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Body Contouring

Labiaplasty in West Palm Beach, FL

A discreet procedure addressing discomfort and symmetry, discussed professionally and without embarrassment.

Also called: labia reduction, labia minora reduction, vaginal rejuvenation surgery

Labiaplasty in West Palm Beach, FL is performed by Dr. Albert Carlotti at BellaNova Cosmetic Surgery's state-registered Level III surgical center at 1261 S Congress Ave in West Palm Beach.

Labiaplasty reduces or reshapes the labia minora, and the most common reason patients seek it is physical discomfort — irritation with exercise, cycling or riding, discomfort in fitted clothing, or pain during intercourse. Appearance and symmetry are frequently part of it too.

Anatomy in this area varies enormously and most of that variation is entirely normal. The question at consultation is not whether your anatomy falls within a range but whether it is causing you a problem you want addressed.

Am I a candidate for labiaplasty?

Labiaplasty is considered for:

  • Chronic irritation or chafing with exercise or clothing
  • Discomfort during intercourse
  • Noticeable asymmetry between the two sides
  • Enlargement following childbirth or with age
  • Self-consciousness that affects activity or clothing choices

Patients should be at least eighteen and physically mature, at a stable point in their health, and not pregnant. Consultations are conducted with a chaperone present and with the discretion the subject deserves.

Techniques

Trim technique. The free edge of the labia minora is reduced along its length. Straightforward and effective, and it removes the natural pigmented border — the trade-off is a scar line along the edge.

Wedge technique. A V-shaped section is removed from the middle and the edges rejoined, preserving the natural border and its color transition. The scar is shorter and better hidden. Technically more demanding and requires reliable blood supply to the remaining tissue.

Which technique suits you depends on the shape and distribution of the tissue rather than on a general preference. Reduction of the clitoral hood is sometimes performed at the same time where it contributes to the concern.

The consistent principle is conservative resection. Over-resection cannot be undone and can create tethering, chronic discomfort or exposure — problems considerably worse than the original complaint.

Recovery timeline

Every recovery is individual. This is the pattern most patients follow, and you will receive a written plan specific to your procedure.

WhenWhat to expect
Days 1–3Swelling and soreness. Ice, loose clothing, no straddling activity. Most patients manage with simple analgesia.
Days 4–7Swelling declining. Many patients return to desk work within a week.
Weeks 2–4Sutures dissolve. Light activity resumed. No cycling, riding or similar.
Weeks 6Intercourse and full exercise resumed on clearance.
Months 3–6Swelling fully resolved and final appearance settled.

Risks and considerations

Risks include swelling, bleeding, infection, wound separation, asymmetry, over-resection with tethering or chronic discomfort, altered sensation, scarring, and the need for revision. Conservative resection and careful technique are the principal protections.

Cost and financing

Priced as a standalone procedure or combined with other surgery, most often as part of a mommy makeover. See cost and financing.

Before and after results

Dr. Carlotti maintains a photographic result archive organized by procedure — real patients, consistent lighting and angles, published with consent. View labiaplasty before and after photographs.

Labiaplasty: questions patients ask

Is labiaplasty painful?

Most patients report soreness and swelling rather than significant pain, well controlled with simple analgesia. The area is more tender than painful.

How long until I can exercise or have intercourse?

Light activity within two to four weeks. Intercourse and full exercise typically at six weeks, cleared individually.

Trim or wedge — which technique is better?

Neither in the abstract. The wedge preserves the natural pigmented border and hides the scar better; the trim is more straightforward and suits certain tissue distributions. The anatomy determines the recommendation.

Will it affect sensation?

Properly performed labiaplasty does not target the structures responsible for sexual sensation. Temporary altered sensation during healing is normal. Over-resection is the circumstance in which lasting problems arise, which is why conservative technique matters.

Is the consultation discreet?

Yes. Consultations are private, conducted with a chaperone present, and scheduled so you are not waiting in a shared area. This is a routine surgical consultation and is treated as one.

Medically reviewed

Reviewed by Dr. Albert Carlotti, cosmetic surgeon and founder of BellaNova Cosmetic Surgery. Last reviewed 2026-09-05. This page is educational and is not a substitute for a consultation. Individual results vary.

Discuss labiaplasty with Dr. Carlotti

Consultations are one-to-one with the surgeon who will perform your operation, at our state-registered Level III suite in West Palm Beach, Florida. Our state-registered Level III surgical center is at 1261 S Congress Ave in West Palm Beach, minutes from Palm Beach International Airport and I-95, serving patients from Jupiter to Boca Raton and beyond.