Perineal surgery that calls for long experienceIntimate surgery completed with know-how

Intimate Surgery (Labia Minora Reduction · Vaginoplasty)

Intimate surgery corrects the shape and function of the female vulva and vagina, such as labia minora reduction and vaginal tightening, and is performed by a female board-certified plastic surgeon.

01

Overview

The size and shape of the labia minora and the degree of vaginal laxity differ from person to person, and are not in themselves abnormal. However, when the labia minora are long or asymmetric, chafe against clothing and make hygiene difficult, or when the vagina has loosened with childbirth or age and causes discomfort, surgery can correct this.

Intimate surgery refers to surgery that corrects the shape and function of the female vulva and vagina, such as labia minora reduction and vaginal tightening. Preserving sensation and function comes before refining the shape, so the amount removed and the method of closure are decided with care.

At Atelier Plastic Surgery, Dr. Juyoung Go, a female board-certified plastic surgeon, personally handles everything from consultation through surgery and follow-up. She plans surgery drawing on her experience of publishing a paper on vaginoplasty technique in an international journal and taking part in the Korean translation of a textbook in this field.

02

Recommended for

  • Labia minora that are long or thick, causing chafing and pain with underwear or exercise
  • Pronounced left-right asymmetry of the labia minora that causes discomfort
  • Edges of the labia minora that have stretched and darkened and bother you
  • Vaginal laxity after childbirth that causes functional discomfort
  • Skin and mucosa of the vulva that have loosened with age
  • A wish for correction because of recurrent inflammation or difficulty with hygiene
03

Surgery & treatment methods

01

Labia minora reduction — edge excision

The excess is removed along the edge of the stretched labia minora and closed. The darkened edge can be addressed at the same time.

Suited for · When you want to address both the stretched edge and the pigmentation
02

Labia minora reduction — wedge excision

A wedge-shaped section is removed from the middle of the labia minora and the upper and lower parts are joined. This makes it easier to preserve the original edge and sensation, and the suture line is not prominent.

Suited for · When you want to reduce only the length while keeping a natural edge
03

Clitoral hood reduction

Together with labia minora reduction, the excess skin above is trimmed to balance the vulva as a whole. Because nerves are dense in this area, the approach is kept to the minimum extent.

Suited for · When the skin above is expected to look relatively prominent after labia minora reduction
04

Vaginoplasty (vaginal tightening · perineoplasty)

The stretched posterior vaginal wall and the perineal muscles are sutured to narrow the vaginal opening and canal. The extent of suturing is decided by the degree of laxity.

Suited for · When vaginal laxity after childbirth causes functional discomfort
04

Illustrations & photos

Before · After surgery
Before · After surgery
Before · After surgery
Before · After surgery
Before · After surgery
Before · After surgery
Paper on mold dressing after vaginal wall reconstruction
Paper on mold dressing after vaginal wall reconstruction

Surgical designs and results are drawings based on photos; results vary by individual.

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Key facts

Surgery time
About 1–2 hours (depending on the extent of surgery)
Anesthesia
Local anesthesia or sedation (general anesthesia for vaginoplasty, depending on the extent)
Hospital stay
Same-day discharge
Stitch removal
Absorbable sutures are used, so separate removal is often not needed
Return to daily life
About 2–3 days
Follow-up visits
After surgery: 1 week · 2 weeks · 1 month · 3 months

These may vary depending on your condition; we will give you precise details at your consultation.

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Atelier Plastic Surgery's approach

  1. 01
    A female surgeon sees you through from start to finish

    Consultation, examination, surgery and follow-up are all handled by a female board-certified plastic surgeon. We set up the consultation so that you can speak comfortably about discomforts that are hard to put into words, and propose only the extent that is needed based on the examination findings.

  2. 02
    Sensation and function come before shape

    The labia minora and the area around the clitoris are dense with sensory nerves and blood vessels. Removing too much in pursuit of a visibly smaller size can leave pulling, dryness and changes in sensation, so we excise conservatively, within a range that preserves the mucosa and nerves.

  3. 03
    Incision lines sit on natural borders

    We design the suture line to follow the edge of the labia minora or the border of the mucosa so that scars are not prominent. We match the length and thickness of the two sides, but aim for a natural balance rather than making them completely identical.

