Plastic Surgery: Labiaplasty and Vaginal Rejuvenation

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Minimally-Invasive Labiaplasty Surgery in Santa Monica

Kare Plastic Surgery & Skin Health Center  ·  Santa Monica, Beverly Hills & Los Angeles

Labiaplasty Los Angeles

Labia minora reduction, labia majora contouring, hymenoplasty & clitoral PRP; performed with compassionate care and surgical precision by a double board-certified plastic surgeon Dr. Raffy Karamanoukian.

Call (310) 998-5533 Request a Private Consultation
UCLATrained Plastic Surgeon
FACSDouble Board-Certified
PrivateDiscreet Consultation
RevisionLabiaplasty Available
Santa Monica804 7th Street

Feminine Contouring & Restoration

 

Labiaplasty Los Angeles: Surgical Precision and Natural Results.

Labiaplasty — the surgical reduction and reshaping of the labia minora — is one of the most commonly requested female body contouring procedures in Los Angeles, and one of the most personal. Women seek labiaplasty for reasons that span the physical and emotional: chronic discomfort during exercise, cycling, or intercourse from labial tissue that folds or protrudes; self-consciousness in form-fitting athletic wear or swimwear; asymmetry between the two labial sides following pregnancy; and a desire to restore the perineal anatomy to a more youthful or pre-pregnancy configuration that aligns with how a woman feels about her body.

At Kare Plastic Surgery & Skin Health Center on 7th Street in Santa Monica, UCLA-educated double board-certified plastic surgeon Dr. Raffy Karamanoukian, MD, FACS performs labiaplasty with the surgical precision and anatomical respect this delicate procedure demands — and with the privacy, discretion, and clinical empathy every patient seeking personal surgery deserves. His outcomes consistently reflect the natural-looking aesthetic that distinguishes a plastic surgeon’s labiaplasty from the overcorrected results that revision patients present with from other practices.

Labiaplasty procedures are an integral part of a mommy makeover. Procedures are performed in our state-of-the-art operating room, usually under local anesthesia. Recovery after labiaplasty is limited to mild discomfort and mild tissue swelling that does not severely affect your quality of life. 

Labial Contouring Procedures 

  • Refined Labia minora reduction 
  • Clitoral hood reduction 
  • Labia majora reduction 
  • Labia majora augmentation with fat transfer
  • Hymenoplasty (hymen repair and restoration)
  • Clitoral PRP (O-Shot) for Sensitivity
  • Labial asymmetry correction
  • Revision labiaplasty 
  • Combined labiaplasty + tummy tuck 
  • Mommy Makeover of Labia and Vagina
  • Perineoplasty Repair of Episiotomy Scars

Surgeon Expertise

 

Dr. Raffy Karamanoukian Offers Precision Labiaplasty Surgery

Dr. Raffy Karamanoukian brings a rare combination of formal plastic surgical training, reconstructive anatomy expertise, and a deeply patient-centered consultation philosophy to his labiaplasty practice. His UCLA plastic surgery residency included formal training in perineal reconstructive surgery, flap design, and the precise tissue handling that determines whether a labiaplasty produces a natural, well-healed result or the tight, scarred outcomes that drive revision requests.

His labiaplasty consultations are conducted privately and without time pressure, always beginning with a genuine conversation about the patient’s concerns and goals before any examination takes place. Women who have been through rushed, impersonal consultations at high-volume labiaplasty centers consistently describe his consultation as distinctly different in quality and depth. He also performs revision labiaplasty for women who have had prior procedures elsewhere with unsatisfactory results — applying reconstructive anatomy principles to the challenging context of scar tissue revision.

He performs both the wedge resection and trim techniques, selecting the approach based on each patient’s specific anatomy, the degree of elongation, tissue quality, pigmentation, clitoral hood involvement, and aesthetic goal. His post-operative follow-up program is equally thorough, thus ensuring that every patient’s result is monitored through the full healing process and any concerns are addressed promptly.

“Labiaplasty is a deeply personal decision, and every patient who comes to my office deserves a consultation where she feels heard, respected, and fully informed before she makes any decision. The surgery itself takes an hour. ”

— Dr. Raffy Karamanoukian — Kare Plastic Surgery, Santa Monica

UCLAgraduate of UCLA School of medicine
FACSFellow of the American College of Surgeons
RevisionExperience correcting prior labiaplasty complications
DiscreteLabiaplasty precision with quick recovery

Surgical Technique

 

Labiaplasty Techniques Remove Excess Skin from Labia Minora

The technical approach to labiaplasty profoundly determines the aesthetic result, healing quality, and long-term tissue sensitivity. Dr. Karamanoukian performs both major techniques and selects the most appropriate approach at consultation.

