Many women have concerns about the size and shape of their labia. At North Raleigh Plastic Surgery, board-certified plastic surgeon Dr. Juan A. Ortiz has performed more than 500 labiaplasty procedures, helping women from Raleigh, Durham, Cary, and throughout North Carolina restore their confidence and comfort.


What Is Labiaplasty?

Labiaplasty reduces the size or length of the labia minora, the inner portion of the labia, so that it does not hang below the labia majora, the outer portion. Even though it’s considered a cosmetic procedure, many women experience physical pain and discomfort from enlarged inner labia, which may twist, tug, or irritate sensitive tissues during physical activity, including sex.


How Is Labiaplasty Performed?

Dr. Ortiz primarily uses a wedge reduction technique for labiaplasty, favoring this preservation-focused approach because it maintains natural contour while minimizing unnecessary tissue removal. Depending on a patient’s unique anatomy and goals, the trim technique may be used as an alternative.

Wedge Labiaplasty

The wedge technique involves removing a V-shaped section of tissue from the inner labia and stitching the remaining edges together, rather than trimming along the outer edge. This approach preserves the natural, healthy tissue border of the labia, maintaining a more natural contour and reducing the risk of over-resection.

Trim Labiaplasty

The trim technique involves an incision that removes the outer edge of the inner labia, making it even with the outer labia (or slightly receded). This approach removes the darker-pigmented edge of the tissue, which some patients specifically prefer for cosmetic reasons.

The goal is to preserve sensitivity while improving appearance.
– Dr. Juan Ortiz


Recovery After Labiaplasty

You can expect to experience some swelling and discomfort after your surgery. Most patients can return to work and engage in light activity within a week. We recommend waiting up to 6 weeks before having sexual intercourse. Labiaplasty may be performed alone or as part of a mommy makeover or menopause makeover.


Is Labiaplasty Right for You?

If you feel that the size of your labia affects your physical or emotional well-being, labiaplasty may be the right solution. Many women who undergo this procedure report that the surgery minimizes inflammation, chafing, and dryness and allows them to experience more pleasure and confidence during sexual activity.

The right candidates for this procedure are women who are in overall good health without conditions that may increase the risks of surgery. It’s also important not to smoke or use products containing nicotine, as they can cause complications with healing.

Labiaplasty may also be right for you if you’re unhappy with the results of a prior labiaplasty performed elsewhere. Dr. Ortiz has experience managing revision labiaplasty cases, including correcting prior over-resection, and can help women restore both form and function.

Get Started

If you are considering labiaplasty, you can request a consultation with Dr. Juan A. Ortiz to discuss your options. You can use the online form or call us at 919.532.2270 to schedule an appointment.

Reviewed for clinical accuracy by Dr. Juan Ortiz on September 16th, 2026.

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