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PROVIDING IN-OFFICE TREATMENT OPTIONS.

What Parts of the External Genitalia Do Women Commonly Address?

The most prominent portions of the female external genitalia include the mons pubis, the labia majora and the labia minora. Women commonly consider addressing all of these areas when assessing their aesthetic and functional concerns, but the labia minora are usually the primary issue. 

The mons pubis is the hair-bearing area just below the central abdomen. The labia majora are the natural extension of this tissue past the labial commissure, where one appreciates two distinct outer vaginal lips. The inner vaginal lips are called the labia minora. These structures tend to have more variability in length, size and symmetry. 

Some women are bothered by excessively prominent labia minora because these structures can create a number of problems: 

• discomfort with physical activities
• hygiene issues 
• aesthetic concerns
• sexual dysfunction
• structurally visible in bathing suits 
  

LABIAPLASTY: Treatment Options

Labia Minoraplasty

The most common procedure to address the labia minora is the traditional surgical approach, a labia minoraplasty. Dr. Robey's preferred method for a labia minoraplasty involves placing a curvilinear incision along the free edge of the excessive labia minora, removing this excess tissue, and then closing the skin in layers. 

Labia Majoraplasty

Excessive labia majora can be addressed in different ways. A traditional surgical excision of the medial labia majora skin can be helpful in addressing lax tissue in this area. Sometimes, a deflated labia majora benefits from revolumizing the tissue in the form of a fat transfer. 

Mons Pubis Treatment

Droopy mons pubis tissue can benefit from a mons pubis lift. A mons lift is part of most every abdominoplasty but some patients elect to focus on this area alone if the abdomen is not a concern. Deflationary changes of the mons pubis can also sometimes benefit from volume addition via fat transfer.