OC  Pelvic Wellness

Advanced Center for 
Pelvic Medicine and Reconstructive Surgery

The external genitalia of a woman is made up of the labia majora, labia minora, vestibule, and clitoris

The labia majora are larger, have pubic hair, and contain a fat pad, nerves, blood vessels, and glands.

The labia minora are thinner and start at the clitoris and extend down to the vestibule. They vary in shape, size, and color. It is equivalent to male foreskin. 

The vestibule is the area at the entrance into the vagina that contains the urethral opening, vaginal opening, and skene's and bartholin's gland duct openings. 

The clitoris is a very sensitive area that is the primary source of female sexual pleasure. It contains > 2000 nerve endings. It is equivalent to the male penis. 


Labialplasty is the removal or reshaping of either the labia majora and/or the labia minora. 

The labia majora can deflate and sag with age causing a change in appearance of the external vulva and/or discomfort in clothes and during intercourse.

The labia minora can range in size and length from small lips hidden within the labia majora to larger lips that protrude and extend from the clitoral hood all the way down below the vaginal opening. Genetics, childbirth injury, trauma (chronic-like bike riding) or (acute-like a tear or fall), and age can change the size and shape of the labia. The labia can become a source of pulling or pinching with exercise and intercourse, lead to discomfort in clothing, underwear, bathing suits, and cause embarrassment and self image issues.

The labia majora respond very well to treatment with ThermiVa- which causes increased blood flow, collagen deposition, and skin tightening- resulting in a plumper and fuller labia.

The labia minora do respond to ThermiVa depending on size, however, larger labia minora are best treated by an outpatient procedure to reduce and remove the excess tissue. There is very little pain involved. Healing takes about 4 weeks during which time intercourse and exercise with direct labia contact should be avoided.