Dr. Decherd performs labiaplasty (labia rejuvenation) for San Antonio area women who have enlarged, hypertrophic, or asymmetrical labia minora. A labia deformity can be the result of excessive stretching from pregnancy, childbirth or weight loss. In most cases, the incisions made during labiaplasty surgery are virtually undetectable after complete healing. Our patients are generally extremely pleased with the beautiful and natural-looking results. While the physical results alone are important for many women, they also remark that they have a significant reduction (or elimination) of the symptoms caused by an enlarged labia, including chronic irritations, a bulging appearance, and discomfort during sexual activity.
"First Class! I highly recommend Dr. Decherd and his staff! I was referred to Dr. Decherd by a friend who had a breast augmentation. She was very pleased with the results, I am three weeks out from a tummy tuck, breast lift, and liposuction, and I feel great. Everything went very smoothly. He was very upfront and informative about the procedure and I knew exactly what to expect. He and His staff are very 'down to earth' and I felt very comfortable. All of the ladies at the front desk are very nice and welcoming. His nurse is also top notch. She has been very helpful! I am so excited about my results! It looks great! He did an awesome job!"- T.S. / Google / Oct 16, 2015
"I'm 2 years post op since Dr Decherd did my breast augmentation. He took the time to answer all of my questions, has excellent bedside manor and a friendly staff who made me feel comfortable from start until fully healed. Dr Decherd loves what he does and it shows in his work. I love my breast and the confidence they have given me...I'm so thankful to have chosen the best plastic surgeon in San Antonio!"- K.S. / Google / Jul 31, 2021
"Dr Decherd is honest, to the point and one of the top Surgeons in San Antonio. I was referred by a friend and I continue to refer my friends. His work is done so well, unless you tell someone…they just think your improvement in appearance is due to getting good sleep, healthy eating and a good skin care routine! Natural- not plastic outcome!!! He will not upsell you - only recommends what you truly can benefit from. Also, he doesn’t charge for consultations like many Surgeons who are just out to make a quick buck. You won’t be disappointed."- A.H. / Healthgrades / Jul 16, 2021
"Very professional staff!! Highly recommended."- A.M. / Google / Jul 14, 2021
"Dr. Decherd did an amazing job! I had been feeling miserable about my stomach. In 2013, I had my 9 1/2 pound baby via c section. I was left with a lot of loose skin. I only dreamt about having a tummy tuck until I actually started researching. I chose Dr. Decherd because he had amazing reviews and I loved all his results on his website. He explained everything to me so I understood the procedure. His staff was also very nice and helpful. I had a fantastic recovery! And I feel so confident and absolutely love my new body! Thank you Dr. Decherd! This was me at only 7 weeks post op!"- M.M. / Google / Jul 01, 2021
Before aesthetic surgeons improved the labiaplasty procedure, the approach was to amputate the excess skin and fold deformity. This approach led to numerous complications including scarring and sensory nerve damage. It is important to find a skilled labiaplasty surgeon who understands that this cosmetic surgery requires some reconstructive processes. Qualified surgeons will be able to incorporate the latest reshaping techniques so that it not only reduces the size, but also preserves most of the natural contour, color and sensitivity of the labia with minimal scarring.
How Labiaplasty is Performed
Labiaplasty can be performed a couple of different ways. One technique uses surgical tools to reshape the inner folds of the labia so they no longer protrude. Essentially, it creates a contoured “V” shape wedge that is removed in order to reduce the size. The remaining edges are sewn with absorbable sutures for a natural appearance. Another technique is one that uses a laser to trim and reshape the labia. This is known medically as “laser labial rejuvenation”. While this approach is effective, it is generally more suitable for smaller skin defects of the labia.
Labiaplasty is performed under general anesthesia at an accredited surgical facility. It is considered an outpatient procedure. In surgical cases where a smaller defect exists, a local anesthesia may be used. The entire surgery typically takes 1-2 hours to complete. Following this surgery, women should rest and avoid any activities that will result in additional swelling and discomfort. Vigorous exercise, vaginal intercourse, the use of tampons and douching should be avoided for 4-6 weeks. The incisions made during surgery are minimal. In most cases, the scarring will be almost undetectable.
Plan Your Procedure
- Recovery Time
- 4-6 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 1 Weeks
- Procedure Recovery Location
OBGYN or Plastic Surgeon?
Many OBGYNs are capable of performing labiaplasty. However, this procedure is considered a cosmetic surgery. There is more to the technique than just removing the deformity. Aesthetic issues, such as scarring, symmetry, pigmentation and shape, play an important role. For these reasons, a cosmetic surgeon is sometimes the better choice to correct this condition.
Impact on Intercourse?
This procedure does not impact sexual intercourse in a negative way. If anything, labiaplasty helps to restore any lost sensation because it removes excess skin and tissue blocking the vaginal opening and clitoris. A knowledgeable surgeon will avoid placing incisions near the clitoral region and will carefully work to protect and preserve the sensory nerves.
Pregnancy After Surgery?
It is recommended that women wait to have labiaplasty until after childbearing is complete. If the labia deformity cannot wait until after a pregnancy, the patient will need to understand that the surgical results may be compromised by a later pregnancy. It is important to discuss any pregnancy plans with your cosmetic surgeon so that a pre- and post-pregnancy surgical plan can be put into place.