Wedge Resection Technique

The wedge resection removes a V-shaped segment from within the body of the labia minora rather than along the free edge — preserving the natural irregular, rugated labial edge with its normal pigmentation gradient and eliminating any visible scar along the labial margin. The incision is strategically positioned within the natural creases of the labial tissue, where the resulting scar is concealed within the topography of the anatomy and effectively invisible once healed.

This is Dr. Karamanoukian’s preferred approach for the majority of patients because it consistently produces the most natural-appearing result, maintaining the authentic tissue character of the labial edge while achieving the desired reduction. It also tends to preserve labial sensitivity more reliably, as the nerve supply to the labial edge is not disrupted by the excision. The wedge technique requires more surgical precision in tissue alignment than the trim technique.

Trim Technique

The trim technique removes a strip of tissue along the free edge of the labia minora. The resulting scar runs along the new labial edge. In experienced hands, the trim technique produces reliable reduction in labial length and projection, and the edge scar typically heals to a fine, inconspicuous line.

The trim technique is most appropriate for patients with significant darkening or irregularity of the labial edge that the patient wishes to simultaneously remove, or for patients with diffuse labial elongation where a focal wedge access is not technically straightforward. Dr. Karamanoukian uses fine absorbable sutures and meticulous edge eversion for all trim labiaplasty closures. His selection between wedge and trim is based exclusively on the anatomy examined at consultation.

On clitoral hood reduction: Many patients seeking labia minora reduction also have excess clitoral hood tissue (prepuce) that contributes to the overall fullness and protrusion of the central labial complex. Dr. Karamanoukian evaluates the clitoral hood at every labiaplasty consultation and, when indicated, incorporates prepuceplasty (clitoral hood reduction) into the same operative session — producing a more balanced, harmonious overall aesthetic result than isolated labia minora reduction alone.

Complete Treatment Options

 

Mommy Makeover: Labiaplasty and Female Genital Surgery

Labia Minora Reduction (Labiaplasty)

The primary labiaplasty procedure reduces and reshapes labia minora that protrude beyond the labia majora or cause physical discomfort and cosmetic concern. Performed under local anesthesia with optional sedation, or under general anesthesia when combined with a mommy makeover. Takes approximately 45–75 minutes as day surgery. Absorbable sutures throughout eliminate suture removal appointments. Both wedge and trim techniques are available, selected based on anatomy at consultation.

Best For: Labial elongation causing physical discomfort during exercise or intercourse, labial protrusion in swimwear or activewear, post-pregnancy labial changes, asymmetry, aesthetic concerns

Labia Majora Reduction & Augmentation

The labia majora can develop excess tissue bulk from weight gain or natural anatomy, creating uncomfortable fullness in clothing and swimwear. Labia majora reduction surgically removes a carefully designed ellipse of excess skin and fatty tissue from the inner surface, with the resulting scar concealed within the labial fold. For patients with deflated or aging labia majora from weight loss or aging, fat transfer augmentation restores youthful fullness using processed autologous fat from donor sites such as the inner thighs or abdomen.

Best For: Excess labia majora bulk causing discomfort or cosmetic concern; deflated or asymmetric labia majora; frequently combined with labia minora reduction for comprehensive labial contouring

Hymenoplasty

Hymenoplasty is the surgical reconstruction of the hymen using the patient’s own surrounding mucosal tissue, creating a functionally and anatomically realistic restoration. Sought for personal, cultural, religious, or reconstructive reasons. Performed under local anesthesia as an outpatient procedure taking approximately 45–60 minutes. Dr. Karamanoukian approaches hymenoplasty with complete discretion and without judgment, recognizing that patients seeking this procedure have deeply personal and varied motivations deserving the same respect as any surgical decision.

Best For: Hymenal reconstruction for personal, cultural, or religious reasons; hymenal repair following trauma; all consultations and procedures conducted with complete privacy

Clitoral PRP (O-Shot)

The O-Shot uses platelet-rich plasma derived from the patient’s own blood, injected into specific anatomical sites in the clitoral complex and anterior vaginal wall. Growth factors in PRP stimulate new collagen production, improve tissue vascularity, and activate stem cells — potentially improving clitoral sensitivity, arousal, and orgasmic response. The 30-minute in-office procedure uses topical and local anesthetic for comfort and requires no downtime. Frequently combined with labiaplasty or offered as a standalone treatment for women experiencing reduced sexual sensitivity after childbirth, hormonal changes, or aging.

Best For: Reduced clitoral sensitivity after childbirth or aging, difficulty with arousal or orgasm, complement to labiaplasty for comprehensive intimate enhancement; no downtime, autologous biological treatment

Labiaplasty Makeover

Post-pregnancy body restoration is most comprehensive when it addresses all anatomical areas affected by pregnancy — including the labia. Labiaplasty combined with tummy tuck, breast augmentation, breast lift, and liposuction in a single mommy makeover session under general anesthesia eliminates the need for a separate anesthetic, recovery period, and set of pre- and post-operative visits. Because labiaplasty adds only 30–45 minutes to the total operative time and recovery is determined by the longer tummy tuck component, combining these procedures is highly practical and cost-effective.

