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What is labiaplasty?

The labia are the most visible portion of a woman’s sexual anatomy, so it’s only natural to feel sensitive about their appearance. Labiaplasty is the enhancement or reduction of the inner and/or outer labia (vaginal lips) to create more aesthetic contours that can help you feel more confident in your intimate relationships.

While cosmetic appearance is one of the primary reasons why women seek our Chicago labiaplasty procedure (some women may refer to the “camel toe” appearance), other concerns such as visibility or irritation from clothing, interference with sexual intercourse, discomfort with sexual activity, repeated infections, redundant tissues and hygiene issues, and/or diversion of the urinary stream are a few of the other complaints women report.

Why choose Dr. Otto Placik for my Chicago labiaplasty surgery?

Dr. Otto Placik is a labiaplasty specialist and board-certified plastic surgeon serving Chicago and its suburbs who has helped thousands of women like you to feel better about the appearance of their labia. He has likely the greatest experience in the Midwest and has participated in and conducted numerous research studies, performed presentations, written book chapters and attended conferences on this subject. In addition to labiaplasty, Dr. Placik offers a number of other vaginal rejuvenation procedures that can help improve the appearance of your vaginal area as well enhance sexual sensation.

Please contact us online or call our Chicago or Arlington Heights plastic surgery offices for more information on our aesthetic vaginal surgery, including prices.

Board Certified Plastic Surgeon in Chicago

Dr. Otto Joseph Placik Board-Certified Plastic Surgeon

Dr. Placik is a board certified plastic surgeon in Chicago and an active member of The American Society of Plastic Surgeons. He received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery.


About Labiaplasty

More than just cosmetic concern, labia that are asymmetrical or too large can cause discomfort during daily activities like exercising or sexual intercourse. Emotionally, worries over looking “normal” can undermine your self-confidence, especially with regards to sexual relationships. Dr. Placik performs one of the best surgical labiaplasty Chicago has to offer and can improve symmetry and create more discreet contours that are more in line with your cosmetic goals.

Dr. Placik considers the size and shape of the inner and outer labia in relation to each other and the surrounding area to determine the best surgical approach. For example, the outer labia (labia majora) may benefit from fat transfer to add fullness, creating a more proportionate look relative to the inner labia (labia minora). Alternatively, large or redundant labia majora which occur frequently in combination with a prominent mons pubis may create an undesirable fullness or visibility in clothing and may be treated with reduction and/or liposuction. Most commonly, the inner labia are reduced to improve any existing discomfort, or to remove the darkened edges that can become more prominent after pregnancy or with age. It’s very common to include additional genital rejuvenation procedures with a labiaplasty, such as vaginoplasty, clitoral hood reduction and G-spot enhancement.

How is labiaplasty performed?

Labiaplasty is generally performed as an outpatient procedure under local anesthesia or local anesthesia with oral sedation. In some cases, usually if labiaplasty is performed as part of a more extensive procedure such as a mommy makeover, Dr. Placik may recommend general anesthesia. Most women who undergo a labiaplasty alone or in combination with other genital rejuvenation procedures can return home the same day.

Best Labiaplasty Surgeon Chicago

Patient Not a Model

Reasons to get Labiaplasty

The reasons to get a labiaplasty usually stem from cosmetic, hygienic, and comfort issues that women experience either due to the aging process, genetics, or other factors. Some of the reasons women choose to undergo a labiaplasty include:


With larger labia there is the potential for chronic discomfort during certain activities such as strenuous exercise, sexual intercourse, or even while walking. Pinching and chafing of the labia during these activities can lead women to seek to have their labia reduced to enhance daily comfort.

Excess labia skin

An excess of labia skin can add discomfort during exercise but can also interfere with intercourse or be a source of embarrassment for some women. Excess labia skin can hang low enough beyond the vulva that they interfere with simple activities such as walking and can prevent women from feeling comfortable while wearing tight-fighting clothes or swimsuits. Having the skin of the labia reduced allows for greater comfort during activities and boosts self-confidence.