  4. 04
    Surgery is planned on the basis of academic experience

    Dr. Go has published a paper on vaginoplasty technique in an international journal and took part in the Korean translation of a textbook in the field of intimate surgery. Drawing on this experience, she proposes a method suited to your individual condition.

07

After surgery

  1. Day of surgery

    After surgery you are monitored in the recovery room and discharged the same day. Cold compresses reduce swelling, and you take the prescribed medication.

  2. Days 1–3

    Swelling and pain are at their greatest. After urinating, rinse gently with lukewarm water and dry well, and wear breathable underwear.

  3. Week 1

    Swelling subsides and you can return to daily life, including desk work. Avoid sitting for long periods and activities that press on the area, such as cycling.

  4. Weeks 2–3

    The absorbable sutures are gradually absorbed and the sutured area stabilizes. Light walking is possible.

  5. Weeks 4–6

    After your recovery has been checked at a visit, you resume sexual activity, strenuous exercise and swimming. The timing may vary by individual.

  6. Month 3

    All swelling has settled and the shape is established. The suture line continues to fade gradually afterwards.

Recovery care and the aftercare schedule are described in the Safety Care System. Safety Care System

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Side effects · Precautions

Bleeding, infection and hematoma may occur, and because of the nature of the area, swelling and pain can be pronounced for several days. The sutured area may separate or take time to heal. Sensation may become dulled or, conversely, more sensitive; this mostly recovers, but may persist in some cases. Left-right asymmetry may remain, and because excessive removal can cause pulling, dryness and discomfort during sexual activity, we excise conservatively. Scars may become prominent or firm. After vaginoplasty there may be temporary discomfort with urination or bowel movements, and a later childbirth can cause laxity to recur, so please tell us about any plans for childbirth at consultation. Results vary by individual and additional corrective surgery may be needed. All of this is explained fully at consultation.

The content on this page is general medical information provided in accordance with the Medical Service Act. The results of surgery and treatments and the recovery period may vary by individual. All surgeries and treatments carry a risk of side effects, so please decide after a thorough consultation with a specialist.

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Related research

  • PaperCo-author
    Experience with Specially Designed Pored Polyacetal Mold Dressing Method Used in McIndoe-Style Vaginoplasty
    Journal of Pediatric Urology · 2017DOI ↗
    A paper on vaginoplasty technique, describing experience with a specially designed mold dressing in McIndoe-style vaginoplasty
  • TranslationContributor
    Participation in the Korean translation of Female Cosmetic Genital Surgery
    Original work by Christine A. Hamori et al., Female Cosmetic Genital Surgery · translated by Cheol Won · Gabon Medical · 2019
    Took part in the Korean translation of a textbook in the field of intimate surgery
Each treatment page lists the items relevant to it; the full list is on the Academic Activities page. View all academic activities
10

FAQ

Q1Is the surgery performed by a female doctor?
Yes. Consultation, examination, surgery and postoperative follow-up are all handled personally by Dr. Juyoung Go, a female board-certified plastic surgeon.
Q2Will sensation be reduced after surgery?
The labia minora and surrounding area are dense with sensory nerves, so we set the extent of excision conservatively and operate in a way that preserves the mucosa and nerves. Immediately after surgery, sensation may be temporarily dulled or heightened; this mostly recovers, but may persist in some cases.
Q3What if it overlaps with my period?
We avoid surgery during menstruation because of the risk of infection and the inconvenience of care. Scheduling surgery for just after your period ends makes care easier during recovery.
Q4When can I resume sexual activity?
Generally after about 4–6 weeks, once we have confirmed at a visit that the sutured area has healed. Recovery speed varies by individual, so the timing is decided at your visit.
Q5I plan to have children. Can I still have vaginoplasty?
Childbirth after vaginoplasty can cause laxity to recur, so we recommend having it after your family plans are complete. Labia minora reduction can be planned regardless of childbirth. If you tell us about your plans at consultation, we will decide the timing together.
Q6Will the scars be visible?
Mucosa heals better than skin, so the suture line tends not to be prominent, and we place the incision line on a natural border to reduce scarring. However, depending on your constitution the suture line may become firm or prominent, and this varies by individual.
Consultation

Before deciding what to do, we look at who you are

Consultations are conducted by the Director herself. Schedule one by phone or KakaoTalk, or leave an online consultation request.