesia as a day surgery procedure, with or without sedation depending on patient preference, and in the operating theatre as mandated by MOH .
Recovery & Expectations
Most patients return to light desk work within a few days. Mild swelling, bruising, and discomfort are expected in the first week and settle progressively. Sutures are self-dissolving and do not require removal, especially as this is a highly sensitive area.
Strenuous activity, cycling, and sexual intercourse should be avoided for 4 to 6 weeks to allow full healing. Loose, breathable clothing is recommended during recovery, especially with the tropical climate of Singapore.
Final results are typically apparent by 6 to 8 weeks as swelling fully resolves.
What Labiaplasty Can & Cannot Do - Transparent Expectations
Can:
- Reduce labial excess causing functional discomfort or restriction
- Improve symmetry between the two sides
- Address aesthetic concerns where these cause significant ongoing distress
- Restore comfort during exercise, cycling, and daily activity
Cannot:
- Guarantee perfect symmetry, as minor differences between sides are normal and expected
- Eliminate all scarring, though incisions are placed carefully and heal well in most patients
- Improve sensation, as labiaplasty is not indicated for this purpose, and any procedure that risks sensation should be approached with extreme caution
- Substitute for addressing underlying functional causes such as skin conditions or hormonal changes
Post-operative care extends beyond routine reviews - it is an integral part of Dr Ng’s surgical philosophy. Through Doctor Stitch, an aftercare service founded to ensure seamless continuity and comfort, every patient is followed up personally by Dr Ng for attentive, discreet, and consistent care throughout the recovery journey.
Frequently Asked Questions
1. Is labiaplasty purely cosmetic?
Not always. Many patients present with a combination of functional and aesthetic concerns such as discomfort during exercise or intercourse, hygiene difficulties, or irritation from clothing. Both functional and cosmetic indications are valid reasons for surgery, and the consultation will help clarify which applies to you.
2. Is labiaplasty covered by Medisave or insurance?
Purely cosmetic labiaplasty is not Medisave or insurance claimable. Where there is a clear functional indication, partial claimability may apply and this will be discussed at consultation based on your individual circumstances.
3. Will sensation be affected?
Labiaplasty performed on the labia minora, using careful technique, does not typically affect sensation. I do not perform clitoral hood reduction, as this carries meaningful risks to sensitivity and function that are not justifiable for cosmetic indications.
4. At what age can labiaplasty be performed?
Labiaplasty is appropriate for adults once labial development is complete, typically after the age of 18. In younger patients with significant functional symptoms, assessment on a case-by-case basis may be appropriate.
5. How long do results last?
Results are long-lasting. Changes from ageing, childbirth, or hormonal shifts may affect the labia over time, but the structural changes from surgery are permanent.