Labiaplasty revision

There are also situations where women have undergone a labiaplasty and now require a correction due to unsatisfactory results. Due to Dr. Placik’s vast experience performing labiaplasty procedures he is often sought out to correct surgeries that have been performed by other surgeons. Reasons for a labiplasty revision could be that the results from the initial surgery were uneven or that the patient is unhappy with the results.

A labiaplasty does not only have to involve surgery performed solely on the labia but can include other aspects of the vulva. Such procedures that could be performed during a labiaplasty would be a clitoral hood reduction or liposuction of excess fat on the mons pubis.

Resolving the issues “downstairs” can increase vaginal hygiene and comfort, and it can also help you feel more confident about the appearance of the area, along with all of its intricate and delicate parts.

Recovery from Labiaplasty

Immediately after surgery, you can expect to see some bruising and swelling, both of which should dissipate over the next few weeks. You should be able to resume your normal routine within a few days, and active exercise at 3 weeks, although Dr. Placik recommends waiting at least 6 weeks before engaging in sexual activity.

Labiaplasty FAQ

What Is Labiaplasty?

Labiaplasty is a cosmetic gynecology procedure that can improve the appearance of the inner labia (labia minora, or inner vaginal lips) and/or outer labia (labia majora, or outer vaginal lips) by creating a more proportionate look. While labiaplasty is often used to describe the reduction of elongated inner labia, the procedure can also include enlarging or reducing the outer labia, although this is less common. This is often confused with vaginal rejuvenation which refers to tightening of the vaginal canal.

Am I a good candidate for labiaplasty?

If you feel self-conscious about the size, shape or appearance of your labia, or notice discomfort during sexual activity or while wearing slim-fitting clothing, you may be a good candidate for labiaplasty. Cosmetic vaginal surgery can help you feel more confident about your appearance by reshaping the contours of your labia for greater comfort and symmetry. The best candidates for labiaplasty are old enough to have fully mature labia, and should be in good mental and physical health overall. Similar to breast reduction surgery, labia reduction may be considered at any time if causing significant discomfort or interference with daily activities.

The best candidates for labiaplasty want to change the size, shape or contours of their external vaginal area. This is often due to physical reasons, like feeling that labia get in the way during normal daily activities like exercise or sexual intercourse. Labiaplasty can also be performed for emotional reasons, such as feeling that the inner labia look overly prominent or the outer labia appear deflated. Concern over a visible “camel toe” is another reason women may consider labiaplasty. Since the labia often change in appearance following pregnancy and childbirth, many women include labiaplasty as part of a mommy makeover.

What can I expect after my Chicago labiaplasty?

Most women can return home the same day as their surgery, after which they can expect to rest for the first few days. When privacy is a concern, procedures can be performed under straight local and patients may then drive themselves to and from surgery. However, most women prefer some oral sedation, in which case a driver is required to safely transport patients home. Swelling is normal the first few days, sometimes accompanied by bruising and bleeding. Ice packs and over-the-counter pain medications can help you feel more comfortable. After the first week, you can return to work and regular daily routine, although exercise and sexual intercourse should wait at least 6 weeks.

After surgery, you can expect your genital region to look swollen and feel sore for the first few days. Discomfort can often be alleviated using ice packs and over-the-counter pain medications, although Dr. Placik may prescribe a pain reliever as well. Although you should refrain from vigorous exercise or sexual activity for the first 6 weeks after surgery, you should be able to return to work and your normal routine in about a week.

How much does labiaplasty cost?

The costs of your labiaplasty will vary depending on the approach Dr. Placik needs to take during surgery, whether there will be other procedures performed at the same time and a number of other factors. In some cases, insurance may cover all or a portion of the surgery. The total fees include not just Dr. Placik’s surgical fees, but also the cost for the surgical facility and anesthesiologist. Dr. Placik and his staff strive to provide excellent value and can help you with cosmetic surgery financing to make your procedure even more affordable.

