Hypertrophy of labia minora: Experience with 163 reductions


      Objective: Our purpose was to describe the surgical procedure, its results, and its complications and to determine whether patients are satisfied with surgical reduction of labia minora in cases of hypertrophy. Study Design: The records of 163 patients who underwent reduction of the labia minora during a 9-year period were reviewed. The ages of the patients ranged from 12 to 67 years (median, 26). Motives for requesting surgery were aesthetic concerns in 87% of the cases, discomfort in clothing in 64%, discomfort with exercise in 26%, and entry dyspareunia in 43%. Anatomic results were assessed 1 month postoperatively. Patient satisfaction was assessed by means of a mailed questionnaire. Results: No surgery-related significant complications were noticed. Anatomic results were satisfactory for 151 patients (93%). Ninety-eight completed questionnaires were returned. Eighty-one patients (83%) found that the results after surgery were satisfactory. Eighty-seven (89%) were satisfied with the aesthetic result, and 91 (93%) approved the functional outcome. Four patients (4%) would not undergo the same procedure again. Conclusion: Labia minora reduction is a simple surgical procedure associated with a high degree of patient satisfaction. (Am J Obstet Gynecol 2000;182:35-40.)


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic and Personal
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Obstetrics & Gynecology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Jeffcoate N
        Hypertrophy of the labia minora “Spaniel ear nymphae.”.
        in: Principles of gynaecology. 4th ed. Butterworths, London1975: 151
        • Goin MK
        • Rees TD
        A prospective study of patient’s psychological reaction to rhinoplasty.
        Ann Plast Surg. 1991; 27: 210-215
        • Freiberg A
        • Giguere D
        • Ross DC
        • Taylor JR
        • Bell T
        • Kerluke LD
        Are patients satisfied with results from residents performing aesthetic surgery?.
        Plast Reconstr Surg. 1997; 100: 1824-1831
        • Radman HM
        Hypertrophy of the labia minora.
        Obstet Gynecol. 1976; 48: 78-80
        • Hodgkinson DJ
        • Hait G
        Aesthetic vaginal labioplasty.
        Plast Reconst Surg. 1984; 74: 414-416
        • Kato K
        • Kondo A
        • Gotoh M
        • Tanaka J
        • Saitoh M
        • Namiki Y
        Hypertrophy of labia minora in myelodysplastic women.
        Urology. 1988; 31: 294-296
        • Gowen RM
        • Martin VL
        Labia minora reduction in an iron-lung disabled woman.
        Obstet Gynecol. 1988; 71: 488-489
        • Chavis WM
        • LaFerla JJ
        • Niccolini R
        Plastic repair of elongated, hypertrophic labia minora. A case report.
        J Reprod Med. 1989; 34: 374-375
        • Laufer MR
        • Galvin WJ
        Labial hypertrophy: a new surgical approach.
        Adolesc Pediatr Gynecol. 1995; 8: 39-41
        • Fliegner JR
        Vulval varicosities and labial reduction.
        Aust N Z Obstet Gynaecol. 1997; 37: 129-130
        • Alter GJ
        A new technique for aesthetic labia minora reduction.
        Ann Plast Surg. 1998; 40: 287-290