Plastic Surgery Partners
Michael Law, M.D

Labiaplasty Specialist in Raleigh, NC serving patients in North Carolina.

Learn if labiaplasty is right for you and what other procedures can be part of a vaginal rejuvenation at Blue Water Plastic Surgery Partners in Raleigh.

What is the Purpose of a Labiaplasty?

Labiaplasty surgery is the removal of excess tissue of the labia minora (inner lips) that can get in the way and cause discomfort like pinching, or tugging in certain clothing or underwear. This helps improve the aesthetic appearance of the labia and can also alleviate functional problems such as discomfort with intercourse or feeling self-conscious during sex.

Labiaplasty surgery can be one part of a vaginal rejuvenation. Different procedures for vaginal rejuvenation depend on each patient’s anatomy and concerns. During a consultation with one of our board-certified plastic surgeons we can discuss which vaginal rejuvenation treatment is best for your lifestyle and your needs.

What is a Vaginal Rejuvenation?

Several treatments and even a combination can be performed for a vaginal rejuvenation.

Labiaplasty: a surgical intervention to remove excess skin to improve both appearance and comfort. Removing this extra tissue makes the labia appear neat and tidy without labia minora tissue hanging down below the labia majora. It can also reduce darkly pigmented tissue or improve asymmetrical labia.

Emsella at Blue Water Spa: a non-invasive treatment for vaginal tightness and urinary incontinence. Perfect procedure for a new mom who delivered vaginally and is concerned over vaginal laxity, as well as the woman who is tired of ‘peezing’- sneezing and peeing at the same time. The Emsella treatment, also known as The Vagina Gym or Kegel Throne, strengthens the pelvic floor muscles while you sit and read a magazine. It does the work for you. Patients have reported feeling a difference after just one session, but more sessions may be needed depending on each patient for optimal results.

Fupa surgery: Liposuction of the mons pubis to reduce fullness in the lower abdomen. This procedure can sometimes be combinedwith an abdominoplasty or tummy tuck procedure to remove the ‘c section shelf’ that some women obtain after having a c section.

View Labiaplasty Before and After Photos

How To Know if You Need a Labiaplasty

Labia come in all shapes and sizes. Labiaplasty surgery can include removal of specific excess tissue. The three styles of labiaplasty are:

Edge trim labiaplasty: The outer rim of the labia minora is removed, placing the scar along the edge of the labia. This technique is best for removing darkly pigmented tissue of the labia or improving asymmetric labia.

Wedge excision labiaplasty: A pie-shaped wedge of tissue is removed from the labia minora, placing the scar vertically and heading into the vaginal canal. The natural edge of the labia and pigmentation is maintained. This technique is best for patients with redundancy that is located mostly in the central part of the labia.

Clitoral hood reduction: Removal of excess tissue from the clitoral hood. This can be done with linear incisions on either side of the clitoris or with an inverted V incision over the clitoris.

Not all labiaplasty surgeries are a result from childbirth. While childbirth and hormonal changes can cause unwanted changes to the size, shape, and color of the labia, some women are born with longer, darker, or asymmetric labia.

For some patients, the appearance of the labia is their primary concern and for others it is more of a functional concern, including discomfort with certain clothing or activities. Common patient complaints include elongated labia minora that hang down below the labia majora, deflated and saggy labia majora, darkly colored labia minora, asymmetry, discomfort with sexual activity or exercise, diversion of the urinary stream, and labia that are visible in athletic pants and bathing suits.

How Long is Recovery from a Labiaplasty?

The labiaplasty procedure is about an hour long. Dissolvable stitches are used after labiaplasty surgery, so no uncomfortable suture removal is necessary. Patients typically have swelling and discomfort for the first week after surgery, then quickly feel back to normal. Patients are to limit exercise and physical activity during the initial phases of healing, but most patients are able to return to their normal routine quickly.

A small amount of swelling can persist for about 3 months after surgery. Patients are asked to avoid exercise for 2 weeks after surgery and sexual intercourse for 6 weeks.

The labia heal beautifully, and incisions become difficult to see after a few months. Most patients are unable to point out their scars. The location of labiaplasty scars depends entirely on the technique used and the patient’s unique anatomy. An “edge-trim” labiaplasty places the scar along the edge of the labia whereas a “wedge excision” places the scar in a vertical orientation going into the vaginal canal. A clitoral hood reduction can place linear scars on either side of the clitoris or an inverted V-shaped scar above the clitoris.

