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Labiaplasty in Paris: reduction of the labia minora when they cause discomfort

In brief

Labiaplasty (nymphoplasty) reduces the size of the labia minora when they cause discomfort (enlarged labia minora, or labial hypertrophy): chafing, irritation, pain when wearing clothes, during sport or during sex. In Paris, it is performed in a clinic, as a day case, under general anaesthetic. The size and symmetry of the labia minora vary widely from one woman to another; the decision to operate is made in consultation, after an examination and full information.

When to raise it in consultation

  • Repeated chafing or irritation, especially with certain clothes
  • Pain or discomfort during sport (cycling, horse riding, running)
  • Discomfort or pain during sex
  • Difficulty with intimate hygiene

Labiaplasty in Paris: what to expect

  1. 1Consultation. Examination, assessment of the problem, a check for any cause that can be treated without surgery, and written information on the benefits and risks.
  2. 2Quote and cooling-off period. You receive a detailed written quote; when the procedure is cosmetic surgery, French law requires a cooling-off period of at least 15 days.
  3. 3Procedure. In a clinic, as a day case, under general anaesthesia; the length of the procedure is explained at the consultation.
  4. 4Recovery. As a guide: time off work is often not needed (a few days at most); cycling and horse riding are generally resumed after 1 to 2 months, and sex after 3 to 4 weeks; sitz baths are allowed, but no full baths or swimming pools for about 4 weeks. Local care and instructions are tailored to each patient at the consultation.
  5. 5Follow-up. A post-operative consultation to check healing.

Risks

  • Haematoma, bleeding, infection
  • Wound breakdown
  • Asymmetry, a result different from what was expected, revision
  • Changes in sensation, pain during sex

Frequently asked questions

Are nymphoplasty and labiaplasty the same procedure?

Yes. Both terms mean reduction of the labia minora; “nymphoplasty” is the term mostly used in France, “labiaplasty” in English-speaking countries.

Are labia minora that protrude abnormal?

No. Labia minora that extend beyond the labia majora are a common variation in anatomy. Surgery is only considered when they cause real discomfort.

From what age is the procedure possible?

It is only offered to adult patients. In adolescents, the anatomy of the vulva is still developing.

Is labiaplasty reimbursed in France?

It may be covered by the Assurance maladie (French national health insurance) when there is a recognised medical indication (functional discomfort); a purely cosmetic procedure is at your own expense. The conditions are explained at the consultation (see reimbursement and fees).

How much does a labiaplasty cost?

The amount depends on the indication, the clinic, the type of anaesthesia and the extent of the procedure. It is set out in the detailed quote given at the consultation, before any decision.

How long does healing take?

As a guide, sex can usually be resumed after 3 to 4 weeks, baths and swimming after about 4 weeks, and cycling and horse riding after 1 to 2 months. Healing is checked at the post-operative consultation, usually 4 to 6 weeks after the procedure.

References

  • American College of Obstetricians and Gynecologists — Elective Female Genital Cosmetic Surgery: ACOG Committee Opinion, Number 795. Obstet Gynecol, 2020 — doi:10.1097/AOG.0000000000003616 — PMID 31856125
  • Hayes JA, Temple-Smith MJ — What is the anatomical basis of labiaplasty? A review of normative datasets for female genital anatomy. Aust N Z J Obstet Gynaecol, 2021 — doi:10.1111/ajo.13298 — PMID 33382090
  • Code de la santé publique (French Public Health Code) — articles L6322-1 to L6322-3 and D6322-30 (cosmetic surgery: quote and 15-day reflection period), Légifrance