What’s the difference between the “trim” method and “wedge” method?

There are two approaches that can be taken during labiaplasty: the “trim” method or the “wedge” method. Dr. Placik is experienced in both techniques. The trim method is fairly straightforward, and involves a simple trimming away of excess tissue to shorten the labia minora. The wedge method removes a triangular segment of tissue from the middle third of the inner labia instead. There are pros and cons to each technique, so Dr. Placik will go into more detail on your options during your consultation to help you decide which is best for you.

The subject of trim vs. wedge labiaplasty is hotly debated among cosmetic gynecological surgeons.

  • Trim labiaplasty is a relatively simple procedure that removes the outer edge of the labia by trimming the excess away.
  • During the more complex wedge labiaplasty, a V-shaped section of tissue is removed from the middle third of the labia, and then the edges are sutured together.

Although many surgeons currently advocate for wedge labiaplasty, this approach does not address one of the most common cosmetic concerns for many women: the darker labial edge. By fully removing this portion of the labia, trim labiaplasty creates a more uniformly pink edge for a discreet final result.

Both approaches allow for safe, effective reduction of the inner labia in a way that should still preserve sensation. The decision of which surgical technique is best for you often comes down to your anatomy, your personal goals and the recommendation of your surgeon.

Will I have scars?

Although it’s impossible to perform any surgery without incisions, labiaplasty scars are typically minimal. The initial incisions should heal completely by about the two-week mark, although the scars may appear red or pink for several months. The trim method of labia reduction will leave longer scars than the wedge method but can remove more of the darkened edge. In either case, scars from either surgical approach should fade to nearly invisible with time. To see real patient results look at our Labiaplasty before and after gallery

What if I’m not happy with my labiaplasty?

Dr. Placik performs labiaplasty revisions for “botched” labiaplasty procedures or situations where patients are not happy with the results they have achieved from other surgeons. These procedures are highly customized to the unique situation of the patient, and Dr. Placik will work closely with you so that you can feel confident about your result. Watch our video on labiaplasty revision for more information about arguably the best labiaplasty in the US.

What are the risks?

Dr. Placik will cover the possible labiaplasty risks, side effects and potential complications during your initial consultation at our office in Chicago or Arlington Heights to ensure that you completely understand the procedure. Although serious side effects are rare, they are possible, and include concerns such as scarring, infection, changes in sensation and asymmetry.

Dr. Placik promises you his best possible care and attention. If you would like to schedule a private consultation to learn more about labiaplasty, please contact us online or call us at 847-398-1660.

Will Labiaplasty Improve My Sex Life?

Because female sexual satisfaction is a complex issue that includes many different factors, labiaplasty can play an important role in improving your sex life, especially when performed with additional genital rejuvenation procedures.

For women who feel frustrated about their labia size detracting from their sexual experience, labiaplasty can correct physical issues to help make intercourse more physically comfortable. Additionally, women who may have previously felt inhibited during sex due to the cosmetic appearance of their labia can find that sex becomes more emotionally enjoyable after surgery.

Frequently, larger inner labia can also mean excess clitoral hood tissue, which can interfere with clitoral stimulation during intercourse. Dr. Placik can combine clitoral hood reduction with labiaplasty to improve sexual sensation.

Does Insurance Cover Labiaplasty?

Typically, insurance companies view labiaplasty as cosmetic and therefore elective, a category that is not covered under most insurance plans. Exceptions may be made in some cases, such as if the surgery is being performed to repair a torn labia or other form of injury or trauma, although this is not common. However, since labiaplasty is usually performed under local anesthesia, the total costs can be kept low. You can also look into cosmetic surgery financing to help make your labiaplasty even more affordable.

What Can I Expect During My Procedure?

