Labiaplasty in Richmond

Vaginal Rejuvenation and TighteningTrim large or uneven labia for pain management or cosmetic purposes

Vaginal rejuvenation and vaginal tightening include multiple non-surgical and surgical treatments to improve the appearance of the vagina, labia and to treat discomfort. Vaginal Rejuvenation includes vaginal tightening with non-surgical treatments, labiaplasty of the labia majora/minora, clitoral hood reduction, and fat grafting to the labia.

Labiaplasty as part of vaginal rejuvenation and vaginal tightening is a procedure which improves the size and shape of the labia majora and/or labia minora.

Before And After Labiaplasty Photos

Vaginal tightening can be achieved with series of injections of a patient’s own growth factors. Platelet-derived growth factor injections in the vaginal wall have been shown to lead to skin rejuvenation, collagen production and ultimately to improve female sexuality with high satisfaction rate. Some reports indicate that these injections can also improve vaginal dryness.

Vaginal rejuvenation can further be achieved with fat grafting injections to the labia majora to restore the youthful fullness of the labia majora. This is a preferred treatment for many women who have noticed that their labia majora has elongated, and has even become uncomfortable during exercise.

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.

Benefits of Labiaplasty

Labiaplasty can provide both physical and emotional benefits for women who experience discomfort or self-consciousness related to the size or shape of their labia. The procedure focuses on improving comfort, symmetry, and confidence while maintaining natural anatomy.

Many patients who consider labia reduction in Richmond report that excess or uneven labial tissue can interfere with everyday activities. Labiaplasty can help address these concerns and restore comfort.

Common benefits of labiaplasty include:

Improved physical comfort during activities such as cycling, running, yoga, or other exercise
Reduced irritation or chafing caused by excess tissue rubbing against clothing
Enhanced symmetry and appearance of the labia
Increased confidence when wearing tight clothing or swimwear
Greater comfort during intimacy

Many patients also appreciate the opportunity to review labiaplasty pictures during consultation to better understand potential outcomes and surgical approaches.

A personalized evaluation helps determine whether labiaplasty is the most appropriate treatment to achieve each patient’s goals.

Best candidates

Women who want to improve the size and shape of their labia, or women who have noticed changes in their vulva and vagina over time.

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.

Click Here to Learn What is the cost of Labiaplasty Surgery in Richmond VA?

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. However, Labiaplasty is advantageous in achieving smaller and more symmetric appearing labia.

Additionally, women in this group also notice that their labia majora (outer lips) have elongated and lost their youthful full shape. Vaginal rejuvenation in this group of patients can be achieved by performing labia majora reduction which can be combined with fat grafting to the labia majora to restore its youthful shape and curvature.

Labiaplasty Techniques: Trim vs Wedge

Two of the most commonly used techniques for labia reduction are the trim technique and the wedge technique. Each approach is selected based on the patient’s anatomy, aesthetic goals, and the amount of tissue being addressed.

During a consultation for labiaplasty in Richmond, Dr. Kitto carefully evaluates the labial tissue and discusses which surgical method will provide the most natural and balanced result.

Trim Technique

The trim technique removes excess tissue along the outer edge of the labia minora. This approach is often used when the goal is to reduce the length of the labia and improve overall symmetry.

Benefits of the trim technique may include:

removal of darker or thicker tissue along the labial edge
smooth contour along the labia
reliable results for patients with excess outer tissue

Wedge Technique

The wedge technique removes a small wedge-shaped portion of tissue from the center of the labia while preserving the natural outer edge.

Advantages of this approach include:

preservation of the natural labial border
maintenance of natural pigmentation
reduced tension along the incision line

The choice between techniques depends on each patient’s anatomy and goals. During consultation, patients often review labiaplasty pictures to better visualize how different surgical approaches may affect results.

Consultation

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 to their surgery to review the upcoming procedure, the expected recovery and answer any last-minute questions.

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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

Most of the time people think that labiaplasty is painful but it 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.

For fat grafting procedures to the labia majora, a small amount of the patient’s own fat is harvested from the patient’s abdomen or thighs. This fat is then purified, prepared and injected into the patient’s labia majora via very small incisions.

For vaginal tightening, a small sample of the patient’s own blood is collected via a blood draw. This sample is then separated and the platelet derived growth factors are isolated. This concentrate is then injected into the vaginal area.

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.

After vaginal wall injections and/or fat grafting to the labia majora, patients may expect to have mild swelling, bruising and a short period of discomfort.

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.

Safety, Privacy & Confidential Care

For many women, discussing labiaplasty can feel personal or sensitive. At our practice, patient privacy, comfort, and safety are always top priorities.

Every patient considering labiaplasty in Richmond receives highly individualized care in a respectful and confidential environment. Consultations are conducted privately, allowing patients to openly discuss their concerns, goals, and expectations.

Our approach focuses on:

Patient safety through careful medical evaluation and surgical planning
Confidential consultations in a comfortable and private setting
Personalized treatment plans tailored to each patient’s anatomy and goals
Clear communication about the procedure, recovery, and expected outcomes

Patients are also able to review labiaplasty pictures and discuss treatment options in detail so they can feel confident and informed before making any decision.

Our goal is to ensure that every patient seeking labia reduction in Richmond feels supported, respected, and fully informed throughout their entire treatment journey.

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

Actual patient of Dr. Kitto

FAQ

What is labiaplasty?

A vaginal rejuvenation, or labiaplasty, involves decreasing the size or altering the shape of the labia minora, the inner vaginal lips on both sides of the vagina, to give it a more “tucked in” appearance. In some cases, it can also include sculpting the labia majora, or outer lips, or trimming the clitoral hood.

What are the benefits of labiaplasty?

Labiaplasty can boost your self-confidence, restore a more youthful look, and help with pain. When the labia minora hangs below the outer lips, pain and discomfort can be a problem, especially during sex, exercise (such as bike riding), and other everyday activities.

Will I take a long time to recover after labiaplasty?

Labiaplasty is a minor, minimally invasive procedure with a fast recovery time. You will experience only mild swelling, bruising, and little to no discomfort. A full recovery should take around two weeks.

What is the average cost of labiaplasty?

Labiaplasty costs can vary from person to person because each surgery is individualized. The average labiaplasty price is $4,000–$7,000.

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

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MEET DR. KITTO

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 BOARD CERTIFIED 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, FACS