Labiaplasty Surgery in Sydney

Labiaplasty Surgery in Sydney by Dr. Peter Laniewski

There are significant labia variations among women, and changes to the size and shape can result due to childbirth, aging or other events. Labiaplasty is a surgical procedure that addresses defects, abnormalities, and a desire to improve aesthetic appearance. Women can become self-conscious if they think their vagina is unsightly or abnormal, often resulting in distanced relationships and a lack of sexual intimacy with their partner.

Labiaplasty treats oversized, asymmetrical and elongated labia minora. The labia minora (inner labia) is often concealed within the labia majora (outer labia), but tearing and stretching of the labia can result in labia ‘lips’ becoming more prominent. Changes are often also noticed during sexual arousal when the inner labia can swell up to three times its usual diameter. Labiaplasty is also part of sexual reassignment surgery for male-to-female transformation. During vaginoplasty, an inner labia and clitoral hood are created using labiaplasty techniques.


Prior to undertaking labiaplasty, it’s worth noting that the huge variations among women mean that your vaginal appearance probably falls within the normal range. However, in situations where comfort, health and intimacy are impeded, surgery is worth considering. A consultation with your cosmetic surgeon will appease concerns and provide realistic aesthetic goals.

Labiaplasty is contraindicated in cases where the woman has a gynaecological disease, and is usually not undertaken during menstruation due to the risk of infection. Smokers are also requested to quit the habit for a period of time before and after the operation in order to optimise healing.

Dr Laniewski and his staff understand that some women are reluctant to discuss private or sexual issues. The clinic provides a confidential, caring and professional environment for the comfort of every patient.

Patient concerns discussed might include:

  • Surgery complications and long-term risks
  • A decrease in sensation or the ability to have an orgasm
  • Restrictions regarding hygiene products and tampons
  • Non-surgical options
  • Any affects regarding childbirth or pregnancy
  • The benefits and realistic expectations of surgery


There are several different types of labiaplasty procedures providing a variety of outcomes. Dr Laniewski is one of Sydney’s most eminent cosmetic surgeons, with the credentials and experience to offer the best solutions for every individual situation. Labiaplasty surgical procedures include:

  • Edge resection: This surgery removes the naturally wrinkled edge of the inner labia in cases where it is extended and overly prominent.
  • Central wedge resection: A wedge of tissue is removed from the thicker area of the inner labia. The natural wrinkled appearance of the labia edge is retained while situating it more discretely within the outer labia.
  • De-epithelialization: This technique preserves the natural inner labia edge yet diminishes overall size by removing epithelium from aspects of the labia. Epithelium is tissue that lines the surface of the labia.
  • Laser labiaplasty: Advanced laser technology for removal of epithelium tissue on the labia.
  • Labiaplasty and clitoral unhooding: Occasionally, the thickness of skin on the clitoral hood can be aesthetically displeasing or an impediment to sexual arousal. Repositioning the clitoral hood can assist with tightening of the inner labia.

Labiaplasty can be performed with local or general anaesthetic depending on the procedure involved. It is usually a same-day operation allowing patients to recover in their own home. Stitches used are organic and self-disolving.


Anaesthesia used in the operation usually causes the tissues to swell. This will diminish fairly quickly. Your cosmetic surgeon will advise you regarding appropriate home-care, including cleansing of the wound during recovery. It’s recommended to rest for a day or two after surgery, and to take up to a week off work to ensure full recovery and comfort when resuming normal activities. The area operated on will be sensitive at first, and abstinence from sexual activity for several weeks is advised.

Labiaplasty has become an increasingly common procedure in recent years, partially due to this formerly taboo subject gaining more exposure. Surgical satisfaction among labiaplasty patients is very high, with quality of life and greater self-confidence among the most common outcomes.