Labiaplasty unveiled: the ins and outs from a pelvic floor perspective

10 Mar Labiaplasty unveiled: the ins and outs from a pelvic floor perspective

Pelvic floor physiotherapists and Labiaplasty 

As a pelvic floor physiotherapist, we come across various appearances of pelvic floors. The most commonly used terms in relation to the pelvic floor are vulva and labia. What does this mean?

The vulva encompasses the external genitalia, the way your vagina looks on external appearance.  It includes several parts, among which are the labia majora and labia minora.

• The labia majora are the outer ‘lips’ that enclose and protect the vaginal opening and other internal structures.
• The labia minora (inside the labia majora) are smaller folds of skin that can vary widely in appearance from person to person. These inner ‘lips’ can be visible beyond the labia majora or tucked inside them. 

Each person’s labia can have unique shapes, sizes, and colours. They serve several functions:

• protecting the delicate tissues of the vaginal opening
• providing some sensitivity and sensation during sexual activity. 

Issues related to the labia, such as discomfort during physical activities or dissatisfaction with appearance, can prompt individuals to consider labiaplasty, a surgical procedure aimed at altering the size or shape of the labia.

What is Labiaplasty?

Labiaplasty, also known as labial reduction surgery, is a procedure that surgically alters the folds of skin around the vaginal opening, known as the labia minora or majora. The surgery aims to change the size or shape of these tissues for aesthetic or functional reasons. Usually done on an outpatient basis, the procedure is commonly performed under local anesthesia, although there are cases where general anesthesia may be used.

The Advantages

The benefits often involve improved self-esteem and less physical discomfort. For those facing issues like discomfort during activities such as cycling, intercourse, or wearing certain clothes due to enlarged labia, labiaplasty can bring relief. Additionally, some people mention gaining more confidence and a better body image after the procedure.

The Disadvantages

It’s crucial to consider the potential disadvantages and risks associated with surgery. Complications such as infection, bleeding, altered sensation, and scarring can occur. Moreover, the surgery might not resolve underlying psychological concerns. Dissatisfaction with the aesthetic outcome is possible. 

Determining whether labiaplasty is appropriate involves understanding the indications and contraindications. Indications often include persistent physical discomfort or emotional distress related to the appearance of the labia. Contraindications may involve unrealistic expectations, lack of emotional readiness, or certain medical conditions that increase the risks associated with surgery. 

While labiaplasty candidates typically include adult women, the decision to undergo surgery should consider the following:

• factors beyond age
• emotional maturity
• understanding
• realistic expectations. 

Pelvic floor physiotherapists play a vital role in the care journey related to labiaplasty:

• Before surgery, they educate patients about pelvic anatomy, normal variations in labial appearance, and conservative measures to manage any symptoms or discomfort.
• Post-surgery, these therapists assist in rehabilitation, providing guidance on scar tissue management, pain relief techniques, and exercises tailored to optimize pelvic floor function.
• Pelvic floor physiotherapists support patients in their physical recovery and psychological and emotional aspects associated with the procedure. 

It’s important to understand that while labiaplasty offers potential benefits, it’s crucial for individuals to make informed decisions considering both the advantages and risks involved. 

The collaboration between healthcare professionals, including pelvic floor physiotherapists, ensures holistic care for those considering or undergoing labial reduction surgery. 

To make an appointment with one of our Women’s Health Physio’s, please call us on (03) 8001 2044  or book here.