Best For: Women planning tummy tuck or mommy makeover who also have labial concerns; eliminates separate anesthetic and recovery; most cost-effective approach to combined post-pregnancy restoration

Revision Labiaplasty

Revision labiaplasty corrects unsatisfactory results from prior procedures — including overcorrection (excessive tissue removal causing tightness or anatomical deficiency), undercorrection (inadequate reduction), asymmetry, scar irregularity, or loss of sensitivity. Dr. Karamanoukian’s reconstructive surgery background including formal training in scar revision, local flap design, and complex tissue rearrangement uniquely qualifies him to address revision cases requiring more than simple re-excision. Patients seeking revision are seen with the same thoroughness and empathy as primary labiaplasty patients.

Best For: Overcorrection or undercorrection from prior labiaplasty, asymmetry correction, scar revision, patients seeking second opinion on prior labiaplasty result from a board-certified plastic surgeon

Who We Treat

 

Who Is a Good Candidate for Labiaplasty in Los Angeles?

✓ Ideal Candidates for Labiaplasty at Kare Plastic Surgery in Santa Monica

  • Women with labial elongation causing chronic irritation during cycling, running, yoga, or swimming common to the active Los Angeles lifestyle
  • Those experiencing discomfort or physical interference during intercourse from enlarged, folding, or asymmetric labia minora
  • Women who feel self-conscious about the labial region in form-fitting athletic wear, swimwear, or underwear — a valid concern deserving the same surgical consideration as any cosmetic concern
  • Post-pregnancy patients with labial changes following vaginal childbirth who are planning a mommy makeover and wish to address all post-pregnancy changes in a single comprehensive procedure
  • Women with congenital labial asymmetry — one side significantly larger than the other — regardless of whether the cause is pregnancy, hormonal changes, or natural anatomy
  • Adults at least 18 years of age whose labial anatomy has been stable for at least 6 months, ensuring hormonal development is complete before surgery
  • Women who have completed childbearing or who have discussed timing of surgery in the context of future pregnancy plans with Dr. Karamanoukian at consultation
  • Those in good overall health without conditions that impair wound healing, including uncontrolled diabetes or autoimmune conditions affecting tissue integrity
  • Non-smokers or patients who have stopped smoking for at least 4 weeks before surgery, as smoking significantly increases risk of wound healing complications
  • Women with realistic expectations understanding the result, natural appearance, and 4–6 week activity restriction period of labiaplasty recovery

A note on privacy: Every aspect of your labiaplasty consultation and surgery at Kare Plastic Surgery is conducted with complete discretion. Your consultation is one-on-one with Dr. Karamanoukian in a private examination room. Your medical records are handled with strict confidentiality. Many of our labiaplasty patients have never disclosed this procedure to anyone in their personal lives, and we maintain that privacy as a non-negotiable standard of care.

Your Surgical Experience

 

The Labiaplasty Process at Kare Plastic Surgery in Santa Monica

 

Private Consultation & Surgical Planning

Your first appointment begins with a private, unhurried conversation with Dr. Karamanoukian about your concerns, goals, and the context of your decision — before any examination takes place. When you are ready, he performs a careful clinical examination assessing the degree and character of the excess tissue, any asymmetry, clitoral hood involvement, and skin quality. He explains both techniques, reasons for his specific recommendation in your case, and the realistic expected outcome with reference photographs from comparable cases. You leave with a complete written surgical plan and transparent cost estimate.

 

Pre-Operative Preparation

Blood-thinning medications, supplements, and NSAIDs are discontinued for one week before surgery. Smoking cessation is required for a minimum of 4 weeks before and after the procedure. For standalone labiaplasty under local anesthesia, pre-operative blood work is obtained at least one week before the procedure. Patients are advised to wear loose, comfortable clothing and to bring a sanitary pad to wear home. A comprehensive written pre-operative instruction sheet is provided at the pre-operative appointment.

 

Surgery Under Local Anesthesia or Sedation

Standalone labiaplasty is performed under local anesthesia (lidocaine with epinephrine) with optional oral or intravenous sedation, making patients comfortable without requiring general anesthesia in most cases. The local anesthetic injection is the most uncomfortable moment; once effective, patients feel only mild pressure. The wedge or trim resection is executed with fine surgical instruments and absorbable monofilament sutures. Total operative time for isolated labiaplasty is 45–75 minutes. Patients are discharged after a brief recovery period when fully awake and stable.

