Labiaplasty

Labiaplasty in Nashville With Dr. Olivia MaDan

Many women experience self-consciousness, physical discomfort, or functional concerns related to the appearance of their most intimate areas, especially when the labia minora or labia majora contain excess tissue or have changed due to hormonal changes, childbirth, or aging.

Every woman’s vaginal tissue is unique, and variations in the inner folds are completely normal. Still, many women seek treatment when enlarged or elongated tissue causes painful intercourse, irritation in tight clothing, or aesthetic concerns that affect body image and confidence.

Labiaplasty is a surgical procedure aimed at improving comfort and appearance by reshaping the labia minora, labia majora, and clitoral hood. At BEYOND Collective, board‑certified plastic surgeon Dr. Olivia MaDan and her compassionate, all‑female team provide personalized care to help patients feel confident, comfortable, and supported throughout their female genital cosmetic surgery experience.

If you’re interested in learning how labiaplasty can significantly reduce your physical discomfort while enhancing the natural contour of your vaginal area, contact us at (615) 327-0303 or request your consultation today. We proudly serve patients throughout Metro Nashville and Middle Tennessee.

At A Glance:
Labiaplasty

What Is Labiaplasty?

Labiaplasty is a plastic surgery procedure that removes or reshapes excess labial tissue of the labia minora and, when needed, the clitoral hood or labia majora. The labia minora are the inner lips of the vaginal area, while the labia majora are the outer, hair-bearing folds that protect the vaginal canal, vaginal walls, and pelvic organs. The clitoral hood, or prepuce, is a small fold of vaginal tissue that covers the clitoris.

When the labia minora extend below the labia majora, it can cause concerns related to excess tissue and asymmetry, such as:

  • Painful intercourse
  • Irritation during exercise
  • Chafing or pulling
  • Discomfort with tampon or menstrual cup use
  • Visibility through tight clothing
  • Self-consciousness about your appearance

As one of Dr. MaDan’s most requested procedures, labiaplasty is highly customizable. During your consultation, she will evaluate your anatomy, discuss your symptoms, and create a personalized treatment plan that aligns with your goals. She may also discuss related concerns such as vaginal dryness, vaginal laxity, vaginal looseness, urinary incontinence, or vaginal atrophy, which often benefit from complementary treatments like physical therapy, radiofrequency energy, or pelvic floor strengthening.

Labiaplasty benefits can include:

  • Reduced chafing and physical discomfort
  • Improved sexual satisfaction and sexual function
  • Enhanced confidence and body image
  • Reduced discomfort when using a tampon or menstrual cup
  • Less visibility of the labia minora in tight clothing
  • A smoother, more natural contour of the aesthetic labia minora

Labiaplasty is a popular cosmetic surgery among women of all ages, including younger patients who have not yet had children. While future pregnancies and vaginal deliveries may affect results, most women enjoy long-lasting improvements

What Are the Different Labiaplasty Techniques?

•The goal of a labiaplasty procedure is to remove or reshape excess labia minora tissue that extends below the labia majora, causing physical discomfort, aesthetic concerns, or functional symptoms such as painful intercourse or irritation in tight clothing. Because the anatomy of the female genitals varies widely, Dr. MaDan will choose the appropriate methods to create a balanced, natural contour.

• Edge Excision-The trim method, also known as edge resection, removes the darker, thickened outer edge of the labia minora, reducing excess tissue and revealing lighter, smoother mucosal tissue that sits comfortably within the labia majora. Dr. MaDan will place multiple layers of absorbable sutures to create a smooth, tapered border of the aesthetic labia minora. This technique is ideal for patients with pigmentation or texture changes along the edge of their labia or those who want to significantly improve symmetry and reduce irritation.

• Wedge Resection-Another widely used technique is the wedge resection, which removes a V shaped wedge of labial tissue from the central portion of the labia minora. This method preserves the natural edge of the labia, maintaining vulvar appearance while reducing excess tissue. It is a good choice for women without pigmentation changes who want to maintain the natural border of their labia. In select cases, Dr. MaDan may use an extended central wedge resection to address more substantial tissue redundancy while preserving the natural contour. . 

• Clitoral Hood Reduction-Dr. MaDan often performs clitoral hood reduction alongside labiaplasty to improve balance between the clitoral hood and the labia minora. This surgical procedure aimed at removing a small diamond- or crescent-shaped piece of tissue can reduce bulk, improve appearance, and enhance your self-esteem without affecting sexual function. It is especially helpful for patients whose excess tissue contributes to irritation or difficulty with hygiene.  

• Labia Majora Reduction- For patients with fullness or laxity of the outer folds, labia majora reduction may be recommended. This procedure removes a small crescent of skin from the inner portion of the labia majora to improve appearance, reduce bulk, and restore a more youthful contour. It can also help address discomfort related to friction, heat, or visibility in clothing.  

