San Diego Cosmetic Surgeon Dr. Tom Pousti Talks About Labiaplasty – Vaginal Lip Reduction


Patients from around California come to Prime Plastic Surgery to have a consultation regarding labia reduction surgery. Enlarged or hypertrophic labia minora can be functionally or psycho-socially bothersome. Local irritation, problems with personal hygiene, interference with sexual intercourse and discomfort during cycling, horse back riding, wearing exercise clothing, walking or sitting are indications for surgical reduction. Patients usually like to decide the size of their labia but it is important to remember the function of the labia minora as well. The labia minora protect the vaginal orifice when the thighs are spread and therefore, overcorrection is not recommended.

Since Dr. Pousti is an expert in labia reduction surgery, many women from around California as well as around the country choose to fly to San Diego to obtain his services. If you are not from the San Diego area, please visit Fly in for Surgery to learn more about our out-of-town accommodations and scheduling information.

If you live in San Diego or Southern California and you would like more information or to schedule a consultation, please call our offices at (619) 466-8851.

The Surgical Procedure

During the procedure, the inner lips of the vulva are made to look symmetrical (reduced). Many of Dr. Pousti’s patients come in complaining of pain during exercise, horse back riding, cycling and/or intercourse so this procedure will assist with those symptoms. Other patients come in for the aesthetic correction and improving their self-image. Reduction of the labia minora is performed under local or general anesthesia with care taken to obtain as natural a result as possible. Care is taken to avoid over-resection of the labia and to avoid interference with the clitoris or urethral opening. This judicious reduction of the labia minora may serve to improve the physical comfort and sexuality of the patient. Scars are minimal and normally only visible to the trained eye. Sensitivity is normally not interfered with: psychological and relational components of dysfunctional vaginal experience can neither be caused, nor treated by surgery.This procedure can be called Labiaplasty, Labioplasty, Labial Reduction Surgery, Labia Reduction Surgery, or Vulvar Surgery.

What To Expect After Surgery

There will be a dressing in that area that will be similar to a pad worn during menstruation. Dr. Pousti expects the patients to be on bed rest for 2-3 days. Ice will be applied to the area for the time the patient is on bed rest.

Resumption of Physical Activity

Patients may go back to their daily routines after one week but with extreme caution. Patients are to avoid strenuous activity as well as sexual intercourse for 4-6 weeks after surgery.


Labial Reduction :
Having an extended labia minora always seemed like just one of those things I had to deal with in life. I didn’t know it was something I could change. I was a teenager when it first started to bother me. It extended the length of the outer labia, so it would rub on my underwear. This would often make me sore and obviously very uncomfortable. I was very self-concious about it. When I became sexually active it was not only embarrasing to have longer labia, but was also somewhat painful. I was searching online when I found that a procedure was available that could reduce the length of my inner labia. I gave it some thought and knew that it would be well worth it for me to rid myself of this issue. I had the procedure done and I can honestly say the pain wasn’t too bad. I’d compare it to having stiches after giving birth. Sure it’s sensitive for awhile, but very manageable. I am currently 2 months out of surgery and feel wonderful. I don’t have the embarrasment that I used to, or the discomfort from things like walking and riding a bike. Even though it was a sensitive subject to discuss at first, I am really glad I chose to have the procedure done. It’s not something that can bother me anymore!
-Tera 27 year old from Portland Oregon

