Labial hypertrophy is the disproportionate size of the labia minora relative to the labia majora. Hypertrophic labia minora can be functional and psychosexual problem. Enlarged labia are usually congenital, but may be increased due to hormonal changes, lymphatic stasis, chronic irritation and inflammation from dermatitis or urinary incontinence, as well as after the childbirth.

Local irritation, hygiene problems, difficulties during sexual intercourse as well as aesthetical appearance are generally accepted as indications for surgical correction. Many women report that the labia minora protrude beyond the labia majora while in the standing position, leading to self-consciousness and difficulty with intimacy. Another common report is asymmetry of the labia minora.


Labioplasty, also known as labia reduction, is a procedure designed to improve the appearance of the external female genitalia. The goal is to obtain a more aesthetic appearance of the genitalia without adding unsightly scars or distorting normal anatomy. Surgery should be performed when the patient is not actively menstruating to reduce potential hormonal effects on anatomy and increased risk of postoperative infection. Various reduction techniques are used, including the edge excision technique, the inferior wedge resection technique, and deepithelialization reduction labioplasty.  Postoperative care and pain is minimal, allowing patients to go home the day of surgery. Patients are generally well satisfied with the procedure, reporting improved hygiene, improved sexual intercourse, and reduction or elimination of chronic irritation.

Related articles:

1. Djordjevic M, Stanojevic D, Bizic M, Kojovic V, Majstorovic M, Korac G, Esthetic and functional enlarged labia minora reduction, 19th World Congress for Sexual Health, Goeteborg, Sweden, 2009, p181 (PO-1223).

2. Bizic M, Kojovic V, Majstorovic M, Korac G, Djordjevic ML. Functional and esthetic reduction of hyperthrophied labia minora. Eur Urol Suppl, 2009;8(8):648-49.

3. Djordjevic M, Stanojevic D, Bizic M, Kojovic V, Majstorovic M, Korac G. Functional and esthetic reduction of enlarged labia minora. J Sex Med 2008;1-149:123.



Extremely hypertrophied labia minora - lateral view


Extremely hypertrophied labia minora - lateral view


Reduction labioplasty is performed.


Outcome four weeks later.



Labial hypertrophy


Result after reduction labioplasty - 6 months later


Result after surgical reduction - 6 months later


Labial hypertrophy


Outcome after surgical reduction - one year later



Extremely hypertrophied labia minora


Extremely hypertrophied labia minora


Outcome after surgical correction


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