Labiaplasty is normally performed as an outpatient procedure using local anesthesia to help you stay comfortable during surgery, which can last an hour or two. The surgery most often includes reducing the size of the inner labia using either the wedge or trim technique. Labiaplasty can also enhance the size of the outer labia using fat transfer (following the same principles as those used in fat transfer breast augmentation). The goal is to improve symmetry and balance for a flattering final result.


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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated March 24th, 2020

With businesses all around us closing by either mandate or voluntarily you may be wondering how long we will continue to operate, or even why we are still open at this point.

After serious consideration and in line with the recommendations of our State and Centers for Disease Control (CDC), we are limiting the practice until April 7th.

We are diligently monitoring conditions and recommendations from professional organizations such as the Center for Disease Control (CDC) and understand that the situation is ever-changing and may alter our plans at any point in the future

As physicians, we are cognizant of protecting our own patient population most at risk and the need to conserve our own limited resources. Actions have already been taken to postpone or cancel appointments and surgeries for patients who are best served staying home to limit potential exposure. We have also canceled or rescheduled appointments for services that are not immediately necessary in many cases.

Effective immediately the following will occur:

  • All procedures and in-person consultations will be limited until April 7th. This may be revised in the following week.
  • The office will be (not fully) staffed, and we will see our urgent post-surgical follow-ups.
  • We are instituting Virtual Consultations for all potential patients.
  • Many surgeries are rescheduled and some of the ones that are committed will occur on a per case basis.
  • No patient will ever have any financial recourse for our fees for rescheduling their procedures.

We are constantly updating our services and staffing according to the local and national recommendations and will always place your health and well-being as our top priority.

We continue to exercise all the latest recommendations that are handed down by the CDC. These include:

Staff have been fully informed and trained to understand the disease process and its modes of transmission.

  • All staff, vendors and ancillary personnel are being asked to refrain from coming to this office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Every patient is also being asked to refrain from coming to the office if they have any symptoms.
  • We are asking our patients about any pertinent travel history.
  • Hand-washing continues to be the most important mode of prevention. Although it is a part of what we constantly do, now we are doing so with heightened vigilance and attention.
  • We have instituted a “no handshakes no hug” policy for now.
  • We have asked all vendors that any unnecessary meetings are canceled until further notice.
  • Any exit and entrance from our office are followed by a protocol of changing shoes, scrubs and sanitization.
  • As we are an (NO accredited) medical facility, we are constantly sanitizing all surfaces. We have now vamped that up and our routine, multiple times a day, wiping down all surfaces, desks, door handles, keyboards and restroom facilities. (We have assigned a person that does so on a constant basis.)

As previous communications have shared, procedures and protocols have been put in place (and continue to evolve) to protect our employees in the workplace. However, no one can guarantee the absolute protection from infection or potential exposure despite recommended precautions being taken.

The virus can be transmitted before an infected person starts exhibiting symptoms. It is possible for a person to be infected and also not experience symptoms. We are doing everything possible to prevent people exposed or exhibiting symptoms from access to our facilities. Even with all of our precautions, exposure to patients with the COVID-19 virus can happen. When we become aware of any potential exposure, our response is immediate and actions are taken to protect everyone directly involved.

Experts are predicting that 40% of the Chicagoland population will be infected within the next month. Current information demonstrates that for 97% of the people infected the symptoms will be mild or flu-like. 3-5% of patients will require hospital care, and the mortality rate is less than 2%.

Risk of exposure will occur at every touchpoint of our daily lives outside of our home-- including gas stations, grocery stores, and medical facilities.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this Country even better than it currently is. We are monitoring this situation on a real-time basis and will not sit back until we know that we have done everything possible to avoid unnecessary exposure.

Here are some links that might be useful:

Please do not hesitate to contact us. We are always here to answer your questions

Please allow us time to respond.

Call us at our current phone line to leave a non-urgent message or via our online email, contact form, virtual consultation or apex chat service popup box. As always for any emergency services, please call 911