Labial Reduction :
Over the years my body has changed numerous times, I gained weight and lost it, I nipped I tucked and was still left with a nagging little problem. For years Ive been bothered about the size of my inner labia. I was always self concious about they’re size and they seemed to always be in the way! I didn’t want to take any “personal sexy” poses for my husband because I felt that they were too large and ugly, sex was always a matter of moving things out of the way to get the job done and was always too self conscious to enjoy it. I was always obsessive about cleaning my vaginal area but never felt clean enough. As an avid indoor spinning (Indoor cycling class) fanatic I would regularly sit wrong and feel pain, and become uncomfortable throughout the class. I had seen playboy bunnies, models, even fellow gym goers with smaller labia and always wondered how I could fix the problem, or if it was even possible. I had no one to talk to about this problem and felt like I was the only one whose labia minora were labia major-a!
After hearing about Labial Reduction surgeries being done across the country, with growing poularity I looked it up, and researched as much as I could on the subject. After I expressed my concerns with Dr. Pousti he agreed that I would benefit from a labial reduction surgery.
The day of surgery I was marked for surgery and was informed as to how much we could or should remove, the risks were reiterated to me, and I was all set. Once I awoke from surgery I felt no pain from my recently re-done labia minora. I followed all of the Dr. Pousti’s instructions for the following week. I kept the area iced down, sat on pillows, and took it easy. I was amazed how easy the recovery from this surgery was, and going to the bacthroom wasn’t nearly as hard as I had imagined it to be.
Its been five weeks since surgery and I’m incredibly pleased with the results! I no longer feel like I have to move anything around during intimate moments, Ive lost no sensation and can fully enjoy a sexual expirience! I feel cleaner and sexier, and more confident. My workouts have improved becuase I’m no longer afraid im going to sit wrong and feel intense labial pain. The surgery has really boosted my confidence in many ways and made me feel like a better woman. It’s an amazing thing, when something bothers you so much and then when its gone your almost a whole new person. This surgery has helped me greatly. I honestly went from feeling like I was the only woman in the world with this problem, the only woman who never felt perfectly cleansed down there, who worried when she was going to sit on her “sensitive’s” again, who worried that I’d never feel 100% relaxed or sexy during marital intimacies. So let me tell you…I am that woman who is clean, healthy, and sexy. .

Breast Augmentation/Labial Reduction :

I am 31 years old, a teacher and a research practitioner. It was just seven weeks ago that I had both breast augmentation and labia minora reduction procedures by Dr. Tom Pousti. Since both procedures are in very sensitive and private areas, I would not go to just any plastic surgeon. I had many friends make recommendations to me as to where to go and had gone to approximately a dozen consultation (maybe more) from Coronado to Beverly Hills. Once I narrowed it down to the top two, I consulted with them again. I chose Dr. Pousti because he had the best credentials, he is a true artist, and he is the most personable doctor you will ever come across. I know I could trust him and I do not trust many people in general. He took A LOT of time to answer all of my questions and provided me with his expertise in assisting me to “design” the most natural look that I was unfortunately not born with. Additionally, he was very nurturing throughout the entire experience. I am naturally a very anxious person and was quite nervous. I never once felt like “just another patient”. I always felt taken care of.

After I had made my decision, I collected various pictures of what I did not want to look like as well as what I had wanted. Dr. Pousti studied these photos I had brought to him and then asked me questions and together we designed my new breasts and labia minora. You are probably thinking what is that? It is the stretchy inner lips of the vagina and I was very uncomfortable with the way mine appeared. It interfered with my sexual encounters since I was a late teen. I was embarrassed and I can say I am extremely happy with the results. (I had asked my OBGYN on various occasions if they could do this procedure and they did not recommend it. They even had said that there was a good chance of losing sensitivity during intercourse. Well, I can vouch that that is not true. It is even more wonderful than it was before!).

Before I really speak to my results, let me tell you about the actual day of the procedure. I showed up early on Friday morning at the Grossmont Surgical Center. The nurses were absolutely wonderful! They brought me into a little area where I changed out of my clothes and into my gown and slippers. Sounds like I was about to get a spa treatment, huh? Well, that is how they treated me. I sat in a very comfortable lazy-boy chair. The nurses put warm blankets on me and gave me something to feel very relaxed, but not too relaxed because I was to speak with Dr. Pousti one last time prior to being rolled into surgery. We looked at all of the pictures again and had conversations in regard to my desired results. I couldn’t have felt more comfortable! Then I began to feel the anxiety of pre-surgery and the nurses took care of that with a little IV. Didn’t feel a thing! Next, I was introduced to the other staff members ~ all very nice and taking care of my every need. Shortly after, I was rolled in but I do not remember.

