Aesthetic refinement of the labia following primary gender-affirming surgery
Primary vaginoplasty or vulvoplasty creates the foundation of your vulvar anatomy, but the initial surgical focus is on function, depth, and healing. Labiaplasty, also known as vulvar revision, is a refinement procedure that improves the aesthetic appearance of the labia, clitoral hood, and surrounding structures. For many patients, this secondary surgery brings their results closer to the natural appearance they envisioned.
Labiaplasty in the context of gender-affirming care is a revision surgery performed after the initial vaginoplasty or vulvoplasty has fully healed, typically no sooner than 6–12 months after the primary procedure. It addresses aesthetic concerns that become apparent once post-operative swelling has resolved and tissues have matured. Common goals include reshaping the labia minora for a more delicate, natural contour, refining the labia majora, adjusting the clitoral hood for better definition, and reducing excess or asymmetric tissue.
This procedure is entirely focused on cosmetic refinement and does not involve changes to vaginal depth or internal structures. It is a relatively short surgery with a straightforward recovery, and it can make a meaningful difference in how comfortable and confident you feel with your surgical result. During a thorough pre-operative consultation, your healed anatomy is assessed, your specific concerns are discussed, and a tailored surgical plan is developed.
Vulvar revision encompasses a range of targeted refinements, and your surgeon will combine the specific techniques needed to address your individual concerns. The approach is tailored during consultation after careful examination of your healed anatomy.
Two common focus areas for revision are:
Excess tissue of the labia minora is trimmed and reshaped to create a more symmetrical, delicate contour. The surgeon may use a trim technique (removing tissue along the outer edge) or a wedge technique (removing a V-shaped section to preserve the natural border). Careful suturing ensures smooth, well-healed edges with minimal visible scarring.
The clitoral hood is refined to provide better definition and a more anatomically natural appearance. Excess tissue is carefully removed without compromising the underlying nerve supply to the clitoris. The labia majora can also be reduced or reshaped to create a smoother, more proportionate contour, either by excising excess skin or by liposuction if the concern is volume rather than skin laxity.
Moderate swelling and tenderness in the surgical area are expected. Ice packs and prescribed pain medication keep you comfortable. Rest at your accommodation with the area elevated when possible. Gentle walking is encouraged from day one, but avoid sitting for prolonged periods.
Swelling begins to subside, and you attend a follow-up appointment for a wound check. Continue wearing loose, breathable clothing and avoid tight underwear. Absorbable sutures are in place and do not need removal. Keep the area clean with gentle washing as instructed.
Bruising fades and comfort improves significantly. You can resume most daily activities and light exercise. Avoid cycling, horseback riding, and any activity that puts direct pressure on the area. Sutures continue to dissolve during this period.
Most patients feel fully healed and can resume all activities, including sexual activity, once cleared by their surgical team. Residual swelling continues to resolve over the following months, and the refined labial contour reaches its settled appearance over 3–6 months.
Labiaplasty is a well-established cosmetic procedure with a straightforward risk profile. Because it is a revision surgery on tissue that has already healed from a primary procedure, your surgeon will assess your individual tissue quality and healing characteristics before proceeding.
Revision surgery on previously operated tissue requires careful surgical judgement, as scar tissue and altered blood supply can affect healing. Our partner surgeons have extensive experience performing vulvar revisions after gender-affirming surgery and will assess your tissue quality thoroughly before recommending a surgical plan.
Our pricing is transparent and all-inclusive, and your quote covers everything from surgeon fees to hospital stay.
Everything you need to know before your procedure
Gender Affirmation Surgeon · Bangkok
Last reviewed: February 24, 2026
Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Speak with an experienced gender-affirming surgeon before proceeding with any procedure.
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