Labiaplasty Cost North Carolina

Labiaplasty pricing is specific to each patient depending on the technique being used. Pricing also varies if labiaplasty surgery is performed in conjunction with another procedure for vaginal rejuvenation such as FUPA correction, or even a mommy makeover procedure. For more specific information on labiaplasty cost you can text our office and one of our Patient Care Coordinators will be able to provide information on the cost of labiaplasty surgery in our initial consultation.

Do I Need Mons Pubis Surgery?

Mons pubis surgery removes excess tissue from the fatty pad over the pubic bone. Commonly known as Fupa, this area can be difficult to reduce naturally via exercise and diet.

Mons pubis reduction surgery not only reduces stubborn excess skin, but can give women the confidence and comfort they are looking for in jeans and tight fitted clothing.

What to Look for In Mons Pubis Reduction Surgery Near Me?

It’s important first and foremost to choose someone who you feel comfortable with. Mons Pubis reduction and labiaplasty can be a sensitive subject and your provider should make you feel empowered to discuss everything that bothers you and not embarrassed. Once you have found that person, ask to see before and after photos and ensure that you would be pleased with similar results.

Vaginal Rejuvenation means different things to different women. Vaginal rejuvenation can include

1) Tightening of the vaginal canal
2) Strengthening of the pelvic floor 
3) Preventing or minimizing urinary incontinence
4) Labiaplasty, which is removal of excess tissue of the labia, but does not affect the vaginal canal or vaginal tightness
5) Improving the appearance of the gential areas by removing ingrown hairs via laser hair removal
6) Improving the feeling of the skin of the genital areas with laser hair removal
7) Improving hyperpigmentation of the genital area due to irritation of ingrown hairs

Vaginal rejuvenation or vaginal tightening to improve sexual satisfaction for a woman and her partner. Vaginal rejuvenation through strengthening the pelvic floor can also minimize or eliminate urinary incontinence.  At one time, the only solutions for vaginal tightening and vaginal rejuvenation were surgery, or Kegel exercises. Kegels can absolutely help improve sexual satisfaction and can also help to prevent or treat urinary incontinence.  Today, a new, FDA approved device called Emsella can strengthen the pelvic floor. During an Emsella treatment you sit on the Emsella chair fully clothed. There is a sensation of working out the pelvic floor muscles. But there is not a feeling of sexual stimulation.  A single 30 minute treatment is equivalent to 11,000 perfect Kegels. The treatments are painless, and there is no down time associated with an Emsella procedure.  Emsella is sometimes referred to as the Vagina Gym because it effectively strengthens the muscles of the pelvic floor more effectively than a woman can do by performing Kegel exercises alone.  


What is Emsella?

Emsella Treatments

Five Signs You Could benefit from Emsella Treatments
1. Inability to control your bladder, which may show up in the form of leaking when coughing, sneezing, laughing, jumping, running, high-impact exercise, or you feel the urge to pee, rush to the washroom, but don’t quite make it.
2. Always carrying panty liners for fear of an accident.
3. Constipation. Yes, your pelvic floor may have a contributing factor to your inability to empty out or empty out fully which may also contribute to constipation.
4. Trouble achieving orgasm
5. A Partner who notices a difference in stimulation provided during intercourse, especially after childbirth.

Female Pelvic Floor Muscles

The pelvic floor is the base of the group of muscles referred to as your cor. We often think of core muscles being just in the abdominal area, but the core starts in the pelvic floor. These muscles are located in your pelvis and stretch like a hammock from the pubic bone at the front to the tailbone at the back and from side to side. They support the bladder, bowel, and uterus and play an important role in sexual function and sexual satisfaction, while also managing bladder control and even bowel control. The pelvic floor, sometimes referred to as the pelvic diaphragm, extends from the area beneath the pelvis that then separates the pelvic cavity from the region which includes the genitalia and anus. There are three layers to the pelvic floor. The deepest one is the one that people tend to feel the most when they’re doing Kegels. When strengthening the pelvic floor, it is important to focus on getting some superficial sensation as well. These superficial muscles go around the clitoris. They create closure at the opening of the vagina as well as the superficial anal control. It’s important to be able to target all of those areas of the pelvic floor so that you can optimize function of those areas. This is why Emsella is so helpful. Performing Kegel exercises perfectly can be challenging. And, getting in 11,000 perfect Kegels might take many, many hours while just stting on the Emsella for just 30 minutes can take care of that for you!