Next thing I knew, I had breasts and an improved vaginal appearance! I felt no pain. My friend was there to take me home, but first they gave me a couple of pain-killers. It was a short ride home (I slept through it) and I walked up my stairs to my bedroom. My bed was arranged with three pillows propped up and smaller pillows for my arms to rest on. I also had a pillow for under my butt to prevent swelling in the labia area. (I had set this all up prior to leaving the house that morning which I highly recommend). I had all of my pills within reach as well as the remote to the TV and bottled water with a straw. The fridge was stocked and my friends who helped me the first three days were great!

I saw Dr. Pousti on Monday and everything looked great. My breasts were a little swollen and my labia minora looked better than I had imagined! The first week I was slow but moving around by day 5 with no problems. If you are considering a cosmetic procedure, I would highly recommend Dr. Pousti as your surgeon. I am probably the most high maintenance patient Dr. Pousti has ever had “to deal with” and can be very difficult because of my very high expectations, but Dr. Pousti couldn’t have done a better job. Now I am back for laser hair removal!

Labial Reduction :

I had labial reduction surgery a few months ago and I’m extremely pleased with the results. Also, this is very important: extended labia is not something women discuss with even their closest friends, so I was very appreciative of the discretion given my case.

First a little history: I have always had somewhat of a problem with extended labia, even as a teenager. I was used to the inconvenience of having to push my labia open when I urinated (so I wouldn’t wet myself or the seat), but as time went by, I developed a more severe problem. I gave birth three times in my 30’s, and then I started menopause early at age 44. After a couple of years into menopause, my condition got more inconvenient and uncomfortable (no more bike rides, for example). Eventually I found that I had to push open my labia in order to have sex. Yikes, I said to myself – it’s time to get something done! I did a lot of research on the internet and found myself going back again and again to Dr. Pousti’s website. I made an appointment and when I arrived, I was treated with sensitivity and discretion. Everyone has experienced those “loud mouth” people in other offices – yelling out your name and problem for everyone to hear. Well, you don’t have to worry about that at Dr. Pousti’s office. Everyone acts like you’re there just to have a little chat with the doctorAnd by the way, you will enjoy your visit with Dr. Pousti. He is really “with” you every time you see him. He is genuinely concerned and takes all the time you need for questions. His touch is very gentle, considerate, and professional.

The first thing I remember after waking from my surgery was Dr. Pousti’s face. He was patting my shoulder telling me I would feel no pain. Oh sure, I thought to myself. Well, it was true – he was right – I felt no pain! But I did feel a little pinch, so when I got home I took a pain pill, then I went to the bathroom. The little pinch turned out to be the sanitary napkin pinching my skin. After adjusting the pad, I was fine and never had to take another pill. This was the most amazing surgery I’ve ever experienced (and I’ve had plenty). And the best thing of all is that I am more than happy with the results. I feel “normal” again!

Ask Dr. Pousti if you can do this for yourself after surgery: I have a dark tan complexion (similar to Dr. Pousti) and I scar easily. When the incision was healed, I felt scar tissue forming, so I purchased some Maderma cream (for healing scar tissue) and put that on morning and night. It made a big difference in my comfort and the healing process. I was afraid I was going to get as tight as a virgin – but maybe that’s what “you” will want! Get in there and get your problem removed. I’m sorry I waited so many years. Oh, and if you’re wondering, yes sex is better than ever because Dr. Pousti was extra gentle and careful around that “sensitive” spot.

Prime Plastic Surgery consists of the top board-certified surgeons in the country providing the highest caliber of patient care. We offer cosmetic and reconstructive procedures, both surgical and non-surgical, to help patients achieve truly life-changing results. Our surgeons are members of several prestigious organizations, including:

  • American Society of Plastic Surgeons
  • American Society for Aesthetic Plastic Surgery
  • International Society of Aesthetic Plastic Surgery
  • American Association for Accreditation of Ambulatory Surgery Facilities

Discover what the Prime difference can do for you. Request a consultation online or call our practice at (858) 285-4667.

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