Why Technique Selection Matters

Because every labiaplasty patient has different concerns, Dr. MaDan will tailor her surgical plan to your specific anatomy, goals, and symptoms. During your consultation, she will evaluate your vaginal tissue, the relationship between your labia, and contributing factors such as vaginal laxity, dryness, or atrophy. She will then recommend the technique that best aligns with what you want to achieve.

Why to Choose Dr. Olivia MaDan and BEYOND as Your Nashville Labiaplasty Provider?

At BEYOND Collective, we believe that caring for a woman’s most intimate concerns is an honor and a responsibility. Our mission is to provide safe, effective cosmetic surgery options backed by evidence-based techniques, advanced technology, and a commitment to personalized care. We’ll take time to understand your goals and motivations so we can compassionately address your concerns.

Dr. MaDan is a board-certified plastic surgeon with extensive experience in female genital cosmetic surgery, including labiaplasty, clitoral hood reduction, and procedures that refine the labia minora, labia majora, and surrounding vaginal tissue. She has earned a reputation for her meticulous surgical techniques, her ability to create natural results, and her dedication to patient satisfaction.

For Dr. MaDan, one of the most meaningful aspects of plastic surgery is helping women restore confidence, comfort, and a positive relationship with their bodies. Many women seek her expertise to improve symptoms such as irritation, physical discomfort, or painful intercourse, while others want to enhance the appearance of the aesthetic labia minora or correct too much tissue that affects daily life. She approaches each case with empathy, attention to detail, and an understanding of how intimate concerns can impact your body image and quality of life.

Outside the operating room, Dr. MaDan enjoys hands-on projects that challenge her creativity and problem-solving skills – qualities that translate directly into her surgical work. An avid sportswoman, she stays active through snowboarding, golf, fishing, and shooting sports. She also loves spending time with her two dogs, Blaze and Townes.

Choosing Dr. MaDan forms a partnership with a surgeon who prioritizes safety, medical ethics, and long‑term results. Whether you are seeking labial reduction, refinement of your clitoral hood, or a comprehensive vaginal rejuvenation plan, you can trust you’ll receive a care plan tailored to your anatomy and objectives.

What to Expect During Your Labiaplasty Consultation

A thorough consultation is essential for building trust and receiving personalized care based on your anatomy, symptoms, and goals. Many women seeking labiaplasty experience a combination of aesthetic concerns, physical discomfort, or functional issues such as painful intercourse, irritation in tight clothing, or challenges caused by excess tissue. Dr. MaDan approaches every consultation with empathy, professionalism, and an understanding of how intimate concerns can affect your confidence and body image.

To minimize self-consciousness, you’ll begin your visit fully clothed. Dr. MaDan will take time to learn about your lifestyle, health history, and the specific issues you want to improve. Please arrive prepared to answer questions about symptoms such as irritation, chafing, vaginal dryness, or discomfort during exercise or sexual intercourse. Once you are ready, you’ll change into one of our hand-dyed robes and move to a private exam room for a gentle physical assessment. During this evaluation, Dr. MaDan will examine your labia minora, labia majora, clitoral hood, and surrounding vaginal tissue to understand your anatomy and identify the source of your concerns.

After this exam, Dr. MaDan will develop a personalized treatment plan that may include labiaplasty alone or in combination with procedures such as clitoral hood reduction, labial reduction, or nonsurgical vaginal rejuvenation options if concerns like vaginal laxity, vaginal looseness, urinary incontinence, or weakened vaginal muscles are present. She will also review potential risks, including pain, bleeding, infection, or scarring, and discuss realistic expectations for healing and results.

Throughout this private, one-on-one meeting, Dr. MaDan will take every measure to ensure you feel informed and empowered to make the best decisions for your health and well-being. Her goal is to help you achieve a comfortable, balanced, natural contour.

Am I an Ideal Candidate for Labiaplasty?

Candidates for labiaplasty in Tennessee often experience enlarged vaginal lips, elongated tissue, or aesthetic concerns that affect comfort, confidence, or daily activities. Many women seek treatment when excess tissue causes irritation, chafing, or painful intercourse, or when the appearance of their labia impacts their body image or self-confidence.

You may be a good candidate for labiaplasty or aesthetic vaginal labioplasty if you:

  • Experience discomfort, irritation, or self‑consciousness due to enlarged labia
  • Have excess tissue that causes chafing during exercise or discomfort in tight clothing
  • Have felt pain during sex or pulling of your labia during physical activity
  • Are in good health and maintain a stable weight, with a BMI of 30 or less
  • Are a non-smoker or are willing to quit all nicotine-containing products for at least six weeks before and after surgery
  • Have no medical conditions that impair healing
  • Understand the potential risks of this surgery, including pain, bleeding, infection, or scarring
  • Do not have body dysmorphic disorder, which can affect your expectations and satisfaction
  • Have realistic goals and a positive outlook
  • Have no immediate plans for pregnancy

During your consultation, Dr. MaDan will evaluate your anatomy, symptoms, and goals to determine whether labiaplasty is the right plastic surgery procedure for you. She will assess your labia minora, labia majora, clitoral hood, vaginal tissue, and surrounding vaginal area to understand how your concerns relate to your anatomy.

