Can you give me advice on whether you feel I should have labiaplasty surgery or not? My Labia causes me a lot of irritation, pain and discomfort, especially whilst wearing clothes and underwear. I am also very self-conscious about my vagina and Labia Min
It sounds like you would be best suited by going in to see a plastic surgeon near you who has experience with labiaplasty surgery. Labiaplasty is an excellent way for you to feel more comfortable in clothing, because large labia minora are a very common reason for chafing and rashes. It also can make you self conscious when naked or with a partner, though most male partners are generally not terribly insightful and aware of female anatomy.
The most common technique to reduce the size of the labia is with a wedge labiaplasty. This is where a small portion of the center part of the labia are removed, so that there is a small incision on the inside and outside of the labia, but you maintain the normal edge of the labia. This preserves the most sensation and the most normal contour of the labia, including the color (which actually bothers some ladies). The alternative is a trim method, which I almost always avoid, mostly because it can be too aggressive and can remove the nerve endings from the labia minora.
Sometimes a clitoral hood reduction can be required or requested. This removes the excess tissue on the top of the vulva overlying the clitoris. In some patients, this can be unsightly and too prominent and also can cover up this sensitive part of the anatomy and make orgasm more difficult according to some women.
I perform the procedure under sedation (IV) and local anesthetic. It is very comfortable this way, but there's a recovery period that is annoying at the least. Feel free to PM me if you have any further questions. Best of luck in finding a plastic surgeon.