 

Recovery & Post-Operative Care

The first 48 hours involve mild to moderate discomfort, swelling, and bruising managed with prescribed oral analgesics. Patients wear loose clothing and a sanitary pad for the first week, avoid direct water pressure on the wound, and refrain from exercise and activities producing direct perineal pressure for 4–6 weeks. Absorbable sutures dissolve over 3–4 weeks without removal. Sexual activity and tampon use are restricted for 4–6 weeks. The final result is visible at 3 months when swelling has completely resolved.

 

Result Assessment & Long-Term Care

Follow-up appointments are scheduled at 1 week, 4 weeks, and 3 months post-operatively. At 3 months, the final labial contour is photographically documented and compared with pre-operative photographs. If any asymmetry or healing concern is identified, Dr. Karamanoukian addresses it directly and recommends any additional treatment if clinically indicated. Labiaplasty results are generally permanent; future vaginal delivery may cause some degree of labial stretching, which is discussed at consultation for patients who have not yet completed their families.

Common Questions

 

Frequently Asked Questions About Labiaplasty in Los Angeles

What is labiaplasty and why do women seek it?

A labiaplasty is a surgical procedure that is performed to reduce the volume and size of the labia minora lip tissue. There are many reasons to undergo a labiaplasty, including cosmetic reduction of the labia minora and functional labiaplasty to reduce labia volume that causes discomfort and pain.Dr. Karamanoukian treats each patient’s stated reason with equal clinical seriousness and personal respect.

What is the difference between wedge and trim labiaplasty?

The wedge technique removes a V-shaped segment from within the body of the labia, preserving the natural labial edge with its characteristic irregular texture and pigmentation. The resulting scar is concealed within the labial topography and not visible at the labial margin. The trim technique removes tissue along the free edge, producing a scar at the new labial margin. The wedge technique generally produces a more natural-appearing result and better preserves sensitivity; the trim technique may be more appropriate for patients with significant pigmentation or irregularity at the edge they wish simultaneously removed. Dr. Karamanoukian determines which technique is appropriate at clinical examination.

Can labiaplasty be combined with a tummy tuck or mommy makeover?

This is one of the most practical ways to address multiple areas of post-pregnancy body change in a single procedure. Labiaplasty adds approximately 30–45 minutes to a mommy makeover performed under general anesthesia, eliminating the need for a separate anesthetic, recovery period, and set of pre- and post-operative visits. Dr. Karamanoukian discusses labiaplasty as a routine mommy makeover option with all appropriate patients at their abdominal and breast consultation.

Will labiaplasty affect sexual sensation?

When performed correctly with appropriate tissue preservation and precise technique, labiaplasty does not diminish sexual sensation — and many patients report improved comfort and confidence that enhances their overall intimate experience after surgery. The primary risk to sensation comes from aggressive overcorrection that disrupts the nerve supply to the labial complex, or trim technique procedures that transect labial edge nerves. Dr. Karamanoukian’s approach prioritizes conservative tissue reduction and anatomical nerve preservation, and his wedge technique specifically avoids the labial edge nerve territory that the trim technique approaches more directly.

How long does recovery take after labiaplasty?

Most patients resume desk work and light activities within 3–5 days after standalone labiaplasty under local anesthesia or sedation. Strenuous exercise, sexual activity, and direct perineal pressure activities are restricted for 4–6 weeks. Swelling resolves progressively over 4–8 weeks, with the final result visible at 3 months. When combined with a tummy tuck or mommy makeover, the recovery is determined by the tummy tuck component — typically 2 weeks from desk work.

How much does labiaplasty cost in Los Angeles?

Published market pricing for labiaplasty in Los Angeles and Beverly Hills typically ranges from $3,500 to $8,000+ depending on the surgeon, technique, and anesthesia approach. A personalized all-inclusive cost estimate is provided at consultation once Dr. Karamanoukian has assessed the anatomy and planned the appropriate technique. When labiaplasty is combined with a mommy makeover, the incremental cost of adding it to the existing operative plan is significantly lower than standalone pricing. Financing through CareCredit and other programs is available for qualified patients.

Schedule Your Private Labiaplasty Consultation in Los Angeles

Dr. Karamanoukian at Kare Plastic Surgery & Skin Health Center provides the most complete, compassionate, and technically precise labiaplasty experience in Los Angeles. Your consultation is completely private and conducted with the respect every woman deserves. Contact our Santa Monica office today.

(310) 998-5533 Request a Private Consultation

Kare Plastic Surgery & Skin Health Center  ·  804 7th Street, Santa Monica, CA 90403  ·  (310) 998-5533

Dr. Raffy Karamanoukian, MD, FACS — Double Board-Certified Plastic Surgeon  ·  UCLA-Trained  ·  Labiaplasty & Mommy Makeover  ·  RealSelf 100  ·  Santa Monica