Dr. Laurie A. Casas has had extensive experience evaluating young women for labiaplasty who have chronic pain from continual irritation and daily dissatisfaction that prevents these young women from doing normal daily activities And wearing normal age-appropriate clothes. Dr. Casas is committed to only operate on women who have symptoms because external genitalia is extremely variable in size and shape. The American College of Obstetricians and Gynecologists cautions women to understand that individual variation in the external genitalia anatomy is normal. Dr. Casas agrees and practices careful evaluation of each patient to be sure the motivation is based on symptoms that will be resolved with the conservative reaction of excess labia tissue. ACOG’s recommendations can be read here.

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Case Study

This is an 18-year-old with chronic irritation of her enlarged right and left labia minora and excess right tissue on the side of the clitoral hood. After a thorough evaluation and full informed consent, the patient decided to have a labiaplasty. A conservative bilateral labia minora wedge and a right clitoral hood resection were performed to Resect the chronically irritated excessive tissue. At 6 weeks the patient returned to normal athletic activity and is pain-free without chronic irritation.

Pre-OpPre Childbirth Labiaplasty before photo
Preop pre childbirth symptomatic labia minora hypertrophy and right excess clitoral hood
Post-OpPre Childbirth Labiaplasty after photo
Two months post bilateral wedge reaction labia minora and right clitoral hood resection