What 100 consecutive labiaplasties showed: my own results

By Mr Omar Quaba, Consultant Plastic Surgeon

I audited 100 consecutive women who had a labiaplasty with me between September 2018 and March 2025. 89 had no complication at all and 7 had minor delayed healing that needed no further treatment. 5 had a second operation, and 63 of the 64 who gave feedback were satisfied or very satisfied.

Published studies are useful, but they tell you about other surgeons. You are entitled to ask any surgeon for their own numbers, so here are mine. They are my results and they cannot promise yours.

Who had the operation?

The average age was 29, and the youngest was 18 and the oldest 57. 63 of the 100 were in their twenties and 21 in their thirties. 87 had no children.

The inner labia averaged about 4.5 cm wide. About 60 were wider than 4 cm and about 40 were between 2 and 4 cm. 11 women had a clear difference between the two sides, of 1.5 cm or more.

Why did women have it?

Reason	Women
Both physical discomfort and appearance	56
Appearance only	35
Physical discomfort only	9

Most women had more than one reason. In 65 of the 100 there was a physical problem as well, such as discomfort in clothing or during exercise or sex.

Which technique did I use?

I used a wedge de-epithelialisation in 99 of the 100 and a trim in 1. A de-epithelialisation removes a lot of the excess skin from the wedge, and the natural edge stays, along with the underlying labial tissue and its nerve endings and blood supply. You can read why in Labiaplasty: trim or wedge, and recovery week by week.

Marked

Skin removed

Stitched

Simplified diagrams of the technique I used in 99 of the 100.

95 women had both sides treated and 5 had one side. 93 had a local anaesthetic and 7 a general anaesthetic. None had a clitoral hood reduction.

What went wrong, and how often?

89 of the 100 had no complication. 11 women had one:

Complication	Women
Minor delayed healing, needing no further treatment	7
The wound opening fully	1
Infection	4

2 of the 7 with minor delayed healing also had a haematoma, a collection of blood. One woman appears in two rows of the table, which is why the rows add up to 12.

Minor delayed healing is the complication I warn women about with a wedge, and published studies give 3 to 8 in 100 (Géczi et al, 2024). It is a minor problem, not a serious one: a small part of the wound heals slowly and settles by itself. None of the seven needed any further treatment for it.

How many needed a second operation?

5 of the 100, which is close to the 5.6% in published studies.

Reason	Women
A minor skin tag	3
Asymmetry	1
The wound opening fully	1

So 4 of the 5 were small refinements, and 1 was treating a complication.

Were women happy with the result?

64 women gave feedback: 16 were very satisfied, 47 satisfied, 1 neutral, and none dissatisfied. Average follow-up was 6.4 months.

What are the limits of these numbers?

36 of the 100 did not come back for follow-up. Some of them may have had a problem I did not hear about, so the complication rate could be higher than I have recorded, and I do not know what those women thought of their result.

This is one surgeon’s patients, with no comparison group. Your own risk depends on you and on your anatomy, and your surgeon will go through it with you.

How can I find out if labiaplasty is right for me?

Book a consultation with the consultant who would operate. They examine you, tell you whether surgery would help, and give you a written plan. That can end with the advice that you do not need an operation.

Book a consultationLabiaplasty at Waterfront

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