Labiaplasty — Labial Correction

Labiaplasty at MUDr. Šimek's Olomouc practice surgically reduces or reshapes enlarged or asymmetric labia minora to relieve physical discomfort during physical activity or to address aesthetic concerns — performed under bilateral local infiltration anaesthesia as a same-day outpatient procedure. The procedure is indicated for women who experience chafing, irritation, difficulty with hygiene, or self-consciousness from labial protrusion beyond the labia majora. MUDr. Šimek performs the correction bilaterally as standard. Post-operative care includes cool sitz baths using oak bark or calendula infusion to reduce swelling, and sexual abstinence for 3–6 weeks. No hospitalisation is required.

Labiaplasty is the surgical reshaping of the labia minora — the inner labia of the vulva. The indication spectrum is broad: women with functional physical complaints (pain or chafing during cycling, running, tight clothing, or sexual activity) and women with aesthetic concerns (asymmetry, protrusion beyond the labia majora, self-consciousness affecting quality of life) are both valid surgical candidates. The size, shape, and symmetry of the labia minora vary enormously between individuals and are not pathological across a wide range — the decision to pursue correction is inherently personal. **Technique** MUDr. Šimek performs labiaplasty under bilateral local infiltration anaesthesia, meaning both sides are treated in the same session. The principal techniques are the trim method (direct excision of the protruding labial edge with linear closure) and the wedge method (V-shaped resection that preserves the natural labial edge and produces a scar in a less visible location). The choice of technique depends on the tissue anatomy, the patient's specific concerns, and the degree of asymmetry — this is discussed at consultation with reference to anatomical illustrations. **Recovery specifics** The vulvar and perineal tissue is highly vascular and heals relatively quickly, but swelling is significant in the first week and can be alarming to patients who are not prepared for it. MUDr. Šimek's protocol includes cool sitz baths — in water infused with oak bark (quebracho or similar tannin-rich species) or calendula — twice daily for the first 1–2 weeks. These botanicals have mild astringent and anti-inflammatory properties that reduce oedema and support mucosal healing. Standard non-opioid analgesics (paracetamol, ibuprofen) manage post-operative pain, which is typically described as pressure-like rather than sharp. Enhanced hygiene protocols during healing reduce infection risk in the genital area. Swelling typically subsides over several days to 2–3 weeks; subtle asymmetry from residual oedema may persist for up to 3 months. Sexual abstinence for 3–6 weeks is required — the exact duration depends on healing progress at the post-operative review. **Psychological dimensions** The decision to pursue labiaplasty is often accompanied by significant pre-existing self-consciousness that patients have managed alone for years. The clinic treats this procedure with the same clinical matter-of-factness as any other plastic surgery intervention. There is no moral or aesthetic standard regarding labial size imposed at consultation — the patient's own discomfort or concern is the indication. **Contraindications** Active pelvic infection, planned pregnancy within 12 months of surgery, blood coagulation disorders, and active inflammatory skin conditions in the treatment area.