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
"62 Y/o Mommy Make Over - I'm 62 y/o and have been obese more of my life than not. I finally got the weight off and worked out, but skin can't be exercised. Dr. D was recommended to be by my General Practioner. It has now been one week since my tummy tuck and breast lift. I feel great!Bullets:- Great and efficent front office staff. Trust me, that can make or break the experience.- Cost, deposits, and final pay date, well defined, with no surprises.- Dr D and Sarah, coordinator, spent a good deal of time with me, helping me decide was was good for me, and managing expectations. YOU CAN TRUST THEM.- Surgery suite is private and not in a hospital. Only reason I went ahead during the Covid times. I won't go to a public hospital.- Anesthesologist was so comforting. He explain everything and was patient with my questions. I don't know what they gave me in pre-op room, but it was good! I don't remember being wheeled into the operating suite. Stress less.- After surgery, they are just nice. They made sure my husband understood the instructions, and sent us home prepared.- Pain was shockingly mild. At most, I was uncomfortable. The binders are a [RS bleep], but they are critical for a great final result. I had adequate pain meds and didn't used them after the 3rd day.- I was allowed to shower 24 hours after!!!! And I did. Heaven.- I had /have two drains in my mons for the tummy tuck. They don't hurt, but they are uncomfortable and need to be emptied and the fluid tracked. It's not hard, just not something I wanted to do, but I do.The first time I took off my clothes and binders and looked in the mirror!- 24 hours after surgery I took my shower. I took off the binders/compression garments, held my drains in my hands, and stood in front of a full length mirror. I was stunned. Absolutely stunned. Even with the tape, stitches, a bit of bruising and drains, I looked amazing. My stomach was absolutely flat.....absolutely. My waist was smaller, and has gotten smaller each day. I had a rocken body.- I opted for a breast lift vs implant. I was a DD and think I'll be somewhere between a very full C or D. They are beautiful, natural looking. My aerolas were placed perfectly and I have feeling in them. Everything is swollen and will change, but the beginning start is just amazing.- Day after tomorrow I go do see if my drains can be taken out. That will be a banner day when I can. I'll update this with progress and pics."- S. / RealSelf / Aug 02, 2020
"I did a mommy makeover in February (it’s now June). I am fully recovered and loving the results! Dr. Decherd was very patient with my numerous questions. His staff was amazing post and pre-op. His work is truly remarkable."- D.E. / Google / Jun 10, 2020
"I got a mini tummy tuck in November 2019 I love his work. I love the staff as well. I wanted only the best surgeon to work on me and that is what got what I got."- A.H. / Healthgrades / Feb 20, 2020
"I got a mini tummy tuck with a lipo.I love his work. I love all the staff as well. the doctor is the best!👍👏👏👏"- A.H. / Google / Feb 19, 2020
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.
Labia rejuvenation is a surgery that is now offered by many cosmetic surgeons. Because of this, it is actually one of the more affordable cosmetic procedures. Whether you decide to have this surgery because of aesthetics or for health and comfort, the price will generally average $4,000-$5,000. In some cases, if the condition is causing a medical issue, insurance may cover a portion of the cost.
Plan Your Procedure
- Average Cost
- $4,000 - $5,000
- 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.