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Vaginal Rejuvenation


Leesburg - Northern Virginia - Loudoun

Educational diagram of labia minora variations

Labiaplasty addresses the cosmetic appearance of the labia minora. The labia minora is often referred to as the vaginal lips.

For an assortment of reasons, the labiaplasty procedure is the fastest growing cosmetic procedure today. Some attribute it to the prevalence of pornography; others attribute it to an increased awareness and education about the the female anatomy and the availability of the procedure.  

But it isn’t just about aesthetics. Having longer labia lips can lead to pain during intercourse and make tighter clothing uncomfortable and embarrassing. The presence of elongated labia can even increase infections such as thrush. By reducing the length of your labia you can gain confidence in yourself again and enjoy being intimate with a partner.

About Labiaplasty

Labiaplasty surgery is a cosmetic surgical procedure to improve the appearance of the labia minora (lips). It is the fastest growing cosmetic procedure in America this year.

The labia can change over time, they can lengthen and protrude. Childbirth and aging are the primary causes of these changes.

The procedure is performed either at the office under local anesthesia and valium, or at the surgery center under general anesthesia. The vast majority of our patients choose to have their procedures in the office setting.

The labia is examined for length and asymmetry. A wedge of tissue is measured and drawn to reduce the size and length of the labia accordingly.  You can watch the surgical video below for more details (warning, the live surgical video is graphic).  

Candidates for labiaplasty surgery are women who feel that their labia are:

  • too long
  • unattractive to look at
  • not asymmetric
  • causing discomfort during intercourse
  • causing discomfort while sitting
  • causing discomfort during sports
  • causing infections

There is no such thing as a normal labia. There are variations in color, length, thickness, and texture. Most women chose to have a labiaplasty surgery because they are in discomfort. Many women have it because of a lack in confidence due to the appearance of their labia. We encourage all women to only consider this surgery for their own reasoning and not on the recommendation of someone else.

Dr. Chang’s labiaplasty technique is adapted from one of the premier vaginal rejuvenation surgeon’s in the world whom Dr. Chang had the pleasure of training with.

The technique removes a vertical wedge of tissue that reduces the vertical and horizontal length from the elongated labia tissue.  The scar is barely visible and avoids major complications.

The wedge avoids the more traditional technique used by non-cosmetic gynecologists and surgeons who remove tissue across the entire length of the labia. This poor technique results in a linear scar along the entire front to back length of the labia which produces not only a visible and often unsightly scar, but a scar that is sometimes painful.  

There are a few things patients can do before their labiaplasty surgery in order to help with the healing process and reduce risks:

  • Avoid blood thinners and certain medications for at least two weeks prior to surgery.
  • Avoid alcohol at least a week before surgery.
  • Stop smoking at least four weeks before surgery or try to significantly cut down your intake.
  • Wear comfortable, loose clothing on the day.
  • Avoid intercourse and rigorous exercise the night before your surgery.
  • Organize your home, pantry and toiletries to avoid unnecessary trips the first few days after surgery.

Always consult with your primary physician and your surgeon when changing your medication routines. Your health and well-being is the top priority for Aesthetica. You will also receive a set of instructions from us  on how best to prepare.

Recovery from labiaplasty surgery is very similar to recovery from an epesiotomy or hemorrhoid surgery:

  • Keep the vaginal area clean during the healing process, try to cleanse the area after using the bathroom
  • Avoid a shower or bath for 24 hours after surgery
  • Patients benefit from sitting on a “woopy cushion” for 2-4 weeks to avoid pressure on the area
  • Pain is tolerable, but you might benefit from taking the prescribed narcotic pain medication for 3-5 days  
  • Final results should not be expected for at least 3-6 months
  • Intercourse should be avoided for 4-6 weeks
  • Sutures if any are removed in 10 to 14 days
  • Strenuous exercise should also be avoided for 2 to 4 weeks to help in the recovery process
  • Most patients will take 3 to 7  days off of work

As with any surgery, there are associated risks. Only you can decide whether the procedure can achieve your goals and whether the recovery and risks are acceptable to you.  Complications could include:

  • Local bleeding or bruising
  • Infection particularly from the absorbable sutures
  • Loss of sensation although rare
  • Widened or thickened scar
  • Asymmetry (unevenness between two sides)
  • Delayed wound healing with skin or tissue necrosis
  • Under-correction
  • Over-correction

These complications are rare. Dr. Chang is highly skilled at performing a labiaplasty. Unsatisfactory results may require additional procedures. Patients will generally be responsible for any associated facility fees. 

The price of any procedure is reflected in the skill and quality of your surgeon. You are paying for the skill, quality, and technique that Dr. Chang provides for your labiaplasty procedure.

When done well, labiaplasty will significantly enhance your physical appearance, so it is important to concentrate on having a skilled surgeon with years of training, like Dr. Chang, rather than a low price. To help make surgery affordable, Aesthetica Cosmetic Surgery & Laser Center will help you find low-interest financing.

There are a number of other surgical procedures that can be performed with a labiaplasty. These include:

  • Clitoroplasty
  • Mons pubis reduction
  • Labia majoria fat transfer
  • Mommy makeover

The Mommy makeover usually includes a tummy tuck, breast augmentation and liposuction.

Many women choose to have a labiaplasty because of discomfort and medical issues like constant infections. It is viewed as a cosmetic surgery by most health insurance companies, therefore they will not cover it.

Many surgeon offices provide payment plans to help spread the cost of surgeries that aren’t covered by insurance.

After the surgery there needs to be a degree of patience while the area heals. Many women are concerned that a labiaplasty can affect sensation, make intercourse painful and that the scars will be visible and their new labia won’t look right.

All of these concerns are valid and addressed during the initial consultation. There should be no long term sensation issues, intercourse could be less painful without the long lips getting in the way and although there will be scars, they will be minimal and hidden within the natural folds.

Take the time to talk over any concerns and ask lots of questions during your free consultation.

Labiaplasty Surgery ( Labia Minora )

Starts at $4000

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Reasons why labiaplasty is the fastest growing plastic surgery procedure

Dr. Chang explains 5 reasons why Labiaplasty is the fastest growing Plastic Surgery procedure in the United States.

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Aesthetica is led by founder and director Dr. Phillip Chang, who is an award-winning board-certified plastic surgeon in Loudoun County who has gained his reputation from emphasizing the importance of looking natural particularly when it comes to face or breast surgery and procedures.

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Live Labiaplasty Surgery by Dr. Chang

Warning: Graphic Content. This is a live labiaplasty surgery performed by Dr. Chang. He will run through how he performs the procedure to ensure minimal scarring and aesthetic beauty.


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Northern Virginia - Loudoun - Leesburg - NOVA

Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

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All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

  • Melanie Schwarz, RN, BSN
  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

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