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Book

Labiaplasty, Labia Minora Reduction

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
.
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Book

Labiaplasty, Labia Minora Reduction

Rhett N. Willis et al.
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Excerpt

Perceptions of identity and self-esteem are often closely linked to how individuals perceive the appearance of their genitalia, especially when entering new relationships. Female genital aesthetics are influenced by both cultural standards and personal beauty ideals, shaped by societal norms and individual experiences. Contemporary trends, such as the increasing preference for pubic hair removal, have heightened awareness of subtle labial variations, which may contribute to feelings of self-consciousness. The widespread availability of explicit media and open discussions about sexual practices have also led many women to compare themselves to perceived societal standards, sometimes resulting in avoidance of situations where vulnerability may be felt, such as wearing tight clothing or engaging in intimate encounters.

Heightened awareness of genital aesthetics has led to a significant increase in demand for genital aesthetic surgery, with labiaplasty requests rising by 217.2% from 2012 to 2017, according to the American Society of Aesthetic Plastic Surgeons. Procedures such as labial reduction and clitoral hood surgery can greatly enhance self-confidence by addressing both perceived and actual genital concerns, often resulting in natural-looking outcomes with satisfaction rates exceeding 90%.

Although globalized standards for genital aesthetics are difficult to define due to cultural and geographic variations, general guidelines tend to emphasize symmetrical labia minora that do not extend beyond the labia majora, particularly when standing. The clitoral hood should be reasonably short and non-protuberant, without excess folds. The labia majora should be full but free of redundant skin or excessive fatty tissue that could cause an unsightly bulge under clothing. Additionally, the mons pubis should exhibit mild fullness without protruding through clothing.

Additionally, women with enlarged labia or significant clitoral hooding may experience irritation and discomfort during exercise, sexual intercourse, or when wearing tight clothing. Severely enlarged labia can also interfere with hygiene, sexual function, and self-catheterization. In such cases, surgical intervention may provide relief, improving both overall well-being and quality of life.

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Conflict of interest statement

Disclosure: Rhett Willis declares no relevant financial relationships with ineligible companies.

Disclosure: Karen Szymanski declares no relevant financial relationships with ineligible companies.

Disclosure: Bhupendra Patel declares no relevant financial relationships with ineligible companies.

References

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