Some patients also present with concerns such as vaginal laxity, urinary incontinence, dryness, or weakened vaginal muscles, which may benefit from complementary treatments like physical therapy, pelvic floor strengthening, or radiofrequency energy-based vaginal rejuvenation. If you experience these issues, Dr. MaDan will suggest remedies to incorporate into your personalized treatment plan for comprehensive, long-term improvements.

Meet Dr. Olivia MaDan

Nashville’s Board-Certified Plastic Surgeon & Founder of BEYOND Collective

As one of Nashville’s premier female plastic surgeons, Dr. MaDan and her dedicated all-female team at BEYOND Collective understand that each patient has a unique motivation for choosing plastic surgery. Our experts strive to help you accomplish your aesthetic goals to restore your self-image and improve your quality of life. By delivering an outstanding experience with a personalized touch, Dr. MaDan and our compassionate staff want to exceed your expectations and empower you to feel more confident in your own skin.

How to Prepare for Your Labiaplasty

Preparing for your Nashville labiaplasty is vital for ensuring a safe procedure with a smooth recovery and optimal results. Dr. MaDan will provide a personalized treatment plan and detailed instructions based on your health and anatomy. You should follow these directions to the letter to reduce potential risks such as pain, bleeding, infection, or scarring, while supporting healthy blood flow, collagen production, and wound healing.

Because labiaplasty is a surgical procedure aimed at reshaping excess tissue of the labia minora, labia majora, or clitoral hood, you should get your body in the best possible condition for safe, effective healing.

 

 
 
 
 
 
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•Stay within a stable weight range by maintaining a consistent exercise routine and a balanced, protein-rich diet. Proper nutrition gives your body the building blocks it needs to recover sooner and boosts the health of the vaginal tissue, vaginal walls, and surrounding structures.

•Stay well-hydrated before and after surgery to promote circulation and tissue healing.

•Visit your primary care physician for a preoperative exam and required testing to ensure you are healthy enough to undergo surgery. Women over 40 may need a baseline mammogram, and patients over 50 may require an EKG and routine labs.

•Avoid medications and supplements that might increase your bleeding risk for at least two weeks before and after surgery, including ibuprofen, aspirin, fish oil, garlic, ginseng, and vitamin E.

•Stop smoking, vaping, or using nicotine products at least six weeks before and after surgery. Nicotine restricts blood flow and can impair healing of the surgical wound. We will conduct a urine nicotine test on the morning of your procedure.

•Prepare your home for recovery. Arrange a comfortable space, complete household tasks in advance, and consider meal prep or arranging food delivery.

• Arrange for assistance. You will need a responsible adult to drive you home and stay with you for at least 24 hours. You may also need help with childcare, pet care, or household tasks for several days.

•Carefully review your pre-operative instructions, including guidelines for hygiene, medications, and what to expect on the day of surgery.

•Wear loose, comfortable clothing on the day of your procedure to avoid friction against your vaginal area, pubic bone, or labial tissue after surgery.

What to Expect During Your Nashville Labiaplasty?

Dr. MaDan usually performs labiaplasty in our in-office surgical suite using local anesthesia, making it a convenient and efficient option for most patients. If you choose to combine your labiaplasty with complementary procedures such as breast augmentation or a tummy tuck, you’ll be under general anesthesia.

If you get an in‑office procedure, you may eat and drink normally the morning of surgery, following Dr. MaDan’s instructions. For combination procedures under general anesthesia, please avoid eating or drinking after midnight.

Before your procedure begins, you will review your surgical plan with Dr. MaDan and have a chance to ask last-minute questions. She will confirm the details of your personalized treatment plan, including the labiaplasty technique that is most appropriate for your anatomy and goals, such as the trim method, edge resection, wedge resection, or extended central wedge resection.

On the day of your surgery, you’ll meet with Dr. MaDan to review your plan and ensure you feel comfortable. Patients undergoing labiaplasty in our Nashville office will receive a topical anesthetic followed by local anesthesia, which minimizes discomfort and reduces bleeding. Dr. MaDan may also perform labiaplasty under general anesthesia if you choose to combine it with other procedures or if it’s the safest choice based on your health history.

When performing the appropriate labiaplasty technique, Dr. MaDan will make precise incisions to remove excess tissue, refine aesthetics, and improve symmetry. If needed, she may also perform clitoral hood reduction, labial reduction, or adjustments to your labia majora to reduce irritation and restore a more natural contour.

Dr. MaDan places multiple layers of dissolvable sutures to create a smooth, tapered edge that heals naturally. She’ll apply ointment and dressings to protect the surgical wound and will teach you how to keep the area clean to support healing and reduce potential risks such as pain, bleeding, infection, or scarring. She will also review how to care for your incisions, reduce swelling, and protect your vaginal walls, vaginal canal, and surrounding tissues during early recovery.