1011 Johnston Willis Dr. Suite 110, Richmond, VA 23235804-294-1777


Labiaplasty Surgery in Richmond VA

Trim large or uneven labia for pain management or cosmetic purposes

Labiaplasty is a procedure that reduces the size of the labia majora (outer lips) and/or labia minora (inner lips). This is a minimally invasive procedure that trims the skin on either side of the vaginal area — to improve the appearance, provide symmetry and reduce discomfort. In select patients labiaplasty may also include reshaping of excess skin of the clitoral hood. As a female plastic surgeon Dr. Kitto understands that labiaplasty could be a very sensitive topic for her patients and she is focused on providing highly individualized and safe procedure.

Best candidates

Most patients who are interested in labiaplasty fall in one of two groups. The first group includes women in their 20s who have noticed excess tissue in their labia minora (inner lips) and/or labia majora (outer lips). Due to their active lifestyle they find the appearance of excess tissue to be distressful in tight fit clothing. They may also have discomfort during certain activities such as cycling, spinning, or yoga. Additionally, they may feel embarrassed during intimacy.

The second group of patients includes women in their 40s-50s who have noticed changes in their labia to occur over time. These changes are influenced by prior childbirth, changes in weight or in hormone levels.

Overall these patients do not like the appearance of their labia tissue, are embarrassed in certain clothing and have discomfort during sports or intimate contacts. They are looking to achieve smaller and more symmetric appearing labia.


All new labiaplasty patients meet with Dr. Kitto for a 1-hour private consultation to discuss their primary concerns and their goals. The doctor will obtain a full medical history and perform a detailed physical exam to ensure that the procedure can be safely performed and meets the patient’s expectations. Patients are also given to review pictures of Before and After to get a better sense of what the procedure involves. Then Dr. Kitto discusses the procedure in detail with them including the location of the incisions and the postoperative period.

Patients are then again seen 2 weeks prior their surgery to review the upcoming procedure, the expected recovery and answer any last-minute questions.

She made me feel like I was her only patient for the day and that she was there for me. The surgery I was consulting on is not easy to talk about but she made me feel very courageous for coming in for questions while also addressing my concerns.

Actual patient of Dr. Kitto

The procedure

Labiaplasty is a highly individualized procedure and can be performed under general anesthesia or IV sedation with local anesthesia depending on the area to be treated such as labia minora reduction and/or labia majora reduction and/or clitoral hood reduction. Labia minora reduction can be performed using a “trim excision” or “wedge excision” technique and it depends on the shape and size of the labia minora. Both techniques involve excising the excess tissue and creating a smaller more symmetric appearing labia. The surgical incisions for each procedure differ slightly and leave imperceptible scars. Dr. Kitto uses only dissolvable sutures so there will be nothing to be removed.

Labia majora reduction involves removing a crescent shape of tissue from each labia majora. In certain patients who have undergone atrophy fat grafting may also be performed to achieve a more youthful appearance. Dr. Kitto uses only dissolvable sutures so there will be nothing to remove. The incisions are placed in natural creases and surgical scars become imperceptible over time.

Clitoral hood reduction may also be performed in select patients who have noticed excess tissue or their clitoral hood. The procedure involves excising a conservative amount of skin in the clitoral hood which can be combined with their labia minora and/or labia majora reduction. All sutures are dissolvable. The surgical incisions are placed in with attention to detail and scars become imperceptible over time.

Recovery process

After the procedure once the patient is comfortable they are sent home to rest the same day with pain medication, cool compresses and antibiotics if needed.

Labiaplasty is considered a minor, minimally invasive procedure and the recovery time is fairly fast. Most patients experience only mild swelling, bruising and little to no discomfort. These side effects are completely normal, and full recovery should take around two weeks. They are seen frequently in the office during their postoperative period to monitor their full recovery.

My only regret is that I didn’t have the labiaplasty done sooner.

Actual patient of Dr. Kitto

Contact our practice

If you would like more information about labiaplaty with Dr. Kitto, or wish to schedule a consultation, call us today.

Call 804-294-1777


A highly skilled surgeon with an artist’s touch

"I strive to provide natural results to enhance my patients' unique beauty".

Dr. Kitto is a fully trained plastic surgeon who specializes in cosmetic procedures of the face, breast and body. She also performs procedures for men and offers a wide variety of non-surgical options. Procedures she commonly performs are facial rejuvenation, breast enhancement and body contouring. She empowers patients to make educated decisions about their procedures and helps them feel comfortable throughout their transformation.

Inzhili Kitto, MD

We striver for beauty and balanceLook and feel your absolute best

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