Strengthening the pelvic floor not only prevents urinary continence, and it releases pressure in the abdomen and pelvis when you cough or lift something heavy. These muscles can be weakened due to trauma, age, straining, and obesity resulting in pelvic floor dysfunction which can cause incontinence, pain, genital urinary prolapse, and sexual dysfunction. If your pelvic floor muscles don’t work well, you may leak when you do things like coughing, sneezing, lifting, laughing, or exercising. To stop this from happening, you need to strengthen your pelvic floor muscles.

Emsella treatments feel different than a Kegel. When performing a Kegel, you need to squeeze and draw in the muscles around your vagina as if you are trying to stop the flow of urine. Lift them up inside. . Don’t tighten your buttocks. Then let go and relax the pelvic floor muscles completely. Notice as you tighten and lift your pelvic floor muscles, Kegel exercises, like Emsella treatments tighten and close around the anal passage, vagina, and urethra. By exercising the pelvic floor regularly, you will train your muscles to work automatically when they are needed.

Emsella Treatments

There are several significant differences between performing Kegels and getting an Emsella treatment. First, the Emsella treatment doesn’t feel fatiguing. 30 minutes of Kegels might be, well boring. And also, getting a perfect Kegel is easier to achieve with Emsella. Another question women have is whether or not the stimulation that happens during an Emsella treatment provides sexual stimulation of any kind during the treatment. It does not.

Emsella Treatment for Urinary Incontinence

When you laugh, sneeze, or exercise, do you suffer from oops moments? With our Emsella treatment we can tighten your pelvic floor from within. The stimulation tightens the muscles of the pelvic floor, helping to control and alleviate incontinence. Each 28 minute session is the equivalent of 11,000 pelvic floor tenses. You will need around six treatments depending on your individual needs and requirements. As Emsella offers advanced tightening and toning of the pelvic floor, it’s a superb treatment when combined with Emsculpt Neo to treat postpartum concerns such as diastasis recti and pelvic floor
weaknesses. Our pelvic floor is one of those muscles that often gets forgotten about until it becomes a problem. The only way to tighten your pelvic floor is to do a Kegel, and 90 percent of the time we don’t do it correctly. So the Emsella does this job for you.

Menopause and changes in sexual health and pelvic floor

The importance of our pelvic floor health during the different stages of menopause is perhaps even more significant that women who are younger. There are a number of hormonal changes that occur, and this can impact our muscles across our body including our pelvic floor. Menopause can be a time when women start to experience symptoms of pelvic floor dysfunction including incontinence and prolapse. This is why it’s so important that we regularly work on our pelvic floor exercises focusing on strengthening the muscles of the pelvic floor.

Bone health in women is another issue to be aware of, as there can be changes to our bone health during menopause as well. What can help and improve our bone health and bone density is impact and weight training. However, often women don’t want to do this because impact exercises like running or jumping or lifting weights can actually result in experiencing incontinence or experiencing prolapse symptoms. So this is why working on our pelvic floor can actually then help our bones because it means that we can interact more with the exercises that help our bones. So, improving the muscles of the pelvic floor with Emsella can actually improve the overall health of a woman.

So, as a woman, if you want a tighter and stronger vaginal canal with enhanced sexual satisfaction for you and your partner, vaginal rejuvenation with Emsella could be right for you. Or, of you re a women who would like an FDA approved treatment for urinary incontinence so that you can laugh, sneeze, cough and jump on a trampoline with confident, and no panty liners, Emsella could also be for you. Whether a woman is looking for enhanced sexual satisfaction, or to prevent what we sometimes call peezing, Emsella with treat both issues. The session is just 30 minutes long. It requires no disrobing, you wear your normal clothing, there is no downtimes and in 30 minutes, you’ve completed a treatment and can go back to any activities comfortably and with no down time

If you have a man in your life who might also benefit from a stronger pelvic floor, Emsella works on the pelvic floor of men just like it does for women. It is FDA approved for urinary incontinence in men and it can lead to longer and more satisfying erections and orgasms in addition to preventing multiple trips to the bathroom day or night.

    Schedule a Consultation Today

    Blue Water Plastic Surgery Partners - Raleigh NC

    Plastic Surgery Partners

    10941 Raven Ridge Road
    Suite 102
    Raleigh, NC 27614

    (919) 870-1052

    Schedule an Appointment